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    1116 results match your criteria Administration and Policy in Mental Health and Mental Health Services Research [Journal]

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    Individualized Progress Measures Are More Acceptable to Clinicians Than Standardized Measures: Results of a National Survey.
    Adm Policy Ment Health 2017 Nov 15. Epub 2017 Nov 15.
    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

    Behavioural and Emotional Problems in Children and Educational Outcomes: A Dynamic Panel Data Analysis.
    Adm Policy Ment Health 2017 Nov 11. Epub 2017 Nov 11.
    Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, 4059, Australia.
    This study investigates the effects of behavioural and emotional problems in children on their educational outcomes using data from the Longitudinal Survey of Australian Children (LSAC). We contribute to the extant literature using a dynamic specification to test the hypothesis of knowledge accumulation. Further, we apply the system generalised method of moments (GMM) estimator to minimise biases due to unobserved factors. Read More

    Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics.
    Adm Policy Ment Health 2017 Nov 9. Epub 2017 Nov 9.
    New York State Psychiatric Institute, 1051 Riverside Drive, Unit 74, New York, NY, 10032, USA.
    Adolescents with depression are at risk for negative long-term consequences and recurrence of depression. Many do not receive nor access treatment, especially Latino youth. New treatment approaches are needed. Read More

    What Makes Research Useful for Public School Educators?
    Adm Policy Ment Health 2017 Nov 9. Epub 2017 Nov 9.
    Department of Psychology, Michigan State University, 316 Physics Rd. Rm. 127A, East Lansing, MI, 48824, USA.
    In this study, we explored the extent to which educators discuss and prioritize Rogers' (Diffusion of innovations, The Free Press: New York, 1995) five attributes of innovations-relative advantage, compatibility, complexity, observability, and trialability-in the context of research use. Using a directed content analysis of 54 semi-structured interviews and exemplar quotes, we describe how educators mentioned compatibility most frequently, but also commonly invoked observability and complexity in their discussions of research use. Our results also revealed key differences between educators in executive and non-executive roles. Read More

    Comparing Agency Leader and Therapist Perspectives on Evidence-Based Practices: Associations with Individual and Organizational Factors in a Mental Health System-Driven Implementation Effort.
    Adm Policy Ment Health 2017 Nov 3. Epub 2017 Nov 3.
    Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
    Agency leaders and therapists are essential stakeholders in implementation of evidence-based practices (EBPs) within publicly-funded mental health services. Little is known about how these stakeholders differ in their perceptions of specific EBPs and which individual and organizational factors differentially influence these perceptions. Within the context of a system-driven implementation of multiple EBPs, survey data from 160 leaders and 720 therapists were examined to assess differences in perceptions of six EBPs. Read More

    Promoting Teachers' Implementation of Classroom-Based Prevention Programming Through Coaching: The Mediating Role of the Coach-Teacher Relationship.
    Adm Policy Ment Health 2017 Oct 26. Epub 2017 Oct 26.
    Department of Mental Health, Bloomberg School of Public Health, Baltimore, MD, USA.
    There is growing awareness of the importance of implementation fidelity and the supports, such as coaching, to optimize it. This study examined how coaching activities (i.e. Read More

    Impacting Entry into Evidence-Based Supported Employment: A Population-Based Empirical Analysis of a Statewide Public Mental Health Program in Maryland.
    Adm Policy Ment Health 2017 Oct 10. Epub 2017 Oct 10.
    IBM Watson Health, Bethesda, MD, USA.
    We use discrete-time survival regression to study two empirical issues relating to take-up of individual placement and support (IPS) supported employment (SE) services for persons with serious mental illness: (1) the influence of client characteristics on take-up probability, and (2) the possible impacts of a major recent initiative in one state (Maryland) to overcome barriers to IPS-SE expansion. Our longitudinal analysis of population-based Medicaid cohorts, during 2002-2010, provides tentative evidence of positive state initiative impacts on SE take-up rates, and evidence of effects on take-up for clients' diagnoses, prior work-history, health and demographic characteristics, and geographic accessibility to SE providers. Read More

