1,338 results match your criteria Administration and policy in mental health[Journal]


Partners in School: An Implementation Strategy to Promote Alignment of Evidence-Based Practices Across Home and School for Children with Autism Spectrum Disorder.

Adm Policy Ment Health 2020 Jul 11. Epub 2020 Jul 11.

Center for Autism and Related Disorders, Kennedy Krieger Institute, 3901 Greenspring Ave, Baltimore, MD, 21211, USA.

When parents and teachers align their practices across home and school, it may optimize services for children with autism spectrum disorder (ASD). Partners in School is a multi-faceted implementation strategy designed to improve ASD services in schools. The goal is to increase parents' and teachers' use of evidence-based practices (EBPs) and to align those EBPs across settings. Read More

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http://dx.doi.org/10.1007/s10488-020-01064-9DOI Listing

State Strategies for Enhancing Access and Quality in Systems of Care for Youth with Complex Behavioral Health Needs.

Adm Policy Ment Health 2020 Jul 7. Epub 2020 Jul 7.

School of Public Health, University of California, Berkeley, USA.

The investigators conducted a qualitative study with state administrators and policymakers about the financing and policies that structure public systems of care for children with complex behavioral healthcare needs. The objective was to characterize diverse strategies states employed to enhance funding for, access to, and quality and effectiveness of home and community-based services (HCBS) for these youth. States report using a wide variety of creative solutions while navigating the unique needs and constraints of their political and economic environments. Read More

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http://dx.doi.org/10.1007/s10488-020-01061-yDOI Listing

Assessing Stakeholder Perceptions of the Utility of Genetic Information for the Clinical Care of Mental Health Disorders: We Have a Will but Need to See the Way.

Adm Policy Ment Health 2020 Jun 20. Epub 2020 Jun 20.

Department of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Richmond, VA, 23284, USA.

Academic stakeholders' (primarily mental health researchers and clinicians) practices and attitudes related to the translation of genetic information into mental health care were assessed. A three-part survey was administered at two large, urban universities. Response frequencies were calculated. Read More

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http://dx.doi.org/10.1007/s10488-020-01058-7DOI Listing

Predictors of Hospitalization in a Cohort of Children with Elevated Symptoms of Mania.

Adm Policy Ment Health 2020 Jun 16. Epub 2020 Jun 16.

Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, 23298-0308, USA.

Describe hospitalization rates in children with elevated symptoms of mania and determine predictors of psychiatric hospitalizations during the 96 month follow-up. Eligible 6-12.9 year olds and their parents visiting 9 outpatient mental health clinics were invited to be screened with the Parent General Behavior Inventory 10-item Mania Scale. Read More

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http://dx.doi.org/10.1007/s10488-020-01059-6DOI Listing

Therapist-Observer Concordance in Ratings of EBP Strategy Delivery: Challenges and Targeted Directions in Pursuing Pragmatic Measurement in Children's Mental Health Services.

Adm Policy Ment Health 2020 Jun 8. Epub 2020 Jun 8.

Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA.

Pragmatic measures of therapist delivery of evidence-based practice (EBP) are critical to assessing the impact of large-scale, multiple EBP implementation efforts. As an initial step in the development of pragmatic measurement, the current study examined the concordance between therapist and observer ratings of items assessing delivery of EBP strategies considered essential for common child EBP targets. Possible EBP-, session-, and therapist-levels factors associated with concordance were also explored. Read More

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http://dx.doi.org/10.1007/s10488-020-01054-xDOI Listing

Definitions of Community for Individuals with Serious Mental Illnesses: Implications for Community Integration and Recovery.

Adm Policy Ment Health 2020 Jun 5. Epub 2020 Jun 5.

Department of Psychiatry and Biobehavioral Sciences, University of California - Los Angeles, Los Angeles, CA, USA.

While recent work on community integration for individuals with serious mental illnesses (SMIs) has focused on the multi-dimensionality of community integration, it has not been fully rooted in how consumers define and experience communities for themselves. Guided by symbolic interactionism theory, the goal of the present study is to explore definitions of community as provided by individuals with SMIs, and to incorporate those definitions into a theoretical framework of community to inform community integration efforts in the context of mental health services and recovery. Semi-structured interviews were conducted between November 2017 and September 2018 with 90 racially/ethnically diverse participants who were 18 years and older with an SMI and receiving community mental health services. Read More

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http://dx.doi.org/10.1007/s10488-020-01055-wDOI Listing

Fidelity Scale: From Black Box to Holy Grail.

