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Journal of Behavioral Health Services & Research

Tracy Anastas, Elizabeth Needham Waddell, Sonya Howk, Mark Remiker, Gretchen Horton-Dunbar, L J Fagnan
Adults with serious mental illness and substance use disorders have elevated risk of mortality and higher healthcare costs compared to the general population. As these disparities have been linked to poor management of co-occurring chronic conditions in primary care, the behavioral health setting may be a preferred setting for routine medical screening and treatment. This qualitative study describes early stages of integrating care teams in emerging medical homes based in mental health and addiction treatment settings...
May 22, 2018: Journal of Behavioral Health Services & Research
Tonya B Van Deinse, Amy Blank Wilson, Rebecca J Macy, Gary S Cuddeback
Women with severe mental illnesses face high rates of violence victimization, yet little is understood about the unique needs and challenges these women present to the domestic violence and behavioral health agencies that serve them. To help address this knowledge gap, focus groups were conducted with 28 staff members from local behavioral health and domestic violence service agencies. Results from this exploratory study suggest that women with severe mental illnesses who experience intimate partner violence face additional challenges that exacerbate behavioral health and domestic violence issues and put these women at greater risk for continued victimization...
May 22, 2018: Journal of Behavioral Health Services & Research
Megan A O'Grady, Charles J Neighbors, Patricia Lincourt, Constance Burke, Adrianna Maldonado
Two studies examined inter-rater reliability and content-related validity of an addiction treatment level of care determination tool currently in use in New York, the LOCADTR 3.0. The studies occurred after tool implementation. In study 1, 139 providers used the LOCADTR 3.0 to determine level of care for four case vignettes. Inter-rater reliability coefficients were calculated. In study 2, 387,338 state records from existing data were analyzed to determine how often providers opted to override the LOCADTR 3...
May 22, 2018: Journal of Behavioral Health Services & Research
Danica K Knight, George W Joe, David T Morse, Corey Smith, Hannah Knudsen, Ingrid Johnson, Gail A Wasserman, Nancy Arrigona, Larkin S McReynolds, Jennifer E Becan, Carl Leukefeld, Tisha R A Wiley
This study examines associations among organizational context, staff attributes, perceived importance, and use of best practices among staff in community-based, juvenile justice (JJ) agencies. As part of the National Institute on Drug Abuse's Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) study, 492 staff from 36 JJ agencies were surveyed about the perceived importance and use of best practices within their organization in five substance use practice domains: screening, assessment, standard referral, active referral, and treatment support...
May 18, 2018: Journal of Behavioral Health Services & Research
Shari L Hutchison, Jenny V Flanagan, Irina Karpov, Lisa Elliott, Brandi Holsinger, Jamie Edwards, David Loveland
This study examines the generalizability of a successful care management bridging strategy implemented by a behavioral health managed care organization to reduce readmission in psychiatric and substance use disorder (SUD) populations. The sample included 1724 individuals with a psychiatric or SUD hospitalization or detoxification service within 30-days of a prior SUD or inpatient event; 1243 Medicaid-enrolled adults received the intervention plus usual care, and 481 individuals received only usual care. Results included lower readmission to SUD facilities (p = ...
May 11, 2018: Journal of Behavioral Health Services & Research
Aaron R Lyon, Michael D Pullmann, Shannon Dorsey, Prerna Martin, Alexandra A Grigore, Emily M Becker, Amanda Jensen-Doss
Measurement-based care (MBC) is an increasingly popular, evidence-based practice, but there are no tools with established psychometrics to evaluate clinician use of MBC practices in mental health service delivery. The current study evaluated the reliability, validity, and factor structure of scores generated from a brief, standardized tool to measure MBC practices, the Current Assessment Practice Evaluation-Revised (CAPER). Survey data from a national sample of 479 mental health clinicians were used to conduct exploratory and confirmatory factor analyses, as well as reliability and validity analyses (e...