    Exploring Provider Use of a Digital Implementation Support System for School Mental Health: A Pilot Study.
    Adm Policy Ment Health 2017 Oct 9. Epub 2017 Oct 9.
    3C Institute, 4364 S Alston Ave, Durham, NC, 27713, USA.
    This pilot study explored provider use of an online system, Centervention, to support the delivery of empirically supported school-based mental health interventions (ESIs); and associations between components of this system [resources, training, technical assistance (TA), feedback loops], implementation indicators, and student outcomes. Multilevel modeling data were collected from 39 providers implementing ESIs with 758 students. Training, TA, and progress monitoring predicted ESI adherence, and perceived value of resources and TA influenced student responsiveness. Read More

    Documentation of Evidence-Based Psychotherapy and Care Quality for PTSD in the Department of Veterans Affairs.
    Adm Policy Ment Health 2017 Sep 30. Epub 2017 Sep 30.
    VA Center for Clinical Management Research, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109, USA.
    This study measured the prevalence of evidence-based psychotherapy (EBP) templated notes in VA and tested the hypothesis that template use would be associated with care quality for posttraumatic stress disorder (PTSD). Across 130 facilities, an average of 3.6% of patients with a PTSD diagnosis received at least one EBP template in 2015. Read More

    The REFINEMENT Glossary of Terms: An International Terminology for Mental Health Systems Assessment.
    Adm Policy Ment Health 2017 Sep 16. Epub 2017 Sep 16.
    Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria.
    Comparing mental health systems across countries is difficult because of the lack of an agreed upon terminology covering services and related financing issues. Within the European Union project REFINEMENT, international mental health care experts applied an innovative mixed "top-down" and "bottom-up" approach following a multistep design thinking strategy to compile a glossary on mental health systems, using local services as pilots. The final REFINEMENT glossary consisted of 432 terms related to service provision, service utilisation, quality of care and financing. Read More

    Modeling the Decision of Mental Health Providers to Implement Evidence-Based Children's Mental Health Services: A Discrete Choice Conjoint Experiment.
    Adm Policy Ment Health 2017 Sep 16. Epub 2017 Sep 16.
    Child and Youth Mental Health Research Unit, The Hospital for Sick Children, Toronto, Canada.
    Using an online, cross sectional discrete choice experiment, we modeled the influence of 14 implementation attributes on the intention of 563 providers to adopt hypothetical evidence-based children's mental health practices (EBPs). Latent class analysis identified two segments. Segment 1 (12%) would complete 100% of initial training online, devote more time to training, make greater changes to their practices, and introduce only minor modifications to EBPs. Read More

    Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care.
    Adm Policy Ment Health 2017 Sep 7. Epub 2017 Sep 7.
    New York State Office of Mental Health, 330 5th Ave, 9th floor, New York, NY, 10001, USA.
    We examine the impact of mental health based primary care on physical health treatment among community mental health center patients in New York State using propensity score adjusted difference in difference models. Outcomes are quality indicators related to outpatient medical visits, diabetes HbA1c monitoring, and metabolic monitoring of antipsychotic treatment. Results suggest the program improved metabolic monitoring for patients on antipsychotics in one of two waves, but did not impact other quality indicators. Read More

    Peer-Assisted Social Learning for Diverse and Low-Income Youth: Infusing Mental Health Promotion Into Urban After-School Programs.
    Adm Policy Ment Health 2017 Aug 29. Epub 2017 Aug 29.
    Department of Psychology, Florida International University, Miami, FL, USA.
    Community-based after-school programs (ASPs) can promote social competence by infusing evidence-based practice into recreation. Through collaborative partnership, we developed and implemented a peer-assisted social learning (PASL) model to leverage natural opportunities for peer-mediated problem-solving. ASP-Staff (n = 5) led elementary-school youth (n = 30) through 21 activities that partnered socially-skilled and less-skilled children; outcomes were compared to children (n = 31) at another site, via quasi-experimental design. Read More

    "It's Not Like Therapy": Patient-Inmate Perspectives on Jail Psychiatric Services.
    Adm Policy Ment Health 2017 Aug 22. Epub 2017 Aug 22.
    School of Social Welfare, University of California, Berkeley, 120 Haviland Hall, #7400, Berkeley, CA, 94720, USA.
    Jails may serve an important public health function by treating individuals with psychiatric problems. However, scholars debate the service qualities that can best achieve this aim. Some suggest the possibility of comprehensive psychiatric services in jails, while others recommend a narrower focus on basic elements of care (assessments, medication management, and crisis intervention). Read More

