Using Collaborative Documentation to Support Person-Centered Care in Substance Use Settings
AbstractThe delivery of person-centered care (PCC) is critical to promoting service engagement among individuals who use substances. Collaborative documentation (CD) is an emerging person-centered practice used in community mental health, but has not been evaluated in substance use settings. This qualitative study conducted focus groups with substance use treatment providers (n=22) in an outpatient clinic to examine the impact of CD on PCC and clinical quality. Rapid qualitative analysis methods were used to identify key themes. Participants reported that using CD reduced documentation time and helped build trust and bette...
Source: The Journal of Behavioral Health Services and Research - October 31, 2023 Category: Psychiatry & Psychology Source Type: research

Organizational Network Analysis of SAMHSA ’s Technology Transfer Center (TTC) Network
AbstractTechnology transfer centers (TTCs) facilitate the movement of evidence-based practices in behavioral healthcare from theory to practice. One of the largest such networks is the Substance Abuse and Mental Health Services Administration ’s (SAMHSA) TTC Network. This brief report shares findings from an organizational network analysis (ONA) of the network conducted as part of an external evaluation. For non-supervisory TTCs (n = 36) across three focus areas (addiction, prevention, and mental health), the authors computed network density, harmonic closeness, and non-null dyadic reciprocity for five types of inter...
Source: The Journal of Behavioral Health Services and Research - October 23, 2023 Category: Psychiatry & Psychology Source Type: research

Eating Disorder Specialist Views on Gender Competency and Education for Treating Gender Minority Patients
AbstractStudies exploring patient experience with eating disorder specialists have reported poor gender competency among clinicians, as revealed through patient-clinician interactions. Through interviews with eating disorder specialists, the authors sought to (1) clarify how and why current practice and clinical training may not meet the needs of transgender and gender-diverse patients, (2) assess where and how clinicians received education on gender identity, and (3) how changes can be made to meet educational and patient needs. Specialists were recruited, and semi-structured interviews were conducted. Narratives were cod...
Source: The Journal of Behavioral Health Services and Research - October 16, 2023 Category: Psychiatry & Psychology Source Type: research

Predictors of Housing Trajectories Among Young Adults Experiencing Homelessness in Los Angeles
AbstractExperiencing homelessness during young adulthood is associated with negative health outcomes and understanding housing trajectories of young adults experiencing homelessness may aid in the development of evidence-based public health programs designed to serve this at-risk age group. In the present study, the authors examined baseline predictors of 24-month trajectories of housing stability and unsheltered housing among a sample of 271 young adults aged 18 to 25 recruited from drop-in centers in Los Angeles. In multivariate models, the authors found that identifying as multi-racial/other and better friendship qualit...
Source: The Journal of Behavioral Health Services and Research - October 6, 2023 Category: Psychiatry & Psychology Source Type: research

Barriers and Facilitators to Behavioral Healthcare for Women Veterans: a Mixed-Methods Analysis of the Current Landscape
AbstractWomen veterans have historically faced barriers to behavioral health treatment, particularly through the VA. In conjunction, there have been changes in behavioral healthcare delivery resulting from efforts to improve care for women veterans and the COVID-19 pandemic (e.g., widespread telehealth implementation). The current study draws on a quantitative and qualitative study centering current perspectives of women veterans in their choices to seek or not seek behavioral healthcare in VA and non-VA settings through interviewing 18 women recruited from a larger survey study on veteran behavioral health (n = 83 wom...
Source: The Journal of Behavioral Health Services and Research - October 5, 2023 Category: Psychiatry & Psychology Source Type: research

A Mixed Methods Analysis of Southern HIV Service Organizations ’ Implementation of Harm Reduction to Address the HIV and Opioid Syndemic
AbstractSouthern HIV Service Organizations (SHSOs) are promising sites for the adoption and implementation of harm reduction as a means for addressing the HIV and opioid syndemic. However, little research to date has examined exactly how harm reduction is operationalized within and among SHSOs. Using program evaluation data (i.e., organizational assessment data  and semi-structured qualitative group interview data with SHSO staff), this study aimed to characterize organizational implementation of harm reduction among SHSOs that sought harm reduction capacity-building assistance (i.e., training, coaching, funding) from th...
Source: The Journal of Behavioral Health Services and Research - September 11, 2023 Category: Psychiatry & Psychology Source Type: research

Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010 –2017
This study examines whether the Affordable Care Act (ACA) Medicaid expansion (ME) was associated with changes in racial/ethnic disparities in insurance coverage, utilization, and quality of mental health care among low-income adults with probable mental illness using the National Survey on Drug Use and Health with state identifiers. This study employed difference-in-difference models to compare ME states to non-expansion states before (2010 –2013) and after (2014–2017) expansion and triple difference models to examine these changes across non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic/Latino racial/et...
Source: The Journal of Behavioral Health Services and Research - September 6, 2023 Category: Psychiatry & Psychology Source Type: research

A Cost Model for a Low-Threshold Clinic Treating Opioid Use Disorder
AbstractThe US fee-for-service payment system under-reimburses clinics offering access to comprehensive treatments for opioid use disorder (OUD). The funding shortfall limits a clinic ’s ability to expand and improve access, especially for socially marginalized patients with OUD. New payment models, however, should reflect the high variation in cost for using a clinic’s clinical and voluntary psychosocial and recovery support services. The authors applied time-driven activity -based costing, a patient-level, micro-costing approach, to estimate the cost at an outpatient clinic that delivers medication for opiate used di...
Source: The Journal of Behavioral Health Services and Research - August 29, 2023 Category: Psychiatry & Psychology Source Type: research