Journal of Behavioral Health Services & Research最新文献

Implementing Mental Health Task Sharing in Community-Based Services to Engage Older Chinese Immigrants in the U.S. in Mental Health Services: A Qualitative Study. 在社区服务中实施心理健康任务分担以吸引在美华人老年移民参与心理健康服务：一项定性研究。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-30 DOI: 10.1007/s11414-026-09994-2

Yuanyuan Hu, Whitney Wortham, Victoria Stanhope

{"title":"Implementing Mental Health Task Sharing in Community-Based Services to Engage Older Chinese Immigrants in the U.S. in Mental Health Services: A Qualitative Study.","authors":"Yuanyuan Hu, Whitney Wortham, Victoria Stanhope","doi":"10.1007/s11414-026-09994-2","DOIUrl":"https://doi.org/10.1007/s11414-026-09994-2","url":null,"abstract":"Older Chinese immigrant adults in the United States, the fastest-growing population among older immigrants, have low service utilization rates despite a high prevalence of mental health disorders. Mental health task-sharing, the delegation of low-intensity mental health tasks to non-licensed providers in community-based settings, has been implemented to improve access, yet research on engaging older Chinese immigrants remains limited, particularly in immigrant-serving community-based organizations. This study aimed to identify barriers and facilitators to engage older Chinese immigrants in the implementation of mental health task-sharing in community-based social services. Semi-structured interviews were conducted in 2023 with 30 frontline providers and administrators from 17 community-based organizations, including older adult centers, social adult day care, and Naturally Occurring Retirement Communities in New York City. Two coders coded transcripts independently and conducted thematic analysis using ATLAS.ti 24, guided by the Consolidated Framework for Implementation Research (CFIR). Results suggest barriers to engagement included community-level stigma and cultural beliefs, with older Chinese immigrant adults fearing negative social consequences within close-tie communities. Facilitators included building rapport, rephrasing mental health terminology, connecting mental health and physical health, and offering payment assistance. Addressing stigma and cultural beliefs was crucial for engagement in task-sharing implementation. Older Chinese immigrants can be effectively engaged by using culturally informed strategies to facilitate mental health task-sharing implementation.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822646","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}

引用次数: 0

Universal Suicide Screening in the Hospital Setting: Risk and Implications. 普遍自杀筛查在医院设置：风险和影响。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-27 DOI: 10.1007/s11414-026-09997-z

Mairin Cotter, Dinan Noor, Kimberly S Barrier, Kailey N Clinton, John B Britt, Cynthia W Karlson

{"title":"Universal Suicide Screening in the Hospital Setting: Risk and Implications.","authors":"Mairin Cotter, Dinan Noor, Kimberly S Barrier, Kailey N Clinton, John B Britt, Cynthia W Karlson","doi":"10.1007/s11414-026-09997-z","DOIUrl":"https://doi.org/10.1007/s11414-026-09997-z","url":null,"abstract":"Suicide risk screening is a pivotal step in improving hospital safety and quality of care, with the potential to prevent suicide and facilitate mental health intervention. The Ask Suicide-Screening Questions (ASQ) is a brief, validated tool for pediatric and adult populations. This retrospective cross-sectional study sought to identify prevalence rates of suicide risk among pediatric and adult patients at an academic medical center in the Southeastern United States, examine demographic factors associated with ASQ outcomes, and compare suicide risk rates across presenting medical diagnoses. The ASQ was administered to patients 12 years and older upon admission to the ED or inpatient unit. Partial proportional odds modeling was used to examine associations between demographic factors and suicide risk. Chi-square analyses were used to identify differences in suicide risk across medical diagnoses. On the ASQ, 5% of pediatric patients (12-24 years) and 1% of adults (25-113 years) screened as potential risk, and 1% of both samples screened as imminent risk. Higher-risk groups included early adolescents (12-14 years), young adults (25-34 years), pediatric females, adult males, and adult patients with government insurance or no insurance The psychiatric/substance use category had significantly higher rates of suicide risk compared to other diagnostic categories. Among non-psychiatric pediatric patients, neurological, chronic condition, and general medical diagnoses exhibited higher potential risk than women's health, trauma, and orthopedic diagnoses. Results highlight need for universal suicide risk screening in hospital settings and indicate elevated risk among younger adolescents, young adults, and adults with government insurance or no insurance.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786748","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}