    Length of Involuntary Hospitalization Related to the Referring Physician's Psychiatric Emergency Experience.
    Adm Policy Ment Health 2017 Jul 31. Epub 2017 Jul 31.
    Department for Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Lenggstrasse 31, Postfach 1931, 8032, Zurich, Switzerland.
    Although involuntary commitment (IC) is a serious intervention in psychiatry and must always be regarded as an emergency measure, the knowledge about influencing factors is limited. Aims were to test the hypothesis that duration of involuntary hospitalization and associated parameters differ for IC's mandated by physicians with or with less routine experience in psychiatric emergency situations. Duration of involuntary hospitalization and duration until day-passes of 508 patients with IC at the University Hospital of Psychiatry Zurich were analyzed using a generalized linear model. Read More

    Patient Satisfaction and Quality of Life in People with Schizophrenia-Spectrum Disorders in a Rural Area.
    Adm Policy Ment Health 2017 Jul 29. Epub 2017 Jul 29.
    Psychiatrische Dienste Graubünden, Plazza Paracelsus 2, 7500 St., Moritz, Switzerland.
    People suffering from schizophrenia-spectrum disorders often endorse a reduced quality of life (QoL) as compared to the general population. There appears to be a lack of studies for rural catchment areas for this patient population. We conducted a cross-sectional study with 94 people with schizophrenia-spectrum disorders in a mainly rural alpine area. Read More

    Treatment Outcome, Duration, and Costs: A Comparison of Performance Indicators Using Data from Eight Mental Health Care Providers in The Netherlands.
    Adm Policy Ment Health 2017 Jul 22. Epub 2017 Jul 22.
    Department of Care en Quality, GGZ Rivierduinen, Leiden, The Netherlands.
    Assessing performance of mental health services (MHS) providers merely by their outcomes is insufficient. Process factors, such as treatment cost or duration, should also be considered in a meaningful and thorough analysis of quality of care. The present study aims to examine various performance indicators based on treatment outcome and two process factors: duration and cost of treatment. Read More

    A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates.
    Adm Policy Ment Health 2017 Jul 21. Epub 2017 Jul 21.
    Veterans Justice Programs, Veterans Health Administration, Lexington, KY, USA.
    Although there are now over 400 veterans treatment courts (VTCs) in the country, there have been few studies on participant outcomes in functional domains. Using national data on 7931 veterans in the Veterans Affairs (VA) Veterans Justice Outreach program across 115 VA sites who entered a VTC from 2011 to 2015, we examined the housing, employment, income, and criminal justice outcomes of VTC participants; and identified veteran characteristics predictive of outcomes. VTC participants spent an average of nearly a year in the program and 14% experienced a new incarceration. Read More

    Potentially Inappropriate Antidepressant Prescriptions Among Older Adults in Office-Based Outpatient Settings: National Trends from 2002 to 2012.
    Adm Policy Ment Health 2017 Jul 20. Epub 2017 Jul 20.
    Department of Pharmaceutical Care and Health Systems, University of Minnesota College of Pharmacy, Minneapolis, MN, USA.
    Using data from 2002 to 2012 National Ambulatory Medical Care Survey, we estimated that the prevalence of overall antidepressant prescriptions increased almost twofold from 5.2% in 2002 to 10.1% in 2012 in office-based outpatient visits made by older adults. Read More

    Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review.
    Adm Policy Ment Health 2017 Jul 20. Epub 2017 Jul 20.
    Department of Psychology, University of California, Los Angeles, CA, USA.
    This systematic review evaluates efforts to date to involve community health workers (CHWs) in delivering evidence-based mental health interventions to underserved communities in the United States and in low- and middle-income countries. Forty-three articles (39 trials) were reviewed to characterize the background characteristics of CHW, their role in intervention delivery, the types of interventions they delivered, and the implementation supports they received. The majority of trials found that CHW-delivered interventions led to symptom reduction. Read More

    Estimating the Economic Value of Information for Screening in Disseminating and Targeting Effective School-based Preventive Interventions: An Illustrative Example.
    Adm Policy Ment Health 2017 Nov;44(6):932-942
    Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
    When candidates for school-based preventive interventions are heterogeneous in their risk of poor outcomes, an intervention's expected economic net benefits may be maximized by targeting candidates for whom the intervention is most likely to yield benefits, such as those at high risk of poor outcomes. Although increasing amounts of information about candidates may facilitate more accurate targeting, collecting information can be costly. We present an illustrative example to show how cost-benefit analysis results from effective intervention demonstrations can help us to assess whether improved targeting accuracy justifies the cost of collecting additional information needed to make this improvement. Read More

