Journal of Behavioral Health Services & Research最新文献

Identifying Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis. 识别研究生水平行为健康专业的教育途径：一个潜在阶级分析。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-03-03 DOI: 10.1007/s11414-025-09937-3

Todd M Jensen, Lisa de Saxe Zerden, Brianna M Lombardi

{"title":"Identifying Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis.","authors":"Todd M Jensen, Lisa de Saxe Zerden, Brianna M Lombardi","doi":"10.1007/s11414-025-09937-3","DOIUrl":"10.1007/s11414-025-09937-3","url":null,"abstract":"To address the behavioral health workforce crisis occurring in the United States, supporting students' interest in the behavioral health professions is urgent. Ongoing exploration of possible educational pathways into the behavioral health workforce is warranted, which can highlight opportunities to expand the number of adequately trained, culturally and linguistically representative, behavioral health providers. The purposes of the current study are to identify distinct educational pathways into graduate-level behavioral health professions and assess the extent to which varying pathways are associated with individual sociodemographic and employment characteristics. Leveraging an analytic sample of 1858 individuals from the 2021 National Survey of College Graduates (representative of a subpopulation of 847,095 individuals) who possessed a graduate degree and indicated being employed full time in a principal job related to behavioral health, latent class analysis is employed to identify distinct patterns with respect to the attainment of an associate degree, undergraduate field of study, and graduate field of study. Results favor a four-class solution featuring the following four general patterns: social work, psychology foundation and non-social work graduate degree, non-social work foundation and social work graduate degree, and non-psychology foundation and non-social work graduate degree. The educational pathways possess notable similarities in terms of gender identity, average salary, and job satisfaction; but also demonstrate important differences that could shape efforts to develop new programs and extend investments to support behavioral health workforce professional trajectories, with particular emphasis placed on financial support for educational pathways that efficiently increase the diversity of the graduate-level behavioral health workforce.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"480-504"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544279","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

Coercion in Psychiatry: Exploring the Subjective Experience of Coercion Among Patients in Five Portuguese Psychiatric Departments. 精神病学中的胁迫：探索葡萄牙五家精神病院患者对胁迫的主观感受。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2024-07-10 DOI: 10.1007/s11414-024-09890-7

Deborah Oyine Aluh, Diego Diaz-Milanes, Sofia Azeredo-Lopes, Sofia Barbosa, Margarida Santos-Dias, Manuela Silva, Ugnė Grigaitė, Barbara Pedrosa, Ana Velosa, Graça Cardoso, José Miguel Caldas-de-Almeida

{"title":"Coercion in Psychiatry: Exploring the Subjective Experience of Coercion Among Patients in Five Portuguese Psychiatric Departments.","authors":"Deborah Oyine Aluh, Diego Diaz-Milanes, Sofia Azeredo-Lopes, Sofia Barbosa, Margarida Santos-Dias, Manuela Silva, Ugnė Grigaitė, Barbara Pedrosa, Ana Velosa, Graça Cardoso, José Miguel Caldas-de-Almeida","doi":"10.1007/s11414-024-09890-7","DOIUrl":"10.1007/s11414-024-09890-7","url":null,"abstract":"The subjective experience of coercion may have a more significant impact on clinical outcomes than formal coercive measures. This study aimed to investigate the subjective experience of coercion among patients on admission in Portuguese psychiatric departments by assessing their perceived coercion, procedural justice, and negative pressures during admission. The study also investigated whether this subjective experience of coercion changed with time during admission, and the predictors of this change. Validated instruments, including the McArthur Admission Experience Survey (AES) and the Client Assessment of Treatment Scale, were used to collect information from 208 adults admitted to five public psychiatric inpatient departments in rural and urban regions of Portugal. About a third (32.24%, n = 49) of the sample had a legal involuntary admission status, while more than a third of them perceived their admission to be involuntary (40.13%, n = 61). The subjective experience of coercion was significantly higher among people who perceived their admission to be involuntary compared to people who perceived their admission to be voluntary (Median = 10, IQR = 5.5 vs. Median = 3, IQR = 6; p < 0.001). Satisfaction with their care was significantly inversely correlated with the subjective experience of coercion (p < 0.01). The changes in the subjective experience of coercion at the second assessment were predicted by the perceived admission status rather than the legal admission status, and the initial procedural justice (p < 0.05). The study findings highlight the importance of improving procedural justice in psychiatric admissions, regardless of the legal status of admission.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"505-524"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581284","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