引用次数: 0

Identifying Staff Behaviors and Client Outcomes of High-Performing Staff at a National Homeless Hotline for Veterans. 识别工作人员的行为和高绩效工作人员的客户结果在全国无家可归的热线退伍军人。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-27 DOI: 10.1007/s11414-026-09996-0

Jack Tsai, Laura Witte, Aerin DeRussy, Amanda Burden, Ann Elizabeth Montgomery

{"title":"Identifying Staff Behaviors and Client Outcomes of High-Performing Staff at a National Homeless Hotline for Veterans.","authors":"Jack Tsai, Laura Witte, Aerin DeRussy, Amanda Burden, Ann Elizabeth Montgomery","doi":"10.1007/s11414-026-09996-0","DOIUrl":"https://doi.org/10.1007/s11414-026-09996-0","url":null,"abstract":"Crisis call centers serve important functions for public health. With the rise of artificial intelligence (AI) and potential roles in crisis call centers, it is important to examine what human behaviors influence the effectiveness of call center outcomes. The authors studied the U.S. Department of Veterans Affairs (VA) National Call Center for Homeless Veterans (NCCHV) to (1) examine differences in staff behaviors between top and average performers and (2) evaluate client outcomes of top-performing and average-performing staff. Of 159 NCCHV staff, 10 top-performing and 10 average-performing staff were randomly selected based on their annual performance ratings from fiscal years 2020-2023. For each NCCHV staff selected, three audio-recorded calls were sampled and blindly rated by researchers on a list of nine coded behaviors (e.g., empathy, thoroughness). Healthcare outcomes of clients served by these NCCHV staff were examined through analysis of their VA medical records data. Results found that top-performing staff were significantly more likely to be rated as tactful and empathetic, thorough with information gathering, and less likely to be rated as providing inappropriate advice and being forceful/rigid with clients than average-performing staff. Clients served by top-performing NCCHV staff showed significant increases in VA healthcare use including outpatient healthcare and homeless services after calling NCCHV which were not observed in clients served by average-performing NCCHV staff. Together, these findings suggest human behaviors of homeless call center staff influence client engagement with care, emphasizing the importance of staff training and caveating any potential use of AI in these call centers.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786659","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}

引用次数: 0

Police and Behavioral Health Professionals' Experiences with a Hybrid Co-response Approach to Mental Health Crisis Intervention: Qualitative Findings. 警察和行为健康专业人员在心理健康危机干预中采用混合共同反应方法的经验：定性研究结果。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-23 DOI: 10.1007/s11414-026-09995-1

Anna Davidson Abella, Kimberly Menendez, Kelsey Greenfield, Monica Landers

{"title":"Police and Behavioral Health Professionals' Experiences with a Hybrid Co-response Approach to Mental Health Crisis Intervention: Qualitative Findings.","authors":"Anna Davidson Abella, Kimberly Menendez, Kelsey Greenfield, Monica Landers","doi":"10.1007/s11414-026-09995-1","DOIUrl":"https://doi.org/10.1007/s11414-026-09995-1","url":null,"abstract":"As initiatives to address mental health crises are expanding throughout the United States, many efforts are focused on police, who often respond first to these emergencies. Co-response models have grown substantially over the past several decades. However, there is a limited evidence base for hybrid models that pair in-person police officers with virtual, on-demand behavioral health professionals (BHPs). This hybrid modality is important to assess given the increased use of telehealth for behavioral health services more generally to improve accessibility. Drawing from semi-structured interviews with 21 co-responders (police officers, n = 15; BHPs, n = 6) involved in a hybrid co-response program in Central Florida, this study provides insights into co-responders' experiences with the partnership and perceptions of the model's benefits and challenges. Findings revealed that co-responders valued the partnership for providing on-scene mental health support and assessment, real-world training during live emergencies, safety for both partners, and promoting trust with individuals in crisis. The hybrid model expanded service connections beyond mental health crises for substance use, grief counseling, and housing support. However, differing views on averting involuntary mental health examinations highlighted role conflicts rooted in liability concerns, alongside challenges such as securing consent for virtual consultations and limited partnership interactions. These data can guide agencies in refining hybrid models to align with frontline perspectives, especially in the absence of standardized interprofessional policies. Overall, this study has implications for broader behavioral health co-response teams that may involve other partners, such as paramedics in substance use crises.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786669","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}