    The Role of Practice Research Networks (PRN) in the Development and Implementation of Evidence: The Northern Improving Access to Psychological Therapies PRN Case Study.
    Adm Policy Ment Health 2017 Nov;44(6):919-931
    Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.
    Practice research networks (PRNs) can support the implementation of evidence based practice in routine services and generate practice based evidence. This paper describes the structure, processes and learning from a new PRN in the Improving Access to Psychological Therapies programme in England, in relation to an implementation framework and using one study as a case example. Challenges related to: ethics and governance processes; communications with multiple stakeholders; competing time pressures and linking outcome data. Read More

    The Impact of Coverage Restrictions on Antipsychotic Utilization Among Low-Income Medicare Part D Enrollees.
    Adm Policy Ment Health 2017 Nov;44(6):943-954
    Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, 12th Floor, Baltimore, MD, 21201, USA.
    Prior research demonstrates substantial access problems associated with utilization management and formulary exclusions for antipsychotics in Medicaid, but the use and impact of coverage restrictions for these medications in Medicare Part D remains unknown. We assess the effect of coverage restrictions on antipsychotic utilization in Part D by exploiting a unique natural experiment in which low-income beneficiaries are randomly assigned to prescription drug plans with varying levels of formulary generosity. Despite considerable variation in use of coverage restrictions across Part D plans, we find no evidence that these restrictions significantly deter utilization or reduce access to antipsychotics for low-income beneficiaries. Read More

    The Role of Health Plans in Supporting Behavioral Health Integration.
    Adm Policy Ment Health 2017 Nov;44(6):967-977
    The Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South St., Waltham, MA, USA.
    Health plan policies can influence delivery of integrated behavioral health and general medical care. This study provides national estimates for the prevalence of practices used by health plans that may support behavioral health integration. Results indicate that health plans employ financing and other policies likely to support integration. Read More

    Comparing Strategies for Providing Child and Youth Mental Health Care Services in Canada, the United States, and The Netherlands.
    Adm Policy Ment Health 2017 Nov;44(6):955-966
    Department of Psychology, University of New Brunswick, Fredericton, NB, Canada.
    This paper reviews how child and youth mental health care services in Canada, the United States, and the Netherlands are organized and financed in order to identify systems and individual-level factors that may inhibit or discourage access to treatment for youth with mental health problems, such as public or private health insurance coverage, out-of-pocket expenses, and referral requirements for specialized mental health care services. Pathways to care for treatment of mental health problems among children and youth are conceptualized and discussed in reference to health insurance coverage and access to specialty services. We outline reforms to the organization of health care that have been introduced in recent years, and the basket of services covered by public and private insurance schemes. Read More

    Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration.
    Adm Policy Ment Health 2017 Nov;44(6):904-918
    Executive Division, National Center for PTSD, White River Junction, VT, USA.
    Evidence-based psychotherapies for PTSD are often underused. The objective of this mixed-method study was to identify organizational and clinic factors that promote high levels of reach of evidence-based psychotherapies for PTSD 10 years into their dissemination throughout the Veterans Health Administration. We conducted 96 individual interviews with staff from ten outpatient PTSD teams at nine sites that differed in reach of evidence-based psychotherapies for PTSD. Read More

    Impact of Coordinated Behavioral Health Management on Quality Measures of Antipsychotic Use.
    Adm Policy Ment Health 2017 Jun 5. Epub 2017 Jun 5.
    Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, 12th Floor, Baltimore, MD, 21201, USA.
    A state Care Management Entity (CME) using the wraparound practice model provided intensive care coordination for youth with severe mental illness, those most likely to receive antipsychotics. The model has led to improved clinical/functional outcomes, but little is known about the impact on antipsychotic prescribing and safety monitoring. A pre-post study was conducted to evaluate antipsychotic dosing, concomitant antipsychotic use, and metabolic monitoring among CME-enrolled and non-CME-enrolled comparison groups. Read More

