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

Assessment of Outcome-Based Measures of Depression Care Quality in Veterans Health Administration Facilities. 退伍军人健康管理机构基于结果的抑郁症护理质量评估。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-01-01 Epub Date: 2022-10-07 DOI: 10.1007/s11414-022-09813-4

Paul N Pfeiffer, Kara Zivin, Avinash Hosanagar, Vanessa Panaite, Dara Ganoczy, H Myra Kim, Timothy Hofer, John D Piette

{"title":"Assessment of Outcome-Based Measures of Depression Care Quality in Veterans Health Administration Facilities.","authors":"Paul N Pfeiffer, Kara Zivin, Avinash Hosanagar, Vanessa Panaite, Dara Ganoczy, H Myra Kim, Timothy Hofer, John D Piette","doi":"10.1007/s11414-022-09813-4","DOIUrl":"10.1007/s11414-022-09813-4","url":null,"abstract":"To inform the potential use of patient-reported depression symptom outcomes as measures of care quality, this study collected and analyzed longitudinal Patient Health Questionnaire (PHQ9) scores among 1,638 patients who screened positive for major depression according to a PHQ9 ≥ 10 across 29 Department of Veterans Affairs facilities. The study found baseline PHQ9, prior mental health visits, physical functioning, and treatment expectancy were consistently associated with subsequent PHQ9 outcomes. No facilities outperformed any others on PHQ9 scores at the 6-month primary endpoint, and the corresponding intra-class coefficient was ≤ .01 for the entire sample (n = 1,214) and 0.03 for the subgroup of patients with new depression episodes (n = 629). Measures of antidepressant receipt, psychotherapy, or treatment intensification were not associated with 6-month PHQ9 scores. PHQ9 outcomes are therefore unlikely to be useful as quality indicators for VA healthcare facilities due to low inter-facility variation, and new care process measures are needed to inform care for patients with chronic depression prevalent in this sample.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969930","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

Assessing the Use of Data Systems to Estimate Return-on-Investment of Behavioral Healthcare Interventions: Opportunities and Barriers. 评估使用数据系统来估计行为医疗保健干预的投资回报:机会和障碍。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-01-01 DOI: 10.1007/s11414-022-09794-4

Hanke Heun-Johnson, Katiri V Zuluaga, Michael Menchine, Shelley Starkey, Rebecca Farley David, Seth Seabury

引用次数: 1

Low-Burden Universal Substance Use Screening in a Primary Care Clinic to Lower Implementation Barriers. 在初级保健诊所进行低负担普遍物质使用筛查以降低实施障碍。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-01-01 DOI: 10.1007/s11414-022-09814-3

Deborah Konkle-Parker, Daniel Williams, Nicholas McAfee, Julie A Schumacher, Jefferson Parker

{"title":"Low-Burden Universal Substance Use Screening in a Primary Care Clinic to Lower Implementation Barriers.","authors":"Deborah Konkle-Parker, Daniel Williams, Nicholas McAfee, Julie A Schumacher, Jefferson Parker","doi":"10.1007/s11414-022-09814-3","DOIUrl":"https://doi.org/10.1007/s11414-022-09814-3","url":null,"abstract":"Universal substance use screening in primary care can proactively identify patients for intervention, though implementation is challenging. This project developed a strategy for universal low time- and labor-cost screening, brief intervention, and referral for treatment (SBIRT) in an HIV primary care clinic at an academic medical center in the Southeastern USA. Screening was implemented using a tablet computer that calculated results in real time and suggested motivational language for provider response. A brief intervention (BNI) was conducted by a trained professional as needed, preventing the need for all clinic providers to be competent in motivational interviewing (MI). More than 1868 patients were screened in 12 months, with an MI intervention conducted for 101 patients with higher risk use. Forty-four patients were referred for in-clinic treatment, compared to nine in the previous year. Computer-based, self-administered screening with real-time linkage to a BNI can allow recommended screening with low provider burden.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9365203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243692","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: 2

Implementation of a Novel Pediatric Behavioral Health Integration Initiative. 实施新颖的儿科行为健康整合计划。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-01-01 Epub Date: 2022-08-01 DOI: 10.1007/s11414-022-09803-6

