1,165 results match your criteria Administration and Policy in Mental Health and Mental Health Services Research [Journal]
Adm Policy Ment Health 2018 May 24. Epub 2018 May 24.
San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120, USA.
The current study evaluated the interrater reliability of the Child and Adolescent Services Assessment (CASA), a widely used structured interview measuring pediatric mental health service use. Interviews (N = 72) were randomly selected from a pediatric effectiveness trial, and audio was coded by an independent rater. Regressions were employed to identify predictors of rater disagreement. Read More
Adm Policy Ment Health 2018 May 23. Epub 2018 May 23.
University of Pittsburgh School of Public Health, 130 De Soto Street, Pittsburgh, PA, 15213, USA.
People with mental illnesses (MI) receive suboptimal care for medical comorbidities and their high risk for readmission may be addressed by adequate medication management and follow-up care. We examined the association between MI, medication changes, and post-discharge outpatient visits with 30-day readmission in 40,048 Medicare beneficiaries hospitalized for acute myocardial infarction, heart failure or pneumonia. Beneficiaries with MI were more likely to be readmitted than those without MI (14 vs. Read More
Adm Policy Ment Health 2018 May 19. Epub 2018 May 19.
University of Washington School of Medicine, Seattle, WA, USA.
Clinical pathways are known to improve the value of health care in medical and surgical settings but have been rarely studied in the psychiatric setting. This study examined the association between level of adherence to an adolescent depressive disorders inpatient clinical pathway and length of stay (LOS), cost, and readmissions. Patients in the high adherence category had significantly longer LOS and higher costs compared to the low adherence category. Read More
Adm Policy Ment Health 2018 Jul;45(4):684-686
Duke University School of Law, Durham, NC, USA.
Adm Policy Ment Health 2018 May 17. Epub 2018 May 17.
Division of Health Policy, Department of Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive #0725, La Jolla, CA, 92093, USA.
This qualitative study explored the experiences of persons staying at two peer respites through interviews with 27 respite guests near the end of their stay and at 2-6 months following their stay. Trained peer interviewers conducted baseline and follow-up interviews. Peer respites can be beneficial spaces within the mental health system for guests to temporarily escape stressful situations while building relationships with other persons with mental illness, though some respondents were uncomfortable receiving services from peers, and several guests did not want to leave after their stay. Read More
Adm Policy Ment Health 2018 Jul;45(4):687-688
Cohen Veterans Network, Silver Spring, MD, 20910, USA.
Adm Policy Ment Health 2018 May 16. Epub 2018 May 16.
University of Alberta, Alberta, Canada.
ADHD problem recognition serves as the first step of help seeking for ethnic minority families, such as Latinos, who underutilize ADHD services. The current mixed-method study explores underlying factors influencing recognition of ADHD problems in a sample of 159 school-aged youth. Parent-teacher informant discrepancy results suggest that parent ethnicity, problem domain, and child age influence ADHD problem recognition. Read More
Adm Policy Ment Health 2018 May 12. Epub 2018 May 12.
Department of Health Services Administration, School of Public Health, University of Maryland at College Park, 4200 Valley Dr, Suite 2242, College Park, MD, 20742, USA.
The Affordable Care Act (ACA) aims to expand health insurance coverage and minimize financial barriers to receiving health care services for individuals. However, little is known about how the ACA has impacted individuals with mental health conditions. This study finds that the implementation of the ACA is associated with an increase in rate of health insurance coverage among nonelderly adults with serious psychological distress (SPD) and a reduction in delaying and forgoing necessary care. Read More
Adm Policy Ment Health 2018 May 7. Epub 2018 May 7.
Pediatric Medical Center Hospital, Tehran University of Medical Science, Dr Gharib Street, Tehran, Iran.
Studies have shown significant relationship between health conditions and attachment. This study aimed to examine an attachment-based intervention model named mother-child-disease triangle (MCDT) on health indices in children with chronic disease and their mothers. This randomized trial study included 22 volunteer children aged 12-18 years undergoing medical treatment for a chronic disease and their mothers. Read More
Adm Policy Ment Health 2018 Apr 26. Epub 2018 Apr 26.
The Policy Institute at King's, King's College London, Strand, London, WC2R 2LS, UK.