    Using Participatory Action Research to Develop a Working Model That Enhances Psychiatric Nurses' Professionalism: The Architecture of Stability.
    Adm Policy Ment Health 2017 Nov;44(6):888-903
    Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden.
    Ward rules in psychiatric care aim to promote safety for both patients and staff. Simultaneously, ward rules are associated with increased patient violence, leading to neither a safe work environment nor a safe caring environment. Although ward rules are routinely used, few studies have explicitly accounted for their impact. Read More

    Optimal Network for Patients with Severe Mental Illness: A Social Network Analysis.
    Adm Policy Ment Health 2017 Nov;44(6):877-887
    Institute of Health and Society, Université Catholique de Louvain, Clos chapelle aux champs 30.15/05, 1200, Bruxelles, Belgium.
    It is still unclear what the optimal structure of mental health care networks should be. We examine whether certain types of network structure have been associated with improved continuity of care and greater social integration. A social network survey was carried out, covering 954 patients across 19 mental health networks in Belgium in 2014. Read More

    The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment.
    Adm Policy Ment Health 2017 Nov;44(6):838-852
    University of Washington, Seattle, USA.
    Supervisors are an underutilized resource for supporting evidence-based treatments (EBTs) in community mental health. Little is known about how EBT-trained supervisors use supervision time. Primary aims were to describe supervision (e. Read More

    Mapping "Trauma-Informed" Legislative Proposals in U.S. Congress.
    Adm Policy Ment Health 2017 Nov;44(6):867-876
    Department of Psychology, Virginia Tech College of Science, Blacksburg, VA, USA.
    Despite calls for translation of trauma-informed practice into public policy, no empirical research has investigated how the construct has been integrated into policy proposals. This policy mapping study identified and analyzed every bill introduced in US Congress that mentioned "trauma-informed" between 1973 and 2015. Forty-nine bills and 71 bill sections mentioned the construct. Read More

    Placement and Delinquency Outcomes Among System-Involved Youth Referred to Multisystemic Therapy: A Propensity Score Matching Analysis.
    Adm Policy Ment Health 2017 Nov;44(6):853-866
    Division of Prevention and Community Research, Yale University School of Medicine, 389 Whitney Avenue, New Haven, CT, 06511, USA.
    Multisystemic therapy (MST) was developed to help youth with serious social, emotional, and behavioral problems. Research on the efficacy and effectiveness of MST has shown positive outcomes in different domains of development and functioning among various populations of youth. Nonetheless, even with a large body of literature investigating the treatment effects of MST, few studies have focused on the effectiveness of MST through large-scale dissemination efforts. Read More

    Therapist-Specific Factors and Psychotherapy Outcomes of Adult and Youth Clients Seen in a Psychology Training Clinic.
    Adm Policy Ment Health 2017 Sep;44(5):681-690
    Department of Psychology,Combined Clinical/Counseling/School Psychology Program, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA.
    The current study investigated therapist demographic and level of experience in relation to psychotherapy outcomes for adult and child clients. The OQ-45 and Y-OQ 2.01 were used to assess outcomes for 199 adults and 169 youth clients seen for psychotherapy by graduate-level student therapists. Read More

    How Intervention and Implementation Characteristics Relate to Community Therapists' Attitudes Toward Evidence-Based Practices: A Mixed Methods Study.
    Adm Policy Ment Health 2017 Nov;44(6):824-837
    Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA.
    Therapists' perceptions toward evidence-based practices (EBPs) are important in implementation efforts, however little is known about characteristics of EBPs associated with more positive attitudes. This mixed-methods study examined how intervention and implementation characteristics of six EBPs related to therapist attitudes. Quantitative analysis of 793 cross-sectional surveys revealed that therapists endorsed more positive attitudes toward EBPs with (1) prescribed session content and order and (2) required consultation. Read More

    Individual Placement and Support (IPS) for Methadone Maintenance Therapy Patients: A Pilot Randomized Controlled Trial.
    Adm Policy Ment Health 2017 May;44(3):359-364
    IPS Employment Center, Westat, Lebanon, NH, USA.
    Individual Placement and Support (IPS) is an evidence-based employment model for people with severe mental illness, but it has not been evaluated for clients enrolled in substance abuse treatment programs. This study evaluated the effectiveness of IPS for people with opioid use disorders enrolled in an opioid treatment program. Within a randomized controlled experiment, 45 patients receiving methadone maintenance therapy were assigned to either IPS or a 6-month waitlist. Read More