引用次数: 0

Implementing a Just-in-Time Precepting Model in Two Integrated Behavioral Health Programs: A Response to the COVID-19 Mental Health Surge. 在两个综合行为健康项目中实施及时预警模型：对COVID-19心理健康激增的回应

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-10-16 DOI: 10.1007/s11414-025-09974-y

Andrea M Shamaskin-Garroway, Tziporah Rosenberg

{"title":"Implementing a Just-in-Time Precepting Model in Two Integrated Behavioral Health Programs: A Response to the COVID-19 Mental Health Surge.","authors":"Andrea M Shamaskin-Garroway, Tziporah Rosenberg","doi":"10.1007/s11414-025-09974-y","DOIUrl":"10.1007/s11414-025-09974-y","url":null,"abstract":"The COVID-19 pandemic led to ongoing unmet demand for mental health services, with integrated behavioral health (BH) in primary care facing challenges due to reduced in-person consultations. Although telehealth helped maintain access, opportunities for collaboration in resident precepting clinics were limited. The authors developed a program in two academic primary care practices in 2021-2022, adapting the BH clinician schedules to support regular, timely consultation during resident precepting clinics, while balancing financial sustainability in the clinical sites' fee-for-service payment models. BH collaboration time was consolidated into a single clinic session to align with resident precepting clinics. BH clinicians tracked data related to consult volume, source, clinical domain, time spent, disposition, and direct patient contact. Preliminary data suggests that regular availability and accessibility of BH clinicians contributed to consultation by multiple medical team members across two practices. This flexible scheduling improved collaboration between medical and BH team member and maintained care access.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"313-320"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309646","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}

引用次数: 0

Healthcare Utilization in the Year Before Death By Suicide: A Multinomial Approach. 自杀死亡前一年的医疗保健利用：多项方法

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-11-03 DOI: 10.1007/s11414-025-09978-8

Austin Porter, Katy Allison, Srinivasa B Gokarakonda, Nakita Lovelady, Donald McCormick, Nichole Stanley, J Mick Tilford

{"title":"Healthcare Utilization in the Year Before Death By Suicide: A Multinomial Approach.","authors":"Austin Porter, Katy Allison, Srinivasa B Gokarakonda, Nakita Lovelady, Donald McCormick, Nichole Stanley, J Mick Tilford","doi":"10.1007/s11414-025-09978-8","DOIUrl":"10.1007/s11414-025-09978-8","url":null,"abstract":"Suicide prevention is a critical public health priority. The opportunity to intervene with this population is often in the primary care setting, but many at-risk individuals do not seek treatment. This study examines demographic differences in healthcare utilization patterns among suicide decedents, categorized into three groups: decedents who accessed care for mental health conditions, decedents who accessed care for non-mental health conditions, and decedents who did not access care. Data from the Arkansas All-Payers Claims Database (2013-2021) were linked to vital records to identify adult decedents who died by suicide. Healthcare utilization was categorized based on insurance claims filed in the year before death. Multinomial logistic regression was used to identify predictors of healthcare utilization, including age, gender, race, education, marital status, and rurality. Among 1678 decedents, 38.9% accessed care for mental health conditions, 23.5% accessed care for non-mental health conditions, and 37.5% did not access care in the year before death. Younger decedents (18-44 years) were 49% less likely to access mental health services and 81% less likely to access non-mental health services compared to seniors (65+ years; p < 0.0001). Men were 50% less likely to access mental health services than women (p < 0.0001). African-Americans were more likely to access care for non-mental health conditions (p = 0.01). Identifying decedent characteristics of suicide based on healthcare utilization can help develop targeted interventions for this population. Additional efforts should be made to encourage young people to seek healthcare more regularly, particularly during periods of severe stress.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"291-299"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439891","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}