Promoting Equitable Access to Behavioral Health in Rural Communities: Lessons from a Qualitative Study of Oregon's Certified Community Behavioral Health Clinic Program. 促进农村社区行为健康的公平获取：俄勒冈州认证社区行为健康诊所项目定性研究的经验教训。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-02-10 DOI: 10.1007/s11414-025-09933-7

Robin Baker, Erin Young, Alexandra Kihn-Stang, Sherril Gelmon

{"title":"Promoting Equitable Access to Behavioral Health in Rural Communities: Lessons from a Qualitative Study of Oregon's Certified Community Behavioral Health Clinic Program.","authors":"Robin Baker, Erin Young, Alexandra Kihn-Stang, Sherril Gelmon","doi":"10.1007/s11414-025-09933-7","DOIUrl":"10.1007/s11414-025-09933-7","url":null,"abstract":"The evaluation of nine rural Oregon Certified Community Behavioral Health Clinics (CCBHCs) revealed lessons for delivering equitable behavioral health services to diverse populations from the perspectives of clinic leaders and other key partners, including those who receive services at CCBHCs. The Oregon CCBHC evaluation team employed a mixed methods data collection strategy from July to November 2022, including virtual interviews with clinic leaders, in-person focus groups with CCBHC clients at the CCBHCs, a virtual focus group with community-based organization representatives, and interviews with interested parties. Surveys of individuals who could not attend interviews or focus groups were conducted to supplement the findings. The results of this evaluation suggest the importance of four major themes to guide the equitable delivery of behavioral health services: challenges of addressing heath inequities, importance of fostering genuine community engagement, need for building capacity for innovation, and importance of integrating services and care. The experience of Oregon's CCBHCs provides insights into how rural clinics can improve equitable access to behavioral health services and encourage holistic, person-centered care by collaborating with state health authorities and other local community partners. The findings can inform clinicians and policymakers, highlighting the importance of strategic actions centered on equity for achieving better behavioral healthcare access in rural America.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"376-390"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392184","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

Among Transitioning Veterans with Service-Connected Disabilities: Who Benefits Most from Career Coaching? 在与服务有关的残疾退伍军人中，谁从职业指导中受益最大？

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-02-26 DOI: 10.1007/s11414-025-09934-6

Gary R Bond, Justin D Metcalfe, Monirah Al-Abdulmunem

{"title":"Among Transitioning Veterans with Service-Connected Disabilities: Who Benefits Most from Career Coaching?","authors":"Gary R Bond, Justin D Metcalfe, Monirah Al-Abdulmunem","doi":"10.1007/s11414-025-09934-6","DOIUrl":"10.1007/s11414-025-09934-6","url":null,"abstract":"U.S. service members transitioning from the military face formidable challenges to securing meaningful employment matching their preferences and qualifications. Despite diverse employment services, many veterans settle for dead-end jobs. This study examined personal characteristics predicting successful employment outcomes. In a secondary analysis of a controlled trial assessing 2-year employment outcomes for 205 transitioning veterans with service-connected disabilities participating in a career coaching program, multivariate regression analyses were conducted to identify personal characteristics associated with employment outcomes, including characteristics differentiating who benefits more from a career coaching program, compared to usual services. Two employment outcomes were examined: job acquisition and employment earnings. The single best predictor of job acquisition was assignment to the career coaching intervention. Among 18 demographic, military service, and health and well-being measures, the only predictor of job acquisition was gender (91% of men and 79% of women worked during follow-up). Twelve personal characteristics were associated with mean monthly earnings from employment, including four demographic measures, three military service measures, and five measures of health and well-being. Disability ratings did not predict employment outcomes. Overall, career coaching helped veterans gain employment, regardless of their personal characteristics. Three personal characteristics differentiated veterans who benefited more from career coaching. Veterans reporting alcohol use and those who had a longer period of military service benefited more, as did veterans who were not depressed. The authors conclude that most veterans obtain civilian employment soon after separation from the military, but personal characteristics strongly influence their employment earnings.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"424-441"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517204","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