    Federal Policies and Programs to Expand Employment Services Among Individuals with Serious Mental Illnesses.
    Adm Policy Ment Health 2017 May;44(3):339-344
    Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
    Previous studies suggest that providing employment services to individuals with serious mental illnesses can help them obtain competitive, real-world employment. However, these services are still not easily accessible to this population. This paper provides a brief summary of recent federal initiatives that may influence widespread implementation of employment services. Read More

    Individual Placement and Support for People with Autism Spectrum Disorders: A Pilot Program.
    Adm Policy Ment Health 2017 May;44(3):365-373
    The IPS Employment Center at the Rockville Institute, Westat, 3rd Floor, Evergreen 2, 21 Lafayette, Centerra Business Park, Lebanon, NH, 03766, USA.
    Young adults with autism spectrum disorder (ASD) experience significant rates of unemployment and underemployment, and the field needs an inexpensive, evidence-based vocational intervention. We examined an approach developed for people with serious mental illness, IPS supported employment, for young adults with ASD. We described a pilot IPS program for young adults with ASD and evaluated the first five participants over 1 year. Read More

    Preference for Independent Housing of Persons with Mental Disorders: Systematic Review and Meta-analysis.
    Adm Policy Ment Health 2017 Nov;44(6):817-823
    Center for Psychiatric Rehabilitation, University Bern Psychiatric Services, Murtenstrasse 46, 3008, Bern, Switzerland.
    Choice of housing has become an important political and therapeutic goal for psychiatric rehabilitation. We conducted a systematic review and meta-analysis of proportions of studies on preference for independent housing. A subgroup analysis compared studies with homeless and non-homeless consumers. Read More

    Identifying and Reducing Disparities in Mental Health Outcomes Among American Indians and Alaskan Natives Using Public Health, Mental Healthcare and Legal Perspectives.
    Adm Policy Ment Health 2017 Jan 31. Epub 2017 Jan 31.
    Department of Health Science, Brigham Young University, 2048 Life Sciences Building, Provo, UT, 84602, USA.
    The purpose of this paper was to investigate disparities in mental healthcare delivery in American Indian/Alaska Native populations from three perspectives: public health, legal policy and mental healthcare and provide evidence-based recommendations toward reducing those disparities. Data on mental health funding to tribes were obtained from the Substance Abuse and Mental Health Services Administration. As a result of analysis of these data, vital statistics and current literature, we propose three recommendations to reduce mental health disparities. Read More

    Therapist Reflective Functioning, Therapist Attachment Style and Therapist Effectiveness.
    Adm Policy Ment Health 2017 Sep;44(5):614-625
    Research Department of Clinical, Educational and Health Psychology, The Anna Freud Centre, University College London, London, UK.
    This study investigated the relationship between two therapist attributes (reflective functioning and attachment style) and client outcome. Twenty-five therapists treated a total of 1001 clients. Therapists were assessed for reflective functioning and attachment style using the Adult Attachment Interview and the Experiences in Close Relationships Scale. Read More

    Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs.
    Adm Policy Ment Health 2017 Sep;44(5):792-809
    Hornby Zeller Associates, Inc., Troy, USA.
    Many community mental health (CMH) systems contain inefficiencies, contributing to unmet need for services among youth. Using a quasi-experimental research design, we examined the implementation of an adapted structural-strategic family intervention, Parenting with Love and Limits, in a state CMH system to increase efficiency of services to youth with co-existing internalizing and externalizing functional impairments (PLL n = 296; Treatment-As-Usual n = 296; 54% male; 81% Caucasian). Youth receiving PLL experienced shorter treatment durations and returned to CMH services at significantly lower rates than youth receiving treatment-as-usual. Read More

    Harnessing the Therapist Effect in Patient-Centered Mental Health Care Decision Making.
    Adm Policy Ment Health 2017 Sep;44(5):724-728
    Outcome Referrals, Inc., 1 Speen St., Framingham, MA, 01701, USA.
    In this commentary, we address the critical importance of the research literature documenting therapist differences in skill and outcomes. In particular, we focus on the implications of therapist differences for patient-centered decision making, including the matching of patients to specific psychotherapists who have empirically-based track records of positive performance. In addition, we present preliminary results from a grant supported study of patients' values and preferences regarding the use of provider performance track records in routine mental health care decision making. Read More

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