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Administration and Policy in Mental Health

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https://www.readbyqxmd.com/read/29143173/individualized-progress-measures-are-more-acceptable-to-clinicians-than-standardized-measures-results-of-a-national-survey
#1
Amanda Jensen-Doss, Ashley M Smith, Emily M Becker-Haimes, Vanesa Mora Ringle, Lucia M Walsh, Monica Nanda, Samantha L Walsh, Colleen A Maxwell, Aaron R Lyon
Despite research supporting measurement-based care grounded in standardized progress measures, such measures are underutilized by clinicians. Individualized measures of client-specific targets present an alternative, but little is known about their acceptability or use. We compared attitudes toward and use of standardized and individualized progress measures in a national sample of 504 clinicians. Clinicians reported neutral to positive attitudes toward both types of measures, but strongly preferred and were more likely to use individualized measures...
November 15, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29128894/behavioural-and-emotional-problems-in-children-and-educational-outcomes-a-dynamic-panel-data-analysis
#2
Rasheda Khanam, Son Nghiem
This study investigates the effects of behavioural and emotional problems in children on their educational outcomes using data from the Longitudinal Survey of Australian Children (LSAC). We contribute to the extant literature using a dynamic specification to test the hypothesis of knowledge accumulation. Further, we apply the system generalised method of moments (GMM) estimator to minimise biases due to unobserved factors. We find that mental disorders in children has a negative effect on the National Assessment Program-Literacy and Numeracy (NAPLAN) test scores...
November 11, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29124527/stepped-care-interpersonal-psychotherapy-treatment-for-depressed-adolescents-a-pilot-study-in-pediatric-clinics
#3
Laura Mufson, Moira Rynn, Paula Yanes-Lukin, Tse Hwei Choo, Karen Soren, Eileen Stewart, Melanie Wall
Adolescents with depression are at risk for negative long-term consequences and recurrence of depression. Many do not receive nor access treatment, especially Latino youth. New treatment approaches are needed. This study examined the feasibility and acceptability of a stepped collaborative care treatment model (SCIPT-A) for adolescents with depression utilizing interpersonal psychotherapy for adolescents (IPT-A) and antidepressant medication (if needed) compared to Enhanced Treatment as Usual (E-TAU) in urban pediatric primary care clinics serving primarily Latino youth...
November 9, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29124526/what-makes-research-useful-for-public-school-educators
#4
Jennifer Watling Neal, Zachary P Neal, Jennifer A Lawlor, Kristen J Mills, Kathryn McAlindon
In this study, we explored the extent to which educators discuss and prioritize Rogers' (Diffusion of innovations, The Free Press: New York, 1995) five attributes of innovations-relative advantage, compatibility, complexity, observability, and trialability-in the context of research use. Using a directed content analysis of 54 semi-structured interviews and exemplar quotes, we describe how educators mentioned compatibility most frequently, but also commonly invoked observability and complexity in their discussions of research use...
November 9, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29101604/comparing-agency-leader-and-therapist-perspectives-on-evidence-based-practices-associations-with-individual-and-organizational-factors-in-a-mental-health-system-driven-implementation-effort
#5
Nicole A Stadnick, Anna S Lau, Miya Barnett, Jennifer Regan, Gregory A Aarons, Lauren Brookman-Frazee
Agency leaders and therapists are essential stakeholders in implementation of evidence-based practices (EBPs) within publicly-funded mental health services. Little is known about how these stakeholders differ in their perceptions of specific EBPs and which individual and organizational factors differentially influence these perceptions. Within the context of a system-driven implementation of multiple EBPs, survey data from 160 leaders and 720 therapists were examined to assess differences in perceptions of six EBPs...
November 3, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29075934/promoting-teachers-implementation-of-classroom-based-prevention-programming-through-coaching-the-mediating-role-of-the-coach-teacher-relationship
#6
Stacy R Johnson, Elise T Pas, Catherine P Bradshaw, Nicholas S Ialongo
There is growing awareness of the importance of implementation fidelity and the supports, such as coaching, to optimize it. This study examined how coaching activities (i.e., check-ins, needs assessment, modeling, and technical assistance) related directly and indirectly to implementation dosage and quality of the PAX Good Behavior Game, via a mediating pathway through working relationship. Mediation analyses of 138 teachers revealed direct effects of modeling and working relationship on implementation dosage, whereas needs assessment was associated with greater dosage indirectly, by higher ratings of the working relationship...
October 26, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29071533/correction-to-understanding-the-therapist-contribution-to-psychotherapy-outcome-a-meta-analytic-approach
#7
Robert J King, Jayne A Orr, Brooke Poulsen, S Giac Giacomantonio, Catherine Haden
No abstract text is available yet for this article.
