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Psychological Services

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https://www.readbyqxmd.com/read/28125245/are-expectations-for-community-mental-health-increasing-among-older-adults-in-china
#1
William Joseph Olesiuk, Bei Wu
In recent years, the Chinese government began expanding access to social services to older adults. This study examined whether older adults have increasing expectations that psychological consulting services will be provided by their communities. We analyzed the responses of participants in a prospective cohort study at 2 time points: 2005 and 2008. We utilized logistic regression with survey weights to determine whether there were any changes in attitudes toward community mental health services during the study period, and to determine the correlates of this change...
January 26, 2017: Psychological Services
https://www.readbyqxmd.com/read/28134558/a-randomized-pilot-trial-of-a-telephone-based-collaborative-care-management-program-for-caregivers-of-individuals-with-dementia
#2
Shahrzad Mavandadi, Erin M Wright, Meagan M Graydon, David W Oslin, Laura O Wray
Dementia care is largely provided in primary care settings. This article describes a pilot project aimed at evaluating the effectiveness of an accessible, telephone-based, patient- and caregiver (CG)-centered, collaborative care management program that involves CG education and psychosocial support in improving CG and patient outcomes. CGs (n = 75) of older veterans with dementia receiving care from Veterans Affairs (VA) Medical Center primary care practices were randomized to receive either dementia care management or usual care (UC)...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28134557/aftercare-engagement-a-review-of-the-literature-through-the-lens-of-disparities
#3
Kristen Keefe, Esteban V Cardemil, Matthew Thompson
While prior research has well documented racial and ethnic disparities in mental health care broadly, significantly less attention has been given to possible disparities existing in the transition to aftercare. Grounded in Klinkenberg and Calsyn's (1996) framework, we review current research on aftercare, identify commonalities between the prior and current reviews, and highlight gaps for future research. We focus on variables pertinent to our understanding of racial/ethnic disparities. Articles were retrieved via PsycINFO, PubMed, PsycARTICLES, and Google Scholar...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28134556/community-based-implementation-of-trauma-focused-interventions-for-youth-economic-impact-of-the-learning-collaborative-model
#4
Alex R Dopp, Rochelle F Hanson, Benjamin E Saunders, Clara E Dismuke, Angela D Moreland
This study investigated the economics of the learning collaborative (LC) model in the implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), an evidence-based intervention for traumatic stress in youth. We evaluated the cost-effectiveness of the LC model based on data from 13 LCs completed in the southeastern United States. Specifically, we calculated cost-effectiveness ratios (CERs) for 2 key service outcomes: (a) clinician TF-CBT competence, based on pre- and post-LC self-ratings (n = 574); and (b) trauma-related mental health symptoms (i...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28134555/development-and-applications-of-the-veterans-health-administration-s-stratification-tool-for-opioid-risk-mitigation-storm-to-improve-opioid-safety-and-prevent-overdose-and-suicide
#5
Elizabeth M Oliva, Thomas Bowe, Sara Tavakoli, Susana Martins, Eleanor T Lewis, Meenah Paik, Ilse Wiechers, Patricia Henderson, Michael Harvey, Tigran Avoundjian, Amanuel Medhanie, Jodie A Trafton
Concerns about opioid-related adverse events, including overdose, prompted the Veterans Health Administration (VHA) to launch an Opioid Safety Initiative and Overdose Education and Naloxone Distribution program. To mitigate risks associated with opioid prescribing, a holistic approach that takes into consideration both risk factors (e.g., dose, substance use disorders) and risk mitigation interventions (e.g., urine drug screening, psychosocial treatment) is needed. This article describes the Stratification Tool for Opioid Risk Mitigation (STORM), a tool developed in VHA that reflects this holistic approach and facilitates patient identification and monitoring...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28134554/va-escreening-program-technology-to-improve-care-for-post-9-11-veterans
#6
James O E Pittman, Elizabeth Floto, Laurie Lindamer, Dewleen G Baker, James B Lohr, Niloofar Afari
The Veterans Health Administration (VHA) provides health care services to a growing number of veterans. There is ample support for the use of technology-based self-screening to support health care delivery. We developed the VA eScreening program for veterans to directly provide self-report mental and physical health information through a veteran-facing portal that communicates with the electronic medical records system. A total of 1,372 newly enrolling veterans in 2 cohorts participated in a study to assess veteran satisfaction, determine accessibility and clinical processes, measure screening differences, and examine connection to care between eScreening and paper screening...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28134553/using-organizational-and-clinical-performance-data-to-increase-the-value-of-mental-health-care
#7
Eric M Schmidt, Dean D Krahn, Marsden H McGuire, Sara Tavakoli, David M Wright, Hugo E Solares, Sonne Lemke, Jodie Trafton
