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Administration and Policy in Mental Health

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https://www.readbyqxmd.com/read/28213673/individual-placement-and-support-ips-for-methadone-maintenance-therapy-patients-a-pilot-randomized-controlled-trial
#1
Carrie E Lones, Gary R Bond, Mark P McGovern, Kathryn Carr, Teresa Leckron-Myers, Tim Hartnett, Deborah R Becker
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. The waitlist group received IPS after 6 months...
February 17, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28213672/federal-policies-and-programs-to-expand-employment-services-among-individuals-with-serious-mental-illnesses
#2
Mustafa Karakus, Jarnee Riley, Howard Goldman
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. While there is an increasing recognition of the need to remove barriers and provide supported employment services to individuals with mental illnesses, a wide-spread coordination across Federal polices, financing and regulatory changes are necessary to promote measurable and lasting effects on the broad availability of employment services among this population...
February 17, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28176032/individual-placement-and-support-for-people-with-autism-spectrum-disorders-a-pilot-program
#3
Jennifer McLaren, Jonathan D Lichtenstein, Daniel Lynch, Deborah Becker, Robert Drake
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. The first five IPS participants succeeded in competitive employment, expanded independence, and achieved broad psychosocial gains...
February 7, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28160182/preference-for-independent-housing-of-persons-with-mental-disorders-systematic-review-and-meta-analysis
#4
Dirk Richter, Holger Hoffmann
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. The meta-analysis included 8 studies with 3134 consumers. The overall proportion of consumers who had expressed a preference for living independently was 0.84. There were only marginal differences between studies with homeless and non-homeless consumers...
February 3, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28144762/identifying-and-reducing-disparities-in-mental-health-outcomes-among-american-indians-and-alaskan-natives-using-public-health-mental-healthcare-and-legal-perspectives
#5
Hannah E Payne, Michalyn Steele, Jennie L Bingham, Chantel D Sloan
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...
January 31, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28132188/therapist-reflective-functioning-therapist-attachment-style-and-therapist-effectiveness
#6
John Cologon, Robert D Schweitzer, Robert King, Tobias Nolte
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. Clinical outcome was measured using the Outcome Questionnaire (OQ-45). Data were analysed using hierarchical linear modelling. Results indicated that therapist reflective functioning predicted therapist effectiveness, whereas attachment style did not...
January 28, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28120298/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
#7
Emma M Sterrett-Hong, Eli Karam, Lynn Kiaer
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...
January 24, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28064399/harnessing-the-therapist-effect-in-patient-centered-mental-health-care-decision-making
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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/27236457/mechanisms-of-change-in-the-arc-organizational-strategy-increasing-mental-health-clinicians-ebp-adoption-through-improved-organizational-culture-and-capacity
#19
Nathaniel J Williams, Charles Glisson, Anthony Hemmelgarn, Philip Green
The development of efficient and scalable implementation strategies in mental health is restricted by poor understanding of the change mechanisms that increase clinicians' evidence-based practice (EBP) adoption. This study tests the cross-level change mechanisms that link an empirically-supported organizational strategy for supporting implementation (labeled ARC for Availability, Responsiveness, and Continuity) to mental health clinicians' EBP adoption and use. Four hundred seventy-five mental health clinicians in 14 children's mental health agencies were randomly assigned to the ARC intervention or a control condition...
March 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/26687114/use-of-veterans-health-administration-mental-health-and-substance-use-disorder-treatment-after-exiting-prison-the-health-care-for-reentry-veterans-program
#20
Andrea K Finlay, Matthew Stimmel, Jessica Blue-Howells, Joel Rosenthal, Jim McGuire, Ingrid Binswanger, David Smelson, Alex H S Harris, Susan M Frayne, Tom Bowe, Christine Timko
The Veterans Health Administration (VA) Health Care for Reentry Veterans (HCRV) program links veterans exiting prison with treatment. Among veterans served by HCRV, national VA clinical data were used to describe contact with VA health care, and mental health and substance use disorder diagnoses and treatment use. Of veterans seen for an HCRV outreach visit, 56 % had contact with VA health care. Prevalence of mental health disorders was 57 %; of whom 77 % entered mental health treatment within a month of diagnosis...
March 2017: Administration and Policy in Mental Health
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