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Psychological Services

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https://www.readbyqxmd.com/read/28301173/psychotherapy-practices-for-veterans-with-ptsd-among-community-based-providers-in-texas
#1
Erin P Finley, Polly H Noël, Shuko Lee, Elizabeth Haro, Hector Garcia, Craig Rosen, Nancy Bernardy, Mary Jo Pugh, Jacqueline A Pugh
Significant changes in national health policy, like the Veterans Choice Act, have created growing opportunities for veterans to receive care outside of the Veterans Administration (VA), yet little is known about the attitudes and practices in PTSD care of community providers, particularly their use of evidence-based psychotherapies (EBPs). The authors assessed psychotherapy practices of community providers serving veterans with PTSD in Texas. They surveyed Texas mental health providers regarding their patient population, practice setting, and posttraumatic stress disorder (PTSD)-related screening, assessment, and treatment practices...
March 16, 2017: Psychological Services
https://www.readbyqxmd.com/read/28287774/evaluation-of-a-shared-decision-making-intervention-on-the-utilization-of-evidence-based-psychotherapy-in-a-va-outpatient-ptsd-clinic
#2
Jonathan D Hessinger, Melissa J London, Sheila M Baer
The Veterans Health Administration (VHA) has continued to emphasize the availability, access, and utilization of high quality mental health care particularly in the treatment of posttraumatic stress disorder (PTSD). While dissemination and availability of evidence-based psychotherapies (EBPs) have only increased, treatment engagement and utilization have continued to be oft-noted challenges. Administrators, researchers, and individual clinicians have continued to develop and explore novel systemic and individualized interventions to address these issues...
March 13, 2017: Psychological Services
https://www.readbyqxmd.com/read/28287773/alcohol-use-and-service-utilization-among-veterans-in-treatment-for-schizophrenia
#3
Eric R Pedersen, Wenjing Huang, Amy N Cohen, Alexander S Young
Comorbid alcohol and drug use disorders are treatable and have substantial effects on outcomes and health care utilization in people with schizophrenia. While these substance use disorders (SUDs) are thought to be common in patients with schizophrenia, it has been difficult to characterize prevalence and treatment utilization of this population, since administrative data and medical records may not identify patients with schizophrenia who have an SUD diagnosis. In this study, we used an in-person, population-based survey of 801 individuals with schizophrenia who were in treatment within the Veterans Health Administration (VHA) to inform service delivery for patients with these problems...
March 13, 2017: Psychological Services
https://www.readbyqxmd.com/read/28287772/prevalence-of-internalizing-externalizing-and-psychotic-disorders-among-low-risk-juvenile-offenders
#4
Tamara Kang, James M Wood, Jennifer Eno Louden, Elijah P Ricks
To effectively allocate mental health services, agencies must be able to predict what proportion of youth will have a mental disorder. Prevalence estimates are available for juvenile offenders at intake, detained youth, and incarcerated youth, but there is limited research on prevalence of mental disorders for juvenile offenders who are low-risk to reoffend, many of whom are first time offenders (i.e., low-risk youth). To complicate matters, ethnic minorities are disproportionately represented in the justice system, and specifically, little is known about culturally sensitive clinical interviewing...
March 13, 2017: Psychological Services
https://www.readbyqxmd.com/read/28287771/outreach-to-veterans-with-serious-mental-illness-who-are-lost-to-care-predictors-of-outreach-contact
#5
Cynthia Z Burton, Kristen M Abraham, Chelsea M Grindle, Stephanie Visnic, Samantha M Hack, John F McCarthy, Nicholas W Bowersox
This evaluation identified factors associated with outreach contact to veterans with serious mental illness (SMI) who were lost to Veterans Health Administration (VHA) care. From March 2012 through September 2013, the VHA SMI Re-Engage initiative identified 4,241 veterans for reengagement outreach; 31% of whom were successfully contacted. Higher odds of contact was associated with older age, married status, no history of homelessness, bipolar disorder diagnosis, having no recent inpatient stay, living closer to a VHA medical center, fewer years since last visit, and having a service-connected disability...
March 13, 2017: Psychological Services
https://www.readbyqxmd.com/read/28287770/differences-in-suicide-and-death-ideation-among-veterans-and-nonveterans-with-serious-mental-illness
#6
Danielle R Jahn, Anjana Muralidharan, Amy L Drapalski, Clayton H Brown, Li Juan Fang, Alicia Lucksted
Individuals with serious mental illness and veterans are two populations at elevated risk for suicide; however, research has not examined whether veterans with serious mental illness may be at higher suicide risk than nonveterans with serious mental illness. Additionally, overlapping risk factors for suicide in these populations may account for differences in suicide-related outcomes between these groups. Therefore, the aim of this study was to identify differences in death ideation and suicide ideation among veterans and nonveterans with serious mental illness...
March 13, 2017: Psychological Services
https://www.readbyqxmd.com/read/28287769/increased-utilization-of-prolonged-exposure-and-cognitive-processing-therapy-over-time-a-case-example-from-a-large-veterans-affairs-posttraumatic-stress-disorder-clinic
#7
Natalie E Hundt, Juliette M Harik, Karin E Thompson, Terri L Barrera, Shannon Reynolds Miles
Prior single-site and regional studies have documented difficulties in implementing prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) into practice in Veterans Affairs (VA) Medical Centers, estimating that between 6% and 13% of VA patients with PTSD receive PE or CPT (Lu, Plagge, Marsiglio, & Dobscha, 2016; Mott et al., 2014; Shiner et al., 2013). However, these studies examined data from fiscal years 2008-2012, and therefore may not reflect more recent utilization patterns...
March 13, 2017: Psychological Services
https://www.readbyqxmd.com/read/28125245/are-expectations-for-community-mental-health-increasing-among-older-adults-in-china
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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