U.S. health systems, policy makers, and patients increasingly demand high-value care that improves health outcomes at lower cost. This study describes the initial design and analysis of the Mental Health Management System (MHMS), a performance data and quality improvement tool used by the Veterans Health Administration (VHA) to increase the value of its mental health care. The MHMS evaluates access to and quality of mental health care, organizational structure and efficiency, implementation of innovative treatment options, and, in collaboration with management, resource needs for delivering care...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28134552/measurement-based-management-of-mental-health-quality-and-access-in-vha-sail-mental-health-domain
#8
Sonne Lemke, Matthew Tyler Boden, Lisa K Kearney, Dean D Krahn, Matthew J Neuman, Eric M Schmidt, Jodie A Trafton
We outline the development of a Mental Health Domain to track accessibility and quality of mental health care in the United States Veterans Health Administration (VHA) as part of a broad-based performance measurement system. This domain adds an important element to national performance improvement efforts by targeting regional and facility leadership and providing them a concise yet comprehensive measure to identify facilities facing challenges in their mental health programs. We present the conceptual framework and rationale behind measure selection and development...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/27797571/the-dbt-coach-mobile-application-as-an-adjunct-to-treatment-for-suicidal-and-self-injuring-individuals-with-borderline-personality-disorder-a-preliminary-evaluation-and-challenges-to-client-utilization
#9
Shireen L Rizvi, Christopher D Hughes, Marget C Thomas
Acquisition and generalization of specific behavioral skills is a key component of dialectical behavior therapy (DBT) for individuals with borderline personality disorder (BPD). We examined the feasibility, acceptability, usability, and immediate effects of the DBT Coach, a mobile phone application (app) designed specifically to augment skills generalization through interactive coaching in DBT skills. In this pilot study, we provided the DBT Coach installed on a mobile device as an adjunct to 6 months of standard DBT, among a sample of 16 individuals with BPD and a recent history of attempted suicide and/or nonsuicidal self-injury (NSSI)...
November 2016: Psychological Services
https://www.readbyqxmd.com/read/27504640/do-organizational-expectations-influence-workers-implementation-perceptions
#10
David A Patterson Silver Wolf, Alex T Ramsey
The purpose of this article is to report on the use of empirically supported treatments (ESTs) among clinical addiction workers, in order to relate the use of ESTs to both perceived agency expectations and worker-level attitudes. We recruited a convenience sample of 120 frontline workers within 4 agencies providing addiction services in St. Louis. The results found that agency expectations were related to clinician's reported use of ESTs, but were unrelated to clinician attitudes. The regression results revealed that reported use of ESTs was associated with openness to ESTs, but was not associated with favoring clinical experience...
November 2016: Psychological Services
https://www.readbyqxmd.com/read/27775403/can-unstructured-clinical-risk-judgment-have-incremental-validity-in-the-prediction-of-recidivism-in-a-non-western-juvenile-context
#11
Takemi Mori, Masaru Takahashi, Daryl G Kroner
Research has consistently shown that actuarial measures are superior to unstructured clinical judgments in predicting recidivism of offenders. However, in a non-Western context, clinical judgment may capture contextually relevant risk-related factors. The purpose of the current research is to investigate the incremental value of clinical risk judgment in a sample of Japanese youths. With a sample of 299 released youths, the relative accuracy of the actuarial predictor (Youth Level of Service/Case Management Inventory [YLS/CMI]) and unstructured clinical judgment (recommendation of placement by psychologists) was examined...
October 24, 2016: Psychological Services
https://www.readbyqxmd.com/read/27775402/youth-psychotherapy-outcomes-in-usual-care-and-predictors-of-outcome-group-membership
#12
Ashley M Smith, Amanda Jensen-Doss
Improving mental health services for youth in usual care (UC) is one of the most critical issues in mental health services research. Identification of change groups in UC (e.g., recovery, improvement, no response, deterioration) can help researchers gain a richer understanding of UC and facilitate efforts to tailor UC to individuals who may not be responding well to treatment. This study used the reliable change index (RCI; Jacobson & Truax, 1991) to examine change groups within youth UC on two parent report outcome measures-symptom severity and functioning-using a large, naturalistic sample of youth (N = 672) treated in UC served at four clinics operating under a large county-wide public mental health authority...
October 24, 2016: Psychological Services
https://www.readbyqxmd.com/read/27775401/provider-perceptions-of-an-integrated-primary-care-quality-improvement-strategy-the-ppaq-toolkit
#13
Gregory P Beehler, Kaitlin R Lilienthal
The Primary Care Behavioral Health (PCBH) model of integrated primary care is challenging to implement with high fidelity. The Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) was designed to assess provider adherence to essential model components and has recently been adapted into a quality improvement toolkit. The aim of this pilot project was to gather preliminary feedback on providers' perceptions of the acceptability and utility of the PPAQ toolkit for making beneficial practice changes...
