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Administration and Policy in Mental Health

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https://www.readbyqxmd.com/read/28064399/harnessing-the-therapist-effect-in-patient-centered-mental-health-care-decision-making
#1
James F Boswell, Michael J Constantino, David R Kraus
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...
January 7, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28062932/prevalence-and-quality-of-individual-placement-and-support-ips-supported-employment-in-the-united-states
#2
Annalee Johnson-Kwochka, Gary R Bond, Deborah R Becker, Robert E Drake, Mary Ann Greene
The individual placement and support (IPS) model of supported employment for people with serious mental illness is an evidence-based practice. Factors including a national learning community promoting IPS and enforcement of the Supreme Court's Olmstead decision have spurred the growth of IPS nationwide. In this study we first evaluated the national prevalence and quality of IPS programs. We then evaluated the impact of learning community membership and Olmstead settlements on IPS program penetration and quality across the United States...
January 6, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28054198/strategies-for-working-with-asian-americans-in-mental-health-community-members-policy-perspectives-and-recommendations
#3
Suzie S Weng, Jennifer Spaulding-Givens
This qualitative study used snowball sampling of individuals known to provide informal assistance to Asian American community members with their mental health problems in a locality in the South where there has been an exponential increase of the Asian American population. The major themes found include: (1) the existence of cultural, language, knowledge, and transportation barriers and the importance of policy in addressing them; (2) the impact of the model minority myth and the need for inclusive policymaking; and (3) the unique service and policy needs of immigrants...
January 4, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28054197/comparing-the-costs-and-acceptability-of-three-fidelity-assessment-methods-for-assertive-community-treatment
#4
Angela L Rollins, Marina Kukla, Michelle P Salyers, John H McGrew, Mindy E Flanagan, Doug L Leslie, Marcia G Hunt, Alan B McGuire
Successful implementation of evidence-based practices requires valid, yet practical fidelity monitoring. This study compared the costs and acceptability of three fidelity assessment methods: on-site, phone, and expert-scored self-report. Thirty-two randomly selected VA mental health intensive case management teams completed all fidelity assessments using a standardized scale and provided feedback on each. Personnel and travel costs across the three methods were compared for statistical differences. Both phone and expert-scored self-report methods demonstrated significantly lower costs than on-site assessments, even when excluding travel costs...
January 4, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28050652/health-outcomes-and-costs-associated-with-the-provision-of-culturally-competent-services-for-underrepresented-ethnic-populations-with-severe-mental-illness
#5
Todd Gilmer, Benjamin Henwood, Nicole McGovern, Samantha Hurst, James Burgdorf, Debbie Innes-Gomberg
Underrepresented racial/ethnic populations (UREPs) face disparities in their use of behavioral health services for multiple reasons including lack of culturally competent services and stigma. This paper employs mixed methods to compare health outcomes and costs among clients in 14 culturally competent behavioral health programs targeting specific UREPs to five programs without a specific racial or ethnic focus. We found that UREP-focused programs were associated with similar improvements in health outcomes, but greater costs relative to the comparison programs...
January 3, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28012136/understanding-the-therapist-contribution-to-psychotherapy-outcome-a-meta-analytic-approach
#6
Robert J King, Jayne A Orr, Brooke Poulsen, S Giac Giacomantonio, Catherine Haden
Understanding the role that therapists play in psychotherapy outcome, and the contribution to outcome made by individual therapist differences has implications for service delivery and training of therapists. In this study we used a novel approach to estimate the magnitude of the therapist contribution overall and the effect of individual therapist differences. We conducted a meta-analysis of studies in which participants were randomised to receive the same treatment either through self-help or through a therapist...
December 23, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27988820/bridges-to-better-health-and-wellness-an-adapted-health-care-manager-intervention-for-hispanics-with-serious-mental-illness
#7
Leopoldo J Cabassa, Yamira Manrique, Quisqueya Meyreles, David Camacho, Lucia Capitelli, Richard Younge, Dianna Dragatsi, Juana Alvarez, Roberto Lewis-Fernández
This study examined the feasibility, acceptability, and initial impact of bridges to better health and wellness (B2BHW), a culturally-adapted health care manager intervention for Hispanics with serious mental illness (SMI). Thirty-four Hispanics with SMI and at risk for cardiovascular disease were enrolled. Mixed-linear models were used to examine changes over 12-months on patient activation, self-efficacy, patient-rated quality of care, receipt of preventive primary care services, and quality of life. The majority of participants completed the intervention (85%) with high satisfaction...
