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Journal of Behavioral Health Services & Research

Mir M Ali, Judith L Teich, Ryan Mutter
Adolescents living in single-mother households are more likely to have behavioral health conditions, but are less likely to utilize any behavioral health services. Using nationally representative mother-child pair data pooled over 6 years from the National Survey on Drug Use and Health, the study finds that when single mothers were uninsured, their adolescent children were less likely to utilize any behavioral health services, even when the children themselves were covered by insurance. The extension of health coverage under the Affordable Care Act (ACA) to uninsured single mothers could improve the behavioral health of the adolescent population...
March 2, 2017: Journal of Behavioral Health Services & Research
Daniel Dickerson, Laurie A Moore, Traci Rieckmann, Calvin D Croy, Kamilla Venner, Jacquelene Moghaddam, Rebekah Gueco, Douglas K Novins
Motivational interviewing (MI) offers a treatment modality that can help meet the treatment needs of American Indians/Alaska Natives (AI/ANs) with substance use disorders. This report presents results from a national survey of 192 AI/AN substance abuse treatment programs with regard to their use of MI and factors related to its implementation, including program characteristics, workforce issues, clinician perceptions of MI, and how clinicians learned about MI. Sixty-six percent of programs reported having implemented the use of MI in their programs...
February 24, 2017: Journal of Behavioral Health Services & Research
Sarah Accomazzo, Valerie B Shapiro, Nathaniel Israel, B K Elizabeth Kim
Youth with severe emotional and behavioral problems receiving services in public behavioral health systems have strengths that are understudied in research and underutilized in practice. This study explores four alternative strategies (individual item scores, the number of "actionable" strengths, subscales, and a total composite) for summarizing the strengths of youth assessed with the Child and Adolescent Needs and Strengths (CANS) in a large, urban, public behavioral health system. The paper examines whether these summarization strategies produce divergent understandings of the prevalence of strengths across gender, age, and racial groups...
February 9, 2017: Journal of Behavioral Health Services & Research
Marissa C Hansen, Dahlia Fuentes, Maria P Aranda
Given high rates of relapse of depression, understanding mechanisms that provide long-term benefits and optimal outcomes for depressed individuals is crucial. The current study examines social support as a relevant component in service use to manage mental health needs for individuals with recurrent depression over a 5-year period. Conducting a secondary data analysis from a randomized clinical trial titled Partners in Care, the study examines direct and moderating effects over two time points of reported 12-month social support on service use for mental health needs at 57-months for an adult sample (n = 991)...
January 17, 2017: Journal of Behavioral Health Services & Research
Giovanni Viganò, Marja Kaunonen, Peter Ryan, Wendy Simpson, Ian Dawson, Izabela Tabak, Norbert Scherbaum, Stefano Zanone Poma
A training package (pre-tested in a pilot phase) about supporting children who have parents with a mental illness and/or with substance misuse (COPMI) was developed and delivered to 131 different professionals from six different European Countries. A questionnaire about importance, awareness and competence on the issue (8 items on knowledge and 15 items on skills) was developed and completed by participants before and after the training. The training was evaluated by participants as generally very successful in terms of improving the importance, awareness and competence of their knowledge and skills, with a statistically significant difference in the pre-/post-analyses (no decreases occurred)...
January 4, 2017: Journal of Behavioral Health Services & Research
Karen Chan Osilla, Eric R Pedersen, Anagha Tolpadi, Stefanie Stern Howard, Jessica L Phillips, Kristie L Gore
Concerned partners (CPs) of military service members and veterans with alcohol misuse face significant help-seeking barriers. We adapted the Community Reinforcement and Family Training (CRAFT) intervention into a 4-session web-based intervention (WBI) called Partners Connect. The program aims to help the CP increase their own well-being, teach the CP how to manage his/her behavior (e.g., communication) toward their partner, and identify ways the CP can help their partner reduce drinking and seek treatment. We recruited CPs through social media, and then tested the feasibility and acceptance of the WBI by conducting qualitative interviews and post-WBI session surveys after their WBI sessions...
December 30, 2016: Journal of Behavioral Health Services & Research
Linda Rosenberg
A new Congress and a new President-elect mean changes are in store for 2017. But one topic that remains bipartisan is addiction. The Surgeon General's first-ever report on substance misuse and related disorders, Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health, reminds us of the inequities in treatment of addictions and opens new opportunities for change.
January 2017: Journal of Behavioral Health Services & Research
Guadalupe A Bacio, Tracey A Garcia, Kristen G Anderson, Sandra A Brown, Mark G Myers
No abstract text is available yet for this article.
January 2017: Journal of Behavioral Health Services & Research
Mir M Ali, Judith L Teich, Ryan Mutter
A large number of adults with substance use disorder (SUD) do not receive treatment for their condition. Using data from the 2008-2013 National Survey of Drug Use and Health (NSDUH), this study analyzes why individuals with SUD report not receiving treatment even when they perceived a need for it. It further examines the variations in reported reasons for not receiving treatment by health insurance status and type. The results suggest that barriers such as stigma, lack of readiness to stop using substances, and not making treatment a priority are more common among the insured population, especially among those with private insurance...
January 2017: Journal of Behavioral Health Services & Research
Jason M Lang, Christian M Connell
Healthcare reform has led to an increase in dissemination of evidence-based practices. Cost is frequently cited as a significant yet rarely studied barrier to dissemination of evidence-based practices and the associated improvements in quality of care. This study describes an approach to measuring the incremental, unreimbursed costs in staff time and direct costs to community-based clinics implementing an evidence-based practice through participating in a learning collaborative. Initial implementation costs exceeding those for providing "treatment as usual" were collected for ten clinics implementing trauma-focused cognitive behavioral therapy through participation in 10-month learning collaboratives...
