Journal of Behavioral Health Services & Research最新文献

{"title":"Examining Longitudinal, Reciprocal Relations Between Mental Health Service Use and Mental Health Symptoms.","authors":"Jennifer Murphy, Youngmi Kim, Kyeongmo Kim, Tasha Pelletier, Kristen Kerr","doi":"10.1007/s11414-025-09963-1","DOIUrl":"https://doi.org/10.1007/s11414-025-09963-1","url":null,"abstract":"<p><p>Adolescence is often identified as the period of time when individuals first begin to experience mental health needs, though a gap remains between need and mental health service use. With limited knowledge of continued impact of mental health service use on future services and mental health need, this study aims to examine the longitudinal, bidirectional relations between mental health service utilization and mental health symptoms across four time points. Data came from four waves of the National Longitudinal Study of Adolescent Health (Add Health; N = 7,902). We examined mental health service (MHS) utilization in the past 12 months and depressive symptoms. Cross-lagged panel analyses were conducted, adjusting for sociodemographic characteristics. Findings indicated that school MHS utilization at Tn increased the odds of using MHS at Tn+1 across all waves (OR = 1.34, 1.53, and 1.61, respectively). Second, depressive symptoms at Tn also predicted depressive symptoms at Tn+1 (β = .21, .30, .30, respectively). Third, as MHS use at Tn predicted depressive symptoms at Tn+1 (β = .14 (school), .27, .11, .18, respectively), depressive symptoms at Tn were significantly related to future mental health service use at Tn+1 (OR = 1.09, 1.15, 1.05 respectively). The current study extends the understanding of the reciprocal relationship between MHS use and depressive symptoms. The study suggests the critical importance of using school-based services in adolescence to promote mental health service use in adulthood, highlighting implications for adolescent mental health service providers across service settings.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975433","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}

{"title":"Clinical and Administrative Perspectives on Prior Authorization for Residential Substance Use Disorder Treatment: A Qualitative Analysis.","authors":"Rebecca Wallis, Lindsay Allen, Stephen M Davis, Herb Linn, Anh Ngo, Yilin Cai, Carrie Speck, Thomas Bias","doi":"10.1007/s11414-025-09956-0","DOIUrl":"https://doi.org/10.1007/s11414-025-09956-0","url":null,"abstract":"<p><p>The objective of this study was to describe the clinical experiences associated with billing for short-term residential care for substance use disorder (SUD) under a Medicaid managed care organization (MCO) payment structure requiring prior authorization. The authors conducted a qualitative analysis of focus group data collected from residential adult services (RAS) facilities staff in West Virginia between 2020 and 2022. These primary data were derived from 17 semi-structured focus groups across 11 distinct RAS facilities, which included 28 administrators, 23 clinicians, and 10 peer recovery support specialists, and were recorded and transcribed before being coded. A phenomenological thematic analysis was employed using data describing reported experiences of RAS staff members billing MCOs under the 1115 Medicaid SUD Waiver. Two main themes arose related to billing MCOs for residential treatment. First, providers felt powerless in their roles as their focus moved from clinical to administrative due to the administrative burden of prior authorizations. Second, providers felt that the shorter lengths of stay for patients that resulted from the prior authorization requirements reduced the quality of care they could provide and that the low quality of care increased the risk of relapse among patients. Thus, MCOs' utilization of prior authorization as a cost management tool may create barriers for providers to fulfill their clinical roles and provide high-quality care. More research is needed to investigate the prior authorization process from the perspective of MCOs and to quantify the effects of prior authorization on patient outcomes.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856862","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}

{"title":"Comparing Questionnaires for Assessing Orthorexic Thoughts and Behaviors in College Students.","authors":"Marta Plichta, Radosław Rogoza","doi":"10.1007/s11414-025-09957-z","DOIUrl":"https://doi.org/10.1007/s11414-025-09957-z","url":null,"abstract":"<p><p>Mindful eating (ME) is becoming increasingly popular as a method of changing problematic eating behaviors, including orthorexic (ON) thoughts and behaviors. Simultaneously, the psychometric flaws of commonly used questionnaires for assessing ON thoughts and behaviors limit the potential of exploring their association with ME and diet quality. The study aimed to (a) assess the intensity of ON thoughts and behaviors; (b) evaluate the associations between ON thoughts and behaviors, ME, and diet quality; and (c) compare ORTO-R with ORTO-15 and its shortened versions and PL-DOS. Data were collected from a sample of 478 college students through a cross-sectional study conducted in 2021 across eighteen universities in Poland. Students completed the ORTO-R, ORTO-15, Düsseldorf Orthorexia Scale (PL-DOS), Mindful Eating Scale (MES), and Dietary Habits and Nutrition Beliefs Questionnaire (KomPAN). ORTO-15 and its shortened versions correlated at least highly positively with each other for both sexes, as did ORTO-R and PL-DOS. Positive correlations were found between ORTO-15 and its shortened versions and such mindful eating behaviors as act with awareness as well as awareness for females and/or males. Meanwhile, ORTO-R correlated negatively with act with awareness and acceptance for females and/or males. In addition, PL-DOS correlated negatively with awareness and acceptance for females and/or males. An increase in the intensity of ON thoughts and behaviors measured by almost all questionnaires was associated with an increase in the intensity of beneficial dietary characteristics for health (higher the \"Pro-Healthy Diet Index\"-pHDI, and the \"Diet Quality Index\"-DQI) and a decrease in the intensity of harmful dietary characteristics for health (lower the \"Non-Healthy Diet Index\"-nHDI). Overall, ORTO-R and PL-DOS proved to be the most effective questionnaires for distinguishing eating behaviors in the context of orthorexic thoughts and behaviors, but only for ME. The results may suggest that ME practices may be associated with reduced ON thoughts and behaviors. However, limitations of the study, for example, a sample of college students, a non-randomly selected of sample, a cross-sectional design of the study, and an imbalanced biological sex ratio, make it much more difficult to generalize the results.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718893","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}

