Journal of Behavioral Health Services & Research最新文献

Glucagon-Like Peptide-1 Use and Healthcare Resource Utilization for Depression and Anxiety Among Adults with Type 2 Diabetes: 2019 to 2023. 胰高血糖素样肽-1在成人2型糖尿病患者抑郁和焦虑中的使用和医疗资源利用：2019 - 2023

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-29 DOI: 10.1007/s11414-025-09950-6

Duy Do, Tiffany Lee, Angela Inneh, Urvashi Patel

{"title":"Glucagon-Like Peptide-1 Use and Healthcare Resource Utilization for Depression and Anxiety Among Adults with Type 2 Diabetes: 2019 to 2023.","authors":"Duy Do, Tiffany Lee, Angela Inneh, Urvashi Patel","doi":"10.1007/s11414-025-09950-6","DOIUrl":"https://doi.org/10.1007/s11414-025-09950-6","url":null,"abstract":"Mental health disorders, including depression and anxiety, are common comorbidities in individuals with type 2 diabetes mellitus (T2DM), contributing to increased healthcare resource utilization (HCRU) and the financial burden of the disease. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are commonly used for T2DM management, and emerging evidence suggests they may help alleviate mental health symptoms. This study examined the association between GLP-1RA (versus DPP-4 inhibitor [DPP-4i]) initiation and mental health-related HCRU in T2DM patients. Using data from the Komodo Healthcare Map, a national database of pharmacy and medical claims, this study conducted a retrospective cohort analysis with 774,968 adults who initiated GLP-1RAs or DPP-4i between January 2019 and March 2022. Patients were followed for 12 months, and mental health-related HCRU (emergency department, inpatient, outpatient hospital, and office visits) for depression and anxiety was assessed. A difference-in-differences analysis compared HCRU before and after medication initiation, adjusting for sociodemographic and clinical variables. GLP-1RA use was associated with significant reductions in outpatient hospital visits (IRR: 0.96; 95% CI: 0.95-0.98) for depression, and office visits for depression (IRR: 0.87; 95% CI: 0.82-0.92) and anxiety (IRR: 0.85; 95% CI: 0.81-0.90) compared to DPP-4i. However, no significant changes were observed in emergency or inpatient visits. Reductions were more pronounced with semaglutide, liraglutide, and dulaglutide. These findings suggest that GLP-1RAs may help reduce depression- and anxiety-related HCRU in patients with T2DM, indicating potential benefits beyond glycemic control. Further research is needed to explore long-term outcomes and the cost-effectiveness of GLP-1RAs for managing mental health comorbidities.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175473","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

System Effects of Mental Health Agency Expenditures and Mental Health Parity Legislation at the State Level. 州一级精神卫生机构支出和精神卫生平等立法的系统效应。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-27 DOI: 10.1007/s11414-025-09949-z

Jenna Morales Ledbetter, Ronald W Manderscheid

{"title":"System Effects of Mental Health Agency Expenditures and Mental Health Parity Legislation at the State Level.","authors":"Jenna Morales Ledbetter, Ronald W Manderscheid","doi":"10.1007/s11414-025-09949-z","DOIUrl":"https://doi.org/10.1007/s11414-025-09949-z","url":null,"abstract":"The escalating mental health crisis in the USA has left over fifty percent of adults with a mental illness without mental health services. Federal mental health parity legislation addresses financial barriers to mental healthcare by requiring that insurance coverage for mental health services is equivalent to coverage for other medical services. Using data from the top ten and bottom ten states ranked by per capita State Mental Health Agency expenditures, this paper examines the impact of parity implementation and enforcement on three system-level access to care measures: (1) mental health workforce availability, (2) percent of state population living in a mental health shortage area, and (3) percent of total health expenditure spent on mental health by state agencies. As hypothesized, the top ten states had more comprehensive parity implementation and enforcement and a larger allocation of total health expenditures to mental health (p = 0.0002). The other two measures did not show a significant difference but trended in the direction of greater workforce availability (p = 0.11) and fewer residents living in mental health provider shortage areas (p = 0.054) among the top ten states compared to the bottom ten states. Using the scope of mental health parity alone, all three access-to-care measures were significantly better among states with comprehensive parity compared to states without comprehensive parity. These findings highlight the critical roles of financial investment, policy prioritization, and enhanced mental health infrastructure in addressing access to mental healthcare.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163109","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