Cara B Safon, Maria Guadalupe Estela, Jessica Rosenberg, Emily Feinberg, Mari-Lynn Drainoni, Anita Morris, Michelle P Durham, Megan Bair-Merritt, R Christopher Sheldrick

{"title":"Implementation of a Novel Pediatric Behavioral Health Integration Initiative.","authors":"Cara B Safon, Maria Guadalupe Estela, Jessica Rosenberg, Emily Feinberg, Mari-Lynn Drainoni, Anita Morris, Michelle P Durham, Megan Bair-Merritt, R Christopher Sheldrick","doi":"10.1007/s11414-022-09803-6","DOIUrl":"10.1007/s11414-022-09803-6","url":null,"abstract":"This study explores healthcare professionals' perspectives about the impact of behavioral health integration (BHI) on pediatric primary care delivery in community health centers (CHCs). A concurrent, qualitative-dominant mixed methods empirical study design was utilized, applying semi-structured interviews with healthcare professionals at the end of the implementation phase of a 3-year co-development, implementation, and evaluation process. Surveys were also administered at three time points. Via thematic analysis, emergent qualitative themes were mapped onto the Relational Coordination (RC) conceptual framework to triangulate and complement final qualitative results with quantitative results. Interview findings reveal five emergent themes aligning with RC domains. Survey results show that healthcare professionals reported increased behavioral healthcare integration into clinic practice (p = 0.0002) and increased clinic readiness to address behavioral health needs (p = 0.0010). Effective pediatric BHI and care delivery at CHCs may rely on strong professional relationships and communication. Additional research from the patient/caregiver perspective is needed.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9298557","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

Leveraging Leadership in Child Welfare Systems: Large-scale Trauma- and Resilience-informed Training Initiative. 在儿童福利系统中发挥领导作用:大规模创伤和复原力培训倡议。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-01-01 DOI: 10.1007/s11414-022-09815-2

Adriana Rodriguez, Zhe Fei, Wendy A Barrera, Eugenia H Tsao, Jill Waterman, Todd M Franke, Catherine E Mogil, Blanca Bonilla, Gita Murthy Cugley, Teri Gillams, Audra Langley

{"title":"Leveraging Leadership in Child Welfare Systems: Large-scale Trauma- and Resilience-informed Training Initiative.","authors":"Adriana Rodriguez, Zhe Fei, Wendy A Barrera, Eugenia H Tsao, Jill Waterman, Todd M Franke, Catherine E Mogil, Blanca Bonilla, Gita Murthy Cugley, Teri Gillams, Audra Langley","doi":"10.1007/s11414-022-09815-2","DOIUrl":"https://doi.org/10.1007/s11414-022-09815-2","url":null,"abstract":"Strengthening the infrastructure of public health systems around trauma-informed principles is crucial to addressing the needs of traumatized children in the child welfare system. In fact, many local and state initiatives have focused on large-scale evaluation studies to determine the value of training direct service staff on trauma foundations. Less yet is known about the benefits of training leaders on trauma foundations, which is crucial given their unique influence on implementation decisions. The current study evaluates a trauma training delivered to leadership-level stakeholders through a large-scale training initiative for the Los Angeles County Department of Children and Family Services. Findings indicated that leaders improved in trauma knowledge from baseline to post-training and reported changes in their professional wellbeing and leadership approach after the reflective training component. The leadership trauma program may have positive downstream implications for direct service staff, organizational culture, and child and family outcomes.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9244352","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

A Serious Response to Youth Mental Health and Substance Use. 认真应对青少年心理健康和药物使用问题。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2022-10-01 DOI: 10.1007/s11414-022-09817-0

Chuck Ingoglia

引用次数: 0

Introduction to Special Section on Public Health in Juvenile Justice. 少年司法中的公共卫生专题导言。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2022-10-01 Epub Date: 2022-06-22 DOI: 10.1007/s11414-022-09807-2

Richard Dembo

引用次数: 1

An Exploration of Self-Reported Medicinal Cannabis Use Among a Sample of Eastern Canadian Postsecondary Students. 加拿大东部大专学生自我报告的药用大麻使用情况调查。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2022-10-01 Epub Date: 2021-07-08 DOI: 10.1007/s11414-021-09763-3

Jacqueline Smith, Jennifer Smith, Joel Mader, Gabrielle Guestier, Lauren Conn, Joy Maddigan