January 2017: Journal of Behavioral Health Services & Research
Mario Hernandez, Mary Armstrong, Amy L Green, Melissa H Johnson
State agencies play a critical role in addressing the mental health needs of children and youth. Significant changes underway throughout the nation at the federal and state levels have led to questions about the role of state children's mental health (CMH) agencies and the effects of these changes on children's services. The purpose of this study was to examine the current status of state offices for CMH with regard to structure and responsibilities and to identify what state CMH directors express as opportunities and challenges for CMH at the state level...
January 2017: Journal of Behavioral Health Services & Research
Jennifer L Burden, Jefferson D Parker, Daniel C Williams, Steven J Lash
The Contracts, Prompts, and Reinforcement (CPR) intervention has demonstrated an ability to increase the duration of continuing care participation following substance use disorder (SUD) treatment, resulting in improved treatment outcome. The current project was a qualitative pre-implementation study aimed at identifying barriers and facilitators to implementation of CPR using an evidence-based quality improvement (EBQI) approach. Formative evaluations were conducted with staff from residential SUD treatment programs across three VA sites, and key informant interviews were completed with opinion and program leaders...
January 2017: Journal of Behavioral Health Services & Research
Marion A Becker, Timothy L Boaz, Ross Andel, Samantha Hafner
The goal was to examine risk factors and expenditures for early rehospitalization (within 30 days of discharge) for non-behavioral health conditions among Medicaid-enrolled Floridians over 8 years. There were 1,689,797 hospitalization episodes with 19% (N = 314,742) resulting in early rehospitalization. Total gross charges for early rehospitalization were over 13 billion dollars. In Cox proportional hazards regression adjusted for demographic and health covariates, drug use disorder was associated with 50% increased risk of early rehospitalization...
January 2017: Journal of Behavioral Health Services & Research
Jason Paltzer, Richard L Brown, Marguerite Burns, D Paul Moberg, John Mullahy, Ajay K Sethi, David Weimer
Unhealthy substance use in the USA results in significant mortality and morbidity. This study measured the effectiveness of paraprofessional-administered substance use screening, brief intervention, and referral to treatment (SBIRT) services on subsequent healthcare utilization and costs. The pre-post with comparison group study design used a population-based sample of Medicaid patients 18-64 years receiving healthcare services from 33 clinics in Wisconsin. Substance use screens were completed by 7367 Medicaid beneficiaries, who were compared to 6751 randomly selected treatment-as-usual Medicaid patients...
January 2017: Journal of Behavioral Health Services & Research
Stephanie Dugdale, Sarah Elison, Glyn Davies, Jonathan Ward, Martha Dalton
There is evidence for the effectiveness of computer-assisted therapies (CAT) in healthcare; however, implementing CAT can be challenging due to new technologies being perceived as 'disruptive'. This study used normalisation process theory (NPT) to investigate how Breaking Free Online (BFO), a treatment programme for substance misuse, is embedded as normal practice within Crime Reduction Initiatives (CRI), a health and social care charity. Interviews were conducted with CRI staff regarding their perceptions of the normalisation of BFO...
January 2017: Journal of Behavioral Health Services & Research
Alexandra Barringer, Bronwyn A Hunter, Doreen D Salina, Leonard A Jason
Programs for women with substance abuse and criminal justice histories often incorporate empowerment and social support into service delivery systems. Women's empowerment research has focused on the relationship between women's personal identities and the larger sociopolitical context, with an emphasis on how community-based resources are critical for promoting well-being. Social support often protects against negative outcomes for individuals who live with chronic stress. However, few studies have evaluated community resource knowledge and empowerment among marginalized women or how social support might strengthen or weaken this relationship...
January 2017: Journal of Behavioral Health Services & Research
Claire D Clark, Staci Langkjaer, Sara Chinikamwala, Heather Joseph, Salaam Semaan, Jillian Clement, Rebekah Marshall, Eric Pevzner, Benedict I Truman, Karen Kroeger
No abstract text is available yet for this article.
January 2017: Journal of Behavioral Health Services & Research
Christina D Kang-Yi, Danielle R Adams
This systematic review aimed to (1) identify and summarize empirical studies on youth with behavioral health disorders aging out of foster care and (2) address implications for behavioral health policy, research, and practice. We identified previous studies by searching PubMed, PsycINFO, EBSCO, and ISI Citation Indexes and obtaining references from key experts in the child welfare field. A total of 28 full articles published between 1991 and 2014 were reviewed and summarized into the key areas including systems of care, disability type, transition practice area, study methods, study sample, transition outcome measures, study analysis, and study findings...
January 2017: Journal of Behavioral Health Services & Research
Deborah W Garnick, Constance M Horgan, Elizabeth L Merrick, Dominic Hodgkin, Sharon Reif, Amity E Quinn, Maureen Stewart, Timothy B Creedon
No abstract text is available yet for this article.
January 2017: Journal of Behavioral Health Services & Research
Philip W Appel, Barbara E Warren, Jiang Yu, Meighan Rogers, Brett Harris, Shanequa Highsmith, Carrie Davis
This report presents results of Project LINK, a Substance Abuse and Mental Health Services Administration (SAMHSA)-funded, 5-year collaboration (2007-2012) between New York City (NYC) health and NY State substance abuse disorder (SUD) agencies, an LGBT organization contractor, and multiple SUD, social service, and mental health referral agencies. LINK allowed the first ever SUD screening, brief intervention, and referrals to treatment (SBIRT) intervention services onsite in NYC Bureau of Sexually Transmitted Disease Control (BSTDC) clinics...
January 2017: Journal of Behavioral Health Services & Research
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