Authors:
Jaap van Weeghel

Adm Policy Ment Health 2020 Jun 4. Epub 2020 Jun 4.

Tranzo Scientific Center for Care and Welfare, Department of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.

Fidelity scales are indispensable in the pursuit of evidence-based mental healthcare. Without fidelity checks, treatment remains a mysterious black box. The aim of this article is to comment on the studies in this special section, and to discuss some general issues with regard to fidelity assessment. Read More

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http://dx.doi.org/10.1007/s10488-020-01057-8DOI Listing

Where Does It Begin? Community-Based Therapists' Intentions for Treating Non-comorbid Youth.

Adm Policy Ment Health 2020 May 27. Epub 2020 May 27.

Department of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.

This study examined patterns and predictors of 79 public sector therapists' practice element (PE) intentions for treating hypothetical single problem area youth with either anxiety or disruptive behavior problems. Analyses of intention profiles suggested that PE intentions varied by diagnosis and included both a majority of practices derived from the evidence base (PDEBs) and a large number of practices with minimal evidence support (PMESs) for each problem area. Hierarchical multiple regression results indicated the only significant predictor of higher PDEB intentions for both problem areas was reporting more PMES intentions. Read More

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http://dx.doi.org/10.1007/s10488-020-01051-0DOI Listing

Applying NUDGE to Inform Design of EBP Implementation Strategies in Community Mental Health Settings.

Adm Policy Ment Health 2020 May 19. Epub 2020 May 19.

Center for Health Incentives and Behavioral Economics, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.

We demonstrate the application of NUDGE (Narrow, Understand, Discover, Generate, Evaluate), a behavioral economics approach to systematically identifying behavioral barriers that impede behavior enactment, to the challenge of evidence-based practice (EBP) use in community behavioral health. Drawing on 65 clinician responses to a system-wide crowdsourcing challenge about EBP underutilization, we applied NUDGE to discover, synthesize and validate specific behavioral barriers to EBP utilization that directly inform the design of tailored implementation strategies. To our knowledge, this is the first study to apply behavioral economic insights to clinician-proposed solutions to implementation challenges in order to design implementation strategies. Read More

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http://dx.doi.org/10.1007/s10488-020-01052-zDOI Listing

Towards Integrated Youth Care: A Systematic Review of Facilitators and Barriers for Professionals.

Adm Policy Ment Health 2020 May 18. Epub 2020 May 18.

Department of Child and Adolescent Psychiatry, Curium-Leiden University Medical Centre, Post Box 15, 2300 AA, Leiden, The Netherlands.

To overcome fragmentation in support for children and their families with multiple and enduring problems across life domains, professionals increasingly try to organize integrated care. However, it is unclear what facilitators and barriers professionals experience when providing this integrated care. Our systematic review, including 55 studies from a broad variety of settings in Youth Care, showed that integrated care on a professional level is a multi-component entity consisting of several facilitators and barriers. Read More

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http://dx.doi.org/10.1007/s10488-020-01049-8DOI Listing

Are There Performance Advantages Favoring Federally Qualified Health Centers in Medical Home Care for Persons with Severe Mental Illness?

Adm Policy Ment Health 2020 May 18. Epub 2020 May 18.

Department of Health Policy and Management, The Gillings School of Global Public Health, Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, 1105B McGavran-Greenberg Hall, CB#7411, 135 Dauer Dr., Chapel Hill, NC, 27599-7411, USA.

To identify whether medical homes in FQHCs have advantages over other group and individual medical practices in caring for people with severe mental illness. Models estimated the effect of the type of medical home on monthly service utilization, medication adherence, and total Medicaid spending over a 4-year period for adults aged 18 or older with a major depressive disorder (N = 65,755), bipolar disorder (N = 19,925), or schizophrenia (N = 8501) enrolled in North Carolina's Medicaid program. Inverse probability of treatment weights (IPTW) were used to adjust for nonrandom assignment of patients to practices. Read More

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http://dx.doi.org/10.1007/s10488-020-01050-1DOI Listing

An Examination of the Association Between Patient Experience and Quality of Mental Health Care Among Women Veterans.

Adm Policy Ment Health 2020 May 15. Epub 2020 May 15.

Department of Veterans Affairs, Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA.

