Community Mental Health Journal最新文献

{"title":"Correction: From Police to Healthcare Provider: A Rapid Review of Transfer of Care Models for Individuals in Mental Distress.","authors":"Martha Canfield, Elena Dimova, Isaac Samuels, Elizabeth Monaghan, Susan McVie, Martin Webber, Elizabeth Hughes","doi":"10.1007/s10597-026-01723-5","DOIUrl":"10.1007/s10597-026-01723-5","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authorized Seclusion, Restraint, and Safeguards in Home and Community Based Medicaid Programs for Children With Serious Emotional Disturbance.","authors":"Genevieve Graaf, Alex Fejer, Monica Cañizares, Anna Unnerstall, Carli Friedman, Jonathan Purtle","doi":"10.1007/s10597-026-01725-3","DOIUrl":"https://doi.org/10.1007/s10597-026-01725-3","url":null,"abstract":"<p><p>1915(c) Home and Community-Based Services (HCBS) Medicaid waivers allow states to finance community-based alternatives to institutional psychiatric care for youth with Serious Emotional Disturbance (SED), including diversion from Psychiatric Residential Treatment Facilities (PRTFs). Although federal HCBS policy emphasizes freedom from coercion and restraint, states define which seclusion, restraint, and restrictive interventions (SR/RI) are permitted and what safeguards apply. Waiver applications therefore provide a systematic source for examining how states structure SR/RI authorization and safety oversight in community settings. This study's objective was to quantify state policies governing SR/RI in SED HCBS waivers, examine changes over time, and compare these policies with PRTF-linked HCBS demonstration programs, which operated from 2007 to 2017. Directed content analysis was applied to 138 waiver applications from 19 state SED programs (approved between 2006 and 2022). A Restrictiveness and Safety Index (RSI) was developed by subtracting authorized SR/RI types from the number of safeguards (e.g., monitoring, reporting, training), with higher scores indicating more safeguards relative to permitted interventions. PRTF demonstration waivers (9 states, 2007-2017) were analyzed separately. Mean RSI was 3.94 (SD = 3.73) for HCBS waivers and 2.62 (SD = 2.52) for PRTF demonstrations. RSI increased in 17 of 19 states, and declined in 2 states. The national HCBS mean rose from 2.18 (2009) to 5.02 for waiver periods approved through 2027, reflecting increased safeguards, reduced SR/RI authorization, or both; PRTF programs increased from 1.63 to 3.42 (2007-2017). HCBS waivers generally specified more safeguards per intervention category than PRTF demonstrations. HCBS waiver policies have shifted toward more safeguards relative to authorized SR/RI. These findings describe policy change only and do not establish reduced SR/RI use or improved outcomes. Further research linking policy to practice and patient outcomes is needed.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deflecting Suicide Calls From Law Enforcement With an Embedded Crisis Line Specialist at a 911 Center: A Synthetic Control Analysis.","authors":"Leonard Swanson, Aaron Gottlieb, Margaret Thomas","doi":"10.1007/s10597-026-01726-2","DOIUrl":"https://doi.org/10.1007/s10597-026-01726-2","url":null,"abstract":"<p><p>Law enforcement are the default responders to suicide-related calls, and law enforcement can escalate mental health crises to hospitalizations, uses of force, and deaths. Mental health crisis lines, such as 988, are an alternative underutilized mental health crisis resource compared to estimated annual mental health-related 911 calls. This study assesses whether embedding a crisis line specialist at a 911 center could reduce suicide-related police responses by transferring 911 calls to a mental health crisis line. A quasi-experimental synthetic control analysis assessed police response rates after embedding a crisis line specialist at a 911 emergency communications center in Mesa, AZ in 2021. Authors used publicly available 911 data from 21 cities to create donor pools for a synthetic control analysis of police responses to suicide calls. Embedding a 911 crisis line specialist was associated with 22.27-47.96 fewer police responses to suicide calls per quarter per 100,000 people, relative to a synthetic control unit. The lower suicide call rate translated to an estimated 228.1-490.6 police hours reduced per quarter in Mesa. Mental health call definitions were not standardized enough across jurisdictions to warrant a cross-site comparison. The embedded presence of a crisis line specialist at a 911 center may facilitate interdisciplinary trust that enabled full implementation of a call routing to crisis line program. Emergency communication centers should consider embedding crisis line staff to divert calls from police, limiting the expansion of the police footprint.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Proactive Smoking Cessation Induction Interventions in a Certified Community Behavioral Health Clinic: A Pilot Type 2 Hybrid Effectiveness-Implementation Study.","authors":"Sandra Japuntich, Melissa Adkins-Hempel, Nathalia Gutierrez Sacasa, Carina Lundtvedt, Sara Becker, Sarah Helseth, Rebekah Pratt, Jennifer Tidey, Shira Dunsiger, A Eden Evins, Steven Fu","doi":"10.1007/s10597-026-01727-1","DOIUrl":"10.1007/s10597-026-01727-1","url":null,"abstract":"<p><strong>Background: </strong>People with mental health and substance use disorders have a high prevalence of tobacco use. Community mental health clinics, including certified behavioral health clinics, are a key entry point where people with mental health and substance use disorders receive care. Implementation strategies to deliver tobacco use disorder treatment in community health clinics are needed. Two promising strategies supported by clinical practice guidelines are proactive outreach (reaching out to people in a health system who smoke and providing treatment) and the 5As (mental health providers ask about tobacco use, advise to quit, assess interest in quitting, assist with cessation, and arrange for follow up).