December 17, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27909877/association-between-mental-health-staffing-level-and-primary-care-mental-health-integration-level-on-provision-of-depression-care-in-veteran-s-affairs-medical-facilities
#8
Denise C Cooper, Christian D Helfrich, Stephen M Thielke, Ranak B Trivedi, Karin M Nelson, Gayle E Reiber, Evercita C Eugenio, Kristine Beaver, Julie Nugent-Carney, Vincent S Fan
We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate psychotherapy was associated with increased (1) PCMHI utilization by recurrent depression patients (AOR 1.02; 95% CI 1.00, 1.03); and (2) staffing for recurrent (AOR 1.03; 95% CI 1.01, 1.06) and chronic (AOR 1.02; 95% CI 1...
December 1, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27904992/the-relationship-between-race-patient-activation-and-working-alliance-implications-for-patient-engagement-in-mental-health-care
#9
Johanne Eliacin, Jessica M Coffing, Marianne S Matthias, Diana J Burgess, Matthew J Bair, Angela L Rollins
This study explored the relationship between race and two key aspects of patient engagement-patient activation and working alliance-among a sample of African-American and White veterans (N = 152) seeking medication management for mental health conditions. After adjusting for demographics, race was significantly associated with patient activation, working alliance, and medication adherence scores. Patient activation was also associated with working alliance. These results provide support for the consideration of race and ethnicity in facilitating patient engagement and patient activation in mental healthcare...
December 1, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27900616/-the-apartment-is-for-you-it-s-not-for-anyone-else-managing-social-recovery-and-risk-on-the-frontlines-of-single-adult-supportive-housing
#10
Emmy Tiderington
This multi-method qualitative study examines frontline provider perspectives on consumer social relationships and barriers to social recovery in supportive housing programs for adults with serious mental illness. Thematic analyses show that guest and occupancy policies that enforce the "single" nature of single-adult supportive housing challenge consumer rights to self-determination in the realm of social recovery. Findings also highlight the ways in which providers act to reinforce and subvert these policies while mitigating risk in this service setting...
November 30, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27891567/barriers-and-facilitators-to-sustainment-of-an-evidence-based-supported-employment-program
#11
Valerie A Noel, Gary R Bond, Robert E Drake, Deborah R Becker, Gregory J McHugo, Sarah J Swanson, Alison E Luciano, Mary Ann Greene
Large-scale initiatives to expand evidence-based practices are often poorly implemented and rarely endure. The purpose of this study was to identify the perceived barriers and facilitators to sustainment of an evidence-based supported employment program, Individual Placement and Support (IPS). Within a 2-year prospective study of sustainment among 129 IPS programs in 13 states participating in a national learning community, we interviewed IPS team leaders and coded their responses to semi-structured interviews using a conceptual framework adapted from another large-scale implementation study...
November 28, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27853950/predicting-employment-in-the-mental-health-treatment-study-do-client-factors-matter
#12
Justin D Metcalfe, Robert E Drake, Gary R Bond
For people with psychiatric disabilities, demographic characteristics and measures of clinical status are often used to allocate scarce employment services. This study examined a battery of potential client predictors of competitive employment, testing the hypothesis that evidence-based supported employment would mitigate the negative effects of poor work history, uncontrolled symptoms, substance abuse, and other client factors. In a secondary analysis of 2055 unemployed Social Security Disability Insurance beneficiaries with schizophrenia or affective disorders, we examined 20 baseline client factors as predictors of competitive employment...
November 16, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27817044/concordance-between-administrator-and-clinician-ratings-of-organizational-culture-and-climate
#13
Rinad S Beidas, Nathaniel J Williams, Philip D Green, Gregory A Aarons, Emily M Becker-Haimes, Arthur C Evans, Ronnie Rubin, Danielle R Adams, Steven C Marcus
Organizational culture and climate are important determinants of behavioral health service delivery for youth. The Organizational Social Context measure is a well validated assessment of organizational culture and climate that has been developed and extensively used in public sector behavioral health service settings. The degree of concordance between administrators and clinicians in their reports of organizational culture and climate may have implications for research design, inferences, and organizational intervention...
November 5, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27812799/barriers-to-employment-for-transition-age-youth-with-developmental-and-psychiatric-disabilities
#14
Valerie A Noel, Eugene Oulvey, Robert E Drake, Gary R Bond
Youth with developmental and psychiatric disabilities encounter significant vocational challenges, even when they receive supported employment services. We examined the barriers to employment for 280 transition-age youth with disabilities enrolled in supported employment in eight community rehabilitation centers. Employment team members identified each youth's top three barriers to employment using a 21-item checklist. Lack of work experience, transportation problems, and program engagement issues represented common barriers for both youth with developmental disabilities (53, 36, and 25%) and youth with psychiatric disabilities (20, 33, and 26%)...
