1,203 results match your criteria Administration and Policy in Mental Health and Mental Health Services Research [Journal]


Predicting Youth Improvement in Community-Based Residential Settings with Practices Derived from the Evidence-Base.

Adm Policy Ment Health 2019 Feb 14. Epub 2019 Feb 14.

University of Hawaii at Manoa, 2530 Dole Street, Sakamaki Hall C400, Honolulu, HI, 96822, USA.

The current investigation conducted descriptive analyses on key variables in community-based residential (CBR) settings and investigated the extent to which disruptive youth between the ages of 13 and 17 years improved based on therapists' reported alignment with using practices derived from the evidence-base (PDEBs). Results from both the descriptive analyses and multilevel modeling suggested that therapists are using practices that both do and do not align with the evidence-base for disruptive youth. In addition, both PDEBs and practices with minimal evidence-support predicted or marginally predicted final average progress rating for these youth. Read More

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http://dx.doi.org/10.1007/s10488-019-00925-2DOI Listing
February 2019

Implementing Evidence Based Practices for Children's Mental Health: A Case Study in Implementing Modular Treatments in Community Mental Health.

Adm Policy Ment Health 2019 Feb 1. Epub 2019 Feb 1.

The University of California, Los Angeles, USA.

There is strong enthusiasm for utilizing implementation science in the implementation of evidence-based programs in children's community mental health, but there remains work to be done to improve the process. Despite the proliferation of implementation frameworks, there is limited literature providing case examples of overcoming implementation barriers. This article examines whether the use of three implementations strategies, a structured training and coaching program, the use of professional development portfolios for coaching, and a progress monitoring data system, help to overcome barriers to implementation by facilitating four implementation drivers at a community mental health agency. Read More

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http://dx.doi.org/10.1007/s10488-019-00922-5DOI Listing
February 2019

Treatment of Veterans with Psychiatric Diagnoses Nationally in the Veterans Health Administration: A Comparison of Service Delivery by Mental Health Specialists and Other Providers.

Adm Policy Ment Health 2019 Jan 31. Epub 2019 Jan 31.

Department of Veterans Affairs-New England Mental Illness Research, Education and Clinical Center, West Haven, CT, USA.

Patients with psychiatric disorders are treated by both mental health specialists and non-specialists. We use national data from the Veterans Health Administration to evaluate changing proportions of patients seen exclusively by non-specialists during the study year (FY 2012) limit as well as differences in socio-demographic, clinical and service use characteristics. There has been a five-fold increase in veterans with mental disorders seen by non-specialists over 20 years from 7 to 38%, findings similar to those in non-VA settings. Read More

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http://dx.doi.org/10.1007/s10488-018-00920-zDOI Listing
January 2019

What Motivates Mental Health Clinicians-in-Training to Implement Evidence-Based Assessment? A Survey of Social Work Trainees.

Adm Policy Ment Health 2019 Jan 29. Epub 2019 Jan 29.

University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA.

Mental health clinicians do not consistently use evidence-based assessment (EBA), a critical component of accurate case conceptualization and treatment planning. The present study used the Unified Theory of Behavior to examine determinants of intentions to use EBA in clinical practice among a sample of Masters' level social work trainees (N = 241). Social norms had the largest effect on intentions to use EBA. Read More

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http://dx.doi.org/10.1007/s10488-019-00923-4DOI Listing
January 2019

Work Stress and Satisfaction with Leadership Among Nurses Encountering Patient Aggression in Psychiatric Care: A Cross-Sectional Survey Study.

Adm Policy Ment Health 2019 Jan 25. Epub 2019 Jan 25.

Department of Public Health, University of Turku, Turku, Finland.

We examined the associations between work stress (job strain, effort-reward imbalance), perceived job insecurity, workplace social capital, satisfaction with leadership and working hours in relation to the likelihood of encountering patient aggression (overall exposure, assaults on ward property, mental abuse, physical assaults). We conducted a cross-sectional survey for nurses (N = 923) in 84 psychiatric units. Both work stress indicators were associated higher odds for different types of patient aggression. Read More

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http://dx.doi.org/10.1007/s10488-018-00919-6DOI Listing
January 2019

Relative Technical Efficiency Assessment of Mental Health Services: A Systematic Review.