Improving patient experience is one strategy that may increase the quality of mental health care if better experience is linked to the likelihood of a potentially therapeutic dose (PTD) of treatment. This study sought to examine: (1) the proportion of women veterans who obtained a PTD of mental health treatment; and (2) the association between women's experiences with Veterans Health Administration (VHA) mental health services and obtaining a PTD of mental health treatment. We assessed patient experience via a survey that measured experiences with gender-sensitive care, ease of getting care, perceived quality of care, and extent to which care met needs. Read More

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http://dx.doi.org/10.1007/s10488-020-01046-xDOI Listing

Leveraging Machine Learning to Identify Predictors of Receiving Psychosocial Treatment for Attention Deficit/Hyperactivity Disorder.

Adm Policy Ment Health 2020 May 13. Epub 2020 May 13.

Department of Psychology, Florida International University, Miami, USA.

This study aimed to identify factors associated with receiving psychosocial treatment for ADHD in a nationally representative sample. Participants were 6630 youth with a parent-reported diagnosis of ADHD from the 2016-2017 National Survey of Children's Health. Machine learning analyses were performed to identify factors associated with receipt of psychosocial treatment for ADHD. Read More

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http://dx.doi.org/10.1007/s10488-020-01045-yDOI Listing

Pre-implementation Evaluation of PARTNER-MH: A Mental Healthcare Disparity Intervention for Minority Veterans in the VHA.

Adm Policy Ment Health 2020 May 12. Epub 2020 May 12.

VA HSR&D Center for Health Information and Communication, Richard L. Roudebush VAMC, Indianapolis, USA.

To design PARTNER-MH, a peer-led, patient navigation program for implementation in Veterans Health Administration (VHA) mental health care settings, we conducted a pre-implementation evaluation during intervention development to assess stakeholders' views of the intervention and to explore implementation factors critical to its future adoption. This is a convergent mixed-methods study that involved qualitative semi-structured interviews and survey data. Data collection was guided by the Consolidated Framework for Implementation Research (CFIR). Read More

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http://dx.doi.org/10.1007/s10488-020-01048-9DOI Listing

Measurement Strategies for Evidence-Based Antidepressants for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes.

Adm Policy Ment Health 2020 May 11. Epub 2020 May 11.

Geisel School of Medicine at Dartmouth, Hanover, NH, USA.

We sought to develop a quality standard for the prescription of antidepressants for posttraumatic stress disorder (PTSD) that is both consistent with the underlying evidence supporting antidepressants as a treatment for PTSD and associated with the best levels of symptom improvement. We quantified antidepressant initiation during the first year of PTSD treatment in a 10-year national cohort of Department of Veterans Affairs (VA) users, and compared outcomes in a subgroup who completed patient-reported outcome measurement (PROM) as part of routine practice. We added progressively stringent measurement requirements. Read More

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http://dx.doi.org/10.1007/s10488-020-01047-wDOI Listing

Mobilization of Telepsychiatry in Response to COVID-19-Moving Toward 21 Century Access to Care.

Adm Policy Ment Health 2020 07;47(4):489-491

Department of Psychiatry & Behavioral Sciences, The University of Miami Heath System, 1695 NW 9th Ave, Suite 3100, Miami, FL, 33136, USA.

The COVID-19 pandemic threatens to disrupt the provision of mental health services. In response, policymakers, administrators, and providers have taken bold steps toward enabling telepsychiatry to bridge this sudden gap in care for our most vulnerable populations. With rapid deregulation and adoption of this modality of care, careful consideration of issues related to policy and implementation is essential to maximize its effectiveness and mitigate unintended consequences. Read More

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http://dx.doi.org/10.1007/s10488-020-01044-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180652PMC

The Family Psychoeducation Fidelity Scale: Psychometric Properties.

Adm Policy Ment Health 2020 Apr 23. Epub 2020 Apr 23.

, Westat, USA.

This study examined psychometric properties and feasibility of the Family Psychoeducation (FPE) Fidelity Scale. Fidelity assessors conducted reviews using the FPE fidelity scale four times over 18 months at five sites in Norway. After completing fidelity reviews, assessors rated feasibility of the fidelity review process. Read More

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http://dx.doi.org/10.1007/s10488-020-01040-3DOI Listing

Strategies for Sustaining Fidelity: A Multi-state Qualitative Analysis in Housing First Programs.

Adm Policy Ment Health 2020 Apr 23. Epub 2020 Apr 23.

Columbia University, 1051 Riverside Drive, New York, NY, 10032, USA.