{"title":"A Cross-sectional Analysis Exploring Relationships Among Locus of Control, Coping, and Professional Quality of Life in Therapeutic Service Providers.","authors":"David Simpson, Marcheley Adam, Morgan E Cooley, Brittany Stahnke, Heather M Thompson","doi":"10.1007/s11414-025-09958-y","DOIUrl":"https://doi.org/10.1007/s11414-025-09958-y","url":null,"abstract":"<p><p>This study examined locus of control (LOC), coping, and professional quality of life in therapeutic service providers (TSPs; mental health clinicians with master's degrees or higher) to determine whether coping strategies either mediated or moderated the relationship between LOC and professional quality of life. One hundred seventy-two TSPs completed self-report measures used in these analyses. An exploratory factor analysis was conducted on the coping measure and yielded four coping subscales: adaptive, avoidant, religious, and substance use. The study used the PROCESS macro to examine whether coping strategies mediate the effect of LOC on professional quality of life. Regression analyses were used to examine moderation effects of LOC and coping strategies on professional quality of life. Results revealed that the relationships between both powerful others and chance with compassion satisfaction were negatively mediated by avoidant coping. Avoidant coping also negatively mediated the relationship between internal LOC and secondary traumatic stress. The relationship between chance and burnout was positively mediated by avoidant coping. Avoidant coping partially, negatively mediated the relationship between internal LOC and burnout. Lastly, the relationship between powerful others and burnout and internal LOC and compassion satisfaction was partially, positively mediated by avoidant coping. No coping strategies statistically moderated the relationship between LOC and professional quality of life. Findings suggested that avoidant coping plays an important role in the professional quality of life for TSPs and that internal LOC may have critical implications for a strong professional quality of life.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700189","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}

{"title":"Response to Letter to the Editor on 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/s11414-025-09960-4","DOIUrl":"https://doi.org/10.1007/s11414-025-09960-4","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627462","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}

{"title":"State-Level Changes in Youth Inpatient, Residential, and Outpatient Mental Health Services, 2010-2022.","authors":"John A Cosgrove, Sarah Beehler, Sushmita Shoma Ghose, Tabitha Hoey, Mustafa Karakus","doi":"10.1007/s11414-025-09959-x","DOIUrl":"https://doi.org/10.1007/s11414-025-09959-x","url":null,"abstract":"<p><p>There are rising concerns over the availability of mental health services for children and youth. Recent evidence has shown reductions in the use of psychiatric inpatient, residential, and outpatient services among youths ages 0-17, with the COVID-19 pandemic and mental health workforce shortages identified as reasons for recent declines. The current study builds upon this evidence by exploring predictors of state-level changes in youth inpatient, residential, and outpatient service use from 2010 to 2022. This investigation involved secondary analysis of data collected from a Substance Abuse and Mental Health Services Administration (SAMHSA) annual survey of mental health treatment facilities across all 50 US states, D.C., and Puerto Rico, and publicly available data from the US Census Bureau and Kaiser Family Foundation. Results from longitudinal panel data models identified several state-level factors explaining variation in service use beyond reductions associated with COVID-19. Medicaid expansion, higher Federal Medical Assistance Percentage (FMAP), and more treatment facilities per capita were associated with higher utilization, and a greater percentage of youths from racial or ethnic minority backgrounds was associated with lower utilization. These findings suggest some actionable steps and service gaps needing further attention to help states improve service use in youth populations.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610124","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}

{"title":"Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV: Correspondence.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1007/s11414-025-09962-2","DOIUrl":"https://doi.org/10.1007/s11414-025-09962-2","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610125","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}

{"title":"Evidence-Based Practice Implementation Does Not Affect Provider Turnover in Community Mental Health Clinics.","authors":"G S Woodard, O Michael, S Douglas, P Cavanaugh, A Jensen-Doss","doi":"10.1007/s11414-025-09955-1","DOIUrl":"https://doi.org/10.1007/s11414-025-09955-1","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610123","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}

{"title":"Identifying Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis.","authors":"Todd M Jensen, Lisa de Saxe Zerden, Brianna M Lombardi","doi":"10.1007/s11414-025-09937-3","DOIUrl":"10.1007/s11414-025-09937-3","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"480-504"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"376-390"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}