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Administration and Policy in Mental Health

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https://www.readbyqxmd.com/read/29789982/challenges-associated-with-the-use-of-policy-to-identify-and-manage-risk-for-suicide-and-interpersonal-violence-among-veterans-and-other-americans
#1
Robert M Bossarte
No abstract text is available yet for this article.
May 22, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29789981/research-driven-policy-is-financial-capacity-related-to-dangerousness
#2
Patrick H DeLeon, Maegan M Paxton, Tonya Spencer, Jouhayna E Bajjani-Gebara
Current Veterans administration policy directly links a Veteran's adjudged capacity to manage personal financial resources with their ability to purchase or possess a firearm, pursuant to the regulatory authority of the National Instant Criminal Background Check System (NICS). Preventing Veterans' suicide is a highly laudable public health objective. Effectively utilizing scientific research to "inform" public policy is equally important. The authors should be congratulated for their efforts. However, it is important in utilizing large set population-based data, especially social science data, to evaluate policy alternatives that there be substantial face (i...
May 22, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29779180/the-impact-of-an-adolescent-depressive-disorders-clinical-pathway-on-healthcare-utilization
#3
Brooke Lifland, Davene R Wright, Rita Mangione-Smith, Arti D Desai
Clinical pathways are known to improve the value of health care in medical and surgical settings but have been rarely studied in the psychiatric setting. This study examined the association between level of adherence to an adolescent depressive disorders inpatient clinical pathway and length of stay (LOS), cost, and readmissions. Patients in the high adherence category had significantly longer LOS and higher costs compared to the low adherence category. There was no difference in the odds of 30-day emergency department return visits or readmissions...
May 19, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29777427/constitutional-implications-of-firearm-restrictions-for-veterans-with-fiduciaries
#4
Joseph Blocher
No abstract text is available yet for this article.
May 18, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29777426/predicting-risk-of-suicide-among-individuals-who-are-members-of-higher-risk-populations-finding-the-needle-in-a-stack-of-needles
#5
Eric D Caine
No abstract text is available yet for this article.
May 18, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29774494/peer-respites-a-qualitative-assessment-of-consumer-experience
#6
Elizabeth Siantz, Benjamin Henwood, Nicole McGovern, Joelle Greene, Todd Gilmer
This qualitative study explored the experiences of persons staying at two peer respites through interviews with 27 respite guests near the end of their stay and at 2-6 months following their stay. Trained peer interviewers conducted baseline and follow-up interviews. Peer respites can be beneficial spaces within the mental health system for guests to temporarily escape stressful situations while building relationships with other persons with mental illness, though some respondents were uncomfortable receiving services from peers, and several guests did not want to leave after their stay...
May 17, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29774493/firearms-fiduciaries-and-veterans-complications-of-a-flawed-federal-policy-designed-to-keep-veterans-safe
#7
Caitlin Thompson
No abstract text is available yet for this article.
May 17, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29770911/influences-to-adhd-problem-recognition-mixed-method-investigation-and-recommendations-to-reduce-disparities-for-latino-youth
#8
Lauren M Haack, Jocelyn Meza, Yuanyuan Jiang, Eva Jimenez Araujo, Linda Pfiffner
ADHD problem recognition serves as the first step of help seeking for ethnic minority families, such as Latinos, who underutilize ADHD services. The current mixed-method study explores underlying factors influencing recognition of ADHD problems in a sample of 159 school-aged youth. Parent-teacher informant discrepancy results suggest that parent ethnicity, problem domain, and child age influence ADHD problem recognition. Emerging themes from semi-structured qualitative interviews/focus groups conducted with eighteen Spanish-speaking Latino parents receiving school-based services for attention and behavior concerns support a range of recognized ADHD problems, beliefs about causes, and reactions to ADHD identification...