引用次数: 0

A Qualitative Analysis of Organizational Practices to Support Peer Support Workers in The Substance Use Disorder Recovery Field. 物质使用障碍康复领域支持同伴支持工作者的组织实践的定性分析。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-11-04 DOI: 10.1007/s11414-025-09980-0

Sarah J Miller, Sarah Grace Frary, Eleanor Wu, Wendy Chu, Magdalena Moskal, Elizabeth Bodalski, Sayward E Harrison

{"title":"A Qualitative Analysis of Organizational Practices to Support Peer Support Workers in The Substance Use Disorder Recovery Field.","authors":"Sarah J Miller, Sarah Grace Frary, Eleanor Wu, Wendy Chu, Magdalena Moskal, Elizabeth Bodalski, Sayward E Harrison","doi":"10.1007/s11414-025-09980-0","DOIUrl":"10.1007/s11414-025-09980-0","url":null,"abstract":"Peer support workers (PSWs) play a key role in the substance use disorder (SUD) recovery field. According to organizational support theory, organizational actions and policies are key factors that promote perceived support and positive job-related outcomes. However, limited qualitative research has examined the construct of perceived organizational support from the perspective of PSWs working in the SUD recovery field. This study sought to determine what organizational actions and policies are perceived as supportive for PSWs. Semi-structured qualitative interviews were conducted with 25 PSWs actively working in the recovery field in South Carolina. Participants were asked \"How does your employer or organization support you in the work that you do?\" and \"How could your organization support you better?\" Interviews were recorded and transcribed verbatim. A team-based, rapid qualitative analysis approach was used to analyze data. Themes were identified and mapped onto existing guidelines for incorporation of PSWs into addiction medicine settings. PSWs reported that organizations can foster organizational support for PSWs through valuing PSWs as people with lived experiences. PSWs noted important supports such as living wages, insurance, job-related resources, and high-quality training and supervision. In addition, PSWs described how autonomy and reduced workload enable PSWs to optimize their time. Implications for organizations employing PSWs and recommended best practices are discussed.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"254-272"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of Delta-8 THC and the Impact of a Brief Educational Video Intervention for College Students. 大学生Delta-8 THC认知及简短教育视频干预的影响

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-11-19 DOI: 10.1007/s11414-025-09983-x

Destin Rothe, Erica K Yuen, Kathleen A Moore, Cynthia E Gangi, Mary Martinasek

{"title":"Perceptions of Delta-8 THC and the Impact of a Brief Educational Video Intervention for College Students.","authors":"Destin Rothe, Erica K Yuen, Kathleen A Moore, Cynthia E Gangi, Mary Martinasek","doi":"10.1007/s11414-025-09983-x","DOIUrl":"10.1007/s11414-025-09983-x","url":null,"abstract":"Delta-8 THC is a psychoactive cannabinoid typically synthesized from hemp, with similar intoxicating effects as delta-9 THC. Surging public interest alongside the lack of federal regulation of delta-8 THC has led to an unclear legal landscape and increasing safety concerns. Educating young adults about the dangers of delta-8 THC is imperative. The current study investigated the effects of a brief educational video about delta-8 THC for college students. First, to help develop the intervention, an exploratory online survey was administered (N = 291) to gather information about perceptions of delta-8 THC and motivations for use. Mixed-methods analysis indicated that many students perceive delta-8 THC to have weaker (less intense, shorter-lasting) effects while being beneficial for mental and physical health. A strong motive for consumption was to enhance positive feelings, while conformity was a significantly weaker motive. These results informed the development of an educational video for students to highlight the risks of delta-8 THC and improve decision-making. Participants (N = 120) were randomly assigned to watch either a brief educational video about delta-8 THC or an unrelated control video about attending college. Results found that the educational video increased knowledge about delta-8 THC across all students, and lowered intentions to use delta-8 THC specifically for students who reported prior but not recent use of the substance. Perceived benefits, perceived costs, and attitudes towards legislation were not affected. Overall, results demonstrate support for the format of a brief stand-alone video intervention to increase knowledge and reduce behavioral intentions regarding delta-8 THC.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"321-336"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Depression Identification and Stratification with a Claims-Based Analytical Framework. 以索赔为基础的分析框架加强抑郁症的识别和分层。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-09-17 DOI: 10.1007/s11414-025-09972-0

