Journal of Behavioral Health Services & Research最新文献

"Involuntary" and "Voluntary" in Psychiatric, Behavioral, and Mental Health Services: A Scoping Review of Definitions.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-03-26 DOI: 10.1007/s11414-025-09940-8

Benjamin D Smart, Kritheeka Kalathil, William V McCall, Sahil Munjal, Haley Kirkendall, Madison Patel, Amy Taliaferro, Lauren H Yaeger, Ana S Iltis

{"title":"\"Involuntary\" and \"Voluntary\" in Psychiatric, Behavioral, and Mental Health Services: A Scoping Review of Definitions.","authors":"Benjamin D Smart, Kritheeka Kalathil, William V McCall, Sahil Munjal, Haley Kirkendall, Madison Patel, Amy Taliaferro, Lauren H Yaeger, Ana S Iltis","doi":"10.1007/s11414-025-09940-8","DOIUrl":"https://doi.org/10.1007/s11414-025-09940-8","url":null,"abstract":"The meaning of (in)voluntary in the context of psychiatric, behavioral, and mental health services in the United States lacks shared understanding despite widespread use, such as in \"involuntary treatment,\" \"involuntary hospitalization,\" and \"voluntary patient.\" A pre-registered scoping review was conducted to describe how U.S.-based healthcare professionals explicitly define (in)voluntary when referring to psychiatric, behavioral, and mental health concepts. Nine databases and nine organization/government websites were searched. Eligibility criteria included English availability, U.S.-based healthcare author(s), and an explicit definition of (in)voluntary. Extracted data included study characteristics and (in)voluntary term(s) with definitions. Open coding was used for the (in)voluntary-associated definition. Meaning categories were created by grouping codes. A total of 29,313 citations were screened for a final 162 sources, containing 203 definitions. Evidence sources (years 1966-2023) were most frequently research articles (33%), review articles (24%), and books (20%) with authorship including persons with an M.D./D.O. (70%) and/or Ph.D. (51%). The most common definition words were order, coercion, against/opposed to a patient's will/wishes, consent, force, and adhere. Meaning categories were external pressure, civil rights, individual agency, competence and capacity, and ethics. Involuntary definitions more commonly characterized the patient as actively against an intervention (23%), rather than without active agreement (11%). Some definitions included a legal (62%) and/or ethical dimension (33%). Two-thirds of sources used at least one additional (in)voluntary term in the publication without defining it. Because there exists a range of competing definitions for the term (in)voluntary, authors who use this descriptor clearly are recommended to explain their meaning.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721950","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.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","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

Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder : AUD Pharmacotherapy Prescribing in Primary Care.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction to Special Section on Empowering the Next Generation of Behavioral Health Researchers: Contributions from SRI@FMHI.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-03-05 DOI: 10.1007/s11414-025-09938-2

Kathleen A Moore, Khary K Rigg

引用次数: 0

The Power of New Perspectives.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-03-05 DOI: 10.1007/s11414-025-09939-1

Chuck Ingoglia

引用次数: 0

Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-03-04 DOI: 10.1007/s11414-025-09936-4

Ozgur Saglam, Erdinc Ozturk, Gorkem Derin

{"title":"Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire.","authors":"Ozgur Saglam, Erdinc Ozturk, Gorkem Derin","doi":"10.1007/s11414-025-09936-4","DOIUrl":"https://doi.org/10.1007/s11414-025-09936-4","url":null,"abstract":"Firefighters are public safety personnel who act as first responders to protect people and property from fire dangers. Although firefighters frequently face severe incidents in their profession, there has been limited attention given to the childhood traumas they may have experienced and the long-term psychological impact of these early traumatic experiences within this professional group. This study aims to examine the correlation between childhood traumas and dissociative experiences, as well as suicidal ideas, among firefighters. The study was conducted on firefighters employed by the Hatay Metropolitan Municipality Fire Department. Between January and June 2024, the study recruited 210 firefighters from the Fire Department. Childhood traumas, dissociative experiences, and suicidal ideas were evaluated with validated psychometric instruments. The 4th model of the Hayes was utilized to examine the mediating role of suicidal ideas on the relationship between childhood traumas and dissociative experiences. Additionally, independent samples t-test and coefficient of determination were utilized. The firefighters who scored higher on the CTQ cut-off score showed greater levels of dissociative experiences and suicidal ideas compared to the lower-scoring group. The r2 values emphasized significant correlations between childhood traumas, dissociative experiences, and suicidal ideas. Dissociative experiences partially mediate the relationship between childhood traumas and suicidal desire. The establishment of specific mental health services is essential to mitigate the psychological effects of both occupational and previous traumas that firefighters have encountered. The long-term consequences of traumatic experiences should be the primary focus when developing mental health interventions for firefighters.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558551","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 Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","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

Among Transitioning Veterans with Service-Connected Disabilities: Who Benefits Most from Career Coaching?

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","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

Parent Perspectives on Youth Cannabis Use and Mental Health: Impacts, Challenges, and Recommendations.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-02-11 DOI: 10.1007/s11414-025-09932-8

T Freeman Gerhardt, Melissa Carlson, Kimberly Menendez, Kathleen A Moore, Zena Rodill

{"title":"Parent Perspectives on Youth Cannabis Use and Mental Health: Impacts, Challenges, and Recommendations.","authors":"T Freeman Gerhardt, Melissa Carlson, Kimberly Menendez, Kathleen A Moore, Zena Rodill","doi":"10.1007/s11414-025-09932-8","DOIUrl":"https://doi.org/10.1007/s11414-025-09932-8","url":null,"abstract":"Cannabis use among youth and young adults (YYA) is rising and poses serious mental health risks, especially with the availability of high-potency products. Parents are often the first to observe the potential impacts of cannabis use and are essential in recognizing early warning signs, facilitating treatment, and supporting recovery. However, limited research has examined the perspectives of parents whose children experience severe mental health challenges following cannabis use. To explore parent perspectives, the research team conducted semi-structured interviews with a purposive sample of 13 parents who reported their children used cannabis and experienced mental health issues. Interviews were transcribed and dual coded. A deductive-inductive thematic analysis was used to generate themes. Four themes were identified including (1) cannabis use and mental health, (2) impact on parents and families, (3) treatment experiences, and (4) system recommendations. Parents described how their children's cannabis use either worsened or appeared to trigger severe mental health crises, which increased emotional and financial burdens on their families. Many encountered health care providers who minimized cannabis-related risks, leading to inadequate support during treatment-seeking efforts. Parents also emphasized a lack of public health warnings and insufficient regulatory oversight, calling for better-informed clinicians and more robust public health messaging. These findings highlight an urgent need for family-supportive behavioral health interventions and regulatory reforms to address cannabis-related mental health issues among YYAs.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400374","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

Correction to: Assessing Feasibility and Barriers to Implementing a Family-Based Intervention in Opioid Treatment Programs.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-02-11 DOI: 10.1007/s11414-025-09935-5

Khary K Rigg, Steven L Proctor, Ethan S Kusiak, Sharon A Barber, Lara W Asous, Tyler S Bartholomew

引用次数: 0