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Administration and Policy in Mental Health

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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/27783240/integrating-self-determination-and-job-demands-resources-theory-in-predicting-mental-health-provider-burnout
#9
Kimberly C Dreison, Dominique A White, Sarah M Bauer, Michelle P Salyers, Alan B McGuire
Limited progress has been made in reducing burnout in mental health professionals. Accordingly, we identified factors that might protect against burnout and could be productive focal areas for future interventions. Guided by self-determination theory, we examined whether supervisor autonomy support, self-efficacy, and staff cohesion predict provider burnout. 358 staff from 13 agencies completed surveys. Higher levels of supervisor autonomy support, self-efficacy, and staff cohesion were predictive of lower burnout, even after accounting for job demands...
October 25, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27771814/factor-analysis-of-therapist-identified-treatment-targets-in-community-based-children-s-mental-health
#10
Allison R Love, Izumi Okado, Trina E Orimoto, Charles W Mueller
The present study used exploratory and confirmatory factor analyses to identify underlying latent factors affecting variation in community therapists' endorsement of treatment targets. As part of a statewide practice management program, therapist completed monthly reports of treatment targets (up to 10 per month) for a sample of youth (n = 790) receiving intensive in-home therapy. Nearly 75 % of youth were diagnosed with multiple co-occurring disorders. Five factors emerged: Disinhibition, Societal Rules Evasion, Social Engagement Deficits, Emotional Distress, and Management of Biodevelopmental Outcomes...
October 22, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27709376/explication-and-definition-of-mental-health-recovery-a-systematic-review
#11
Marsha Langer Ellison, Lindsay K Belanger, Barbara L Niles, Leigh C Evans, Mark S Bauer
This review assessed the concordance of the literature on recovery with the definition and components of recovery developed by the Substance Abuse and Mental Health Services Administration (SAMHSA). Each SAMHSA identified recovery component was first explicated with synonyms and keywords and made mutually exclusive by authors. Inter-rater reliability was established on the coding of the presence of 17 recovery components and dimensions in 67 literature reviews on the recovery concept in mental health. The review indicated that concordance varied across SAMHSA components...
October 5, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27696018/the-therapist-s-role-in-effective-marriage-and-family-therapy-practice-the-case-for-evidence-based-therapists
#12
Adrian J Blow, Eli A Karam
In this paper we argue that the therapist is a crucial change variable in psychotherapy as a whole and in couple, marital, and family therapy specifically. Therapists who work with complex systems require more skills to negotiate demanding therapy contexts. Yet, little is known about what differentiates effective couple, marital, and family therapists from those who are less effective, what innate therapy skills they possess, how they learn, and how they operationalize their knowledge in the therapy room. We discuss the need to emphasize evidence based therapists (as opposed to therapies), and implications of the importance of the role therapists for training, practice, research priorities, and policy...
September 30, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27664141/benchmarking-family-therapy-for-adolescent-behavior-problems-in-usual-care-fidelity-outcomes-and-therapist-performance-differences
#13
Aaron Hogue, Sarah Dauber, Craig E Henderson
This study evaluated whether community therapists delivering family therapy for adolescent behavior problems in usual care achieved performance benchmarks established in controlled trials for treatment fidelity and outcomes, with particular focus on individual differences in therapist performance. The study contained N = 38 adolescents (50 % male; mean age 15 years) whose self-reported race/ethnicity was Hispanic (74 %), African American (11 %), multiracial (11 %), and other (4 %). Clients were treated by 13 therapists in one community mental health clinic that delivered family therapy as the routine standard of care...
September 23, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27631611/keeping-clubhouses-open-toward-a-roadmap-for-sustainability
#14
Jay A Gorman, Colleen E McKay, Brian T Yates, William H Fisher
Clubhouses are recovery centers that help persons with serious mental illness obtain and maintain community-based employment, education, housing, social integration, and other services. Key informants from U.S. clubhouses were interviewed to create a conceptual framework for clubhouse sustainability. Survival analyses tested this model for 261 clubhouses. Clubhouses stayed open significantly longer if they had received full accreditation, had more administrative autonomy, and received funding from multiple rather than sole sources...
September 15, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27629564/mental-health-service-use-among-young-adults-a-communication-framework-for-program-development
#15
Michelle R Munson, James Jaccard
Research on mental health service engagement has been dominated by attempts to identify determinants of engagement. Such knowledge is important but incomplete. Once identified, program designers need to use evidence-based principles to design programs to bring about changes in the empirically identified determinants. Research is relatively silent on such principles. This article develops a framework to guide program designers' as they address factors that constrain and/or facilitate engagement. The framework is grounded in communication theory and evidence from related behavioral science research...
September 15, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27620191/making-the-case-for-a-feasible-evaluation-method-of-available-e-mental-health-products
#16
Amit Baumel
It is often difficult for health providers to evaluate available e-mental health products because of the need to balance between obtaining reliable evidence of efficacy and the burdens associated with standard empirical evaluation. This paper makes the case for using a feasible method to investigate available e-mental health programs in order to promote knowledge and increase the uptake of e-mental health products.
September 12, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27591772/advancing-implementation-research-and-practice-in-behavioral-health-systems
#17
EDITORIAL
Byron J Powell, Rinad S Beidas
No abstract text is available yet for this article.
November 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27511103/synchronizing-watches-the-challenge-of-aligning-implementation-science-and-public-systems
#18
Ronnie M Rubin, Matthew O Hurford, Trevor Hadley, Samantha Matlin, Shawna Weaver, Arthur C Evans
This special issue of Administration and Policy in Mental Health explores the complexities of the outer system context in implementation science research. In this commentary, we highlight areas of asynchrony between implementation science research and policy realities of public systems. Timing is a critical factor for many aspects of system-level implementation including when and how evidence-based practice initiatives are launched, short and inconsistent timeframes for funding and support, need for early indicators of success and demonstrating return on investment...
November 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27480546/participatory-system-dynamics-modeling-increasing-stakeholder-engagement-and-precision-to-improve-implementation-planning-in-systems
#19
Lindsey Zimmerman, David W Lounsbury, Craig S Rosen, Rachel Kimerling, Jodie A Trafton, Steven E Lindley
Implementation planning typically incorporates stakeholder input. Quality improvement efforts provide data-based feedback regarding progress. Participatory system dynamics modeling (PSD) triangulates stakeholder expertise, data and simulation of implementation plans prior to attempting change. Frontline staff in one VA outpatient mental health system used PSD to examine policy and procedural "mechanisms" they believe underlie local capacity to implement evidence-based psychotherapies (EBPs) for PTSD and depression...
November 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27474040/a-review-of-studies-on-the-system-wide-implementation-of-evidence-based-psychotherapies-for-posttraumatic-stress-disorder-in-the-veterans-health-administration
#20
C S Rosen, M M Matthieu, S Wiltsey Stirman, J M Cook, S Landes, N C Bernardy, K M Chard, J Crowley, A Eftekhari, E P Finley, J L Hamblen, J M Harik, S M Kehle-Forbes, L A Meis, P E Osei-Bonsu, A L Rodriguez, K J Ruggiero, J I Ruzek, B N Smith, L Trent, B V Watts
Since 2006, the Veterans Health Administration (VHA) has instituted policy changes and training programs to support system-wide implementation of two evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). To assess lessons learned from this unprecedented effort, we used PubMed and the PILOTS databases and networking with researchers to identify 32 reports on contextual influences on implementation or sustainment of EBPs for PTSD in VHA settings. Findings were initially organized using the exploration, planning, implementation, and sustainment framework (EPIS; Aarons et al...
November 2016: Administration and Policy in Mental Health
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