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Journal of Behavioral Health Services & Research

Karen J Derefinko, Troy A Hallsell, Matthew B Isaacs, Lauren W Colvin, Francisco I Salgado Garcia, Zoran Bursac
Despite existing separation services provided by the military, many transitioning to civilian life report continued or even worsening issues, including anger outbursts, PTSD, sustained substance use, and strained family relationships. Further, only 61% of the 1,906,754 veterans separated since 2002 participate in the VA health care system after separation, indicating that at least three quarters of a million veterans are not captured by research conducted in VA systems. The current study (N = 90) examined the perceived needs of veterans transitioning from the military to civilian life, assessed issues that prevent these individuals from participating in VA health care upon separation, and captured veteran recommendations to improve existing separation services, either prior to or after the transition to civilian life...
September 14, 2018: Journal of Behavioral Health Services & Research
Roselyn Peterson, Doyanne Darnell, Lucy Berliner, Shannon Dorsey, Laura Murray, Maria Monroe-DeVita
Few evidence-based psychotherapies are provided in adult public behavioral health (PBH), despite the need for such treatments. The common elements treatment approach (CETA) was developed for use by lay providers in low- and middle-income countries and may have relevance in PBH given its unique application with individuals with multiple diagnoses including PTSD, depression, and anxiety. This study utilized data collected as part of the implementation of CETA in 9 PBH agencies in Washington State with 58 providers, including a 2-day workshop and 6 months of consultation...
September 12, 2018: Journal of Behavioral Health Services & Research
Tracy Anastas, Elizabeth Needham Waddell, Sonya Howk, Mark Remiker, Gretchen Horton-Dunbar, L J Fagnan
The Publisher regrets that due to a malfunction in production, there are duplications and errors and rogue addresses in the author affiliations of the published article. The correct author affiliations are listed below.
September 12, 2018: Journal of Behavioral Health Services & Research
Hannah K Knudsen, Jamie L Studts
Increasing numbers of individuals with opioid use disorder (OUD) are insured by Medicaid. Little is known about whether providers of buprenorphine, an evidence-based OUD pharmacotherapy, accept this type of payment. Data are scant regarding whether Medicaid acceptance varies by physician and state-level characteristics. To address these gaps, national survey data from 1174 buprenorphine-prescribing physicians (BPPs) and state characteristics were examined in a multi-level model of Medicaid acceptance. Only 52...
August 1, 2018: Journal of Behavioral Health Services & Research
Amy L Green, Matthew C Lambert, Kristin Duppong Hurley
For parents of youth with emotional and behavioral disorders, activation, or having the knowledge, skills, and confidence to access and engage in appropriate services for their children, is important for managing their child's mental health care. The Parent Activation Measure (PAM) was modified to create the Parent Patient Activation Measure-Mental Health (P-PAM-MH) to measure activation as part of a randomized controlled trial of a peer parent support intervention for parents of youth with emotional and behavioral problems...
June 28, 2018: Journal of Behavioral Health Services & Research
Steven Moberly, Hannah Maxey, Lacy Foy, Sierra X Vaughn, Yumin Wang, David Diaz
Mental illness is a leading cause of disability with many public health implications. Previous studies have demonstrated a national shortage of psychiatrists, particularly in rural areas. An analysis of how this workforce distribution relates to population demographics and public/behavioral health is lacking in the literature. This study encompassed a statewide assessment of the Indiana psychiatric workforce as it relates to population characteristics and public/behavioral health. This study's findings demonstrate a profoundly low psychiatry workforce in rural counties of Indiana...
June 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...
July 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...
July 2018: Journal of Behavioral Health Services & Research
Mihoko Maru, E Sally Rogers, Dori Hutchinson, Heather Shappell
No abstract text is available yet for this article.
July 2018: Journal of Behavioral Health Services & Research
Shannon Gwin Mitchell, Laura B Monico, Elizabeth Lertch, Sharon M Kelly, Jan Gryczynski, Jerome H Jaffe, Kevin E O'Grady, Robert P Schwartz
Conflicts with methadone program counseling staff and violations of program rules can contribute to patients leaving treatment prematurely. This qualitative study was conducted as part of a larger trial of patient-centered methadone treatment (PCM). In-depth, semi-structured interviews at baseline and 12-month follow-up were conducted with five counselors and three clinical supervisors from the programs participating in the PCM parent study. Data were analyzed using Atlas.ti. Counselors reported that, in some cases, PCM allowed them to focus on building a therapeutic alliance with patients because they were not addressing program rule issues...
July 2018: Journal of Behavioral Health Services & Research
Ahrang Yoo, Monique Kim, Melissa M Ross, Angela Vaughn-Lee, Beverly Butler, Susan dosReis
Caregivers of youth with coexisting cognitive and mental health problems face difficult treatment decisions for their child and have unique challenges engaging in shared decision-making. Many stakeholders can influence care management decisions, and the child's cognitive impairment often prohibits their inclusion in the shared decision-making process. In-depth interviews and focus groups with 37 caregivers elicited their experiences with care management related to their child's educational, mental health, and other care needs...