Andrey A Popkov, Tyson S Barrett, Jason Hohl, Amber Shergill, Susan L Deakin, Melissa Perry

{"title":"Enhancing Depression Identification and Stratification with a Claims-Based Analytical Framework.","authors":"Andrey A Popkov, Tyson S Barrett, Jason Hohl, Amber Shergill, Susan L Deakin, Melissa Perry","doi":"10.1007/s11414-025-09972-0","DOIUrl":"10.1007/s11414-025-09972-0","url":null,"abstract":"Depression, a prevalent health condition, substantially impacts both socioeconomic outcomes and individual wellbeing. Despite the availability of diagnostic tools, existing approaches for identifying depression severity often rely on single-indicator approaches, limiting accuracy. This retrospective study evaluates a multi-parameter analytics-enabled Identification and Stratification (IDS) framework designed to improve depression identification and severity stratification by leveraging health insurance claims and electronic health record data. For the evaluation, Highmark Health dataset was used, consisting of records for members aged 18 + with at least one healthcare encounter. The IDS framework identified 720,882 members with depression (16.6% of the population). The framework identified 258,206 more members (5.9% of the population) compared to using diagnoses alone. The stratification rules revealed variability in prevalence, with 5.0% mild, 8.5% moderate, 2.2% severe, with the remaining 0.9% in unknown, remission, or minimal. The IDS rules escalated 46% of mild and 19% of moderate cases to higher severity compared to single indicator assessments. Expenses for severe depression were, on average, 2.5 times higher than for minimal. The IDS framework demonstrated utility in identifying members with depression by linking fragmented data sources. Aligning multiple indicators provided a more comprehensive identification and a more nuanced severity evaluation compared to individual data elements. This enables targeting of cost-effective digital self-care tools to milder cases while reserving higher cost interventions for the most severely ill, potentially reducing costs while maintaining health outcomes. Implementation of this integrative platform can help focus efforts on those with the highest need and bridge the gap in treating depression.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"237-253"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082353","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}

引用次数: 0

Clinical and Administrative Perspectives on Prior Authorization for Residential Substance Use Disorder Treatment: A Qualitative Analysis. 住院药物使用障碍治疗的临床和行政视角：定性分析。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-08-14 DOI: 10.1007/s11414-025-09956-0

Rebecca Wallis, Lindsay Allen, Stephen M Davis, Herb Linn, Anh Ngo, Yilin Cai, Carrie Speck, Thomas Bias

{"title":"Clinical and Administrative Perspectives on Prior Authorization for Residential Substance Use Disorder Treatment: A Qualitative Analysis.","authors":"Rebecca Wallis, Lindsay Allen, Stephen M Davis, Herb Linn, Anh Ngo, Yilin Cai, Carrie Speck, Thomas Bias","doi":"10.1007/s11414-025-09956-0","DOIUrl":"10.1007/s11414-025-09956-0","url":null,"abstract":"The objective of this study was to describe the clinical experiences associated with billing for short-term residential care for substance use disorder (SUD) under a Medicaid managed care organization (MCO) payment structure requiring prior authorization. The authors conducted a qualitative analysis of focus group data collected from residential adult services (RAS) facilities staff in West Virginia between 2020 and 2022. These primary data were derived from 17 semi-structured focus groups across 11 distinct RAS facilities, which included 28 administrators, 23 clinicians, and 10 peer recovery support specialists, and were recorded and transcribed before being coded. A phenomenological thematic analysis was employed using data describing reported experiences of RAS staff members billing MCOs under the 1115 Medicaid SUD Waiver. Two main themes arose related to billing MCOs for residential treatment. First, providers felt powerless in their roles as their focus moved from clinical to administrative due to the administrative burden of prior authorizations. Second, providers felt that the shorter lengths of stay for patients that resulted from the prior authorization requirements reduced the quality of care they could provide and that the low quality of care increased the risk of relapse among patients. Thus, MCOs' utilization of prior authorization as a cost management tool may create barriers for providers to fulfill their clinical roles and provide high-quality care. More research is needed to investigate the prior authorization process from the perspective of MCOs and to quantify the effects of prior authorization on patient outcomes.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"300-312"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856862","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}

引用次数: 0