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Journal of Behavioral Health Services & Research

Marsha Langer Ellison, Sloan Smith Huckabee, Rachel A Stone, Kathryn Sabella, Michelle G Mullen
This study examined careers services provided to young adults with serious mental health conditions. Based on an internet survey and key informant telephone interview of 31 programs nominated for delivering innovative practices for young adults, the state of the field for career services was described. Most programs offered supported education and supported employment along with mental health services. Detailed and written planning was a key feature. Programs emphasized working closely with families, inter-agency collaboration, and use of normative community resources...
October 29, 2018: Journal of Behavioral Health Services & Research
Virginia Kotzias, Charles C Engel, Rajeev Ramchand, Lynsay Ayer, Zachary Predmore, Patricia Ebener, Gretchen L Haas, Janet E Kemp, Elizabeth Karras
Women military veterans are at increased risk of suicide compared to non-veterans, but little is known about the mental health service preferences and needs of women veterans in crisis. This study used qualitative, secondary source key informant interviews to ascertain the experiences of women veterans in crisis from 54 responders working at the Veterans Crisis Line. Responders indicated that women veterans reported different experiences with Veterans Administration (VA) and non-VA care, though drivers of satisfaction or dissatisfaction were similar...
October 8, 2018: Journal of Behavioral Health Services & Research
Mark Savill, Melissa Gosdin, Pooja Patel, Joy Melnikow, Rachel Loewy, Tara Niendam
Reducing the duration of untreated psychosis (DUP) is a key aim of early psychosis (EP) care. However, substantial variability in how the start and end points of DUP are defined impact its utility in clinical decision-making, and as an outcome measure. In this study, qualitative interviews were conducted with providers to assess how EP services and providers define, operationalize, and measure DUP. Twenty-five providers across 14 clinics were interviewed. Participants emphasized symptom frequency, conviction, distress caused, and impact when determining psychosis onset...
October 8, 2018: Journal of Behavioral Health Services & Research
Andrea Acevedo, Lee Panas, Deborah Garnick, Dolores Acevedo-Garcia, Jennifer Miles, Grant Ritter, Kevin Campbell
The professional degree of co-author Kevin Campbell is incorrect. It should be "DrPH" and not "PhD".
October 8, 2018: Journal of Behavioral Health Services & Research
Layla Parast, Joan S Tucker, Eric R Pedersen, David Klein
Drop-in centers offer a range of services to assist unaccompanied youth experiencing homelessness, but little is known about their perceptions of drop-in centers or use of different services. A random sample of 273 youth experiencing homelessness in the Los Angeles area who had ever used a drop-in center was surveyed. Most youth heard about local drop-in centers from peers (65.1%). They generally reported positive perceptions of the drop-in center environment, staff, and clients; overall, 57.8% were "very" or "extremely" satisfied with the services they had received...
October 5, 2018: Journal of Behavioral Health Services & Research
Christine Timko, Jennifer E Johnson, Megan Kurth, Yael Chatav Schonbrun, Bradley J Anderson, Michael D Stein
Correctional facilities now house unprecedented numbers of women with complex treatment needs. This investigation applied the Behavioral Model for Vulnerable Populations to study 168 jailed women with alcohol use disorders. It described the sample's predisposing (age, race, victimization), enabling (health insurance), and need (self-reported medical, substance use, and mental health problems) factors and examined associations of these factors with pre-incarceration services utilization. Most participants had clinically significant levels of depression and PTSD symptoms, most took psychiatric medications, and most had been victimized...
September 20, 2018: 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
Linda Rosenberg
October 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...
October 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...
October 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...
October 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...
October 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...
October 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...
October 2018: Journal of Behavioral Health Services & Research
Tyra Dark, George Rust, Heather A Flynn, Heidi Kinsell, Jeffrey S Harman
This study examines variations in content of care for anxiety-related emergency department (ED) visits in the USA across various sociodemographic strata. The 2009-2012 National Hospital Ambulatory Medical Care Survey was used to identify all visits to general hospital EDs in which an anxiety diagnosis was recorded (n = 1930). Content and equitability of care was assessed utilizing logistic regression models. There were an estimated 1,856,000 ED visits with anxiety-related discharge diagnoses in the USA annually...
October 2018: Journal of Behavioral Health Services & Research
Kristin Cleverley, Meaghan Grenville, Joanna Henderson
Drug and alcohol use among youth has serious consequences for the physical and mental health of youth and strains their relationships with family and friends. While the task of dealing with substance-related issues often falls on families, particularly parents, very little research has explored the importance of family as a motivator for seeking treatment. This paper reports on a qualitative study of youth seeking substance abuse treatment at a large urban psychiatric hospital. Following primarily self-determination theory, the study examines youths' descriptions of how their parents motivated them to (1) change their substance use behaviors and (2) seek treatment...
October 2018: Journal of Behavioral Health Services & Research
Molly Brown, Michael Rowe, Alison Cunningham, Allison N Ponce
No abstract text is available yet for this article.
October 2018: Journal of Behavioral Health Services & Research
Andrea Acevedo, Lee Panas, Deborah Garnick, Dolores Acevedo-Garcia, Jennifer Miles, Grant Ritter, Kevin Campbell
This study focused on (1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside and (2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly funded outpatient treatment in Washington State. Treatment data were linked to data from the US census. The outcome studied was "Initiation and Engagement" in treatment (IET), a measure noting timely receipt of services at the beginning of treatment...
October 2018: Journal of Behavioral Health Services & Research
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