Little is known about long-term fidelity of evidence-based interventions (EBIs) under changing conditions. This study examines how staff at 'mature' (eight or more years in operation) Housing First (HF) programs strategize to sustain EBI fit in different geographic areas in the Mid-Atlantic/Northeastern United States. Six focus groups (FGs) at three purposively selected HF programs were conducted with separate FGs for case managers and supervisors at each site. Read More

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http://dx.doi.org/10.1007/s10488-020-01041-2DOI Listing

An Innovator and a Disruptor: Leonard Bickman on Program Theory, Null Findings, and Advice to Future Child Mental Health Services Researchers.

Authors:
Susan Douglas

Adm Policy Ment Health 2020 Apr 22. Epub 2020 Apr 22.

Department of Leadership, Policy, and Organizations, Peabody College, Vanderbilt University, 230 Appleton Place, PMB #414, Nashville, TN, 37203-5721, USA.

With a career spanning more than half a century, Leonard Bickman has contributed to improving children's mental health through research on innovative interventions, such as measurement-based care, and service-level initiatives, including systems of care. Len's highly productive career in children's mental health services research is founded in his influence on the science of program evaluation, particularly in the area of program theory. This article provides an abridged and combined version of a video interview with Len dated April 16, 2019 and written responses to a series of questions posed to Len in advance of the festschrift held in his honor at Johns Hopkins Bloomberg School of Public Health on May 11, 2018. Read More

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http://dx.doi.org/10.1007/s10488-020-01043-0DOI Listing

Correction to: Measurement Strategies for Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes.

Adm Policy Ment Health 2020 Jul;47(4):648

Geisel School of Medicine at Dartmouth, Hanover, NH, USA.

The original version of this article unfortunately contained a mistake. The co-author name was incorrectly published with the middle initial in the author list. Read More

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http://dx.doi.org/10.1007/s10488-020-01042-1DOI Listing

A Systematic Review of Organizational and Workforce Interventions to Improve the Culture and Climate of Youth-Service Settings.

Adm Policy Ment Health 2020 Apr 18. Epub 2020 Apr 18.

Florida International University, DM 256, 11200 S.W. 8th Street, Miami, FL, 33199, USA.

Both organizational culture and climate are associated with service quality and outcomes across youth-service settings. Increasing evidence indicates capacity of organizational interventions to promote a positive and effective culture and climate. Less is known about common intervention components across studies and service settings. Read More

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http://dx.doi.org/10.1007/s10488-020-01037-yDOI Listing

Using Complier Average Causal Effect Estimation to Examine Student Outcomes of the PAX Good Behavior Game When Integrated with the PATHS Curriculum.

Adm Policy Ment Health 2020 Apr 15. Epub 2020 Apr 15.

Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

A growing body of research has documented a link between variation in implementation dosage and outcomes associated with preventive interventions. Complier Average Causal Effect (CACE; Jo in J Educ Behav Stat 27:385-409, 2002) analysis allows for estimating program impacts in light of variation in implementation. This study reports intent-to-treat (ITT) and CACE findings from a randomized controlled trial (RCT) testing the impacts of the universal PAX Good Behavior Game (PAX GBG) integrated with Promoting Alternative Thinking Strategies (i. Read More

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http://dx.doi.org/10.1007/s10488-020-01034-1DOI Listing

Tracking Time and Resources Associated with Systems Change and the Adoption of Evidence-Based Programs: The "Hidden Costs" of School-Based Coaching.

Adm Policy Ment Health 2020 Apr 13. Epub 2020 Apr 13.

Curry School of Education and Human Development, University of Virginia, Charlottesville, VA, USA.

This study leveraged data from a 40-school randomized controlled trial to understand the cost of coaching to support implementation of evidence-based programs (EBPs) through a multi-tiered system of supports for behavior (MTSS-B) model. Coach activity log data were utilized to generate the annual average, per school, costs of coaching of $8198. The cost of school personnel time for coaching was estimated to be $3028. Read More

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http://dx.doi.org/10.1007/s10488-020-01039-wDOI Listing

Designing the Future of Children's Mental Health Services.

Adm Policy Ment Health 2020 Apr 6. Epub 2020 Apr 6.

Department of Human Centered Design and Engineering, University of Washington, 428 Sieg Hall, Seattle, WA, 98195, USA.

Advancements in evidence-based psychosocial interventions, digital technologies, and implementation strategies (i.e., health services research products) for youth mental health services have yet to yield significant improvement in public health outcomes. Read More

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http://dx.doi.org/10.1007/s10488-020-01038-xDOI Listing

"I achieved being an adult": A Qualitative Exploration of Voluntary Transitions from Permanent Supportive Housing.