Adm Policy Ment Health 2019 Jan 9. Epub 2019 Jan 9.

Research School of Population Health, ANU College of Health and Medicine, Australian National University, Canberra, Australia.

The current prevalence of mental disorders demands improved ways of the management and planning of mental health (MH) services. Relative technical efficiency (RTE) is an appropriate and robust indicator to support decision-making in health care, but it has not been applied significantly in MH. This article systematically reviews the empirical background of RTE in MH services following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

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http://dx.doi.org/10.1007/s10488-019-00921-6DOI Listing
January 2019
1 Read

Policy Levers to Promote Access to and Utilization of Children's Mental Health Services: A Systematic Review.

Adm Policy Ment Health 2019 Jan 2. Epub 2019 Jan 2.

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway MS-E88, Atlanta, 30341, GA, USA.

Policies have potential to help families obtain behavioral healthcare for their children, but little is known about evidence for specific policy approaches. We reviewed evaluations of select policy levers to promote accessibility, affordability, acceptability, availability, or utilization of children's mental and behavioral health services. Twenty articles met inclusion criteria. Read More

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http://dx.doi.org/10.1007/s10488-018-00916-9DOI Listing
January 2019
5 Reads

Coordinating Mental Health Services for People with Serious Mental Illness: A Scoping Review of Transitions from Psychiatric Hospital to Community.

Adm Policy Ment Health 2019 Jan 2. Epub 2019 Jan 2.

Department of Rehabilitation Sciences, College of Public Health, Temple University, Philadelphia, PA, 19122, USA.

Effective coordination as people with serious mental illness (SMI) move between care settings is essential. We aimed to review challenges to care coordination for people with SMI and identify approaches for improving it. Sixteen articles were identified. Read More

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http://dx.doi.org/10.1007/s10488-018-00918-7DOI Listing
January 2019
1 Read

Help-Seeking by Parental Caregivers of Individuals with Intellectual Disabilities and Dual Diagnosis.

Adm Policy Ment Health 2019 Jan 2. Epub 2019 Jan 2.

Down syndrome and the IDD Evaluation Centers, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel.

This study examined the roles of stigma and of enabling factors in help-seeking by parental caregivers of individuals with intellectual disabilities and dual diagnosis. Questionnaires were completed by 195 family caregivers. Lower family stigma was related to higher personal enabling factors (e. Read More

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http://link.springer.com/10.1007/s10488-018-00915-w
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http://dx.doi.org/10.1007/s10488-018-00915-wDOI Listing
January 2019
5 Reads

Beliefs and Attitudes About the Dissemination and Implementation of Internet-Based Self-Care Programs in a Large Integrated Healthcare System.

Adm Policy Ment Health 2019 Jan 2. Epub 2019 Jan 2.

Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Central Office, Washington, DC, USA.

Behavioral intervention technologies (BITs) are online programs or mobile applications that deliver behavioral health interventions for self-care. The dissemination and implementation of such programs in U.S. Read More

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http://dx.doi.org/10.1007/s10488-018-0913-7DOI Listing
January 2019
2 Reads

"We're All in this Together": Peer-specialist Contributions to a Healthy Lifestyle Intervention for People with Serious Mental Illness.

Adm Policy Ment Health 2018 Dec 18. Epub 2018 Dec 18.

George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO, 63130, USA.

This qualitative study explored peer specialists' contributions to a healthy lifestyle intervention for obese/overweight individuals with serious mental illness (SMI) living in supportive housing. Intervention participants, peer specialists, and supervisors were interviewed and a grounded model emerged from the data identifying essential interpersonal attributes of the peer specialist-participant relationship. Peer specialists' disclosure of their own experiences making health behaviors changes was critical for building participants' motivation and ability to try lifestyle changes. Read More

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http://dx.doi.org/10.1007/s10488-018-0914-6DOI Listing
December 2018
1 Read

Developing a Strategy to Embed Peer Support into Mental Health Systems.

Authors:
Maria Kent

Adm Policy Ment Health 2018 Dec 17. Epub 2018 Dec 17.

Prairie Mountain Health, Brandon, MB, Canada.