Social workers (SWs) provide emotional and practical support to vulnerable service users who are likely to suffer from emotional trauma and mental health conditions. Stress and burnout levels are reported to be high among SWs, however, little is known about their relationships with different characteristics. The current article utilises unique and large dataset (n = 3786) on SWs working in adults and children's services to examine factors associated with burnout. Read More
Adm Policy Ment Health 2018 Apr 25. Epub 2018 Apr 25.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Despite the proliferation of initiatives to integrate services for people with serious mental illness (SMI), measures of distinct dimensions of integration, such as spatial arrangement and care team expertise, are lacking. Such measures are needed to support organizations' assessment of progress toward integrated service delivery. We developed measures characterizing integration of behavioral, somatic, and social services to operationalize the integrated care dimensions conceived by the Agency for Healthcare Research and Quality. Read More
Adm Policy Ment Health 2018 Apr 4. Epub 2018 Apr 4.
Division of Global and Community Health, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
This study evaluated the economics of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) by applying the Washington State Institute for Public Policy (WSIPP) cost-benefit model to data from a randomized effectiveness trial with 86 families (Swenson et al. in JFP 24:497-507, 2010b). The net benefit of MST-CAN, versus enhanced outpatient treatment, was $26,655 per family at 16 months post-baseline. Read More
Adm Policy Ment Health 2018 Mar 30. Epub 2018 Mar 30.
HSR&D Center of Innovation on Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, 104B, Tampa, FL, 33637, USA.
Population-based post-deployment screening programs within the Departments of Defense and Veterans Affairs have been implemented to assess for mental health conditions and traumatic brain injury. The purpose of this paper is to systematically review the literature on post-deployment screening within this context and evaluate evidence compared to commonly accepted screening implementation criteria. Findings reflected highly variable psychometric properties of the various screens, variable treatment referral rates following screening, low to moderate treatment initiation rates following screening, and no information on treatment completion or long-term outcomes following screening. Read More
Adm Policy Ment Health 2018 Mar 24. Epub 2018 Mar 24.
Department of Psychiatry, University of California, San Diego, 3665 Kearny Villa Rd. Ste 200, San Diego, CA, 92123, USA.
Therapeutic homework is a fundamental skill-building component of the majority of evidence-based therapies and is associated with better treatment outcomes. However, it is rarely utilized in public mental health settings. To determine barriers to homework use and identify predictors of clinicians' assignment of homework, an online survey was administered to 267 clinicians in a large diverse public mental health system. Read More
Adm Policy Ment Health 2018 Mar 23. Epub 2018 Mar 23.
School of Social Work, University of Maryland, Baltimore, 525 West Redwood Street, Baltimore, MD, 21201, USA.
Surveys tend to yield low response rates among human service professionals. This study examined whether a randomly-assigned prepaid $2 incentive increased response rates over time, and was cost-effective for increasing response count, among social workers and volunteer mediators. The incentive was enclosed with a mixed-mode survey of factors related to burnout and intention-to-remain. Read More
Adm Policy Ment Health 2018 Mar 21. Epub 2018 Mar 21.
Department of Educational Psychology, The University of Texas at Austin, 504 SZB, 1 University Station, D5800, Austin, TX, 78712-0383, USA.
Clinical supervision is an element of quality assurance in routine mental health care settings serving children; however, there is limited scientific evaluation of its components. This study examines the format and microskills of routine supervision. Supervisors (n = 13) and supervisees (n = 20) reported on 100 supervision sessions, and trained coders completed observational coding on a subset of recorded sessions (n = 57). Read More
Adm Policy Ment Health 2018 Mar 17. Epub 2018 Mar 17.
University of Nebraska-Lincoln, Lincoln, NE, USA.
Despite the strengths of routine outcome monitoring (ROM) in community mental health settings, there are a number of barriers to effective implementation of ROM, including measurement error due to provider factors (e.g., training level) and non-target client factors (i. Read More
Adm Policy Ment Health 2018 Mar 14. Epub 2018 Mar 14.
Faculty of Medicine Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Universal health care programmes have the potential to reduce treatment gaps. We explored the potential impact of an equity-oriented universal health care programme on access to care for depression, hypertension and diabetes using data from two nationally representative health surveys in Chile. The likelihood a depressed individual had accessed health care appears to have increased significantly after the programme was introduced whereas those for hypertension and diabetes remained unchanged. Read More
Adm Policy Ment Health 2018 Mar 10. Epub 2018 Mar 10.