Authors:
Emmy Tiderington

Adm Policy Ment Health 2020 Mar 30. Epub 2020 Mar 30.

Rutgers School of Social Work, The State University of New Jersey, 360 Dr. Martin Luther King Blvd., Hill Hall, Suite 401C, Newark, NJ, 07102-1801, USA.

This study examined how individuals voluntarily leaving permanent supportive housing (PSH) through a Moving On initiative experienced the transition from PSH services to mainstream housing. Participants (N = 25) were purposively sampled from five supportive housing agencies in a Moving On initiative. A modified grounded theory approach was used to analyze semi-structured, post-move interviews. Read More

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http://dx.doi.org/10.1007/s10488-020-01036-zDOI Listing

A System of Systems of Mental Health in Cities, Digging Deep into the Origins of Complexity.

Adm Policy Ment Health 2020 Mar 28. Epub 2020 Mar 28.

Royal Institute of Technology KTH, Hälsovägen 11, 141 52, Huddinge, Sweden.

Mental health in urban environments is often treated from a healthcare provision perspective. Research in recent decades showed that mental illness in cities is a result of dysfunctional coordination between different city systems and structures. Given the nature of the city as a system of systems, this work builds through a participatory method, a general system dynamic model of factors that affect mental health in urban and regional environments. Read More

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http://dx.doi.org/10.1007/s10488-020-01035-0DOI Listing

Race and Equity in Statewide Implementation Programs: An Application of the Policy Ecology of Implementation Framework.

Authors:
Martha J Aby

Adm Policy Ment Health 2020 Mar 19. Epub 2020 Mar 19.

University of Washington, 4101 15th Avenue NE, Seattle, WA, 98105, USA.

Although the literature is growing regarding large-scale, system-wide implementation programs, the broader political and social contexts, including race and ethnicity, are frequently ignored. Using the Policy Ecology of Implementation framework (Raghavan et al., Implement Sci 3:26, 2008), Minnesota's CEMIG is examined to investigate the role of social and political contexts in the implementation process and the barriers they create. Read More

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http://dx.doi.org/10.1007/s10488-020-01033-2DOI Listing

Delegating Clozapine Monitoring to Advanced Nurse Practitioners: An Exploratory, Randomized Study to Assess the Effect on Prescription and Its Safety.

Adm Policy Ment Health 2020 Jul;47(4):632-640

Rivierduinen Institute for Mental Health, Leiden, The Netherlands.

To test whether: (1) psychiatrists will prescribe clozapine more often if they can delegate the monitoring tasks to an advanced nurse practitioner (ANP), (2) clozapine monitoring by an ANP is at least as safe as monitoring by a psychiatrist. Patients from 23 Dutch outpatient teams were assessed for an indication for clozapine. ANPs affiliated to these teams were randomized to Condition A: clozapine monitoring by an ANP, or Condition B: monitoring by the psychiatrist. Read More

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http://dx.doi.org/10.1007/s10488-020-01031-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253396PMC

Turning Back to Treatment: The Effect of Attendance and Symptom Outcomes on Subsequent Service Use.

Adm Policy Ment Health 2020 Jul;47(4):641-647

University of California, Los Angeles, Los Angeles, USA.

This study explored whether post-treatment symptom severity moderated the association between session attendance during an initial treatment episode and subsequent mental health service use. Data on attendance, symptom severity, and service use were gathered from an effectiveness trial testing a modular treatment for youth anxiety, depression, disruptive behavior, and traumatic stress. Multilevel logistic regression analyses showed a significant interaction between attendance and post-treatment symptom severity on subsequent service use, such that attendance significantly predicted subsequent service use when post-treatment symptom severity was in the normal range. Read More

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http://dx.doi.org/10.1007/s10488-020-01032-3DOI Listing

"Built on Respect and Good Honest Communication:" A Study of Partnerships Between Mental Health Providers and Community Corrections.

Adm Policy Ment Health 2020 Jul;47(4):617-631

East Tennessee State University, Johnson City, TN, USA.

The prevailing approach to managing persons with criminal histories involves community supervision professionals like probation and parole officers partnering with other mental health providers to address clients' needs. The relationships between individual professionals are seldom researched, though, and the current study aims to address this deficit in the empirical literature. This study utilized interviews about professionals' perceptions of their work experiences, analyzed open-endedly to identify major themes. Read More

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http://dx.doi.org/10.1007/s10488-020-01030-5DOI Listing

The Importance of Context: Linking Veteran Outpatients Screening Positive for Housing Instability with Responsive Interventions.