October 24, 2016: Psychological Services
https://www.readbyqxmd.com/read/27657798/effectiveness-of-ptsd-telehealth-treatment-in-a-va-clinical-sample
#14
Jena L Wierwille, Nicole D Pukay-Martin, Kathleen M Chard, Meredith C Klump
Over the past decade, the Veterans Health Administration has supported multiple national rollouts of evidence-based treatments for mental health disorders. Recent studies have shown, however, that the majority of veterans with mental health diagnoses are not utilizing psychotherapy services. In this article, we attempt to address one of the more commonly known barriers to treatment, distance to care. We do this by comparing the effectiveness of outpatient and telehealth cognitive processing therapy (CPT) and prolonged exposure (PE) Therapy for posttraumatic stress disorder (PTSD) in a Veteran clinical sample...
September 22, 2016: Psychological Services
https://www.readbyqxmd.com/read/27617479/pilot-study-of-a-brief-dialectical-behavior-therapy-skills-group-for-jail-inmates
#15
Kelly E Moore, Johanna B Folk, Emily A Boren, June P Tangney, Sarah Fischer, Shannon W Schrader
Regulating emotions, refraining from impulsive, maladaptive behavior, and communicating effectively are considered primary treatment needs among jail inmates. Dialectical behavior therapy (DBT; Linehan, 1993a) skills address these deficits and have been implemented in long-term correctional settings, but have yet to be adapted for general population inmates in short-term jail settings. This study assessed the feasibility and acceptability of a DBT skills group in a jail setting, as well as its utility in improving coping skills and emotional/behavioral dysregulation...
September 12, 2016: Psychological Services
https://www.readbyqxmd.com/read/27570914/meta-analysis-of-average-symptom-change-in-inpatient-treatment-for-posttraumatic-stress-disorder-in-veteran-and-active-duty-u-s-military-samples
#16
Justin S Campbell, George H Loeffler, Steven Pulos, Annie W Campbell
This study tested the hypothesis that inpatient/residential treatment for PTSD associated with military duty should result in significantly lower PTSD symptoms at patient discharge compared to patient intake. Meta-analysis of effects comparing intake and discharge PTSD symptoms from 26 samples, reported in 16 studies, supported this hypothesis (d = -.73; p < .00001). Moderator analysis indicated between-study variation in PTSD symptom changes was predominantly due to the type of measure used, with the Clinician Administered PTSD Scale producing the largest effect (d = -1...
August 29, 2016: Psychological Services
https://www.readbyqxmd.com/read/27537615/efficacy-of-warrior-renew-group-therapy-for-female-veterans-who-have-experienced-military-sexual-trauma
#17
Lori S Katz
This is a program evaluation of the Warrior Renew treatment protocol delivered in an outpatient therapy group for survivors of military sexual trauma (MST) at a Department of Veterans Affairs medical center. The group was delivered via a manualized protocol with 12 weekly topics. It includes coping skills for affect management (e.g., triggers and anxiety) and addresses unique aspects of MST including anger/resentments because of injustice and lack of closure, betrayal, and self-blame. It also addresses interpersonal factors such as relationship patterns and healthy interpersonal skills...
August 18, 2016: Psychological Services
https://www.readbyqxmd.com/read/27504646/connecting-the-disconnected-preliminary-results-and-lessons-learned-from-a-telepsychology-initiative-with-special-management-inmates
#18
Ashley B Batastini, Robert D Morgan
The use of telepsychology, such as videoconferencing (VC) systems, has been rapidly increasing as a tool for the provision of mental health services to underserved clients in difficult to access settings. Inmates detained in restrictive housing appear to be at an increased risk of experiencing emotional and behavioral disturbances compared to their general population counterparts, yet they are less likely to receive appropriate treatment due to security constraints. The primary purpose of this article is to describe the process of implementing a novel telepsychology intervention specifically designed to offer group therapy to high-security, administratively segregated inmates...
August 2016: Psychological Services
https://www.readbyqxmd.com/read/27504645/recidivism-risk-factors-are-correlated-with-a-history-of-psychiatric-hospitalization-among-sex-offenders
#19
Seung C Lee, R Karl Hanson
Sexual offenders are more likely to have a history of psychiatric hospitalization compared with the general population. This finding suggests that a history of psychiatric hospitalization is a plausible risk factor for the initiation of sexual crimes. It is less clear, however, whether psychiatric hospitalization is associated with risk factors for criminal recidivism. Consequently, the current study examined the correlates of psychiatric hospitalization and its relevance for risk assessment in a sample of sexual offenders on community supervision (N = 947)...
August 2016: Psychological Services
https://www.readbyqxmd.com/read/27504644/specialty-courts-who-s-in-and-are-they-working
#20
Robert D Morgan, Sean M Mitchell, Megan A Thoen, Kelsey Campion, Angelea D Bolaños, Michael A Sustaíta, Steven Henderson
The effectiveness of specialty courts has been well established in the literature; however, previous studies have not taken into account referral biases that may exist based on offenders' race, socioeconomic status (SES), attorney status, and so forth. The current study hypothesized that (a) Participants who are racially diverse, of lower SES, and represented by privately retained attorneys would be referred less frequently to specialty courts, and (b) Participants in specialty courts would evidence reductions in missed court appointments and failed urinary analyses (UAs) compared with peers not enrolled in specialty courts...
August 2016: Psychological Services
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