Slipping Through the Cracks: Identifying Families At-Risk of Not Engaging with Mental Health Care Within a Specialty Anxiety Clinic. 从裂缝中溜走：在专业焦虑诊所中识别有不参与精神卫生保健风险的家庭。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-13 DOI: 10.1007/s11414-025-09947-1

Megan Brady, Jesslyn Jamison, Michal Weiss, Sophia Young, Danielle R Adams, Dominique G Ruggieri, Emily M Becker-Haimes

{"title":"Slipping Through the Cracks: Identifying Families At-Risk of Not Engaging with Mental Health Care Within a Specialty Anxiety Clinic.","authors":"Megan Brady, Jesslyn Jamison, Michal Weiss, Sophia Young, Danielle R Adams, Dominique G Ruggieri, Emily M Becker-Haimes","doi":"10.1007/s11414-025-09947-1","DOIUrl":"https://doi.org/10.1007/s11414-025-09947-1","url":null,"abstract":"Most youth in need of specialty anxiety treatment services do not receive it. Many families are lost between the time of initial outreach and attending a first therapy appointment. A retrospective administrative database review identified characteristics of families at risk of failing to connect with anxiety specialty services. Data included 563 records (2019-2023) from a specialty pediatric anxiety program embedded within a large community mental health setting. Variables of interest included client characteristics (age, gender, previous mental health diagnosis/history); household characteristics (insurance, parent/caregiver custody, distance from clinic); and a symptom screener. Descriptive statistics characterized documented non-response to appointment offers and failure to attend an initial scheduled appointment. The highest drop off occurred after families expressed initial interest in services; 113 (21%) families were non-responsive to outreach. Logistic regression analyses indicated that having insurance covered services (vs. self-pay) and living closer to the clinic (vs. farther) predicted increased odds of intake appointment scheduling (ps < .01). Clients with insurance covered services (vs. self-pay) also had higher odds of successful appointment attendance (ps < .01). Findings indicate that many families seeking specialty anxiety services for youth \"fall off\" after initial outreach (e.g., leaving a voicemail or completing an online inquiry form to learn about services). The results suggest the potential importance of streamlining initial contacts to make it easier for families to engage and suggest the potential for future work to examine whether strategies like direct intake booking can improve initial engagement rates.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046628","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

Age and Race Disparities in Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV. 年龄和种族差异在艾滋病毒感染者发生性行为的男性中病毒抑制和药物使用的调节作用

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-09 DOI: 10.1007/s11414-025-09948-0

Ran Fang, Jake C Steggerda, Deborah Konkle-Parker, Andrew C Voluse

{"title":"Age and Race Disparities in Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV.","authors":"Ran Fang, Jake C Steggerda, Deborah Konkle-Parker, Andrew C Voluse","doi":"10.1007/s11414-025-09948-0","DOIUrl":"https://doi.org/10.1007/s11414-025-09948-0","url":null,"abstract":"Viral suppression is essential for individuals living with HIV, as it is linked to improved clinical outcomes and long-term health. Research has documented age and racial disparities in HIV viral suppression. Men who have sex with men (MSM) are particularly affected by HIV infections, especially in the Southern United States. Studies indicate that substance use among people with HIV in the U.S. presents significant barriers to engaging in HIV care. This study investigated the relationships between age, race, MSM status, and viral suppression among men living with HIV (MLWH), who participated in the Helping HAND program at an academic medical center in a Southern state. The analysis included 746 male participants, primarily Black/African American. The results showed that increases in age were positively associated with a greater likelihood of viral suppression, even after adjusting for harmful or hazardous drinking, problematic substance use, race, and MSM status. Younger MSM participants were less likely to achieve viral suppression than older MSM participants. In this male only sample, neither race nor MSM status was found to be related to viral suppression. Additionally, harmful or hazardous drinking and problematic substance use did not moderate the associations between age, race, or MSM and viral suppression. These findings highlight disparities in viral suppression across different age groups among men living with HIV. The results emphasize the need for targeted outreach initiatives specifically designed for younger age cohorts living with HIV, including MSM.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056055","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 Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting. 一种治疗高危饮酒或吸烟并伴有心血管疾病的患者的新方法：在综合初级保健设置中应用跨学科联合预约。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-06 DOI: 10.1007/s11414-025-09943-5