The National Center on Addiction and Substance Abuse, New York, USA.
This study examines clinical and family predictors of perceived need for treatment and engagement in mental health treatment services among community-referred racial/ethnic minority adolescents and their primary caregivers. Findings indicated that the majority of families perceived a need for treatment, but that perceived need was not associated with treatment engagement. Family factors (i. Read More
Adm Policy Ment Health 2018 Jul;45(4):672
Systems and Psychosocial Advances Research Center, Transitions to Adulthood Center for Research, University of Massachusetts Medical School, 222 Maple Ave, Shrewsbury, MA, 01545, USA.
The original version of this article unfortunately contained a mistake. The spelling of the fifth author's name was incorrectly published as Masha Ellison. Read More
Adm Policy Ment Health 2018 Mar 8. Epub 2018 Mar 8.
Department of Psychology, Psychotherapy Research Group, University of Salzburg, Hellbrunnerstrasse 34, 5020, Salzburg, Austria.
While monitoring systems in psychotherapy have become more common, little is known about the attitudes that mental health practitioners have towards these systems. In an online survey among 111 Austrian psychotherapists and trainees, attitudes towards therapy monitoring were measured. A well-validated questionnaire measuring attitudes towards outcome monitoring, the Outcome Measurement Questionnaire, was used. Read More
Adm Policy Ment Health 2018 Feb 26. Epub 2018 Feb 26.
Department of Clinical Pharmacy, University of California, San Francisco, 3333 California St, Suite 420, Box 0613, San Francisco, CA, 94143, USA.
We conducted a cost-effectiveness analysis (CEA) of two behavioral psychosocial interventions for children with ADHD-inattentive type: Child Life and Attention Skills (CLAS) program and parent-focused treatment (PFT) compared to community-based treatment as usual (TAU). The CEA evaluated cost per ADHD case resolved measured by parent and teacher reports of ADHD inattentive symptoms. Total cost per patient for CLAS, PFT, and TAU were $1559, $710, and $0. Read More
Adm Policy Ment Health 2018 Feb 23. Epub 2018 Feb 23.
Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Rockville, MD, 20852, USA.
There is increasing recognition that some preschool-aged children suffer from mental health conditions, but little is known about the treatment they receive. Using the 2014 MarketScan Commercial Claims and Encounters database (N = 1,987,759) the study finds that only a small proportion of preschool-aged children receive any behavioral interventions, including psychotherapy, in conjunction with having a filled psychiatric prescription. Nearly all of the preschool-aged children who had psychotropic prescriptions filled had no other claims for treatment, and among those children who had prescriptions for psychotropic medication filled, the vast majority did not have a mental health diagnosis on a claim. Read More
Adm Policy Ment Health 2018 Feb 21. Epub 2018 Feb 21.
Florida International University, Miami, FL, USA.
Mental health interventions for infants typically target high-risk groups and can prevent long-term negative outcomes. Despite federal initiatives promoting early intervention, minimal research has examined usual care services for infants, which is important to improve routine care. The current study characterized usual care practices in infant mental health through the adaptation and administration of a provider survey. Read More
Adm Policy Ment Health 2018 Feb 19. Epub 2018 Feb 19.
University of Hawai'i at Mānoa, 3627 Kilauea Ave. Room 101, Honolulu, HI, 96816, USA.
Examining therapist evidence-based practice (EBP) knowledge seems an important step for supporting successful implementation. Advances in implementation science suggest a distinction between practice specific (i.e. Read More
Adm Policy Ment Health 2018 Jul;45(4):519-529
White River Junction VA Medical Center, White River Junction, VT, USA.
To derive a method of identifying use of evidence-based psychotherapy (EBP) for post-traumatic stress disorder (PTSD), we used clinical note text from national Veterans Health Administration (VHA) medical records. Using natural language processing, we developed machine-learning algorithms to classify note text on a large scale in an observational study of Iraq and Afghanistan veterans with PTSD and one post-deployment psychotherapy visit by 8/5/15 (N = 255,968). PTSD visits were linked to 8. Read More
Adm Policy Ment Health 2018 Jul;45(4):649-660
Department of Psychology, University of California, Box 951563, Los Angeles, CA, 90095, USA.