May 11, 2018: Journal of Behavioral Health Services & Research
Albert M Kopak
Momentum is building behind law enforcement-assisted diversion programs. Some of these programs have been designed specifically for drug-involved offenders, while others focus on adults who have no prior involvement in the criminal justice system. The Leon County Pre-Arrest Diversion program, which has been operating since March 2013, offers first-time arrestees the opportunity to participate in an alternative to arrest-as-usual. Successful completion of the program results in avoidance of a formal criminal arrest record...
May 10, 2018: Journal of Behavioral Health Services & Research
Erin P Finley, Michael Mader, Elizabeth K Haro, Polly H Noël, Nancy Bernardy, Craig S Rosen, Mary Bollinger, Hector A Garcia, Kathleen Sherrieb, Mary Jo V Pugh
Implementation of the Veterans Choice Program (VCP) allows Veterans to receive care paid for by the Department of Veterans Affairs (VA) in community settings. However, the quality of that care is unknown, particularly for complex conditions such as posttraumatic stress disorder (PTSD). A cross-sectional survey was conducted of 668 community primary care and mental health providers in Texas and Vermont to describe use of guideline-recommended treatments (GRTs) for PTSD. Relatively, few providers reported using guideline-recommended psychotherapy or prescribing practices...
May 10, 2018: Journal of Behavioral Health Services & Research
Sarah C Miller-Fellows, Jim Adams, Jill E Korbin, Lawrence P Greksa
Providing effective mental health services requires knowledge about and cultural competence across a wide array of beliefs and practices. This study provides an example of a successful project to improve public mental health service delivery in an Amish community. County boards of mental health in a rural area of Northeast Ohio contacted researchers in 1998 to provide assistance in reaching the Amish community because of a concern that mental health services were not being utilized by the Amish population. Following meetings with community leaders, changes were made to improve the relationships of service providers and public funding agencies with the local Amish community, disseminate information about mental health concerns and services, and improve accessibility to mental health services...
May 4, 2018: Journal of Behavioral Health Services & Research
Megan Conrad, Teri Bolte, Leigh Gaines, Zackery Avery, Linda Bodie
Despite negative effects of tobacco on the human body and the high prevalence of smoking among those who enter treatment for substance use, few residential programs endorse a tobacco-free policy. Conventional wisdom suggests that it is overwhelming to quit more than one substance at a time, and as a result, many clinicians believe that a shift to a tobacco-free treatment environment is unfeasible. However, the most recent scientific literature suggests the opposite: targeting tobacco use during substance use treatment can increase abstinence rates from both smoking and substances of choice...
May 2, 2018: Journal of Behavioral Health Services & Research
Carol Carstens, Richard Massatti
Employment among persons with severe mental illness has been challenging. Supported employment programs have had some success; however, much remains to be understood about client motivations for employment. A labor force participation study was mailed to persons receiving services in a Midwestern state's publicly funded behavioral health system, and a random sample of participants resulted in 964 valid surveys. Analysis showed significant differences between Medicaid coverage program and labor force status, with some programs likely to have higher percentages of employed persons...
April 12, 2018: Journal of Behavioral Health Services & Research
Lauren Luther, Sadaaki Fukui, Jennifer M Garabrant, Angela L Rollins, Gary Morse, Nancy Henry, Dawn Shimp, Timothy Gearhart, Michelle P Salyers
Measuring quality of care can transform care, but few tools exist to measure quality from the client's perspective. The aim of this study was to create concordant clinician and client self-report quality-of-care scales in a sample of community mental health clinicians (n = 189) and clients (n = 469). The client scale had three distinct factors (Person-Centered Care, Negative Staff Interactions, and Inattentive Care), while the clinician scale had two: Person-Centered Care and Discordant Care. Both versions demonstrated adequate internal consistency and validity with measures related to satisfaction and the therapeutic relationship...
April 12, 2018: Journal of Behavioral Health Services & Research
Hossam Mahmoud, Emily Vogt
The opioid epidemic faced by the USA is a complex public health crisis, with staggering loss of life and overwhelming social, health, and economic costs. Despite the rising need for medication-assisted treatment, individuals struggling with opioid use continue to face multiple barriers hindering their access to care, particularly in rural areas. Innovative approaches to enhance access to treatment are needed. Telepsychiatry has proven to be effective and economical across multiple settings and psychiatric diagnoses, including opioid use disorder...