October 25, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29019050/impacting-entry-into-evidence-based-supported-employment-a-population-based-empirical-analysis-of-a-statewide-public-mental-health-program-in-maryland
#8
David Salkever, Michael Abrams, Kevin Baier, Brent Gibbons
We use discrete-time survival regression to study two empirical issues relating to take-up of individual placement and support (IPS) supported employment (SE) services for persons with serious mental illness: (1) the influence of client characteristics on take-up probability, and (2) the possible impacts of a major recent initiative in one state (Maryland) to overcome barriers to IPS-SE expansion. Our longitudinal analysis of population-based Medicaid cohorts, during 2002-2010, provides tentative evidence of positive state initiative impacts on SE take-up rates, and evidence of effects on take-up for clients' diagnoses, prior work-history, health and demographic characteristics, and geographic accessibility to SE providers...
October 10, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28993929/exploring-provider-use-of-a-digital-implementation-support-system-for-school-mental-health-a-pilot-study
#9
Melanie Livet, Mary Yannayon, Kelly Sheppard, Kelly Kocher, James Upright, Janey McMillen
This pilot study explored provider use of an online system, Centervention, to support the delivery of empirically supported school-based mental health interventions (ESIs); and associations between components of this system [resources, training, technical assistance (TA), feedback loops], implementation indicators, and student outcomes. Multilevel modeling data were collected from 39 providers implementing ESIs with 758 students. Training, TA, and progress monitoring predicted ESI adherence, and perceived value of resources and TA influenced student responsiveness...
October 9, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28993915/impact-of-the-new-mental-health-services-on-rates-of-suicide-and-hospitalisations-by-attempted-suicide-psychiatric-problems-and-alcohol-problems-in-brazil
#10
Daiane B Machado, Flávia Jôse Alves, Davide Rasella, Laura Rodrigues, Ricardo Araya
A sizeable proportion of all suicides have mental health issues in the background. The association between access to mental health care in the community and decreased suicide rates is inconsistent in the literature. Brazil undertook a major psychiatric reform strengthening psychiatric community-based care. To evaluate the impact of the new Brazilian community mental health care units (CAPS-Psychosocial-Community-Centres) on municipal rates of suicide, and hospitalisations by attempted suicide, psychiatric and alcohol problems...
October 9, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28965227/documentation-of-evidence-based-psychotherapy-and-care-quality-for-ptsd-in-the-department-of-veterans-affairs
#11
Rebecca K Sripada, Kipling M Bohnert, Dara Ganoczy, Paul N Pfeiffer
This study measured the prevalence of evidence-based psychotherapy (EBP) templated notes in VA and tested the hypothesis that template use would be associated with care quality for posttraumatic stress disorder (PTSD). Across 130 facilities, an average of 3.6% of patients with a PTSD diagnosis received at least one EBP template in 2015. Among patients receiving psychotherapy for PTSD, an average of 8.5% received an EBP template. In adjusted models, facility-level EBP template use was associated with a greater proportion of PTSD-diagnosed patients treated in specialty clinics, greater facility-level rates of diagnostic assessment, and greater facility-level rates of psychotherapy adequacy...
September 30, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28918502/the-refinement-glossary-of-terms-an-international-terminology-for-mental-health-systems-assessment
#12
Ilaria Montagni, Luis Salvador-Carulla, David Mcdaid, Christa Straßmayr, Florian Endel, Petri Näätänen, Jorid Kalseth, Birgitte Kalseth, Tihana Matosevic, Valeria Donisi, Karine Chevreul, Amélie Prigent, Raluca Sfectu, Carmen Pauna, Mencia R Gutiérrez-Colosia, Francesco Amaddeo, Heinz Katschnig
Comparing mental health systems across countries is difficult because of the lack of an agreed upon terminology covering services and related financing issues. Within the European Union project REFINEMENT, international mental health care experts applied an innovative mixed "top-down" and "bottom-up" approach following a multistep design thinking strategy to compile a glossary on mental health systems, using local services as pilots. The final REFINEMENT glossary consisted of 432 terms related to service provision, service utilisation, quality of care and financing...
September 16, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28918498/modeling-the-decision-of-mental-health-providers-to-implement-evidence-based-children-s-mental-health-services-a-discrete-choice-conjoint-experiment
#13
Charles E Cunningham, Melanie Barwick, Heather Rimas, Stephanie Mielko, Raluca Barac
Using an online, cross sectional discrete choice experiment, we modeled the influence of 14 implementation attributes on the intention of 563 providers to adopt hypothetical evidence-based children's mental health practices (EBPs). Latent class analysis identified two segments. Segment 1 (12%) would complete 100% of initial training online, devote more time to training, make greater changes to their practices, and introduce only minor modifications to EBPs. Segment 2 (88%) preferred fewer changes, more modifications, less training, but more follow-up...