Globally, health care systems stakeholders have encouraged health systems change that reflects recovery oriented practice. The implementation and integration of Peer Support Workers is one such strategy. Yet, what factors should be considered in the implementation of these roles? How can services be integrated effectively? Recent literature will be reviewed to explore current knowledge about peer support, and offer considerations for effective implementation of peer supports into current health care systems. Read More

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http://dx.doi.org/10.1007/s10488-018-0912-8DOI Listing
December 2018
1 Read

Policy Impacts of the Australian National Perinatal Depression Initiative: Psychiatric Admission in the First Postnatal Year.

Adm Policy Ment Health 2018 Dec 5. Epub 2018 Dec 5.

Chair Perinatal & Women's Mental Health, University of New South Wales & St John of God Health Care, Sydney, NSW, Australia.

This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0. Read More

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http://link.springer.com/10.1007/s10488-018-0911-9
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http://dx.doi.org/10.1007/s10488-018-0911-9DOI Listing
December 2018
9 Reads

Effectiveness of Health and Social Service Networks for Severely Mentally Ill Patients' Outcomes: A Case-Control Study.

Adm Policy Ment Health 2018 Dec 4. Epub 2018 Dec 4.

Institute of Health and Society (IRSS), Université Catholique de Louvain, Clos Chapelle-Aux-Champs B1.30.15, 1200, Brussels, Belgium.

Mental health and social care services networks aim to provide patients with continuity of care and support their recovery. There is, however, no conclusive evidence of their effectiveness. Since 2011, Belgium has been implementing a nation-wide reform of mental health care by commissioning service networks. Read More

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http://dx.doi.org/10.1007/s10488-018-0910-xDOI Listing
December 2018
1 Read

A Comparative Effectiveness Trial to Reduce Burnout and Improve Quality of Care.

Adm Policy Ment Health 2019 Mar;46(2):238-254

Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA.

Clinician burnout is presumed to negatively impact healthcare quality; yet scant research has rigorously addressed this hypothesis. Using a mixed-methods, randomized, comparative effectiveness design, we tested two competing approaches to improve care-one addressing clinician burnout and the other addressing how clinicians interact with consumers-with 192 clinicians and 469 consumers at two community mental health centers. Although qualitative reports were promising, we found no comparative effectiveness for either intervention on burnout, patient-centered processes, or other outcomes. Read More

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http://link.springer.com/10.1007/s10488-018-0908-4
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http://dx.doi.org/10.1007/s10488-018-0908-4DOI Listing
March 2019
10 Reads

Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) in Pragmatic Clinical Trials of Mental Health Services Implementation: Methods and Applied Case Study.

Adm Policy Ment Health 2019 Mar;46(2):255-270

Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.

Pragmatic clinical trials of mental health services are increasingly being developed to establish comparative effectiveness, influence sustainable implementation, and address real world policy decisions. However, use of time and resource intensive qualitative methods in pragmatic trials may be inconsistent with the aims of efficiency and cost minimization. This paper introduces a qualitative method known as Rapid Assessment Procedure-Informed Clinical Ethnography (RAPICE) that combines the techniques of Rapid Assessment Procedures with clinical ethnography. Read More

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http://link.springer.com/10.1007/s10488-018-0909-3
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http://dx.doi.org/10.1007/s10488-018-0909-3DOI Listing
March 2019
26 Reads

Seeking Help for Mental Health Problems in Hong Kong: The Role of Family.

Adm Policy Ment Health 2019 Mar;46(2):220-237

Division of Social Science, Center for Applied Social and Economic Research (CASER), The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, China.

Family members, rather than mental health professionals, are often the first responders for emotional or mental problems, particularly in Chinese societies where family is regarded as the primary care unit. Using data from the third wave of a representative sample of Chinese adults in the Hong Kong Panel Study of Social Dynamics, we investigate how family, and particularly family functioning, is associated with individual mental health help seeking and perceived barriers to professional service use, and how the associations vary across different generations of immigrants and between individuals with high versus low psychological distress. Our results demonstrate that family is still the primary source of help sought for mental health problems. Read More

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http://dx.doi.org/10.1007/s10488-018-0906-6DOI Listing
March 2019
7 Reads

Stakeholder Perspectives on Implementing Cognitive Behavioral Social Skills Training on Assertive Community Treatment Teams.

Adm Policy Ment Health 2019 Mar;46(2):188-199

Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093-0812, USA.