March 29, 2018: Journal of Behavioral Health Services & Research
Claudia Sellmaier, Pauline Jivanjee, Eileen M Brennan, Leigh Grover
No abstract text is available yet for this article.
March 29, 2018: Journal of Behavioral Health Services & Research
Angela Nicholas, Bridget Bassilios, Kylie King, Maria Ftanou, Anna Machlin, Lennart Reifels, Jane Pirkis
The Access to Allied Psychological Services (ATAPS) Suicide Prevention Services initiative is an Australian Government-funded primary mental healthcare initiative providing free intensive psychological intervention for consumers at moderate risk of self-harm or suicide. Findings from a multi-method evaluation aimed at identifying whether the initiative is being implemented as stipulated within the operational guidelines, barriers and facilitators to implementation, and preliminary outcomes suggest that the Suicide Prevention Services are largely being implemented as stipulated in the Guidelines, but with some exceptions...
March 26, 2018: Journal of Behavioral Health Services & Research
Kathryn McCollister, Pamela Baumer, Monica Davis, Alison Greene, Sally Stevens, Michael Dennis
Juvenile drug court (JDC) programs are an increasingly popular option for rehabilitating juvenile offenders with substance problems, but research has found inconsistent evidence regarding their effectiveness and economic impact. While assessing client outcomes such as reduced substance use and delinquency is necessary to gauge program effectiveness, a more comprehensive understanding of program success and sustainability can be attained by examining program costs and economic benefits. As part of the National Cross-Site Evaluation of JDC and Reclaiming Futures (RF), an economic analysis of five JDC/RF programs was conducted from a multisystem and multiagency perspective...
March 26, 2018: Journal of Behavioral Health Services & Research
Lorena Porras-Javier, Elizabeth Bromley, Maria Lopez, Tumaini R Coker
Publicly insured children needing referral to mental health (MH) services often do not access or receive services. The objective of this study was to identify gaps in communication and coordination between primary care providers (PCPs) and MH providers during the MH referral and care process for publicly insured children. Thirteen semi-structured interviews were conducted with 10 PCPs and staff from a federally qualified health center (FQHC) and 6 MH providers and staff from two local MH clinics. Interview participants identified multiple gaps in communication throughout the care process and different phases as priorities for improvement...
March 26, 2018: Journal of Behavioral Health Services & Research
Lirong Zhao, Caitlin Cross-Barnet, Vetisha L McClair
Disruptive behavior disorders (DBDs) are the most common mental health conditions in children. These conditions profoundly affect healthcare utilization and costs. Service use, costs, and diagnostic trends among pediatric Medicaid beneficiaries provide information regarding healthcare quality and potential for smarter spending. Using nationwide Medicaid administrative data, this study investigates diagnoses, prescription drug fills, and payments in 49 states and D.C. from 2006 to 2009 in Medicaid beneficiaries age 20 and under...
March 23, 2018: Journal of Behavioral Health Services & Research
Alan Shafer, Rosemary Ang
The construct validity and generalizability of the Mental Health Statistics Improvement Program (MHSIP) adult consumer satisfaction survey was examined using a representative sample (N = 4242) of public mental health client surveys and assessment data. Factor analysis found five factors generally supporting the hypothesized scales of Satisfaction, Outcomes-Functioning, Access, Quality, and Social Connectedness that had acceptable reliability (average coefficient alpha = 0.91). The relation of the satisfaction survey scales to clinician-rated symptom scales, hospitalization, and functioning for 3 years prior to and after the survey was examined...
March 19, 2018: Journal of Behavioral Health Services & Research
Pauline Brigitta Goense, Leonieke Boendermaker, Tom van Yperen
Performance feedback and supervision are essential to the adoption of evidence-based interventions with high treatment integrity in child and youth care organizations. Little is known about the use of treatment integrity measurements in these organizations. For this study, 12 interventions for children and young people in the Netherlands with externalizing behavioral problems were selected. For each intervention, an expert, two supervisors, and two therapists were approached for an interview. In total, 54 semi-structured interviews were conducted...
March 14, 2018: Journal of Behavioral Health Services & Research
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