How and Why Do People Use Behavioral Health Services? A Qualitative Exploration of Service Use Among People Experiencing Housing Insecurity. 人们如何以及为什么使用行为健康服务？住房不安全人群服务使用的定性探索。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-03-24 DOI: 10.1007/s11414-025-09941-7

Lynden Bond, Caitlin Krenn, Deborah Padgett

{"title":"How and Why Do People Use Behavioral Health Services? A Qualitative Exploration of Service Use Among People Experiencing Housing Insecurity.","authors":"Lynden Bond, Caitlin Krenn, Deborah Padgett","doi":"10.1007/s11414-025-09941-7","DOIUrl":"10.1007/s11414-025-09941-7","url":null,"abstract":"People experiencing housing insecurity and homelessness are diagnosed with mental health and substance use-related conditions at higher rates than their stably housed peers and often engage with systems including housing and homelessness systems such as eviction prevention, emergency shelters, homeless outreach services, and transitional housing, health systems including emergency departments and criminal legal systems including police interaction and incarceration. This qualitative study's aims are (1) to understand how people experiencing housing insecurity and homelessness access behavioral health services, including mental health and substance use-related care and (2) examine the role of social support, systems involvement, and previous treatment experiences in accessing or using these services. Thirty interviews were conducted with people experiencing homelessness or housing insecurity to learn about their experiences accessing and using mental health or substance use-related services, including the role of other service systems and social supports. A framework approach was used for analysis. The researchers identified five key themes related to use or non-use of services including personal networks as a conduit; housing situations as directly related to use of services; siloed systems; policies and procedures create barriers; and using services when there was a need. This study contributes to the literature by providing a more nuanced and in-depth understanding of factors related to use or non-use of mental health and substance use-related services among people experiencing housing insecurity and highlights the role that systems and social supports play, in addition to individual-level factors.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"442-455"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701992","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

Demographic and Geographic Trends in First-Episode Psychosis: A Cross-Sectional Study of Hospital Discharge Data in Adolescents and Young Adults. 首发精神病的人口统计学和地理趋势：青少年和年轻人出院数据的横断面研究。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-01-16 DOI: 10.1007/s11414-024-09921-3

Hyo Jung Tak, Harlan R Sayles, Thomas Janousek, Riley D Machal, Sanish Maharjan, Shinobu Watanabe-Galloway

{"title":"Demographic and Geographic Trends in First-Episode Psychosis: A Cross-Sectional Study of Hospital Discharge Data in Adolescents and Young Adults.","authors":"Hyo Jung Tak, Harlan R Sayles, Thomas Janousek, Riley D Machal, Sanish Maharjan, Shinobu Watanabe-Galloway","doi":"10.1007/s11414-024-09921-3","DOIUrl":"10.1007/s11414-024-09921-3","url":null,"abstract":"This cross-sectional study aimed to assess the demographic and geographic variations in the visit rate for first-episode psychosis (FEP), identify trends and diagnostic patterns, and explore factors associated with FEP visits in Nebraska. Inpatient and emergency department data spanning 2017-2021 were collected by the Nebraska Hospital Association (NHA). The study focused on Nebraska residents aged 14-35 admitted for FEP, identified through specific ICD-10 codes. The sample was derived using a multi-step process, and the data included patient demographics, Behavioral Health Regions, rural vs. urban residency, and neighborhood characteristics. Mann-Kendall tests were used to test for significant trends over time. T-tests and chi-squared tests were used to assess differences in each of the measures between patients with and without psychotic disorders. The study findings revealed a significant increase in visits related to psychotic disorders from 2017 to 2021. In 2021, the FEP visit rate was 116 per 100,000 individuals, varying considerably by age, gender, and Behavioral Health Region. Schizoaffective disorder bipolar type was the most frequent psychotic disorder. Patients with psychotic disorders tended to be older, predominantly male, and treated in acute care settings. The rising trend underlines the need for continued investment in early intervention programs and highlights challenges in rural areas, necessitating targeted interventions. The findings provide valuable insights to inform planning, advocate for funding, and address the specific needs of diverse populations. Future research should explore additional influencing factors and extend the study period to understand FEP trends comprehensively.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"525-541"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013565","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