</p><p><strong>Methods: </strong>The current study is a pilot type two hybrid effectiveness-implementation trial conducted in a certified behavioral health clinic. The clinic received a multilevel implementation strategy comprising didactic training, performance feedback and organizational coaching to promote delivery of the 5As at intake and treatment planning visits. Clients of the organization who consented to the study also received three proactive outreach contacts over nine months offering connections to cessation counseling and medication. Clients completed study surveys at pre-implementation, implementation launch, and at 3-, 6- and 12-months post implementation launch. Providers completed surveys before and after training and at 3-, 6-, 9-, and 12-months post-training. Primary outcomes were feasibility and acceptability of the client intervention and organization implementation strategies. Secondary outcomes were preliminary indicators of patient effectiveness.</p><p><strong>Results: </strong>Client recruitment, intervention delivery, and study assessment were feasible, with 49 client participants recruited over 3 months. Outreach completion rates were higher for earlier calls and ranged from 67-94%. Retention was high with 84% of client participants completing the primary outcome assessment. The implementation strategy was also successful, with greater than 50% attendance at study trainings (77 of 125 providers attended), and feasible delivery of organizational coaching (coaching delivered to all 3 clinic sites) and performance feedback (all 3 clinic sites receiving monthly performance feedback). Acceptability ratings were high for both the intervention and the implementation strategy. Staff survey completion waned over time (completion rates 51-72%) and turnover was high. Client CO-confirmed abstinence rate at 12 months post enrollment was 8%.</p><p><strong>Conclusions: </strong>Implementing proactive tobacco use disorder treatment in a certified community behavioral health clinic was feasible and acceptable. A full scale trial to test the effectiveness of the study interventions and implementation strategy is warranted.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Stigma and Support: Realist Evaluation of Support for Migrant Informal Caregivers of Loved Ones with Mental Illness.","authors":"Malin H L Hollaar, Puck Buis, Maria Smedts, Özgül Uysal-Bozkir, Paul L Kocken, Semiha Denktaş","doi":"10.1007/s10597-026-01728-0","DOIUrl":"https://doi.org/10.1007/s10597-026-01728-0","url":null,"abstract":"<p><p>'They Are Not Mental?!' (TANM) is a peer educational intervention aimed at supporting migrant informal caregivers of people with mental illness. In the short term, the intervention focuses on promoting openness about mental health, increasing understanding of mental illness and caregiver support, and fostering trust with the healthcare sector. This study examined whether stakeholders perceived changes in these short-term outcomes and which intervention elements contributed to these changes. A realist evaluation was conducted to refine our initial program theory, through 27 interviews with ambassadors, program staff and participants, 10 observations of peer educational sessions and 76 post-questionnaires completed by participants. Findings were synthesized into context-mechanism-outcome configurations forming a refined program theory, which was validated in a focus group with four representatives of the coordinating organizations. Across groups, those involved in TANM perceived progress towards its short-term outcomes, but levels of openness and subsequent help-seeking varied. These differences reflected variation in contextual factors, namely the presence of shared cultural frames, prior acquaintance between ambassadors and participants, shared language and continued availability of ambassadors and the Family-Experience-Expert beyond the formal implementation period. Trust was fostered through these factors and enabled more transformative processes such as peer education and sharing of personal experiences, which normalized mental health discussions and help-seeking behaviours. Ambassadors as trusted peers are central to achieve TANM's aims of encouraging openness, knowledge exchange, and help-seeking. To sustain its impact, future implementations should ensure ambassadors are peers and are structurally supported. Moreover, these types of interventions need complementary, system-level actions - including investments in culturally sensitive care practices.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Mental Health Workforce Shortages Through Community Health Worker Training.","authors":"Amanda I Aguila Gonzalez, Ton Miras Neira, Angela Scott, Hillary Zwetzig, Elizabeth Ablah","doi":"10.1007/s10597-026-01721-7","DOIUrl":"https://doi.org/10.1007/s10597-026-01721-7","url":null,"abstract":"<p><strong>Background: </strong>Mental health workforce shortages limit access to care, with nearly half of adults with mental illness receiving no treatment. This pilot study examined the implementation and outcomes of a community-based mental health training for community health workers (CHWs) to improve applied knowledge, enhance mental health understanding, build confidence in interacting with individuals with mental illness, and assess workforce readiness.