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Administration and Policy in Mental Health

Rosaura E Orengo-Aguayo, Rochelle F Hanson, Angela D Moreland, Lisa Jobe-Shields, Zachary W Adams
This mixed-methods study assessed providers' views of the use of technology in the delivery of an empirically supported mental health treatment for adolescents (Trauma-Focused Cognitive Behavioral Therapy; TF-CBT). Thematic qualitative interviews were conducted with nine experienced providers. Emerging themes served as the basis for the creation of a quantitative web-based survey, completed by 56 TF-CBT experts, to assess the perceived helpfulness of the recommendations. Technology was perceived as a useful, appealing, and familiar tool that could greatly enhance the delivery of this treatment modality with adolescents...
January 5, 2018: Administration and Policy in Mental Health
Richard O'Reilly, Evelyn Vingilis
Many jurisdictions have enacted community treatment order (CTO) legislation that requires a person, who suffers from a severe mental disorder, to follow a treatment plan when living in the community. CTOs have been a source of debate because of controversies on whether evidence of effectiveness should only be considered from randomized controlled trials (RCTs). RCTs are considered the "gold standard" method to evaluate effectiveness of simple therapeutic interventions such as medication, but they are problematic for evaluation of complex interventions because valid attribution of causation in complex interventions is not guaranteed with RCTs...
December 28, 2017: Administration and Policy in Mental Health
Elizabeth Siantz, Eric Rice, Benjamin Henwood, Lawrence Palinkas
Little is known about the involvement of peer providers in integrated behavioral health teams. This study asks where peer providers fit within integrated care teams in Los Angeles County. Social network analysis combined with qualitative fieldwork was used to understand the network positions of peer providers in 14 integrated pilot programs. Four programs' peer providers were highly central, while 3 programs' were on the network's periphery. Positional variation appeared to be related to the peers' mental health status...
December 21, 2017: Administration and Policy in Mental Health
Kasper van Mens, Joran Lokkerbol, Richard Janssen, Mirjam L van Orden, Margot Kloos, Bea Tiemens
Over the last decade, the Dutch mental healthcare system has been subject to profound policy reforms, in order to achieve affordable, accessible, and high quality care. One of the adjustments was to substitute part of the specialized care for general mental healthcare. Using a quasi-experimental design, we compared the cost-effectiveness of patients in the new setting with comparable patients from specialized mental healthcare in the old setting. Results showed that for this group of patients the average cost of treatment was significantly reduced by, on average, €2132 (p < 0...
December 15, 2017: Administration and Policy in Mental Health
Jill Locke, Stephanie Violante, Michael D Pullmann, Suzanne E U Kerns, Nathaniel Jungbluth, Shannon Dorsey
Despite increasing interest in supervision as a leverage point for bolstering public mental health services, the potential influence of supervisory alliance on organizations and direct service providers remains understudied, particularly in the context of supporting evidence-based treatment (EBT) use. This study examined agreement and discrepancy between supervisor and clinician ratings of alliance associated with clinicians' perceptions of psychological climate and emotional exhaustion. Results indicated that discrepancies in alliance ratings were common and associated with clinicians' perceptions of psychological climate...
December 11, 2017: Administration and Policy in Mental Health
Natsuki Sasaki, Sosei Yamaguchi, Michiyo Shimodaira, Sayaka Sato, Ayano Taneda, Koji Yoshida, Junichiro Ito
The Individual Placement and Support (IPS) model of supported employment is an evidence based practice. Although several agencies have been trying to implement the IPS-model since 2005 in Japan, there was no tool to assess the quality. This study developed a Japanese version of the 25-item Individualized Supported Employment Fidelity Scale (J-ISEF), a new Japanese fidelity tool for supported employment based on the IPS model. A working group consisting of researchers and practitioners was formed to develop J-ISEF based on IPS-25...
December 4, 2017: Administration and Policy in Mental Health
Catherine A Fullerton, Whitney P Witt, Clifton M Chow, Manjusha Gokhale, Christine E Walsh, Erika L Crable, Sarah Naeger
Physical comorbidities associated with mental health conditions contribute to high health care costs. This study examined the impact of having a usual source of care (USC) for physical health on health care utilization, spending, and quality for adults with a mental health condition using Medicaid administrative data. Having a USC decreased the probability of inpatient admissions and readmissions. It decreased expenditures on emergency department visits for physical health, 30-day readmissions, and behavioral health inpatient admissions...
November 30, 2017: Administration and Policy in Mental Health
Daniel P Wilkie, David C Cicero, Charles W Mueller
Monthly disruptive behavior treatment progress for 613 youth ages 7-18 receiving intensive in-home services was examined. Multilevel modeling indicated carrying a depressive mood diagnosis predicted less disruptive behavior progress compared to youth with only externalizing diagnoses. Paradoxically, more monthly focus on disruptive behavior treatment targets predicted lower concurrent progress ratings, while greater focus on depressive mood targets predicted greater disruptive behavior progress for youth with a depressive mood diagnosis...
November 25, 2017: Administration and Policy in Mental Health
Lindsay Sheehan, Alessandra Torres, Juana L Lara, Deysi Paniagua, Jonathon E Larson, John Mayes, Susan Doig, Patrick W Corrigan
Peer navigator programs (PNP) may help reduce physical health disparities for ethnic minorities with serious mental illness (SMI). However, specific aspects of PNP that are important to peer navigators and their clients are under-researched. A qualitative study explored the perspectives of service users (n = 15) and peer navigators (n = 5) participating in a randomized controlled trial of a PNP for Latinos with SMI. Results show PN engagement with service users spans diverse areas and that interactions with peers, trust, and accessibility are important from a service user perspective...
November 22, 2017: Administration and Policy in Mental Health
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
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
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
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
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
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
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
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
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
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
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
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