Whose Job is it Anyway? A Qualitative Study of Providers' Perspectives on Diagnosing Anxiety Disorders in Integrated Health Settings. 到底是谁的工作？综合医疗机构中医疗服务提供者对焦虑症诊断观点的定性研究》。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2024-09-19 DOI: 10.1007/s11414-024-09909-z

Patricia V Chen, Hardeep Singh, Natalie E Hundt, Mark E Kunik, Melinda A Stanley, Maribel Plasencia, Terri L Fletcher

{"title":"Whose Job is it Anyway? A Qualitative Study of Providers' Perspectives on Diagnosing Anxiety Disorders in Integrated Health Settings.","authors":"Patricia V Chen, Hardeep Singh, Natalie E Hundt, Mark E Kunik, Melinda A Stanley, Maribel Plasencia, Terri L Fletcher","doi":"10.1007/s11414-024-09909-z","DOIUrl":"10.1007/s11414-024-09909-z","url":null,"abstract":"Up to 33% of American adults will experience a diagnosable anxiety disorder in their lifetime. Approximately one-third of anxiety diagnoses assigned by mental health providers in outpatient settings are unspecified. The tendency of many providers to use an unspecified anxiety diagnosis may negatively impact the provision of evidence-based treatments for specific anxiety disorders. This study examines the perspectives of mental health providers working in an integrated and stepped health care system, asking how their roles and responsibilities shape their practices related to diagnosing specific anxiety disorders. The authors conducted semi-structured interviews with 32 Veteran Health Administration (VHA) mental health providers to understand their perspectives on diagnosing anxiety disorders. Matrix analysis was used to identify different roles and responsibilities articulated. Thematic analysis was used to highlight themes across providers' discussion of their roles in diagnosing and treating patients. The results show that, for most providers, assigning a specific diagnosis is a component of duties but rarely their focus. Second, it is unclear in which clinic setting a specific anxiety diagnosis should be made. Finally, among different types of mental health professionals, there is no clear designation on who should be providing a specific anxiety diagnosis. Altogether, results indicate that many providers feel making a specific diagnosis for anxiety is the responsibility of others-either those in other clinic settings or with other credentials. Findings call for clearer guidelines that specify individual clinician accountability for obtaining a specific anxiety diagnosis in a team-based environment.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"391-407"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299345","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 Mixed Methods Examination of Session Planning Among Public Mental Health Therapists. 以混合方法研究公共心理健康治疗师的疗程规划。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2024-08-26 DOI: 10.1007/s11414-024-09900-8

Briana S Last, Madeline Kiefer, Yuanyuan Yang, Ahnaf Annur, Natalie Dallard, Emily Schaffer, Courtney Benjamin Wolk

{"title":"A Mixed Methods Examination of Session Planning Among Public Mental Health Therapists.","authors":"Briana S Last, Madeline Kiefer, Yuanyuan Yang, Ahnaf Annur, Natalie Dallard, Emily Schaffer, Courtney Benjamin Wolk","doi":"10.1007/s11414-024-09900-8","DOIUrl":"10.1007/s11414-024-09900-8","url":null,"abstract":"Session planning is a core activity for implementing evidence-based practices (EBPs), yet it is unknown whether public mental health settings provide the support for therapists to session plan. This two-part study conducted in collaboration with EBP leaders in Philadelphia's public mental health system deployed mixed methods to examine therapists' session planning practices and preferences. In Study 1, 61 public mental health therapists completed an online survey to identify session planning barriers and facilitators, current practices, and desired planning supports. In Study 2, nine therapists who ranked a session planning tool as a top choice support in Study 1 participated in two focus groups to elaborate on their survey responses and provide feedback on three session planning tool prototypes. Study 1 survey respondents cited multi-level barriers and facilitators to session planning. In both closed- and open-ended responses, analyzed descriptively and via content analysis respectively, therapists described wanting more time, lower caseloads, financial incentives for session planning, and additional clinical resources and guidance from trainings, peers, and supervisors to support session planning. Study 2 focus group participants, whose responses were analyzed using content analysis, reiterated the need for these multi-level supports and expressed the need for a \"one-stop\" database of session planning tools that would be free, easily searchable, and modifiable for varied clinical needs. All three session planning tool prototypes reviewed were acceptable; two were also considered feasible and appropriate. This investigation of an under-studied aspect of the EBP implementation process reveals the need for multi-level session planning supports.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"456-479"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074334","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

