Journal of Behavioral Health Services & Research最新文献_第10页

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 1.4 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":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494145/pdf/","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":"OA","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 1.6 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":1.6,"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

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

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

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

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

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

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 1.4 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":1.4,"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