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Findings from an Organizational Context Survey to Inform the Implementation of a Collaborative Care Study for Co-occurring Disorders
This study surveyed primary care and behavioral health staff from 13 clinics implementing a collaborative care intervention for opioid use disorders co-occurring with PTSD and/or depression as part of a multisite randomized controlled trial. A total of 323 completed an online survey for a 60% response rate. The Consolidated Framework for Implementation Research guided this assessment of multi-level factors that influence implementation. Most areas for improvement focused on inner setting (organizational level) constructs whereas individual-level constructs tended to be strengths. This work addresses a research gap regardin...
Source: The Journal of Behavioral Health Services and Research - August 3, 2023 Category: Psychiatry & Psychology Source Type: research

Multidimensional Family Therapy for Justice-Involved Young Adults with Substance Use Disorders
AbstractThe present study explored the acceptability, feasibility, fidelity, and outcomes of a young adult adaptation of multidimensional family therapy (MDFT), an evidence-based family treatment originally developed for adolescents. Participants included 22 individuals between the ages of 19 to 25 who were enrolled in a criminal drug court program. MDFT was found to be feasible and was delivered with strong fidelity to young adults and their families. Participants reported high satisfaction with MDFT, and 95% completed treatment. Analyses revealed statistically significant decreases in substance use on all indicators from...
Source: The Journal of Behavioral Health Services and Research - August 2, 2023 Category: Psychiatry & Psychology Source Type: research

The REACH (Resiliency, Engagement, and Accessibility for Comorbid HIV/PTSD/SUD populations) Protocol: Using a Universal Screener to Improve Mental Health and Enhance HIV Care Outcomes
Discussion includes lessons learned for implementation of this assessment of PTSD/SUD in PLWH as a novel approach to increase mental health engagement and promote health equity, with the potential long-term impact of improving HIV care outcomes via ameliorating mental health/SUD, and implications for prevention of HIV transmission. Implementation science can be leveraged to understand the gap in the utilization of existing evidence-based screening tools in HIV care settings. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Support for Safe Consumption Sites Among Peer Recovery Coaches
This study assesses support for SCSs among PRCs and identifies personal and professional characteristics associated with support for these sites. PRCs (N = 260) in Michigan were recruited to complete a web-based survey (July –September 2021), reporting their demographics, lived experience, abstinence orientation, attitudes toward clients, training experiences, and support for legalizing SCSs. Logistic regression was used to identify factors associated with support for SCSs. Half of PRCs (49.0%) expressed support for l egalizing SCSs in Michigan. Compared to women, men had greater odds of supporting SCSs (OR = 2.113,p = ....
Source: The Journal of Behavioral Health Services and Research - July 10, 2023 Category: Psychiatry & Psychology Source Type: research

Technologically Punctual? A Preliminary Evaluation of Differences between Face-to-Face and Video Check-In Times for Initial Mental Health Services
AbstractVideo-based telehealth provides mental health services to underserved populations. As decision makers reevaluate service offerings following COVID-19, it remains prudent to evaluate the utility of ongoing telehealth options among rural healthcare facilities, the primary healthcare source for many rural individuals. As research continues to compare video and face-to-face services, one understudied component is attendance. Although video-based telehealth has demonstrated improved show-rates for mental health services when compared to face-to-face methods, limited work has clarified whether video improves patient punc...
Source: The Journal of Behavioral Health Services and Research - July 10, 2023 Category: Psychiatry & Psychology Source Type: research

Supporting Emotionally Exhausted Community Mental Health Therapists in Appropriately Adapting EBPs for Children and Adolescents
AbstractEvidence-based practices (EBPs) are often adapted during community implementation to improve EBP fit for clients and the service context. Augmenting EBPs with additional dosing and content may improve fit. However, reducing EBP content can reduce EBP effectiveness. Using multilevel regression models, this study examined whether supportive program climate and program-furnished EBP-specific implementation strategies (e.g., materials, ongoing training, in-house experts) are associated with augmenting and reducing adaptations, and whether therapist emotional exhaustion moderated these associations. Data were collected ...
Source: The Journal of Behavioral Health Services and Research - July 10, 2023 Category: Psychiatry & Psychology Source Type: research

Therapists' Perceived Competence in Delivering Trauma-Focused Cognitive Behavioral Therapy During Statewide Learning Collaboratives
AbstractThe learning collaborative (LC), a multi-component training and implementation model, is one promising approach to address the need for increased availability of trauma-focused evidence-based practices. The current study used data from four cohorts of a statewide LC on Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to 1) evaluate pre- to post-LC changes in therapists' perceived competence in delivering TF-CBT and 2) explore therapist and contextual factors related to therapists ’ perceived TF-CBT competence. Therapists (N = 237) completed pre- and post-LC measures of practice information, interprofessio...
Source: The Journal of Behavioral Health Services and Research - July 7, 2023 Category: Psychiatry & Psychology Source Type: research

Negative Urgency Linked to Craving and Substance Use Among Adults on Buprenorphine or Methadone
AbstractDespite the effectiveness of medication-assisted treatment (MAT), adults receiving MAT experience opioid cravings and engage in non-opioid illicit substance use that increases the risk of relapse and overdose. The current study examines whether negative urgency, defined as the tendency to act impulsively in response to intense negative emotion, is a risk factor for opioid cravings and non-opioid illicit substance use. Fifty-eight adults (predominately White cis-gender females) receiving MAT (with buprenorphine or methadone) were recruited from online substance use forums and asked to complete self-report questionna...
Source: The Journal of Behavioral Health Services and Research - July 6, 2023 Category: Psychiatry & Psychology Source Type: research