Adm Policy Ment Health 2020 Mar 11. Epub 2020 Mar 11.

Southeast Louisiana Veterans Health Care System, New Orleans, USA.

This study aims to explore the relationship between the context of screening for housing instability and Veterans' access to services, with the goal of ensuring effective processes to address housing instability among Veterans. This study used administrative data from 100,022 Veterans' electronic medical records and qualitative data collected during in-depth interviews with 22 health care providers and six Homeless Program staff. A mixed effects logistic regression assessed the relationship between Veterans' screening experiences and connection with services; qualitative data were analyzed using a grounded theory approach to present providers' reflections on administering screening for housing instability and responding to Veterans' positive screens with needed resources. Read More

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http://dx.doi.org/10.1007/s10488-020-01028-zDOI Listing

Acquisition of Information About Innovative Practices in Outpatient Mental Health Clinics.

Adm Policy Ment Health 2020 Mar 10. Epub 2020 Mar 10.

Department of Child and Adolescent Psychiatry, New York University, New York, NY, USA.

This study uses qualitative interviews with leaders of 34 mental health clinics in the context of a statewide rollout of clinical and business innovations to explore how clinics first learn about innovations and which external sources of information they access. Clinic leaders reported accessing information about innovations mainly from government agencies, professional associations, peer organizations, and research literature. Leaders mentioned an average of two external sources of information. Read More

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http://dx.doi.org/10.1007/s10488-020-01029-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222893PMC

Psychometric Properties of the General Organizational Index (GOI): A Measure of Individualization and Quality Improvement to Complement Program Fidelity.

Adm Policy Ment Health 2020 Feb 27. Epub 2020 Feb 27.

Westat, Lebanon, NH, USA.

To assess the implementation of effective practices, mental health programs need standardized measures. The General Organizational Index (GOI), although widely used for this purpose, has received minimal psychometric research. For this study, we assessed psychometric properties of the GOI scale administered four times over 18 months during the implementation of a new program in 11 sites. Read More

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http://dx.doi.org/10.1007/s10488-020-01025-2DOI Listing
February 2020

Sustainment of Trauma-Focused and Evidence-Based Practices Following Learning Collaborative Implementation.

Adm Policy Ment Health 2020 Jul;47(4):569-580

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, MSC 861, Charleston, SC, 29425, USA.

Given the need to develop and validate effective implementation models that lead to sustainable improvements, we prospectively examined changes in attitudes, behaviors, and perceived organizational support during and after statewide Community-Based Learning Collaboratives (CBLCs) promoting trauma-focused evidence-based practices (EBPs). Participants (N = 857; i.e. Read More

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http://dx.doi.org/10.1007/s10488-020-01024-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260081PMC

What's the Function of Outpatient Commitment?

Adm Policy Ment Health 2020 Feb 22. Epub 2020 Feb 22.

School of Social Work, University of Washington, 4101 15th Ave NE, Seattle, WA, 98105, USA.

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http://dx.doi.org/10.1007/s10488-020-01027-0DOI Listing
February 2020

"Fighting Tooth and Nail": Barriers to Accessing Adolescent Mental Health Treatment from Mothers Perspectives.

Adm Policy Ment Health 2020 Feb 21. Epub 2020 Feb 21.

University of Missouri School of Social Work, Columbia, MO, 65211, USA.

Residential treatment (RT) serves 311,000 children and adolescents per year and has been described as a "last resort" by families, healthcare providers, and insurance payors as it is highly disruptive and costly. The purpose of this study was to explore mothers' accounts of the strategies and services they used before admitting their adolescent to RT as well as to understand the barriers they encountered in their adolescent's treatment trajectory. This was a cross-sectional study in which 15 mothers of adolescents currently or previously in RT completed 1-h phone interviews. Read More

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http://dx.doi.org/10.1007/s10488-020-01026-1DOI Listing
February 2020

Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention.

Adm Policy Ment Health 2020 Jul;47(4):597-605

Department of Medical Social Sciences, Institute for Public Health and Medicine, Center for Community Health, Feinberg School of Medicine, Northwestern University, Chicago, USA.

Mothers and Babies (MB), a perinatal depression preventive intervention, has proven effective in decreasing depressive symptoms and preventing onset of major depression. An ongoing cluster-randomized trial is comparing the effectiveness of the six-session MB group intervention led by paraprofessionals versus mental health professionals. Twenty percent of all audio-recorded intervention sessions were randomly selected for fidelity checks. Read More

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http://dx.doi.org/10.1007/s10488-020-01022-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253394PMC

Common Elements of Childhood Universal Mental Health Programming.