This study examined patterns of evidence-based treatment (EBT) delivery following a county-wide EBT reform initiative. Data were gathered from 60 youth and their 21 providers, who were instructed to deliver therapy as they normally would under the EBT initiative. Results showed limited applicability of county-supported EBTs to this service sample, and that most youth did not receive traditional delivery of EBTs. Read More
Adm Policy Ment Health 2018 Jul;45(4):661-671
Systems and Psychosocial Advances Research Center, Transitions to Adulthood Center for Research, University of Massachusetts Medical School, 222 Maple Ave, Shrewsbury, MA, 01545, USA.
This manuscript describes efforts to support youth and young adults living with serious mental health conditions (SMHC) as they pursue their education goals. Case studies were conducted with three supported education initiatives across the US. Data were collected through individual interviews and focus groups. Read More
Adm Policy Ment Health 2018 Jul;45(4):635-648
DETECT Early Intervention in Psychosis Service, Dublin, Ireland.
Little is known about how recovery oriented policy and legislative changes influence service users' perceptions of mental health care over time. Although the recovery approach is endorsed in many countries, qualitative research examining its impact on service use experiences has been lacking. This study aimed to explore this impact as well as experiences of service utilisation and suggestions for change with people diagnosed with a First Episode Psychosis between 1995 and 1999. Read More
Adm Policy Ment Health 2018 Jul;45(4):611-622
Department of Emergency Medicine, University of North Carolina School of Medicine, Physician's Office Building, 170 Manning Drive, CB #7594, Chapel Hill, NC, 27599-7594, USA.
Little is known about what patients value in psychiatric crisis services or how they compare community-based services with those received in the emergency department. Three focus groups (n = 27) were held of participants who had received psychiatric crisis services in emergency departments or a community mental health center. Participants described care experiences and preferences. Read More
Adm Policy Ment Health 2018 Jul;45(4):550-564
Department of Veterans Affairs, Durham VA Medical Center Health Services Research and Development, Durham, NC, USA.
The VA Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides landmark support for family caregivers of post-9/11 veterans. This study examines PCAFC support for veterans with and without PTSD and assesses whether program effect differs by PTSD status using a pre-post, non-equivalent, propensity score weighted comparison group design (n = 24,280). Veterans with and without PTSD in PCAFC accessed more mental health, primary, and specialty care services than weighted comparisons. Read More
Adm Policy Ment Health 2018 Jul;45(4):623-634
Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Prisoners have high rates of mental illness and the transition from prison to the community is a problematic time for the provision of mental health services and a range of negative outcomes have been identified in this period. A systematic review was conducted to identify interventions for prisoners with diagnosed mental health conditions that targeted this transition period. Fourteen papers from 13 research studies were included. Read More
Adm Policy Ment Health 2018 Jul;45(4):587-610
West Virginia University, Morgantown, WV, USA.
There has been an increase in the use of web-based training methods to train behavioral health providers in evidence-based practices. This systematic review focuses solely on the efficacy of web-based training methods for training behavioral health providers. A literature search yielded 45 articles meeting inclusion criteria. Read More
Adm Policy Ment Health 2018 Jul;45(4):575-586
Department of Psychiatry, Indiana University, 355 W. 16th St., Suite 4800, Indianapolis, IN, 46202, USA.
This mixed-methods study assessed providers' views of the use of technology in the delivery of an empirically supported mental health treatment for adolescents (Trauma-Focused Cognitive Behavioral Therapy; TF-CBT). Thematic qualitative interviews were conducted with nine experienced providers. Emerging themes served as the basis for the creation of a quantitative web-based survey, completed by 56 TF-CBT experts, to assess the perceived helpfulness of the recommendations. Read More
Adm Policy Ment Health 2018 Jul;45(4):565-574
Departments of Family Medicine and Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Many jurisdictions have enacted community treatment order (CTO) legislation that requires a person, who suffers from a severe mental disorder, to follow a treatment plan when living in the community. CTOs have been a source of debate because of controversies on whether evidence of effectiveness should only be considered from randomized controlled trials (RCTs). RCTs are considered the "gold standard" method to evaluate effectiveness of simple therapeutic interventions such as medication, but they are problematic for evaluation of complex interventions because valid attribution of causation in complex interventions is not guaranteed with RCTs. Read More
Adm Policy Ment Health 2018 Jul;45(4):538-549
Suzanne Dworak-Peck School of Social Work, University of Southern California, 150 S. Olive Street, Los Angeles, CA, 90015-2211, USA.