Services Provided in Spanish in Substance Use Disorder Treatment Facilities: Limited Access in Communities with Fast-Growing Spanish-Speaking Populations. 在物质使用障碍治疗设施中提供的西班牙语服务：在西班牙语人口快速增长的社区中提供的服务有限。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2024-12-23 DOI: 10.1007/s11414-024-09922-2

George Pro, Tara Bautista, Mofan Gu, Orrin D Ware, Adam Kleinerman, Mps, Julie Baldwin, Martha Rojo

{"title":"Services Provided in Spanish in Substance Use Disorder Treatment Facilities: Limited Access in Communities with Fast-Growing Spanish-Speaking Populations.","authors":"George Pro, Tara Bautista, Mofan Gu, Orrin D Ware, Adam Kleinerman, Mps, Julie Baldwin, Martha Rojo","doi":"10.1007/s11414-024-09922-2","DOIUrl":"10.1007/s11414-024-09922-2","url":null,"abstract":"Substance use disorder (SUD) is increasing among primary Spanish-speaking populations, and treatment use is disproportionately low. Patient-provider Spanish language concordance is associated with SUD treatment initiation and better outcomes. Recent geographic shifts within primary Spanish-speaking populations are important considerations in identifying gaps in SUD service delivery in Spanish. This national epidemiologic study used the Mental Health and Addiction Treatment Tracking Repository (2022; N = 9336 facilities) and US census data to pinpoint the location of SUD treatment facilities that offer services in Spanish, and used multilevel models to determine whether access to Spanish services is keeping up with the influx of primary Spanish-speaking populations in new areas that have not historically had a large Spanish language presence. Twenty-two percent of SUD treatment facilities provided services in Spanish. For every 10% increase in the percentage of a census tract speaking Spanish, the odds of SUD treatment facilities offering services in Spanish increased by 30% (aOR = 1.03, 95% CI = 1.02-1.04, p < 0.0001), indicating that Spanish language services were more common in places where people who speak Spanish already live. In contrast, the study team identified no association between the availability of Spanish services and increases in community-level Spanish between 2010 and 2022 (aOR = 1.00, 95% CI = 0.99-1.01, p = 0.87), indicating that access to services is not keeping up with demand as populations move and the Spanish language grows in new areas. SUD treatment services are lagging behind as the location of where primary Spanish-speaking families choose to live changes. Local health policies and ambitious interventions are needed that target the unique needs of SUD treatment clients who speak Spanish.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"408-423"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883155","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

Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder : AUD Pharmacotherapy Prescribing in Primary Care. 初级保健就诊频率与酒精使用障碍患者的诊断相关，但与药物治疗处方无关：初级保健中的AUD药物治疗处方

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-03-24 DOI: 10.1007/s11414-025-09942-6

Ruth A Bishop, Ralph Ward, Andrew Schreiner, Jenna L McCauley, William P Moran, Sarah Ball

{"title":"Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder : AUD Pharmacotherapy Prescribing in Primary Care.","authors":"Ruth A Bishop, Ralph Ward, Andrew Schreiner, Jenna L McCauley, William P Moran, Sarah Ball","doi":"10.1007/s11414-025-09942-6","DOIUrl":"10.1007/s11414-025-09942-6","url":null,"abstract":"Primary care has been proposed as an ideal setting for the management of alcohol use disorder (AUD); however, there is limited research on the diagnosis and prescribing patterns of medications for alcohol use disorder (MAUD) within primary care. This retrospective study aims to determine whether primary care engagement is associated with the likelihood of an AUD diagnosis or prescription of MAUD. Analyzing administrative claims data from a statewide cohort of 10,138 Medicaid enrollees, only 5.9% of patients diagnosed with AUD were prescribed MAUD (including naltrexone, acamprosate, disulfiram, and topiramate). Patients with higher levels of primary care visit frequency were significantly more likely to carry an AUD diagnosis (p < .0001); however, primary care visit frequency was not associated with prescription of MAUD. This study highlights the underutilization of MAUD within primary care, and the need for research identifying successful strategies to address barriers to prescribing MAUD in this setting.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"542-552"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701996","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