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Journal of Behavioral Health Services & Research

Oyenike Balogun-Mwangi, E Sally Rogers, Mihoko Maru, Christopher Magee
Peer-delivered services for individuals with psychiatric conditions are becoming an established part of the mental health workforce. Given the growing focus on evidence-based supported employment, peer specialists are often assisting individuals who are choosing, getting, or keeping employment. As part of a larger randomized clinical trial examining the effectiveness of an innovative intervention called vocational peer support, 13 semi-structured qualitative interviews were conducted to examine how recipients perceived peer support, and whether or how it was useful for pursuing vocational goals...
December 28, 2017: 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...
December 26, 2017: Journal of Behavioral Health Services & Research
Kyleigh E Schraeder, Judith Belle Brown, Graham J Reid
Children's mental health (CMH) problems often recur. Following specialized mental health treatment, youth may require monitoring and follow-up. For these youth, primary health care is highly relevant, as family physicians (FPs) are the only professionals who follow patients across the lifespan. The current study gained multiple perspectives about (1) the role of FPs in caring for youth with ongoing/recurring CMH problems and (2) incorporating routine mental health monitoring into primary health care. A total of 33 interviews were conducted, including 10 youth (aged 12-15) receiving CMH care, 10 parents, 10 CMH providers, and 3 FPs...
December 19, 2017: Journal of Behavioral Health Services & Research
Daron Ryan, Serena Maurer, Liliana Lengua, Bonnie Duran, India J Ornelas
Latina immigrants are at increased risk for poor mental health. Amigas Latinas Motivando el Alma (ALMA) is a group-based intervention to reduce symptoms of depression, anxiety, and stress among Latina immigrants. Based on participants' feedback and growing evidence supporting mindfulness as a way to reduce stress and improve mental health, additional sessions of the ALMA intervention were developed and pilot tested to provide more training on mindfulness as a coping strategy. The feasibility and potential efficacy were evaluated in a community sample using a pre- and post-test study design...
December 18, 2017: Journal of Behavioral Health Services & Research
Jonathan Purtle, Benjamin Borchers, Tim Clement, Amanda Mauri
No abstract text is available yet for this article.
December 15, 2017: Journal of Behavioral Health Services & Research
Katherine S L Lau, Marc B Rosenman, Sarah E Wiehe, Wanzhu Tu, Matthew C Aalsma
The objective of this study was to assess the simultaneous effects of gender, race/ethnicity, and pre-arrest behavioral health (BH) service-use on age at first arrest, and first arrest outcomes. Between January 2004 and December 2011, arrest and medical records were collected on a retrospective longitudinal cohort of 12,476 first-time offenders, ages 8-18 years. Black youth were arrested at younger ages than white or Hispanic youth. Youth with psychiatric problems were arrested at younger ages than youth with substance-use, dual-diagnoses, or no BH problems...
December 13, 2017: Journal of Behavioral Health Services & Research
Abiola O Keller, Roderick S Hooker, Elizabeth A Jacobs
No abstract text is available yet for this article.
December 11, 2017: 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...
December 5, 2017: Journal of Behavioral Health Services & Research
Christy K Scott, Christine E Grella, Michael L Dennis, Lisa Nicholson
Linking individuals in primary care settings with substance use disorders (SUDs) to SUD treatment has proven to be challenging, despite the widespread use of Screening, Brief Intervention, and Referral to Treatment (SBIRT). This paper reports findings from a pilot study that examined the efficacy of the Recovery Management Checkups intervention adapted for primary care settings (RMC-PC), for assertively linking and engaging patients from Federally Qualified Health Centers into SUD treatment. Findings showed that patients in the RMC-PC (n=92) had significantly higher rates of SUD treatment entry and received more days of SUD treatment compared with those who receive the usual SBIRT referral (n=50)...
November 27, 2017: Journal of Behavioral Health Services & Research
Marlene Taube-Schiff, Adrienne Mehak, Sandy Marangos, Anastasia Kalim, Thomas Ungar
Day hospital mental health programs provide alternate care to individuals of high acuity that do not require an inpatient psychiatric stay. Ensuring provision of best practice within these programs is essential for patient stabilization and recovery. However, there is scant literature to review when creating such a program. This paper provides an overview of the steps an acute care hospital took when designing and implementing new programming within a day hospital program. Qualitative data was collected following initial program rollout...
November 13, 2017: Journal of Behavioral Health Services & Research
Stephanie Ngo, Mohammad Shahsahebi, Sean Schreiber, Fred Johnson, Mina Silberberg
This study evaluated the correlation of an emergency department embedded care coordinator with access to community and medical records in decreasing hospital and emergency department use in patients with behavioral health issues. This retrospective cohort study presents a 6-month pre-post analysis on patients seen by the care coordinator (n=524). Looking at all-cause healthcare utilization, care coordination was associated with a significant median decrease of one emergency department visit per patient (p < 0...