</p><p><strong>Methods: </strong>Participants completed a 40-hour in-person training developed collaboratively with Mental Health America of South Central Kansas, Communities Organizing to Promote Equity, and the University of Kansas School of Medicine-Wichita. Pre-, post-, and follow-up surveys assessed knowledge, confidence, preparedness, satisfaction, and employment intentions.</p><p><strong>Results: </strong>Sixty individuals completed the training. Participants demonstrated improvements in knowledge of CHW, mental health, and mental illness. Workforce readiness was high, and 17% of follow-up respondents were employed in CHW or related roles. Qualitative feedback emphasized the training's relevance, cultural responsiveness, and career impact.</p><p><strong>Discussion: </strong>This training provided comprehensive content through an interactive, skill-building, and applied framework. This is the first study to describe the curriculum and outcomes of such a program, and the findings are promising.</p><p><strong>Conclusion: </strong>This pilot illustrates the value of integrating mental health content into CHW training models. The curriculum is adaptable for statewide and national implementation, including virtual or hybrid formats to reach rural and underserved areas. Findings suggest that mental health-focused CHW training is a scalable strategy to address workforce shortages and improve access to culturally responsive care, providing early evidence for a workforce development model that can expand community-based mental health capacity.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Depression on Medical Mistrust and Mental Health Service Use in Black Adults.","authors":"Aderonke Bamgbose Pederson, Alya Azman, Jasmin R Brooks Stephens, Devan Hawkins","doi":"10.1007/s10597-026-01713-7","DOIUrl":"10.1007/s10597-026-01713-7","url":null,"abstract":"<p><p>Major depressive disorders are ranked third in the global burden of disease by the World Health Organization. The association between mistrust in Black adults and its effect on health service utilization is well established. However, research on mistrust and specific utilization of mental health services is limited. This study examines role of depression in the association between mistrust and mental health service utilization. We conducted an online cross-sectional survey among Black adults (n = 1042) using the Group-Based Medical Mistrust Scale, the General Help-Seeking Questionnaire, and the Patient Health Questionnaire-9. Ordinal logistic regression models were used to assess the relationship between medical mistrust and its association with willingness to use mental health services. We added depressive symptoms to the model to assess how depressive symptoms may impact the primary association. Black adults with moderate levels of mistrust reported increasing levels of willingness to seek help compared to the lowest levels of mistrust (Quartile 2: OR = 3.73; 95% CI 2.69, 5.19; p < 0.001 and Quartile 3: OR = 5.02; 95%CI 3.60, 6.99; p < 0.001), whereas Black adults at the highest level of mistrust were less likely to seek help from a mental health professional than quartiles 2 and 3 (Quartile 4 OR = 2.38; 95%CI = 1.75, 3.25; p < 0.001) in a model that adjusted for age, sex, and education. The inclusion of depressive symptoms in the model resulted in a 25.7% average decrease in willingness to seek help from a mental health professional. Depressive symptoms may have an impact on the effect of medical mistrust and its association with willingness to seek mental health services for Black adults. Interventions designed to increase service utilization and engagement should consider the role of medical mistrust and the role of depressive symptoms.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Feasibility Study of a Virtual Lifestyle Intervention for Individuals with Schizophrenia.","authors":"Julia Browne, Brittany M Gouse, Janice Weinberg, Amelia Blanton, Gabrielle Simons, Olivia Thomas, Luisa Camacho, Lisa LeFeber, Nandini Agarwal, Abigail L Donovan, Corinne Cather, Hannah E Brown","doi":"10.1007/s10597-026-01722-6","DOIUrl":"https://doi.org/10.1007/s10597-026-01722-6","url":null,"abstract":"<p><p>Individuals with schizophrenia experience early mortality from physical health conditions. Lifestyle interventions are effective; however, barriers interfere with in-person program participation. This two-period randomized cross-over pilot study evaluated the feasibility and acceptability of a virtual lifestyle intervention in n = 19 individuals with schizophrenia. Secondary analyses explored outcome changes between intervention and control groups. Results indicated modest retention (58%) and intervention engagement (67%) for Period 1 (weeks 1-11) with especially low rates in Period 2 (weeks 12-22; retention: 37%, intervention engagement: 50%). Of participants with satisfaction data (n = 6), nearly all participants reported that the intervention was helpful and easy to follow. Secondary outcome changes during Period 1 favored the intervention group on nutritional knowledge, physical activity, mental health, physical health, exercise motivation, self-esteem, and weight/body mass index (Cohen's ds: 0.35-2.09). Due to attrition and sparsity of data, neither a cross-over design analysis nor examination of outcome changes during Period 2 was conducted. Although satisfaction results and outcome changes from Period 1 were encouraging, the low rates of retention and intervention engagement in Period 2 raise feasibility concerns. Intervention development research is needed to determine whether modifications to this virtual lifestyle intervention would enhance feasibility and acceptability for people with schizophrenia.