Julie C Gass, Jennifer S Funderburk, Aria F Wiseblatt, David Edelman, Gary Nelson, Brandi Roelk, Stephen A Maisto

{"title":"A Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting.","authors":"Julie C Gass, Jennifer S Funderburk, Aria F Wiseblatt, David Edelman, Gary Nelson, Brandi Roelk, Stephen A Maisto","doi":"10.1007/s11414-025-09943-5","DOIUrl":"https://doi.org/10.1007/s11414-025-09943-5","url":null,"abstract":"Complex concerns, such as tobacco use and risky drinking in patients with cardiovascular disease (CVD) who report not being ready to change, may require multi-dimensional approaches to intervention. In this Notes from the Field, an interdisciplinary, integrated conjoint appointment is described wherein primary care providers (PCPs) and behavioral health providers (BHPs) meet together briefly with the patient, bringing varying expertise in an effort to increase readiness to change and cessation of problem behaviors such as smoking. First, the protocol for this appointment, which is part of an intervention, which will be referred to as CARE-PACT (CardiovAscular Risk Education in Patient-Aligned Care Teams), will be described, including the evidence-informed components and choices made to increase feasibility and implementation of conjoint appointments across primary care clinics. Next, using an illustrative case example, the authors describe the flow, content, and logistics of CARE-PACT conjoint appointments, and the follow-up after the conjoint portion. CARE-PACT was examined as part of a small research pilot, and feasibility data, acceptability, satisfaction, and perception of usefulness was collected. Ten patient participants responded favorably to CARE-PACT, rating helpfulness and satisfaction a 4.1-4.7 on a 5-pt scale (5 signifying best). With the exception of some technological issues, qualitative data revealed patients found conjoint appointments were informative, patient-centered, and a good way to introduce a BHP. Altogether, this work supports the use of brief, interprofessional conjoint appointments in primary care in order to improve care processes for patients who have complex needs and who may need more than standard primary care interventions.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992932","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

Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the "Lock to Live" Decision Aid, and Connection to Out-of-Home Firearm Storage. 军队卫生系统中的枪支自杀预防：临床医生培训、“锁定生活”决策辅助和与家庭外枪支储存的联系的定性研究。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-18 DOI: 10.1007/s11414-025-09945-3

Sydney Rachel Kennedy, Ian H Stanley, Kaitlyn Friedman, Kayla Meza, Megan L Johnson, Ricardo I Villarreal, Marian E Betz