Adm Policy Ment Health 2020 05;47(3):475-486

University of California, Los Angeles, Los Angeles, CA, USA.

Despite the availability of multiple mental health prevention and promotion programs for children, challenges related to their dissemination limit their reach and impact. This review identifies the most common practice elements of effective childhood universal mental health programming for children ages 3-11, based on a structured interpretation and coding of program manuals and descriptions in peer-reviewed articles. Across a range of program goals and targeted outcomes, psychoeducation and problem solving emerged as the most common practice elements, followed by social skills training, insight building, and communication skills. Read More

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http://dx.doi.org/10.1007/s10488-020-01023-4DOI Listing

Knowledge of Evidence-Based Services Questionnaire: Development and Validation of a Short Form.

Adm Policy Ment Health 2020 Jul;47(4):581-596

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

The Knowledge of Evidence-Based Services Questionnaire (KEBSQ) is an objective measure of therapist knowledge of practices derived from the evidence base for the treatment of youth psychopathology. However, the length of this measure (i.e. Read More

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http://dx.doi.org/10.1007/s10488-020-01020-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260077PMC

Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study.

Adm Policy Ment Health 2020 Jul;47(4):606-616

Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

This study examines racial/ethnic differences in perceived need for mental health treatment, barriers to treatment receipt, and reasons for dropout. Data are from the Collaborative Psychiatric Epidemiology Studies, a pooled dataset from three U.S. Read More

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http://dx.doi.org/10.1007/s10488-020-01021-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260099PMC

The Physical Health Care Fidelity Scale: Psychometric Properties.

Adm Policy Ment Health 2020 Feb 8. Epub 2020 Feb 8.

Westat, Lebanon, NH, USA.

Mental health programs need an instrument to monitor adherence to evidence-based physical health care for people with serious mental illness. The paper describes the Physical Health Care Fidelity Scale and study interrater reliability, frequency distribution, sensitivity to change and feasibility. Four fidelity assessments were conducted over 18 months at 13 sites randomized to implementation support for evidence-based physical health care. Read More

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http://dx.doi.org/10.1007/s10488-020-01019-0DOI Listing
February 2020

The Antipsychotic Medication Management Fidelity Scale: Psychometric properties.

Adm Policy Ment Health 2020 Feb 6. Epub 2020 Feb 6.

Westat, Lebanon, NH, USA.

The paper describes the Antipsychotic Medication Management Fidelity Scale and its psychometric properties, including interrater reliability, frequency distribution, sensitivity to change and feasibility. Fidelity assessors conducted fidelity reviews four times over 18 months at eight sites receiving implementation support for evidence-based antipsychotic medication management. Data analyses shows good to fair interrater reliability, adequate sensitivity to change over time and good feasibility. Read More

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http://dx.doi.org/10.1007/s10488-020-01018-1DOI Listing
February 2020

Commentary: Establishing Scientific Rigor and Excellence in Implementation Science Training to Improve the Deployment of Evidence-Based Mental Health Services.

Authors:
Denise Pintello

Adm Policy Ment Health 2020 03;47(2):265-271

Division of Services and Intervention Research, National Institute of Mental Health, 6001 Executive Boulevard, Rm 7142, Bethesda, MD, 20892-9631, USA.

Real-world challenges continue to impede the dissemination, implementation and sustainment of high-quality, evidence-based practices, resulting in too many individuals not receiving the effective mental health care that they urgently need. The field of implementation science is poised to generate new solutions to address this important public health problem. Training a new generation of researchers in implementation science is one solution. Read More

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http://dx.doi.org/10.1007/s10488-020-01014-5DOI Listing

Military Service and Military Health Care Coverage are Associated with Reduced Racial Disparities in Time to Mental Health Treatment Initiation.

Adm Policy Ment Health 2020 Jul;47(4):555-568

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

We aimed to evaluate whether military service and access to veteran heath care coverage attenuates racial/ethnic disparities in time to mental health treatment initiation for posttraumatic stress disorder (PTSD), major depressive disorder, and/or alcohol-use disorder. Results are based on 13,528 civilians and 1392 veterans from NESARC-III. Among civilians, racial/ethnic minorities reported longer time to PTSD and depression treatment initiation than non-Hispanic whites. Read More

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http://dx.doi.org/10.1007/s10488-020-01017-2DOI Listing

Area-Level Variation in Children's Unmet Need for Community-Based Mental Health Services: Findings from the 2014 Ontario Child Health Study.