This study examined stakeholder perceptions of the "fit" between cognitive-behavioral social skills training (CBSST) and assertive community treatment (ACT) when implementing CBSST into existing community-based ACT teams. Focus group feedback was collected from a diverse set of stakeholders (i.e. Read More

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http://link.springer.com/10.1007/s10488-018-0904-8
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http://dx.doi.org/10.1007/s10488-018-0904-8DOI Listing
March 2019
11 Reads

Brief Psychoeducation Program to Enhance Recovery Knowledge and Attitudes of Mental Health Service Providers and Users: Randomized Controlled Trials.

Adm Policy Ment Health 2019 Mar;46(2):200-208

New Life Psychiatric Rehabilitation Association, Hong Kong, Hong Kong.

Recovery-oriented transformation of mental health service systems not only necessitates changes in mental health policies and practices, it also requires an adoption of recovery-oriented mindset, which includes knowledge and attitudes, among service providers. It is also important that service users are informed about the changes and can fully participate in the process. The present study developed and evaluated the efficacy of a recovery psychoeducation program in enhancing recovery-oriented knowledge and attitudes among mental health service providers and users in Hong Kong. Read More

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http://link.springer.com/10.1007/s10488-018-0905-7
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http://dx.doi.org/10.1007/s10488-018-0905-7DOI Listing
March 2019
17 Reads

Burnout and Mental Health Stigma Among Juvenile Probation Officers: The Moderating Effect of Participatory Atmosphere.

Adm Policy Ment Health 2019 Mar;46(2):167-174

Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.

Despite high rates of mental health problems among juvenile justice-involved youth, mental health stigma among juvenile probation officers (JPOs) is under-studied. This cross-sectional study examined effects of job burnout and workplace participatory atmosphere on mental health stigma among JPOs across Indiana (n = 226). Participatory atmosphere moderated the relationship between JPO burnout-related cynicism and mental health stigma (interaction β = - 0. Read More

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http://dx.doi.org/10.1007/s10488-018-0902-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374158PMC
March 2019
1 Read

Disordered Society: Women in Eating Disorder Recovery Advise Policymakers on Change.

Adm Policy Ment Health 2019 Mar;46(2):175-187

Department of Psychology, Florida International University, 11200 SW 8th St., Miami, FL, 33199, USA.

This qualitative study draws on a photo-elicitation method ("PhotoVoice") and semi-structured interviews to examine the key areas stakeholders (30 young women between the ages of 18 and 35 in eating disorder recovery) identify as meaningful venues of policy-based change. Photography and the accompanying narratives capturing personally-meaningful social, cultural, and systemic influences on recovery were shared with the research team. Photographs and interviews were examined for policy implications using thematic analysis, and six areas of improvement emerged: media, healthcare practice and access, health insurance reform, education, objectification of the female body, and mental health stigma. Read More

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http://link.springer.com/10.1007/s10488-018-0903-9
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http://dx.doi.org/10.1007/s10488-018-0903-9DOI Listing
March 2019
9 Reads

Assessing Collaborative Care in Mental Health Teams: Qualitative Analysis to Guide Future Implementation.

Adm Policy Ment Health 2019 Mar;46(2):154-166

VA Boston Healthcare System (152M), Center for Healthcare Organization and Implementation Research (CHOIR), 150 S. Huntington Avenue, Boston, MA, 02130, USA.

The Collaborative Care Model (CCM) is an evidence-based approach for structuring care for chronic health conditions. Attempts to implement CCM-based care in a given setting depend, however, on the extent to which care in that setting is already aligned with the specific elements of CCM-based care. We therefore interviewed staff from ten outpatient mental health teams in the US Department of Veterans Affairs to determine whether care delivery was consistent or inconsistent with CCM-based care in those settings. Read More

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http://dx.doi.org/10.1007/s10488-018-0901-yDOI Listing
March 2019
1 Read

Spillover Effects of Massachusetts Health Reform on Mental Health Use by VA and Medicare Dual Enrollees.

Adm Policy Ment Health 2019 Mar;46(2):145-153

Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, 1660 S. Columbian Way, HSR&D MS-152, Seattle, WA, 98108, USA.