{"title":"Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the \"Lock to Live\" Decision Aid, and Connection to Out-of-Home Firearm Storage.","authors":"Sydney Rachel Kennedy, Ian H Stanley, Kaitlyn Friedman, Kayla Meza, Megan L Johnson, Ricardo I Villarreal, Marian E Betz","doi":"10.1007/s11414-025-09945-3","DOIUrl":"https://doi.org/10.1007/s11414-025-09945-3","url":null,"abstract":"Suicide remains a leading cause of death in the U.S. military, with the majority of suicides enacted by firearm. A recommended intervention for suicide prevention in clinical settings, including in the Military Health System (MHS), is counseling at-risk patients about reducing access to firearms and other lethal means of suicide. The team sought to examine MHS clinicians' views on a firearm suicide prevention toolkit that included (1) clinician training, (2) the \"Lock to Live\" (L2L) decision aid, and (3) connection to out-of-home firearm storage options. The study team conducted one-on-one, semi-structured qualitative interviews with MHS clinicians, administrators, and other stakeholders (January-October 2022). Interviewees viewed the toolkit items and completed a brief questionnaire. The study used a team-based, mixed deductive-inductive approach to qualitative analysis. The study had institutional review board approval. Across interviews (n = 18), there was general support for the lethal means safety counseling toolkit, including clinician training, L2L use, and connection to out-of-home storage options. Participants also provided recommendations for optimal uptake in the MHS, including military-specific messaging. Firearm suicide prevention is a key focus within the Department of Defense, and the findings from this qualitative study can support incorporation of tools for MHS clinicians and patients.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041588","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

Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment. 基于初级保健的阿片类药物使用障碍治疗团队合作的经验。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-16 DOI: 10.1007/s11414-025-09946-2

Elizabeth J Austin, Madeleine J Bentley, Lori Ferro, Andrew J Saxon, John C Fortney, Geoffrey M Curran, Brittany E Blanchard, Yavar Moghimi, Emily C Williams, Anna D Ratzliff, Monica S Ruiz, Ulrich Koch

{"title":"Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment.","authors":"Elizabeth J Austin, Madeleine J Bentley, Lori Ferro, Andrew J Saxon, John C Fortney, Geoffrey M Curran, Brittany E Blanchard, Yavar Moghimi, Emily C Williams, Anna D Ratzliff, Monica S Ruiz, Ulrich Koch","doi":"10.1007/s11414-025-09946-2","DOIUrl":"https://doi.org/10.1007/s11414-025-09946-2","url":null,"abstract":"Team-based models of care delivery are increasingly utilized to address co-occurring mental health and/or substance use conditions. However, little is known about how team-based models function among primary care teams delivering treatment for opioid use disorder (OUD). The research team conducted qualitative interviews with a sample of multidisciplinary, primary care team members delivering OUD treatment using the collaborative care model (CoCM). Providers were recruited from 13 diverse United States (U.S.) clinics participating in a multisite hybrid effectiveness-implementation trial. Interviews were audio recorded and professionally transcribed. All transcripts were double-coded using a coding schema informed by relational coordination theory. Thirty-five team members completed an interview, including 14 primary care providers (PCPs), 13 behavioral health care managers (BHCM), and eight consulting psychiatric providers (CPP). Four themes emerged: (1) team-based work increases shared knowledge about patients; (2) team members leverage one another's relationships with patients to increase treatment engagement; (3) team collaboration is enhanced when BHCMs have opportunities and space to connect informally with PCPs; and (4) increased mutual respect between team members is needed to maximize patient engagement efforts. Team-based models may enhance patient engagement in OUD care by increasing the volume of patient contacts and augmenting therapeutic alliances.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036064","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

Patient-Level and Hospital Treatment-Level Characteristics Predicting Child Readmissions After Psychiatric Inpatient Treatment. 预测儿童接受精神科住院治疗后再次入院的患者层面和医院治疗层面特征》（Patient-Level and Hospital Treatment-Level Characteristics Predicting Child Readmissions After Psychiatric Inpatient Treatment.

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub Date: 2024-10-01 DOI: 10.1007/s11414-024-09915-1

Danielle Day, Shannon McCullough, Kristin Scardamalia, Miranda Hunter, Sarah Edwards