Adm Policy Ment Health 2020 Jan 23. Epub 2020 Jan 23.

Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.

There is limited empirical evidence documenting the magnitude and correlates of area-level variability in unmet need for children's mental health services. Research is needed that identifies area-level characteristics that can inform strategies for reducing unmet need in the population. The study purpose is to: (1) estimate area-level variation in children's unmet need for mental health services (using Service Areas as defined by the Ontario Ministry of Children and Youth Services), and (2) identify area-level service arrangements, and geographic and population characteristics associated with unmet need. Read More

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http://dx.doi.org/10.1007/s10488-020-01016-3DOI Listing
January 2020

From Research Training to Scientific Advancement-Contributions from the Implementation Research Institute: An Introduction to the Special Issue.

Adm Policy Ment Health 2020 03;47(2):169-175

Brown School of Social Work, Washington University in St. Louis, 1 Brookings Drive, Campus Box 1196, St. Louis, MO, 63130, USA.

The special series is designed to provide examples of funded implementation research conducted by alumni of the first four cohorts of the Implementation Research Institute (IRI). The introduction links the six substantive papers to the conceptual and methodological challenges laid out in a 2009 publication in this journal which led to the IRI training program in the emerging science of implementation with a special focus on behavior health settings. The 7th paper in the series illustrates an innovative evaluative approach to design and measurement of IRI fellow publications and grants informed by the training program such as bibliometrics. Read More

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http://dx.doi.org/10.1007/s10488-020-01015-4DOI Listing

Middle and High School Student Perspectives on Digitally-Delivered Mental Health Assessments and Measurement Feedback Systems.

Adm Policy Ment Health 2020 Jul;47(4):531-544

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

Implementation of measurement-based care (MBC) by child-serving community mental health providers, particularly school-based providers, is low. To inform user-centered design of measurement feedback systems (MFSs) and MBC implementation more broadly, semi-structured interviews were conducted with 61 middle and high school students. Interviews explored student preferences for and perceived helpfulness of different assessment methods and use of MFS in counseling. Read More

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http://dx.doi.org/10.1007/s10488-020-01010-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260080PMC

Traveling Without a Map: An Incomplete History of the Road to Implementation Science and Where We May Go from Here.

Authors:
David S Mandell

Adm Policy Ment Health 2020 03;47(2):272-278

Department of Psychiatry, Penn Center for Mental Health, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA.

This editorial provides a brief history of mental health services research over the last 30 years and how findings from large-scale studies shocked the field and led to the lines of inquiry culminating in current implementation science research. I review the manuscripts published in this special issue of Administration and Policy in Mental Health in light of that history and usethese studies as a way to assess the state of the field. Finally, I present five takeaways extracted from these articles that may be useful in considering future directions for implementation research. Read More

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http://dx.doi.org/10.1007/s10488-020-01013-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7028492PMC

Barriers to Implementing a Group Treatment for Maternal Depression in Head Start: Comparing Staff Perspectives.

Adm Policy Ment Health 2020 Jul;47(4):545-554

Department of Children, Youth, and Families, University of Southern California Suzanne Dworak-Peck School of Social Work, Los Angeles, USA.

Although providing depression treatment for Head Start mothers may improve child wellbeing, interventions have not been widely used for this purpose. This failure may be due to the characteristics of clients, interventions, or the systems of care in which services are delivered. This study explored barriers to implementing Interpersonal Psychotherapy-Group with ethnic minority Head Start mothers, including differences in the level of staff consensus regarding barriers, which may predict implementation success. Read More

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http://dx.doi.org/10.1007/s10488-020-01012-7DOI Listing

Improving Substance Use Services for Juvenile Justice-Involved Youth: Complexity of Process Improvement Plans in a Large Scale Multi-site Study.

Adm Policy Ment Health 2020 Jul;47(4):501-514

Institute of Behavioral Research, Texas Christian University, TCU Box 298740, Fort Worth, TX, 76129, USA.

Despite the high prevalence of substance use disorders among juvenile offenders, most do not receive services. System-level process improvement plans to address unmet service needs can be optimized by combining data-driven decisions and facilitated meetings with behavioral health stakeholders. This paper operationalizes and analyzes the level of specified complexity among process improvement plans evident within 36 juvenile probation and drug courts across 7 states. Read More

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http://dx.doi.org/10.1007/s10488-019-01007-zDOI Listing