Older veterans can obtain care from the Veterans Affairs Health System (VA), Medicare or both. We examined whether their use of mental health care was impacted by capacity effects stemming from younger, uninsured veterans' enrolling in VA to satisfy the individual mandate within Massachusetts Health Reform (MHR). Using administrative data, we applied a difference-in-difference approach to compare pre-post changes in mental health use following MHR implementation. Read More

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http://dx.doi.org/10.1007/s10488-018-0900-zDOI Listing
March 2019
1 Read

Service Coordination by Public Sector Managers in a Human Service Contracting Environment.

Adm Policy Ment Health 2019 Mar;46(2):115-127

Berkeley Institute for Data Science, University of California-Berkeley, Berkeley, CA, USA.

Despite emerging evidence of contracting for evidence-based practices (EBP), little research has studied how managers lead contract-based human service delivery. A 2015 survey of 193 managers from five San Francisco Bay Area county human service departments examined the relationship between contract-based service coordination (i.e. Read More

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http://link.springer.com/10.1007/s10488-018-0899-1
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http://dx.doi.org/10.1007/s10488-018-0899-1DOI Listing
March 2019
2 Reads

Clinical Predictors of Delayed Discharges in Inpatient Mental Health Settings Across Ontario.

Adm Policy Ment Health 2019 Jan;46(1):105-114

University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada.

Delayed discharges constitute an ongoing issue in psychiatric facilities. This study examined clinical predictors of 30-day delayed discharges in all designated inpatient mental health units within Ontario, Canada. Data for 76,184 inpatient episodes were obtained from 68 psychiatric facilities between 2011 and 2013. Read More

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http://dx.doi.org/10.1007/s10488-018-0898-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327079PMC
January 2019
1 Read

Factors Associated with Community-Partnered School Behavioral Health Clinicians' Adoption and Implementation of Evidence-Based Practices.

Adm Policy Ment Health 2019 Jan;46(1):91-104

National Center for School Mental Health, Division of Child and Adolescent Psychiatry, School of Medicine, University of Maryland Baltimore, 737 W. Lombard Street, 426, Baltimore, MD, 21201, USA.

Community-partnered school behavioral health (CP-SBH) is a model whereby schools partner with local community agencies to deliver services. This mixed-methods study examined 80 CP-SBH clinicians' adoption and implementation of evidence-based practice (EBP) approaches following mandated training. Forty-four clinicians were randomly assigned to one of two training conditions for a modular common elements approach to EBPs; 36 clinicians were preselected for training in a non-modular EBP. Read More

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http://dx.doi.org/10.1007/s10488-018-0897-3DOI Listing
January 2019
2 Reads

Boon or Burden: The Effect of Implementing Evidence-Based Practices on Teachers' Emotional Exhaustion.

Adm Policy Ment Health 2019 Jan;46(1):62-70

University of Pennsylvania, Philadelphia, USA.

This study examined the association between (1) beginning-of-the-year emotional exhaustion and use of three evidence-based practices (EBP) for children with autism spectrum disorder; and (2) use of these EBP and end-of-year emotional exhaustion among 46 kindergarden to 2nd grade autism support teachers participating in a randomized trial. Emotional exhaustion was measured at the end and beginning of the school year using a subscale of the Maslach Burnout Inventory. Fidelity was measured using monthly observations, coded by research assistants trained to reliability. Read More

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http://dx.doi.org/10.1007/s10488-018-0894-6DOI Listing
January 2019
7 Reads

Evidence-Based Treatment Strategies in Youth Mental Health Services: Results from a National Survey of Providers.

Adm Policy Ment Health 2018 Sep 12. Epub 2018 Sep 12.

University of Missouri, Columbia, MO, 65211, USA.

Previous surveys indicate infrequent use of evidence-based treatment (EBT) manuals in usual care youth mental health, but the extent to which providers use core and common EBT strategies and what contextual factors impact EBT strategy implementation need further study. In a national, multidisciplinary survey of 1092 youth-serving providers, providers reported regular use of many EBT strategies. Provider learning theory orientation, more recent degree, more standardized and ongoing assessment use, more positive attitudes toward innovation and evidence, fewer low-income clients, and perceptions that their agency valued quality care and provided fewer training resources predicted more frequent EBT strategy use. Read More

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http://dx.doi.org/10.1007/s10488-018-0896-4DOI Listing
September 2018
1 Read

Impacts of the Dependent Care Expansion on the Allocation of Mental Health Care.