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I'm Not the Only One\": A Qualitative Study on the Experiences of Peer Support for Bipolar Disorder in Chile.","authors":"Alemka Tomicic, Javiera Duarte, María José Valenzuela, Marcela Verni, Bernardo Lima, Issis Herrera, Francisco Encina, Flavia Gal, Rodrigo Valenzuela","doi":"10.1007/s10597-026-01718-2","DOIUrl":"https://doi.org/10.1007/s10597-026-01718-2","url":null,"abstract":"<p><p>Bipolar disorder (BD) is a chronic mental health condition often associated with emotional isolation, stigma, and social disengagement. While pharmacological and psychotherapeutic interventions remain central to treatment, peer support has emerged as a promising complementary approach that fosters agency, psychosocial recovery, and affective connection. This study explored the perceived effectiveness of Peer Support Groups (also known as Peer Support Circles or CAPs in Spanish)-a pioneering, community-based intervention in Chile for individuals diagnosed with bipolar disorder (BD). The research examined participants' experiences, focusing on relational benefits, challenges, and group dynamics. A qualitative design was used. In-depth semi-structured interviews were conducted with 17 participants (7 peer supporters and 10 peer participants). Data were analyzed using Constructivist Grounded Theory (CGT) and intersubjective validation was performed within the research team. Three main analytical categories were identified: (1) Benefits of participating in the CAPs, (2) Conditions that enable CAPs' effective functioning, and (3) Challenges and limitations CAPs face. The central phenomenon that emerged was the CAPs' capacity to lower the barrier of isolation commonly experienced by people with BD through relational safety and peer-driven meaning-making. CAPs operate not only as spaces for support and psychoeducation but also as platforms for identity reconstruction and community reintegration. Findings highlight the value of peer-led models for advancing recovery-oriented care and the importance of institutional support to sustain them and maximize their impact.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities to Strengthen Implementation of the Medicaid Behavioral Health Home Model for Children with Serious Emotional Disturbance: A Systematic Review.","authors":"Teresa Winning Verry, Seth Eisen, Sarah Farabi, Rebecca Lengnick-Hall, Nathaniel A Dell","doi":"10.1007/s10597-026-01709-3","DOIUrl":"https://doi.org/10.1007/s10597-026-01709-3","url":null,"abstract":"<p><strong>Background: </strong>Children and adolescents with Serious Emotional Disturbance (SED) comprise 7-12% of the total U.S. youth population. Untreated, they risk negative outcomes such as school dropout, juvenile justice involvement, frequent hospitalization, and long-term residential placement. Integrated care approaches, like Medicaid's Behavioral Health Home (BHH), are considered effective for coordinating care and improving outcomes among adults, but less evidence is available for youth.</p><p><strong>Objectives: </strong>Using the Consolidated Framework for Implementation Research (CFIR), identify and synthesize literature on barriers and facilitators influencing implementation of Medicaid BHHs for children with SED.</p><p><strong>Methods: </strong>Following PRISMA guidelines, three electronic databases and relevant reference lists were searched for U.S. primary research articles published from 2010 to 2026. Inclusion criteria included documented barriers and facilitators to BHH implementation for children with SED. States with Medicaid BHHs serving youth were identified, and relevant grey literature was included if it met the inclusion criteria.</p><p><strong>Results: </strong>Of the 4,700 references that were imported into Ryyan software for screening, 1,529 were duplicates. Following review of the remaining 3,171 titles and abstracts, 3144 were excluded for being unrelated to the Medicaid BHH intervention, focusing on adult care, or having non-empirical designs. The remaining twenty-seven full-text studies were assessed by two independent reviewers. All 27 articles were excluded because they did not meet the inclusion criteria, including ineligible intervention (not a Medicaid BHH intervention), ineligible population, ineligible publication type, or ineligible outcome. Consequently, no studies were included in the review. Data extraction and deductive coding according to the CFIR were not possible.</p><p><strong>Conclusion: </strong>Despite the widespread use of BHHs, no studies were found describing the unique factors affecting implementation for children with SED. Insights may be drawn from related models, adult BHHs and evidence based parenting programs. Future research should explore specific barriers and facilitators for children's BHH implementation.</p><p><strong>Systematic review registration: </strong>Prospero CRD42025645796.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}