May 16, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29754279/changes-in-health-insurance-coverage-and-barriers-to-health-care-access-among-individuals-with-serious-psychological-distress-following-the-affordable-care-act
#9
Priscilla Novak, Andrew C Anderson, Jie Chen
The Affordable Care Act (ACA) aims to expand health insurance coverage and minimize financial barriers to receiving health care services for individuals. However, little is known about how the ACA has impacted individuals with mental health conditions. This study finds that the implementation of the ACA is associated with an increase in rate of health insurance coverage among nonelderly adults with serious psychological distress (SPD) and a reduction in delaying and forgoing necessary care. The ACA also reduced the odds of an individual with SPD not being able to afford mental health care...
May 12, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29736633/efficacy-of-an-attachment-based-intervention-model-on-health-indices-in-children-with-chronic-disease-and-their-mothers
#10
Fateme Dehghani-Arani, Mohammad Ali Besharat, Victoria A Fitton, Asghar Aghamohammadi
Studies have shown significant relationship between health conditions and attachment. This study aimed to examine an attachment-based intervention model named mother-child-disease triangle (MCDT) on health indices in children with chronic disease and their mothers. This randomized trial study included 22 volunteer children aged 12-18 years undergoing medical treatment for a chronic disease and their mothers. After evaluation by 28-form General Health Questionnaire (GHQ-28), inventory of parent and peer attachment (IPPA), 28-form Child Health Questionnaire (CHQ-28) and Illness Perception Questionnaire (IPQ), the mother-child dyads were paired on the basis of IPPA scores...
May 7, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29700668/work-engagement-burnout-and-personal-accomplishments-among-social-workers-a-comparison-between-those-working-in-children-and-adults-services-in-england
#11
Shereen Hussein
Social workers (SWs) provide emotional and practical support to vulnerable service users who are likely to suffer from emotional trauma and mental health conditions. Stress and burnout levels are reported to be high among SWs, however, little is known about their relationships with different characteristics. The current article utilises unique and large dataset (n = 3786) on SWs working in adults and children's services to examine factors associated with burnout. Employing job-demand/resources model and structural equations modelling, we highlight the varying significant impact of work-engagement, administrative support and work experience as moderating factors to burnout across adult and children service specialism in this sample...
April 26, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29696576/measuring-variation-across-dimensions-of-integrated-care-the-maryland-medicaid-health-home-model
#12
Alene Kennedy-Hendricks, Gail L Daumit, Seema Choksy, Sarah Linden, Emma E McGinty
Despite the proliferation of initiatives to integrate services for people with serious mental illness (SMI), measures of distinct dimensions of integration, such as spatial arrangement and care team expertise, are lacking. Such measures are needed to support organizations' assessment of progress toward integrated service delivery. We developed measures characterizing integration of behavioral, somatic, and social services to operationalize the integrated care dimensions conceived by the Agency for Healthcare Research and Quality...
April 25, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29619643/economic-impact-of-multisystemic-therapy-for-child-abuse-and-neglect
#13
Alex R Dopp, Cindy M Schaeffer, Cynthia Cupit Swenson, Jennifer S Powell
This study evaluated the economics of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) by applying the Washington State Institute for Public Policy (WSIPP) cost-benefit model to data from a randomized effectiveness trial with 86 families (Swenson et al. in JFP 24:497-507, 2010b). The net benefit of MST-CAN, versus enhanced outpatient treatment, was $26,655 per family at 16 months post-baseline. Stated differently, every dollar spent on MST-CAN recovered $3.31 in savings to participants, taxpayers, and society at large...
April 4, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29603055/post-deployment-mental-health-screening-a-systematic-review-of-current-evidence-and-future-directions
#14
Vanessa Panaite, Racine Brown, Michelle Henry, Amanda Garcia, Gail Powell-Cope, Rodney D Vanderploeg, Heather G Belanger
Population-based post-deployment screening programs within the Departments of Defense and Veterans Affairs have been implemented to assess for mental health conditions and traumatic brain injury. The purpose of this paper is to systematically review the literature on post-deployment screening within this context and evaluate evidence compared to commonly accepted screening implementation criteria. Findings reflected highly variable psychometric properties of the various screens, variable treatment referral rates following screening, low to moderate treatment initiation rates following screening, and no information on treatment completion or long-term outcomes following screening...