{"title":"An Exploration of Self-Reported Medicinal Cannabis Use Among a Sample of Eastern Canadian Postsecondary Students.","authors":"Jacqueline Smith, Jennifer Smith, Joel Mader, Gabrielle Guestier, Lauren Conn, Joy Maddigan","doi":"10.1007/s11414-021-09763-3","DOIUrl":"https://doi.org/10.1007/s11414-021-09763-3","url":null,"abstract":"In October 2018, prior to the legalization of cannabis in Canada, a survey was completed by 1050 Memorial University of Newfoundland students. Both descriptive quantitative and thematic qualitative data analyzes were used. Approximately 16% of the sample reported ever using cannabis for medicinal purposes (n=175), with only 16.6% of medicinal users reporting authorization by a healthcare provider (HCP). The majority (80.2%) were aware of possible side effects of cannabis. Prior personal experience (65.3%) and peer influence (59.5%) informed participants' medicinal use. Approximately 40% reported having replaced/reduced prescribed medication. Roughly 60% of medicinal users had not disclosed their use to their HCP. Consistent with previous studies, medicinal cannabis use among postsecondary students appears to be largely motivated for mental health related conditions and is grounded in personal experience versus evidence-based guidelines. There is a need for increased communication between HCPs and patients to promote lower-risk use among medicinal cannabis users.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11414-021-09763-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39166809","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: 2

Leveraging Technology to Increase Behavioral Health Services Access for Youth in the Juvenile Justice and Child Welfare Systems: a Cross-systems Collaboration Model. 利用技术增加青少年在少年司法和儿童福利系统中的行为健康服务:一个跨系统的合作模式。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2022-10-01 DOI: 10.1007/s11414-022-09808-1

Marina Tolou-Shams, Evan D Holloway, Catalina Ordorica, Juliet Yonek, Johanna B Folk, Emily F Dauria, Kristiana Lehn, Ifunanya Ezimora, Honorable Monica F Wiley

引用次数: 4

The Impact of Juvenile Drug Treatment Courts on Substance Use, Mental Health, and Recidivism: Results from a Multisite Experimental Evaluation. 青少年药物治疗法庭对物质使用、心理健康和再犯的影响:来自多地点实验评估的结果。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2022-10-01 Epub Date: 2022-06-22 DOI: 10.1007/s11414-022-09805-4

Steven Belenko, Michael Dennis, Matthew Hiller, Juliette Mackin, Chelsey Cain, Doris Weiland, Barbara Estrada, Raanan Kagan

{"title":"The Impact of Juvenile Drug Treatment Courts on Substance Use, Mental Health, and Recidivism: Results from a Multisite Experimental Evaluation.","authors":"Steven Belenko, Michael Dennis, Matthew Hiller, Juliette Mackin, Chelsey Cain, Doris Weiland, Barbara Estrada, Raanan Kagan","doi":"10.1007/s11414-022-09805-4","DOIUrl":"https://doi.org/10.1007/s11414-022-09805-4","url":null,"abstract":"Juvenile Drug Treatment Courts (JDTC) emerged in the mid-1990s as a potential solution to concern about substance use among youth in the juvenile justice system (JJS). Despite substantial research, findings on the JDTC effectiveness for reducing recidivism and substance use remain inconsistent, hampered by methodological problems. In 2016, the Office of Juvenile Justice and Delinquency Prevention published research-based JDTC Guidelines for best practices, and funded technical assistance for implementation and a multisite national outcomes study among JDTCs implementing the Guidelines. Ten sites were originally selected for this study, with a JDTC and Traditional Juvenile Court (TJC) participating. In two sites, moderate- to high-risk youth were randomized to JDTC or TJC, and in eight sites, a regression discontinuity design assigned moderate- to high-risk youth to JDTC, and other youth to TJC. Findings from four sites with sufficient cases and follow-up rates indicated that JDTCs reduced cannabis use, increased access to mental health services, and reduced recidivism. However, the effects were small to moderate, with positive impacts mainly observed among high-risk youth. The impacts of JDTCs may have been attenuated because Guidelines implementation was inconsistent across courts, and some TJCs implemented elements of the Guidelines, blurring the distinction between JDTCs and TJCs.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9217114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40209454","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: 1