Adm Policy Ment Health 2019 Jan;46(1):82-90

RAND Corporation, 1776 Main Street, Santa Monica, CA, 90401, USA.

We examine the impact of insurance expansion under the Affordable Care Act's Dependent Care Expansion (DCE) on allocation of mental health care across illness severity, types of care and racial/ethnic groups. Evidence suggests that the increase in mental health care utilization resulting from the DCE was restricted to individuals with clinically significant mental health conditions. There is no evidence suggesting that the increase occurred disproportionately in medication-only treatment or that it increased racial/ethnic disparities. Read More

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http://dx.doi.org/10.1007/s10488-018-0895-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328320PMC
January 2019
2 Reads

Mastering the Art of Collaboration: Supporting Family Caregivers of Mental Health Patients by Service Providers in Iran.

Adm Policy Ment Health 2019 Jan;46(1):54-61

School of Health Sciences, University of Tasmania, Sydney, NSW, Australia.

Responsive support systems, designed and promoted by policy makers, are critical in supporting family caregivers. The purpose of this study was to explore viewpoints of service providers in supporting family caregivers of mental health patients in Iran. In this qualitative study, a purposive sample of 29 service providers and policy makers consented to participate in semi-structured interviews. Read More

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http://dx.doi.org/10.1007/s10488-018-0893-7DOI Listing
January 2019
1 Read

Impacts of an Integrated Medicaid Managed Care Program for Adults with Behavioral Health Conditions: The Experience of Illinois.

Adm Policy Ment Health 2019 Jan;46(1):44-53

Veterans Affairs Health Services Research and Development Service, Chicago, IL, USA.

This study assessed the impact of the Integrated Care Program (ICP), a new Medicaid managed care model in Illinois, on health services utilization and costs for adults with behavioral health conditions. Data sources included Medicaid claims, encounter records, and state payment data for 28,127 persons with a behavioral health diagnosis. Difference-in-differences models, in conjunction with propensity score weighting, were used to compare utilization and costs between ICP enrollees and a fee-for-service (FFS) comparison group. Read More

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http://dx.doi.org/10.1007/s10488-018-0892-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328331PMC
January 2019
8 Reads

High and Intensive Care in Psychiatry: Validating the HIC Monitor as a Tool for Assessing the Quality of Psychiatric Intensive Care Units.

Adm Policy Ment Health 2019 Jan;46(1):34-43

Department of Medical Humanities, VU University Medical Center, Amsterdam, The Netherlands.

This study aims to validate the HIC monitor as a model-fidelity scale to the High and Intensive Care (HIC) model, a recently developed model for acute psychiatric wards. To assess the psychometric properties of the HIC monitor, 37 audits were held on closed inpatient wards at 20 psychiatric hospitals in the Netherlands. Interrater reliability, construct validity and content validity were examined. Read More

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http://dx.doi.org/10.1007/s10488-018-0890-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326958PMC
January 2019
2 Reads

Use of Emergency Rooms for Mental Health Reasons in Quebec: Barriers and Facilitators.

Adm Policy Ment Health 2019 Jan;46(1):18-33

School of Social Work, Laval University, Quebec City, QC, Canada.

This study explored barriers and facilitators in mental health (MH) patient management in four Quebec (Canada) emergency rooms (ERs) that used different operational models. Forty-nine stakeholders (managers, physicians, ER and addiction liaison team members) completed semi-structured interviews. Barriers and facilitators affecting patient management emanated from health systems, patients, organizations, and from professionals themselves. Read More

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http://dx.doi.org/10.1007/s10488-018-0889-3DOI Listing
January 2019
4 Reads

Correction to: Reliability of Therapist Effects in Practice-Based Psychotherapy Research: A Guide for the Planning of Future Studies.

Adm Policy Ment Health 2018 11;45(6):988

Brigham Young University, Provo, USA.

The original version of this article unfortunately contained a mistake. In Results section, under the heading the "Application", CI difference values were incorrect in one of the sentences. The corrected sentence is given below. Read More

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http://dx.doi.org/10.1007/s10488-018-0891-9DOI Listing
November 2018
2 Reads

Correction to: Influences to ADHD Problem Recognition: Mixed-Method Investigation and Recommendations to Reduce Disparities for Latino Youth.