Little is known about the involvement of peer providers in integrated behavioral health teams. This study asks where peer providers fit within integrated care teams in Los Angeles County. Social network analysis combined with qualitative fieldwork was used to understand the network positions of peer providers in 14 integrated pilot programs. Read More
Adm Policy Ment Health 2018 Jul;45(4):530-537
Pro Persona Research, Pro Persona, Wolfheze, The Netherlands.
Over the last decade, the Dutch mental healthcare system has been subject to profound policy reforms, in order to achieve affordable, accessible, and high quality care. One of the adjustments was to substitute part of the specialized care for general mental healthcare. Using a quasi-experimental design, we compared the cost-effectiveness of patients in the new setting with comparable patients from specialized mental healthcare in the old setting. Read More
Adm Policy Ment Health 2018 May;45(3):505-517
University of Washington, 1417 NE 42nd St., Box 354875, Seattle, WA, 98105, USA.
Despite increasing interest in supervision as a leverage point for bolstering public mental health services, the potential influence of supervisory alliance on organizations and direct service providers remains understudied, particularly in the context of supporting evidence-based treatment (EBT) use. This study examined agreement and discrepancy between supervisor and clinician ratings of alliance associated with clinicians' perceptions of psychological climate and emotional exhaustion. Results indicated that discrepancies in alliance ratings were common and associated with clinicians' perceptions of psychological climate. Read More
Adm Policy Ment Health 2018 Mar;45(2):318-327
Department of Psychiatric Rehabilitation, National Institute of Mental Health, National Center of Neurology and Psychiatry (NCNP), 4-1-1 Ogawa-Higashi, Kodaira, Tokyo, 187-8553, Japan.
The Individual Placement and Support (IPS) model of supported employment is an evidence based practice. Although several agencies have been trying to implement the IPS-model since 2005 in Japan, there was no tool to assess the quality. This study developed a Japanese version of the 25-item Individualized Supported Employment Fidelity Scale (J-ISEF), a new Japanese fidelity tool for supported employment based on the IPS model. Read More
Adm Policy Ment Health 2018 May;45(3):462-471
IBM Watson Health, Bethesda, MD, USA.
Physical comorbidities associated with mental health conditions contribute to high health care costs. This study examined the impact of having a usual source of care (USC) for physical health on health care utilization, spending, and quality for adults with a mental health condition using Medicaid administrative data. Having a USC decreased the probability of inpatient admissions and readmissions. Read More
Adm Policy Ment Health 2018 May;45(3):484-494
Department of Psychology, University of Hawai‛i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA.
Monthly disruptive behavior treatment progress for 613 youth ages 7-18 receiving intensive in-home services was examined. Multilevel modeling indicated carrying a depressive mood diagnosis predicted less disruptive behavior progress compared to youth with only externalizing diagnoses. Paradoxically, more monthly focus on disruptive behavior treatment targets predicted lower concurrent progress ratings, while greater focus on depressive mood targets predicted greater disruptive behavior progress for youth with a depressive mood diagnosis. Read More
Adm Policy Ment Health 2018 May;45(3):495-504
Illinois Institute of Technology, Chicago, USA.
Peer navigator programs (PNP) may help reduce physical health disparities for ethnic minorities with serious mental illness (SMI). However, specific aspects of PNP that are important to peer navigators and their clients are under-researched. A qualitative study explored the perspectives of service users (n = 15) and peer navigators (n = 5) participating in a randomized controlled trial of a PNP for Latinos with SMI. Read More
Adm Policy Ment Health 2018 May;45(3):392-403
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Despite research supporting measurement-based care grounded in standardized progress measures, such measures are underutilized by clinicians. Individualized measures of client-specific targets present an alternative, but little is known about their acceptability or use. We compared attitudes toward and use of standardized and individualized progress measures in a national sample of 504 clinicians. Read More