November 3, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27803993/sustaining-and-expanding-evidence-based-supported-employment-the-role-of-state-leaders-participating-in-a-learning-community
#15
Gary R Bond, Annalee V Johnson-Kwochka, Deborah R Becker, Robert E Drake, Mary Ann Greene
State leaders often promote implementation of evidence-based practices but have difficulty sustaining and expanding them over time. This paper examines the activities of leaders in 13 states that have successfully implemented, sustained, and expanded evidence-based supported employment, known as Individual Placement and Support (IPS), for 4 to 12 years. We interviewed state leaders from 13 states participating in a learning community regarding the composition of their leadership team, participation in the learning community, interagency collaboration, state policy alignment, financing, training, and monitoring of fidelity and outcome...
November 1, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/26666521/-we-always-think-you-re-here-permanently-the-paradox-of-permanent-housing-and-other-barriers-to-recovery-oriented-practice-in-supportive-housing-services
#16
Emmy Tiderington
This qualitative study examines the views and practices of frontline providers working in supportive housing for adults with serious mental illness and how frontline workers understand their work as it relates to consumer mental health recovery. Utilizing 84 interviews with providers (N = 35) and 106 hours of observation of provider practice, a grounded theory of frontline practice in supportive housing is provided. Analyses revealed distinct differences between providers working within transitional versus permanent housing programs in their orientation to recovery...
January 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/26662638/turnover-among-community-mental-health-workers-in-ohio
#17
Ashley M Bukach, Farida K Ejaz, Nicole Dawson, Robert J Gitter
This study examined turnover of community mental health workers in 42 randomly selected mental health agencies in Ohio. The turnover rate in 2011 was 26 %. A regression analysis indicated that agencies with lower turnover offered higher maximum pay and were smaller in size, while those offering career advancement opportunities, such as career ladder programs, had higher turnover. The findings suggest that improving wages for workers is likely to reduce turnover. It is also possible that smaller agencies have lower turnover due to stronger relationships with workers and/or more successful hiring practices...
January 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/26604203/impact-of-mental-health-services-on-resilience-in-youth-with-first-episode-psychosis-a-qualitative-study
#18
S Lal, M Ungar, A Malla, C Leggo, M Suto
The purpose of this qualitative study is to understand how mental health and related services support and hinder resilience in young people diagnosed with first-episode psychosis. Seventeen youth between the ages of 18-24 were recruited and 31 in-depth interviews were conducted. Findings illustrated that informational and meaning making, instrumental, and emotional supports were experienced positively (i.e., resilience-enhancing); whereas services with ghettoizing, engulfing, regulating, and out of tune practices were experienced negatively (i...
January 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/26577646/a-non-randomized-comparison-of-strategies-for-consultation-in-a-community-academic-training-program-to-implement-an-evidence-based-psychotherapy
#19
Shannon Wiltsey Stirman, Kristin Pontoski, Torrey Creed, Regina Xhezo, Arthur C Evans, Aaron T Beck, Paul Crits-Christoph
Despite the central role of training and consultation in the implementation of evidence-based psychological interventions (EBPIs), comprehensive reviews of research on training have highlighted serious gaps in knowledge regarding best practices. Consultation after initial didactic training appears to be of critical importance, but there has been very little research to determine optimal consultation format or interventions. This observational study compared two consultation formats that included review of session audio and feedback in the context of a program to train clinicians (n = 85) in community mental health clinics to deliver cognitive therapy (CT)...
January 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/26573154/critical-time-intervention-for-people-leaving-shelters-in-the-netherlands-assessing-fidelity-and-exploring-facilitators-and-barriers
#20
Renée de Vet, Danielle A M Lako, Mariëlle D Beijersbergen, Linda van den Dries, Sarah Conover, Albert M van Hemert, Daniel B Herman, Judith R L M Wolf
International dissemination of evidence-based interventions calls for rigorous evaluation. As part of an evaluation of critical time intervention (CTI) for homeless people and abused women leaving Dutch shelters, this study assessed fidelity in two service delivery systems and explored factors influencing model adherence. Data collection entailed chart review (n = 70) and two focus groups with CTI workers (n = 11). The intervention obtained an overall score of three out of five (fairly implemented) for compliance fidelity and chart quality combined...
January 2017: Administration and Policy in Mental Health
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