Adm Policy Ment Health 2018 Jul 11. Epub 2018 Jul 11.

University of California, San Francisco (UCSF), 401 Parnassus Avenue, San Francisco, CA, 94143, USA.

The original version of this article unfortunately contained a mistake. The co-author, Dr. Araujo's name and the affiliation for Dr. Read More

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http://dx.doi.org/10.1007/s10488-018-0888-4DOI Listing
July 2018
4 Reads

Complex Systems Approaches to Understand Drivers of Mental Health and Inform Mental Health Policy: A Systematic Review.

Adm Policy Ment Health 2018 Jul 11. Epub 2018 Jul 11.

Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.

We conducted a systematic review of studies employing complex systems approaches (i.e., agent based and system dynamics models) to understand drivers of mental health and inform mental health policy. Read More

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http://dx.doi.org/10.1007/s10488-018-0887-5DOI Listing
July 2018
12 Reads

Professional Burnout of Psychiatrists in a Veterans Health Administration: Exploring the Role of the Organizational Treatment.

Adm Policy Ment Health 2019 Jan;46(1):1-9

Department of Psychiatry, Department of Medicine, University of Texas Health Sciences Center, 7703 Floyd Curl Dr, San Antonio, TX, 78229, USA.

Psychiatrists in the Veterans Health Administration (VHA) are susceptible to professional burnout due to the unique needs of veterans combined with high organizational demands. The current study examined the mediating role of organizational factors in the direct relationship between providing primarily pharmacological intervention and professional burnout. Data from 125 VHA psychiatrists revealed that fair treatment by superiors and sufficient resources independently mediated the direct relationship that the percent of time devoted to pharmacological intervention had with emotional exhaustion and cynicism. Read More

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http://link.springer.com/10.1007/s10488-018-0879-5
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http://dx.doi.org/10.1007/s10488-018-0879-5DOI Listing
January 2019
6 Reads

The Child and Adolescent Services Assessment: Interrater Reliability and Predictors of Rater Disagreement.

Adm Policy Ment Health 2018 11;45(6):944-957

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

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http://dx.doi.org/10.1007/s10488-018-0876-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193845PMC
November 2018
5 Reads

Is Mental Illness a Risk Factor for Hospital Readmission?

Adm Policy Ment Health 2018 11;45(6):933-943

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

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http://dx.doi.org/10.1007/s10488-018-0874-xDOI Listing
November 2018
4 Reads

The Impact of an Adolescent Depressive Disorders Clinical Pathway on Healthcare Utilization.

Adm Policy Ment Health 2018 11;45(6):979-987

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

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http://dx.doi.org/10.1007/s10488-018-0878-6DOI Listing
November 2018
3 Reads

Constitutional Implications of Firearm Restrictions for Veterans with Fiduciaries.

Authors:
Joseph Blocher

Adm Policy Ment Health 2018 07;45(4):684-686

Duke University School of Law, Durham, NC, USA.

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http://dx.doi.org/10.1007/s10488-018-0883-9DOI Listing
July 2018
3 Reads

Peer Respites: A Qualitative Assessment of Consumer Experience.

Adm Policy Ment Health 2019 Jan;46(1):10-17

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

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http://dx.doi.org/10.1007/s10488-018-0880-zDOI Listing
January 2019
3 Reads

Firearms, Fiduciaries, and Veterans: Complications of a Flawed Federal Policy Designed to Keep Veterans Safe.

Authors:
Caitlin Thompson

Adm Policy Ment Health 2018 07;45(4):687-688

Cohen Veterans Network, Silver Spring, MD, 20910, USA.

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http://dx.doi.org/10.1007/s10488-018-0884-8DOI Listing
July 2018
4 Reads

Influences to ADHD Problem Recognition: Mixed-Method Investigation and Recommendations to Reduce Disparities for Latino Youth.

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

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http://dx.doi.org/10.1007/s10488-018-0877-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6239986PMC
May 2018
3 Reads

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act.

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

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http://dx.doi.org/10.1007/s10488-018-0875-9DOI Listing
May 2018
9 Reads