July 2018: Journal of Behavioral Health Services & Research
Pamela Meadowcroft, Maria Zeglen Townsend, Art Maxwell
Increasingly, jurisdictions are requiring the adoption of certified evidence-based programs (EBPs) for behavioral health and human services for children, youth, and their families. Often, such adoption of proven, prepackaged programs is done without regard to existing, yet effective, locally developed program models. This study presents a replicable six-step process that identifies key researched elements from within existing programs and creates program-specific fidelity scoring and tracking tools for routine use during clinical supervision to assure that these elements are implemented well...
July 2018: Journal of Behavioral Health Services & Research
Yulia A Strekalova, Nicki Karimipour, Vaughan James, Debbie Treise
No abstract text is available yet for this article.
July 2018: Journal of Behavioral Health Services & Research
Maryann Davis, Nancy Koroloff, Kathryn Sabella, Marianne Sarkis
Programs that serve transition-age youth with serious mental health conditions typically reside in either the child or the adult system. Good service provision calls for interactions among these programs. The objective of this research was to discover programmatic characteristics that facilitate or impede collaboration with programs serving dissimilar age groups, among programs that serve transition-age youth. To examine this "cross-age collaboration," this research used social network analysis methods to generate homophily and heterophily scores in three communities that had received federal grants to improve services for this population...
July 2018: Journal of Behavioral Health Services & Research
Van M Ta Park, Joseph Keawe'aimoku Kaholokula, Puihan Joyce Chao, Mapuana Antonio
The purpose of this mixed-methods study was to gain insight about Native Hawaiian (NH) women's experiences with, and viewpoints of, depression and help-seeking behaviors (N = 30: 10 from the university and 20 from the community). More women reported depression in the interviews than through their Center for Epidemiologic Studies Depression Scale (CES-D) responses. Quantitative data revealed 57% of the women had ever received mental health help (80% of university vs. 45% of community sample). There was a range of satisfaction reported for various types of mental health care, with satisfaction being the highest for spiritual/religious advisor/folk healer...
July 2018: Journal of Behavioral Health Services & Research
Jonathan Purtle, Benjamin Borchers, Tim Clement, Amanda Mauri
No abstract text is available yet for this article.
July 2018: Journal of Behavioral Health Services & Research
Elizabeth H Connors, Prerna Arora, Angela M Blizzard, Kelly Bower, Kelly Coble, Joyce Harrison, David Pruitt, Janna Steinberg, Lawrence Wissow
Primary care providers (PCPs) frequently encounter behavioral health (BH) needs among their pediatric patients. However, PCPs report variable training in and comfort with BH, and questions remain about how and when PCPs address pediatric BH needs. Existing literature on PCP decisions to address pediatric BH in-office versus referring to subspecialty BH is limited and findings are mixed. Accordingly, this study sought to examine parameters and contextual factors influencing PCP decisions and practices related to BH care...
July 2018: Journal of Behavioral Health Services & Research
Eric M Schmidt, Simone Behar, Alinne Barrera, Matthew Cordova, Leonard Beckum
This study investigated geographic variation in potentially preventable medical outcomes that might be used to monitor access to high-quality medical care in the behavioral health population. Analyzing public and non-public data sources from California on adults admitted between 2009 and 2011 to all non-federal licensed medical inpatient (N = 6,603,146) or emergency department units (N = 21,011,958) revealed that 33.6% of nearly 1 million potentially preventable hospitalizations and 9.8% of 1.5 million potentially preventable emergency department visits were made by people with mental or substance use disorder diagnoses...
July 2018: Journal of Behavioral Health Services & Research
Christophe Huỳnh, Jean Caron, Marilou Pelletier, Aihua Liu, Marie-Josée Fleury
This study examined factors associated with mental health services (MHS) use by individuals with mental disorders within a developmental perspective of adulthood. Bivariate and multivariate analyses were conducted separately for each developmental stage on independent variables using the Andersen's behavioral health service model. For 18-29-year-old emerging adults (n = 141), autonomy, daily life/relations, Internet searching, alcohol dependence, cognitive impulsiveness, number of stressful events, and self-harm were associated with MHS use...
July 2018: Journal of Behavioral Health Services & Research
Kelly Stolzmann, Mark Meterko, Christopher J Miller, Lindsay Belanger, Marjorie Nealon Seibert, Mark S Bauer
Given the limited ability of informatics-based assessment technologies to reach individuals with serious mental health conditions, this study evaluated the feasibility and data quality of mail-out healthcare surveys in this population to assist in measure selection for a multi-site controlled implementation trial. Veterans were randomly selected from those who had received services at a mental health clinic in the Department of Veterans Affairs, and were randomly assigned to one of three questionnaire lengths...
June 11, 2018: Journal of Behavioral Health Services & Research
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