March 30, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29574543/examining-mechanisms-and-moderators-of-the-relationship-between-discriminatory-health-care-encounters-and-attempted-suicide-among-u-s-transgender-help-seekers
#15
Meghan Romanelli, Wenhua Lu, Michael A Lindsey
This study examined how experiences of service denial and discrimination in three health care settings-doctors' offices, emergency rooms, and mental health clinics-might contribute to attempted suicide among transgender adults. Mechanisms of this relationship were examined, including treatment receipt and the use of substances to cope with mistreatment. Perceived emotional social support was also tested as a potential protective factor against the deleterious effects of service denial and discrimination on treatment receipt, substance use, and attempted suicide...
March 24, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29574542/factors-associated-with-assignment-of-therapeutic-homework-in-a-large-public-children-s-mental-health-system
#16
Emily Velazquez Trask, Kya Barounis, Brandon L Carlisle, Ann F Garland, Gregory A Aarons
Therapeutic homework is a fundamental skill-building component of the majority of evidence-based therapies and is associated with better treatment outcomes. However, it is rarely utilized in public mental health settings. To determine barriers to homework use and identify predictors of clinicians' assignment of homework, an online survey was administered to 267 clinicians in a large diverse public mental health system. Clinicians who were younger, licensed, whose supervisors asked about homework and whose clients completed their homework more frequently were predictors of greater homework utilization...
March 24, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29572703/using-a-small-cash-incentive-to-increase-survey-response
#17
John A Cosgrove
Surveys tend to yield low response rates among human service professionals. This study examined whether a randomly-assigned prepaid $2 incentive increased response rates over time, and was cost-effective for increasing response count, among social workers and volunteer mediators. The incentive was enclosed with a mixed-mode survey of factors related to burnout and intention-to-remain. The incentive increased response rates over time. The effect of the incentive did not differ between mediators and social workers...
March 23, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29564586/clinical-supervision-of-mental-health-professionals-serving-youth-format-and-microskills
#18
Abby Bailin, Sarah Kate Bearman, Rafaella Sale
Clinical supervision is an element of quality assurance in routine mental health care settings serving children; however, there is limited scientific evaluation of its components. This study examines the format and microskills of routine supervision. Supervisors (n = 13) and supervisees (n = 20) reported on 100 supervision sessions, and trained coders completed observational coding on a subset of recorded sessions (n = 57). Results indicate that microskills shown to enhance supervisee competency in effectiveness trials and experiments were largely absent from routine supervision, highlighting potential missed opportunities to impart knowledge to therapists...
March 21, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29550889/provider-associated-measurement-error-in-routine-outcome-monitoring-in-community-mental-health
#19
Emily B H Treichler, William D Spaulding
Despite the strengths of routine outcome monitoring (ROM) in community mental health settings, there are a number of barriers to effective implementation of ROM, including measurement error due to provider factors (e.g., training level) and non-target client factors (i.e., client characteristics which have no meaningful relationship to the outcome of interest). In this study, ROM data from 80 client-provider dyads were examined for sources of variance due to provider factors and non-target client factors. Results indicated that provider factors and non-target client factors accounted for between 9...
March 17, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29541988/the-impact-of-universal-health-care-programmes-on-improving-realized-access-to-care-for-depression-in-chile
#20
Ricardo Araya, Pedro Zitko, Niina Markkula
Universal health care programmes have the potential to reduce treatment gaps. We explored the potential impact of an equity-oriented universal health care programme on access to care for depression, hypertension and diabetes using data from two nationally representative health surveys in Chile. The likelihood a depressed individual had accessed health care appears to have increased significantly after the programme was introduced whereas those for hypertension and diabetes remained unchanged. Depressed women seem to have benefited mostly from the programme...
March 14, 2018: Administration and Policy in Mental Health
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