Medicaid-Insured Client Characteristics and Quit Outcomes at the Arizona Smokers ’ Helpline
AbstractMedicaid-insured individuals who smoke experience disparities in quitting and are a priority population for assistance. This retrospective cohort study of Arizona Smokers ’ Helpline clients (Jan 2014–Mar 2019) examined the association between insurance status, treatment, and smoking cessation. When compared to clients with non-Medicaid insurance or no insurance, clients with Medicaid (26%) were more likely to be female, referred directly to the ASHLine by a healt hcare or community partner, smoke in the home, and report having a mental health condition. They also were less likely to utilize cessation medication...
Source: The Journal of Behavioral Health Services and Research - May 4, 2021 Category: Psychiatry & Psychology Source Type: research

Willingness to Report Medical Incidents in Healthcare: a Psychological Model Based on Organizational Trust and Benefit/Risk Perceptions
This study investigated the factors influencing their willingness to report incidents voluntarily. A psychological model based on the trust heuristic was proposed, hypothesizing that organizational trust could affect willingness to report based on the perceived benefits and risks of incident reporting or directly influence willingness to report. Three hundred twenty participants were recruited from 19 provinces in China to participate in an online survey conducted between June and July 2018. Participants included doctors, nurses, me dical technicians, medical service staff, and administrative staff from different hospitals...
Source: The Journal of Behavioral Health Services and Research - April 13, 2021 Category: Psychiatry & Psychology Source Type: research

Paths Toward Sustainable State and County Systems of Care
AbstractThe Substance Abuse and Mental Health Services Administration ’s Children’s Mental Health Initiative (CMHI) Cooperative Agreements support the development of children’s systems of care (SOCs). The National Evaluation of CMHI interviewed representatives from Mental Health Authorities (MHA) and Medicaid agencies in 25 state, county, and municipal jurisdict ions in the FY13 and FY14 grant cohorts in grant years 2 and 4. This paper analyzes funding for five services (wraparound planning; intensive care coordination; family peer support; youth peer support; and flexible funding) that are a core part of SOCs, and g...
Source: The Journal of Behavioral Health Services and Research - April 13, 2021 Category: Psychiatry & Psychology Source Type: research

Willingness to Report Medical Incidents in Healthcare: a Psychological Model Based on Organizational Trust and Benefit/Risk Perceptions
This study investigated the factors influencing their willingness to report incidents voluntarily. A psychological model based on the trust heuristic was proposed, hypothesizing that organizational trust could affect willingness to report based on the perceived benefits and risks of incident reporting or directly influence willingness to report. Three hundred twenty participants were recruited from 19 provinces in China to participate in an online survey conducted between June and July 2018. Participants included doctors, nurses, me dical technicians, medical service staff, and administrative staff from different hospitals...
Source: The Journal of Behavioral Health Services and Research - April 13, 2021 Category: Psychiatry & Psychology Source Type: research

A Path Forward: Mental Health and the U.S. Pandemic Response
AbstractThe COVID-19 pandemic presents a crisis of mental health in the United States (U.S.) alongside a crisis of infectious disease. Racial inequities in COVID-19 morbidity and mortality have brought health equity to the forefront of public health policy, exacerbating prior inequities in mental health care access and outcomes. This Commentary asserts that policymakers and advocates must prioritize mental health when responding to the pandemic. While the pandemic is an emergency of unprecedented scale, the authors argue that it also is an opportunity to implement broad-based mental health policy reforms in the U.S. that b...
Source: The Journal of Behavioral Health Services and Research - April 8, 2021 Category: Psychiatry & Psychology Source Type: research

Family Medicine Physicians ’ Perspectives Regarding Rural Behavioral Health Care: Informing Ideas for Increasing Access to High-Quality Services
AbstractPrimary care settings often function as the front lines for behavioral health services in rural areas. The lack of formal behavioral health care in rural areas is also well documented. Rural family practice physicians were interviewed regarding the state of behavioral health care in their communities and their ideas for increasing access to quality care. Thirteen family practice physicians in rural locations participated in in-depth semi-structured interviews. Interviews were transcribed, coded, and analyzed following a phenomenological design. Physicians described a lack of quality behavioral health services and c...
Source: The Journal of Behavioral Health Services and Research - April 6, 2021 Category: Psychiatry & Psychology Source Type: research

