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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
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...
September 13, 2017: Journal of Behavioral Health Services & Research
Erin R Barnett, Mary K Jankowski, Rebecca L Butcher, Catherine Meister, Rebecca R Parton, Robert E Drake
Caring for children with complex needs severely stresses foster and adoptive parents, but few studies have examined their perspectives on needs and services. To examine parental views, the authors analyzed four focus groups (n = 27 participants) and one state-wide survey (n = 512 respondents, 42% of 1206 contacted) of foster and adoptive parents in one state. Results highlighted inadequate communication between providers and families, cultural and legal barriers, needs for parent training and preparation, the importance of several types of parent supports, and needs for specialized mental health treatment for the children...
August 29, 2017: Journal of Behavioral Health Services & Research
Marina Lalayants, Minseop Kim, Jonathan D Prince
No abstract text is available yet for this article.
August 25, 2017: Journal of Behavioral Health Services & Research
Heather Farb, Katie Sacca, Margaret Variano, Lisa Gentry, Meagan Relle, Jane Bertrand
No abstract text is available yet for this article.
August 24, 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
Jaime Corvin, Claudia Aguado Loi, Moya Alfonso, Dinorah Martinez Tyson, Isabella Chan, Pinzon Maria, Junius Gonzales
The co-occurrence of depression and chronic diseases is often under-recognized, under-treated, and under-studied. Among Latinos, complex structural and cultural barriers exist which complicate the translation of chronic disease self-management programs (CDSMP) for this population. To better understand those barriers and deliver a CDSMP designed to best meet local needs, a community-based, mixed methods study was designed. Formative research was conducted through focus groups with Latinos with chronic illness and minor depression (ICD) and family members to obtain insight into perceived needs and interviews with stakeholders to assess barriers and facilitators to the adoption of CDSMPs...
October 2017: Journal of Behavioral Health Services & Research
Alexandra M Burgess, Jaime Chang, Brad J Nakamura, Sonia Izmirian, Kelsie H Okamura
Although significant progress has been made in the identification of youth evidence-based practices, the adoption of these interventions into community-based mental health care remains limited. Dissemination and implementation (DI) research has the potential to bridge this science-practice gap in clinical psychology. The theory of planned behavior (TPB) offers a useful conceptualization of individual behavior change including behavioral intention as defined by attitudes, subjective norms, and perceived behavioral control...
October 2017: Journal of Behavioral Health Services & Research
Charmaine Higa-McMillan, Amelia Kotte, David Jackson, Eric L Daleiden
This study compared consistencies and discrepancies in usual care with practices derived from the evidence-base (PDEB) for youth anxiety in a public mental health system. Youth-level factors (diagnosis, functional impairment) as predictors of the discrepancies were also examined. Psychosocial and service data from 2485 youth with an anxiety disorder and/or receiving services for an anxiety treatment target were extracted. Therapists (N = 616) identified the treatment targets and practices youth received...
October 2017: Journal of Behavioral Health Services & Research
Laura Brennaman, Blake Boursaw, Annette Christy, Robin Meize-Growchowski
Delayed access to involuntary mental health examination for people who receive care in emergency departments (EDs) was examined, and factors that influenced delayed access were explored. A retrospective review of records for the 12 months prior to data collection was conducted to address the study questions. The health services utilization model served as the conceptual framework for this study. Societal, system, and individual factors were considered in examining access to involuntary emergency mental health examination by adult ED patients...
October 2017: Journal of Behavioral Health Services & Research
Margaret W Bultas, Stephen Edward McMillin, Matthew A Broom, Debra H Zand
Opportunities created by the Patient Protection and Affordable Care Act along with the increased prevalence of pediatric behavioral and mental health concerns provide new challenges for pediatric health care providers. To address these matters, providers need to change the manner by which they provide health care to families. A novel approach is providing brief, rapid response, evidence-based parenting interventions within the pediatric primary care setting. Family-focused parenting programs support the American Academy of Pediatrics recommendations of improving mental health via supports in pediatric primary care to maximize the social and psychological well-being of families...
October 2017: Journal of Behavioral Health Services & Research
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