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Journal of Behavioral Health Services & Research

Madeline Y Lee
This study is the first to explore national accreditation rates and the relationship between accreditation status and organizational characteristics and quality indicators in children's mental health. Data from the Substance Abuse and Mental Health Services Administration's (SAMHSA's) National Survey of Mental Health Treatment Facilities (NSMHTF) were used from 8,247 facilities that serve children and/or adolescents. Nearly 60% (n=4,925) of the facilities were accredited by the Council on Accreditation (COA), the Commission on Accreditation of Rehabilitation Facilities (CARF), or The Joint Commission (TJC)...
December 5, 2016: 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.
November 7, 2016: 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...
November 3, 2016: 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...
November 1, 2016: Journal of Behavioral Health Services & Research
Thomas Byrne, Benjamin F Henwood, Brynn Scriber
No abstract text is available yet for this article.
September 22, 2016: 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...
September 22, 2016: 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...
September 13, 2016: Journal of Behavioral Health Services & Research
Linda Rosenberg
No abstract text is available yet for this article.
October 2016: Journal of Behavioral Health Services & Research
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Journal of Behavioral Health Services & Research
Jemima A Frimpong, Erick G Guerrero, Yinfei Kong, Tina Kim
Abstinence at successful discharge in substance use disorder treatment is important to reducing relapse rates and increasing long-term recovery from substance use disorders. However, few studies have examined abstinence as an essential component of successful discharge. This study examined rates and correlates of reported abstinence (nonuse of drugs 30 days prior to successful discharge) among clients attending publicly funded treatment in Los Angeles County, California. Finding show that only 36% of clients who were successfully discharged reported abstinence...
October 2016: Journal of Behavioral Health Services & Research
Debra A Murphy, Lauren Harrell, Rachel Fintzy, Thomas R Belin, Alexis Gutierrez, Steven J Vitero, Vivek Shetty
Dental problems are among the most frequently reported health issues of drug users. This study describes, among the largest population of methamphetamine (MA) users to date (N = 459, including both HIV-negative and HIV-positive participants) oral hygiene practice, dental care access, and dental quality of life. A matched control group from the Third National Health and Nutrition Examination Survey was utilized. Findings conclusively establish that MA users have severe oral health deficits compared to the general population: they are 3...
October 2016: Journal of Behavioral Health Services & Research
Akiko Kamimura, Noel Gardner, Fattima Ahmed, Maziar M Nourian, Kyl Myers, Lenora M Olson
No abstract text is available yet for this article.
September 9, 2016: 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...
September 9, 2016: 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...
September 1, 2016: 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...
August 16, 2016: 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...
August 12, 2016: 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...
August 11, 2016: Journal of Behavioral Health Services & Research
Jennifer I Manuel, Mary B Stebbins, Elwin Wu
This study examined gender differences in perceived unmet treatment needs among persons with and without co-occurring substance use disorders and serious mental health conditions. Data were drawn from the 2008-2013 National Survey on Drug Use and Health (unweighted N = 37,187) to test the hypothesis that the relationships between diagnosis and perceived unmet treatment needs differ as a function of gender. Compared to individuals with a substance use disorder or severe mental illness, those with co-occurring disorders were more likely to report perceived unmet needs for substance abuse and mental health treatment...
August 9, 2016: 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...
July 26, 2016: 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...
July 19, 2016: Journal of Behavioral Health Services & Research
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