Mental Health Care Costs Among Youth with Comorbid Mental Disorders
AbstractThis exploratory study described the distribution of mental health service costs in youth with mental disorder and determined if costs differed for youth with comorbid internalizing and externalizing disorder compared to those with comorbid internalizing disorders. Data come from youth (8 –17 years;n=75) receiving mental health services at a children ’s hospital in Canada. Billing amounts specified in the Health Insurance Act of Ontario were used to estimate costs. Overall, past-year service use costs were $7436.63. Hospitalizations represented the largest cost. Youth with comorbid internalizing and externalizi...
Source: The Journal of Behavioral Health Services and Research - April 6, 2021 Category: Psychiatry & Psychology Source Type: research

Application of Evidence-Based Treatment in Community Mental Health Settings: Examining EBT Delivery Duration and Client Discharge
This report describes patterns of treatment duration and discharge among clinicians participating in a state-funded evidence-based treatment (EBT) training initiative. After training and consultation, clinicians (N = 376) reported on treatment duration and discharge for their “most complete case.” On average, clinicians delivered 12.4 sessions (SD = 5.1) of the treatment. After completing treatment, half of clinicians (58.7%) continued with regularly scheduled therapy, either using EBT elements or switching to supportive therapy. Clinicians who continued with regular ly scheduled therapy delivered treatment in approxim...
Source: The Journal of Behavioral Health Services and Research - March 22, 2021 Category: Psychiatry & Psychology Source Type: research

Integrated Behavioral Health for Preschool Children in Pediatric Primary Care
AbstractBehavioral problems in preschool children have led to increased rates of expulsion and suspension from preschool. This case report describes the management of children aged 0 –5 with behavioral concerns in a pediatric practice. Identified children were referred to an integrated behavioral health provider who provided accessible evaluation and treatment to parents and children, as well as consultation to childcare providers. The report describes case examples of how the se services prevented adverse outcomes at the preschool age for three children. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - March 22, 2021 Category: Psychiatry & Psychology Source Type: research

Mental Healthcare Provider Perceptions of Race and Racial Disparity in the Care of Black and White Clients
AbstractBlack-white disparities in mental healthcare persist, despite efforts to eliminate them via culturally competent care. To gain insight into how providers implement culturally competent care practices, interviews were conducted with mental healthcare providers ’ about their self-reported behaviors with black and white clients and their perceptions of how race affects the treatment they provide. Thematic analysis was used to analyze 12 semi-structured interviews with providers from a Veterans Affairs healthcare system. Three sets of themes emerged: provi ders’ general beliefs and behaviors (discomfort discussing ...
Source: The Journal of Behavioral Health Services and Research - March 9, 2021 Category: Psychiatry & Psychology Source Type: research

8 Minutes and 46 Seconds Changed Everything —What are We Doing About It?
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - February 17, 2021 Category: Psychiatry & Psychology Source Type: research

Hospital Care for Opioid use in Illinois, 2016 –2019
This study analyzes trends in hospital emergency room visits and admissions for patients with opioid diagnoses seen at 214 hospitals in Illinois over 42  months. Visits were coded hierarchically for opioid overdose, dependence, abuse, or use. Visit rates per 100,000 were stratified by zip code level of poverty. Regression estimates of the likelihood of inpatient admission and death are presented. There were 239,069 visits accounting for almost $5 b illion in total charges and over 710,000 inpatient hospital days with less than a 1% death rate. The Illinois opioid epidemic is concentrated in the poorest areas of the Chicag...
Source: The Journal of Behavioral Health Services and Research - January 27, 2021 Category: Psychiatry & Psychology Source Type: research

Development of the MIND: a Screening Measure Assessing Mental Health Treatment Needs
AbstractEarly identification and treatment of mental illness symptoms results in better outcomes, yet few screeners are available that can be efficiently used in community settings. The Mental Illness Needs Detection (MIND) Screener was developed to identify the need for mental health treatment and administered to 820 adults across the USA. Confirmatory factor analysis supported the internal consistency of the MIND. The MIND significantly correlated with the Kessler-10 (K10; a well-validated screener), reported mental illness, mental health treatment, and the need for treatment. The MIND ’s ability to accurately assess t...
Source: The Journal of Behavioral Health Services and Research - January 20, 2021 Category: Psychiatry & Psychology Source Type: research

Traditional and Nontraditional Mental Healthcare Services: Usage and Preferences Among Adolescents and Younger Adults
This study investigates how adolescents and younger adults use and perceive various nontraditional mental healthcare services in comparison to traditional services and in comparison to each other. A questionnaire-based study was conducted that included 203 participants between the ages of 17 and 37 (M = 25.01,SD = 5.04). Results showed that while usage rates of nontraditional mental health services were considerably high, the highest rates were reported for traditional services. Similarly, participants reported high levels of willingness to use nontraditional services, yet the highest levels of willing ness were re...
Source: The Journal of Behavioral Health Services and Research - January 20, 2021 Category: Psychiatry & Psychology Source Type: research