November 9, 2017: Journal of Behavioral Health Services & Research
Jenna M Jones, Mir M Ali, Ryan Mutter, Rachel Mosher Henke, Manjusha Gokhale, William Marder, Tami Mark
According to the US Department of Health and Human Services, 91 million adults live in mental health professional shortage areas and 10 million individuals have serious mental illness (SMI). This study examines how the supply of psychiatrists, severity of mental illness, out-of-pocket costs, and health insurance type influence patients' decisions to receive treatment and the type of provider chosen. Analyses using 2012-2013 MarketScan Commercial Claims data showed that patients residing in an area with few psychiatrists per capita had a higher predicted probability of not receiving follow-up care (46...
October 26, 2017: Journal of Behavioral Health Services & Research
Linda Rosenberg
No abstract text is available yet for this article.
October 2017: Journal of Behavioral Health Services & Research
Gilbert Gonzales, Ezra Golberstein, Steven C Hill, Samuel H Zuvekas
Adults with poor mental health may want and need insurance to obtain care, but symptoms may impede enrollment into public health insurance. This study compares Medicaid enrollment responses to eligibility expansions by mental health status using a sample of non-elderly adults in both the 2000-2011 Medical Expenditure Panel Survey and the National Health Interview Survey (N = 27,494). The impact of Medicaid income eligibility thresholds (defined as the maximum family income level allowed in each state to be considered eligible for Medicaid) on Medicaid enrollment was estimated from linear regression models allowing for differential enrollment responses by mental and physical health status...
October 2017: Journal of Behavioral Health Services & Research
Eric R Pedersen, Grant N Marshall, Jeremy Kurz
Young adult veterans are at risk for behavioral health problems such as depression, posttraumatic stress disorder (PTSD), and substance misuse. Despite this, studies of veterans within the Veterans Affairs Healthcare System (VA) indicate that about half of those warranting treatment receive it in any form, with few receiving an adequate dose of care. For this study, the behavioral health screening status and behavioral health usage (including care outside of VA settings) among a community sample of 812 young adult veterans recruited from the Internet is described...
October 2017: Journal of Behavioral Health Services & Research
Laura J Chavez, Chuan-Fen Liu, Nathan Tefft, Paul L Hebert, Beth Devine, Katharine A Bradley
Hospital readmissions and emergency department (ED) visits within 30 days of discharge are costly. Heavy alcohol use could predict increased risk for post-discharge acute care. This study assessed 30-day acute care utilization and expenditures for different categories of alcohol use. Veterans Affairs (VA) patients age ≥65 years with past-year alcohol screening, hospitalized for a medical condition, were included. VA and Medicare health care utilization data were used. Two-part models adjusted for patient demographics...
October 2017: Journal of Behavioral Health Services & Research
Sam Hubley, Lisa A Uebelacker, Justin Nash, Charles B Eaton
Within primary care settings, patients with medically unexplained symptoms (MUS) are common, often present with comorbid psychopathology, and have high rates of healthcare utilization. Despite increased healthcare utilization, these patients often have poor outcomes that frustrate patients and providers alike. A behavioral consultation intervention for primary care patients with MUS (n = 10) was developed and assessed. All participants completed all intervention and assessment sessions and rated the intervention favorably...
October 2017: Journal of Behavioral Health Services & Research
Michael Prendergast, Wayne N Welsh, Lynda Stein, Wayne Lehman, Gerald Melnick, Umme Warda, Michael Shafer, Wendy Ulaszek, Eleni Rodis, Sami Abdel-Salam, Jamieson Duvall
Although research indicates that organizational characteristics substantially influence the adoption and use of evidence-based practices (EBPs), there has been little empirical research on organizational factors most likely to influence successful implementation of EBPs, particularly in criminal justice settings. This study examined organizational characteristics related to the success of change teams in achieving improvements in assessment and case-planning procedures for persons leaving correctional settings and receiving community services...
October 2017: Journal of Behavioral Health Services & Research
Laurie Sylla, René Franzen, Debra Srebnik, Marla Hoffman, Amnon Shoenfeld
Demand for supportive housing outstrips availability in metropolitan regions around the country. Individuals who are homeless with serious mental illnesses, substance abuse, and other debilitating health conditions are often heavy users of publicly financed services and institutions, such as jails, emergency departments, psychiatric and medical hospitals, and sobering and detoxification services. King County, in collaboration with community partners, has developed a regional system for coordinating and prioritizing access to this limited resource based on utilization of publicly financed services/institutions and/or vulnerability...
October 2017: Journal of Behavioral Health Services & Research
Jennifer Greene, Donna Cohen, Constance Siskowski, Peter Toyinbo
Caring for dependent relatives has become a normative challenge for families in the USA and throughout the world. The study objective was to examine the relationship of family caregiving responsibilities and the mental health and well-being of individuals, ages 18-24 years, referred to as emerging young adults. It was hypothesized that young adult caregivers with past and present responsibilities would report significantly more symptoms of depression and anxiety, have lower self-esteem, and use less adaptive coping styles than non-caregiving peers...
October 2017: Journal of Behavioral Health Services & Research
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