{"title":"Patient-Level and Hospital Treatment-Level Characteristics Predicting Child Readmissions After Psychiatric Inpatient Treatment.","authors":"Danielle Day, Shannon McCullough, Kristin Scardamalia, Miranda Hunter, Sarah Edwards","doi":"10.1007/s11414-024-09915-1","DOIUrl":"10.1007/s11414-024-09915-1","url":null,"abstract":"The Institute of Medicine (2001) describes quality healthcare as safe, effective, patient-centered, efficient, equitable, and timely. Although this definition highlights the necessity of continuous program evaluation to ensure that these goals are being addressed, there is a notable lack of industry-wide standards and benchmarks, and many clinical programs lack the ability to continually and rigorously evaluate their own performance with data. This might be particularly true in the case of ensuring service members and veterans with posttraumatic stress disorder (PTSD) obtain treatment, as several systemic barriers exist, such as long wait times and lack of equitable treatment for individuals with minoritized identities. The current study examines the impact of a clinic-wide intake redesign for a massed PTSD treatment program to shift the intake process to a small, dedicated team rather than a responsibility shared across all clinicians. The redesign led to significantly shorter wait times for treatment and reduced some types of pre-treatment dropout. On average, patients received an acceptance/rejection decision 1 week sooner, attended the program almost 2 months sooner, and saw a roughly 60% reduction in the odds of drop out at the point of receiving an acceptance/rejection decision. Some disparities in wait times for those who were not partnered, women, and individuals who financially supported more family members remained after the redesign. Results are discussed in light of the importance of continuous program evaluation to address IOM's holistic definition of quality healthcare.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"330-341"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330683","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

Multiple Stakeholder Perspectives of Implementing Work-Related Cognitive Behavioral Therapy (WCBT) in Vocational Service Settings: A Qualitative Exploration of Intervention Acceptability and Sustainability. 在职业服务场所实施与工作相关的认知行为疗法（WCBT）的多方利益相关者视角：对干预措施可接受性和可持续性的定性探索。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub Date: 2024-10-30 DOI: 10.1007/s11414-024-09911-5

Addie Weaver, Richard LeBeau, Daphne Brydon, Marni Rubyan, Josefina Santiago, James Willis, Amy M Kilbourne, Michelle G Craske, Joseph A Himle

{"title":"Multiple Stakeholder Perspectives of Implementing Work-Related Cognitive Behavioral Therapy (WCBT) in Vocational Service Settings: A Qualitative Exploration of Intervention Acceptability and Sustainability.","authors":"Addie Weaver, Richard LeBeau, Daphne Brydon, Marni Rubyan, Josefina Santiago, James Willis, Amy M Kilbourne, Michelle G Craske, Joseph A Himle","doi":"10.1007/s11414-024-09911-5","DOIUrl":"10.1007/s11414-024-09911-5","url":null,"abstract":"Growing mental health treatment access disparities elevate the urgency for identifying and implementing innovative approaches for delivering evidence-supported interventions. Work-related cognitive behavioral therapy (WCBT), a technology-assisted CBT (t-CBT) designed to address social anxiety and employment outcomes among job seekers at vocational service centers and for delivery by vocational service professionals, offers a promising way to increase access to needed mental health care. This qualitative study, guided by the Organizational Transformation Model (OTM), explored factors related to WCBT's implementation at two Jewish Vocational Services (JVS) Human Service sites in Detroit, MI and Los Angeles County, CA. Twenty-seven staff-stakeholders across the two JVS sites completed in-depth, semi-structured interviews focused on their experiences with WCBT over the four-year study period. Thematic analysis identified five core codes that most broadly captured participants' perceptions of WCBT implementation and the factors influencing implementation, including: (1) Need, (2) Buy-in and engagement, (3) Communication, (4) Sustainability concerns, and (5) Implementation facilitators. Core codes aligned with OTM factors related to impetus to transform, improvement initiatives, integration across boundaries, alignment from top to bottom, and leadership. Findings identify implementation strategies likely to optimize uptake and sustainability of WCBT within JVS sites that can be tested in a larger, multi-site implementation trial.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"294-308"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548488","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

Parent Perspectives on Youth Cannabis Use and Mental Health: Impacts, Challenges, and Recommendations. 父母对青少年大麻使用和心理健康的看法：影响、挑战和建议。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub 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":"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":"249-262"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","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