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Administration and Policy in Mental Health

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https://www.readbyqxmd.com/read/29995290/correction-to-influences-to-adhd-problem-recognition-mixed-method-investigation-and-recommendations-to-reduce-disparities-for-latino-youth
#1
Lauren M Haack, Jocelyn Meza, Yuanyuan Jiang, Eva A Araujo, Linda Pfiffner
The original version of this article unfortunately contained a mistake. The co-author, Dr. Araujo's name and the affiliation for Dr. Pfiffner was incorrect in the original version of the article. The correct information is given below.
July 11, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29995289/complex-systems-approaches-to-understand-drivers-of-mental-health-and-inform-mental-health-policy-a-systematic-review
#2
Brent A Langellier, Yong Yang, Jonathan Purtle, Katherine L Nelson, Ivana Stankov, Ana V Diez Roux
We conducted a systematic review of studies employing complex systems approaches (i.e., agent based and system dynamics models) to understand drivers of mental health and inform mental health policy. We extracted key data (e.g., purpose, design, data) for each study and provide a narrative synthesis of insights generated across studies. The studies investigated drivers and policy intervention strategies across a diversity of mental health outcomes. Based on these studies and the extant literature, we propose a typology of mental health research and policy areas that may benefit from complex systems approaches...
July 11, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29948427/professional-burnout-of-psychiatrists-in-a-veterans-health-administration-exploring-the-role-of-the-organizational-treatment
#3
Margo C Villarosa-Hurlocker, Lisa-Ann J Cuccurullo, Hector A Garcia, Erin P Finley
Psychiatrists in the Veterans Health Administration (VHA) are susceptible to professional burnout due to the unique needs of veterans combined with high organizational demands. The current study examined the mediating role of organizational factors in the direct relationship between providing primarily pharmacological intervention and professional burnout. Data from 125 VHA psychiatrists revealed that fair treatment by superiors and sufficient resources independently mediated the direct relationship that the percent of time devoted to pharmacological intervention had with emotional exhaustion and cynicism...
June 8, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29797150/the-child-and-adolescent-services-assessment-interrater-reliability-and-predictors-of-rater-disagreement
#4
Karen T G Schwartz, Amanda A Bowling, John F Dickerson, Frances L Lynch, David A Brent, Giovanna Porta, Satish Iyengar, V Robin Weersing
The current study evaluated the interrater reliability of the Child and Adolescent Services Assessment (CASA), a widely used structured interview measuring pediatric mental health service use. Interviews (N = 72) were randomly selected from a pediatric effectiveness trial, and audio was coded by an independent rater. Regressions were employed to identify predictors of rater disagreement. Interrater reliability was high for items (> 94%) and summary metrics (ICC > .79) across service sectors...
May 24, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29796933/is-mental-illness-a-risk-factor-for-hospital-readmission
#5
Kalyani Gopalan, Marcela Horvitz Lennon, Bradley D Stein, Frank Ghinassi, Nicholas Castle, Joyce Chang, Julie Donohue
People with mental illnesses (MI) receive suboptimal care for medical comorbidities and their high risk for readmission may be addressed by adequate medication management and follow-up care. We examined the association between MI, medication changes, and post-discharge outpatient visits with 30-day readmission in 40,048 Medicare beneficiaries hospitalized for acute myocardial infarction, heart failure or pneumonia. Beneficiaries with MI were more likely to be readmitted than those without MI (14 vs. 11%). Probability of readmission was 13 and 12% when medications were dropped or added, respectively, versus 11% when no change was made...
May 23, 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
#6
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/29774494/peer-respites-a-qualitative-assessment-of-consumer-experience
#7
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/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/29797151/informing-federal-policy-on-firearm-restrictions-for-veterans-with-fiduciaries-risk-indicators-in-the-post-deployment-mental-health-study
#13
Jeffrey Swanson, Michele Easter, Mira Brancu, John A Fairbank
This article examines the public safety rationale for a federal policy of prohibiting gun sales to veterans with psychiatric disabilities who are assigned a fiduciary to manage their benefits from the Department of Veterans Affairs. The policy was evaluated using data on 3200 post-deployment veterans from the Iraq and Afghanistan war era. Three proxy measures of fiduciary need-based on intellectual disability, drug abuse, or acute psychopathology-were associated in bivariate analysis with interpersonal violence and suicidality...
July 2018: Administration and Policy in Mental Health
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
#14
Robert M Bossarte
No abstract text is available yet for this article.
July 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29789981/research-driven-policy-is-financial-capacity-related-to-dangerousness
#15
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...
July 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29777427/constitutional-implications-of-firearm-restrictions-for-veterans-with-fiduciaries
#16
Joseph Blocher
No abstract text is available yet for this article.
July 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
#17
Eric D Caine
No abstract text is available yet for this article.
July 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
#18
Caitlin Thompson
No abstract text is available yet for this article.
July 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29524113/correction-to-strategies-to-support-the-education-goals-of-youth-and-young-adults-with-serious-mental-health-conditions-a-case-study
#19
Kathleen Biebel, Amy Ryder-Burge, Shums Alikhan, Heather Ringeisen, Marsha Ellison
The original version of this article unfortunately contained a mistake. The spelling of the fifth author's name was incorrectly published as Masha Ellison.
July 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29450781/measuring-use-of-evidence-based-psychotherapy-for-posttraumatic-stress-disorder-in-a-large-national-healthcare-system
#20
Shira Maguen, Erin Madden, Olga V Patterson, Scott L DuVall, Lizabeth A Goldstein, Kristine Burkman, Brian Shiner
To derive a method of identifying use of evidence-based psychotherapy (EBP) for post-traumatic stress disorder (PTSD), we used clinical note text from national Veterans Health Administration (VHA) medical records. Using natural language processing, we developed machine-learning algorithms to classify note text on a large scale in an observational study of Iraq and Afghanistan veterans with PTSD and one post-deployment psychotherapy visit by 8/5/15 (N = 255,968). PTSD visits were linked to 8.1 million psychotherapy notes...
July 2018: Administration and Policy in Mental Health
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