September 16, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28884234/impact-of-a-mental-health-based-primary-care-program-on-quality-of-physical-health-care
#14
Joshua Breslau, Emily Leckman-Westin, Hao Yu, Bing Han, Riti Pritam, Diana Guarasi, Marcela Horvitz-Lennon, Deborah M Scharf, Harold A Pincus, Molly T Finnerty
We examine the impact of mental health based primary care on physical health treatment among community mental health center patients in New York State using propensity score adjusted difference in difference models. Outcomes are quality indicators related to outpatient medical visits, diabetes HbA1c monitoring, and metabolic monitoring of antipsychotic treatment. Results suggest the program improved metabolic monitoring for patients on antipsychotics in one of two waves, but did not impact other quality indicators...
September 7, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28852888/peer-assisted-social-learning-for-diverse-and-low-income-youth-infusing-mental-health-promotion-into-urban-after-school-programs
#15
Sarah A Helseth, Stacy L Frazier
Community-based after-school programs (ASPs) can promote social competence by infusing evidence-based practice into recreation. Through collaborative partnership, we developed and implemented a peer-assisted social learning (PASL) model to leverage natural opportunities for peer-mediated problem-solving. ASP-Staff (n = 5) led elementary-school youth (n = 30) through 21 activities that partnered socially-skilled and less-skilled children; outcomes were compared to children (n = 31) at another site, via quasi-experimental design...
August 29, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28689292/estimating-the-economic-value-of-information-for-screening-in-disseminating-and-targeting-effective-school-based-preventive-interventions-an-illustrative-example
#16
Stephen S Johnston, David S Salkever, Nicholas S Ialongo, Eric P Slade, Elizabeth A Stuart
When candidates for school-based preventive interventions are heterogeneous in their risk of poor outcomes, an intervention's expected economic net benefits may be maximized by targeting candidates for whom the intervention is most likely to yield benefits, such as those at high risk of poor outcomes. Although increasing amounts of information about candidates may facilitate more accurate targeting, collecting information can be costly. We present an illustrative example to show how cost-benefit analysis results from effective intervention demonstrations can help us to assess whether improved targeting accuracy justifies the cost of collecting additional information needed to make this improvement...
November 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28667572/the-role-of-practice-research-networks-prn-in-the-development-and-implementation-of-evidence-the-northern-improving-access-to-psychological-therapies-prn-case-study
#17
Mike Lucock, Michael Barkham, Gillian Donohoe, Stephen Kellett, Dean McMillan, Sarah Mullaney, Andrew Sainty, David Saxon, Richard Thwaites, Jaime Delgadillo
Practice research networks (PRNs) can support the implementation of evidence based practice in routine services and generate practice based evidence. This paper describes the structure, processes and learning from a new PRN in the Improving Access to Psychological Therapies programme in England, in relation to an implementation framework and using one study as a case example. Challenges related to: ethics and governance processes; communications with multiple stakeholders; competing time pressures and linking outcome data...
November 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28660370/the-impact-of-coverage-restrictions-on-antipsychotic-utilization-among-low-income-medicare-part-d-enrollees
#18
Pamela N Roberto, Nicole Brandt, Eberechukwu Onukwugha, Eleanor Perfetto, Christopher Powers, Bruce Stuart
Prior research demonstrates substantial access problems associated with utilization management and formulary exclusions for antipsychotics in Medicaid, but the use and impact of coverage restrictions for these medications in Medicare Part D remains unknown. We assess the effect of coverage restrictions on antipsychotic utilization in Part D by exploiting a unique natural experiment in which low-income beneficiaries are randomly assigned to prescription drug plans with varying levels of formulary generosity...
November 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28646242/the-role-of-health-plans-in-supporting-behavioral-health-integration
#19
Maureen T Stewart, Constance M Horgan, Amity E Quinn, Deborah W Garnick, Sharon Reif, Timothy B Creedon, Elizabeth L Merrick
Health plan policies can influence delivery of integrated behavioral health and general medical care. This study provides national estimates for the prevalence of practices used by health plans that may support behavioral health integration. Results indicate that health plans employ financing and other policies likely to support integration. They also directly provide services that facilitate integration. Behavioral health contracting arrangements are associated with use of these policies. Delivery of integrated care requires systemic changes by both providers and payers thus health plans are key players in achieving this goal...
November 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28612298/comparing-strategies-for-providing-child-and-youth-mental-health-care-services-in-canada-the-united-states-and-the-netherlands
#20
Scott T Ronis, Amanda K Slaunwhite, Kathryn E Malcom
This paper reviews how child and youth mental health care services in Canada, the United States, and the Netherlands are organized and financed in order to identify systems and individual-level factors that may inhibit or discourage access to treatment for youth with mental health problems, such as public or private health insurance coverage, out-of-pocket expenses, and referral requirements for specialized mental health care services. Pathways to care for treatment of mental health problems among children and youth are conceptualized and discussed in reference to health insurance coverage and access to specialty services...
November 2017: Administration and Policy in Mental Health
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