Journal of Behavioral Health Services & Research最新文献_第2页

The Impact of Coping and Psychological Flexibility on Young Adult Caregivers' Mental Health and Quality of Life. 应对和心理弹性对青年照顾者心理健康和生活质量的影响

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-10-23 DOI: 10.1007/s11414-025-09976-w

Alice Ahn, Taylor Eldridge, Debbie Torres, Chelsea Ratcliff

{"title":"The Impact of Coping and Psychological Flexibility on Young Adult Caregivers' Mental Health and Quality of Life.","authors":"Alice Ahn, Taylor Eldridge, Debbie Torres, Chelsea Ratcliff","doi":"10.1007/s11414-025-09976-w","DOIUrl":"10.1007/s11414-025-09976-w","url":null,"abstract":"As the emphasis on home-based care grows, it is important to understand factors that affect caregivers' quality of life (QOL). Despite the rise of caregiving responsibilities among all demographics, limited literature examines young adult caregivers. The purpose of this study was to 1) examine the difference in mental health (MH) and QOL among young adult caregivers (YAC) and non-caregivers (YANC) and 2) explore how coping and psychological inflexibility moderate the association of caregiver status with MH and QOL. 60 YAC and YANC (age 18-29) were matched via a one-to-one nearest-neighbor propensity score matching with a caliper of 0.1. Participants completed a questionnaire measuring depression and anxiety, QOL, psychological inflexibility, and coping. ANCOVA revealed YAC reported lower physical health-related QOL than YANC (η2 = .09, p = .024) but there were no significant differences in depression, anxiety, or mental health-related QOL. Moderation analyses revealed avoidant coping was associated with worse depression, anxiety, and MH-related QOL among YANC (p's < .0001), but not YAC. Exploratory moderated mediation analyses revealed that for YANC, psychological inflexibility was associated with greater avoidant coping, which in turn was associated with worse depression, anxiety, and MH-related QOL; this indirect effect was not observed for YAC. In this study, YAC did not report significantly worse mental health than YANC, but did report poorer physical health-related QOL. Additionally, results suggest being a YAC may buffer the impact of avoidant coping on MH. Further studies are needed for a better understanding of the young adult caregiver experience. Trial Registration: This study was pre-registered on Open Science Framework ( https://osf.io/hcwqg/?view_only=d777b5061b724801914df6893a426aa4 ).","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"205-220"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356680","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

Disparities in Utilization of Recovery Residences among People Attending an Intensive Outpatient Program for Co-occurring Disorders. 在参加共同发生疾病的强化门诊项目的人群中，使用康复住所的差异。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-09-09 DOI: 10.1007/s11414-025-09970-2

Bonnie Horgos, Michael Van Wert, Jennifer Wiseman, Jillian Wright, Emily Gus, Kristian Markon, Julie Rohovit

{"title":"Disparities in Utilization of Recovery Residences among People Attending an Intensive Outpatient Program for Co-occurring Disorders.","authors":"Bonnie Horgos, Michael Van Wert, Jennifer Wiseman, Jillian Wright, Emily Gus, Kristian Markon, Julie Rohovit","doi":"10.1007/s11414-025-09970-2","DOIUrl":"10.1007/s11414-025-09970-2","url":null,"abstract":"People with mental health and substance use disorders (SUDs) experience worse outcomes, including increased mortality risk, compared to those with SUDs alone. Access to safe, stable housing, in conjunction with treatment, such as intensive outpatient programs (IOP), is vital in early recovery. Nevertheless, those with historically marginalized identities may experience increased disparities in accessing and utilizing services. The aim of this study was to examine disparities in the utilization of recovery residences among adults receiving treatment for mental health disorders and SUDs in an IOP. Participants (n = 2803) were recruited as part of an ongoing program evaluation at a large Midwestern treatment agency offering to cover some of the monthly cost of living in independently operated recovery residences while admitted to the IOP. Collected data included demographic information and outcome variables. Logistic regression models examined factors associated with recovery residence enrollment. Most participants (80.5%, n = 2258) lived in a recovery residence during IOP. People who were female, Black-only, multiracial, had less education, or a legal history were less likely to live in recovery residences. Those with a prior treatment history, recently unhoused, or with more days abstinent from substances were more likely to live in recovery residences. In short, even with reduced cost barriers, disparities persist in the utilization of recovery residences in conjunction with IOPs, particularly those from historically marginalized groups. Future research should prioritize understanding this utilization gap and developing effective strategies to support individuals in utilizing recovery residences alongside IOP for improved outcomes.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"188-204"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024607","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

It's Not Oz: It's NatCon, Behavioral Health's International Village. 这不是奥兹：这是NatCon，行为健康的国际村。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 DOI: 10.1007/s11414-026-09992-4

Chuck Ingoglia

引用次数: 0

Mental Health Service Disparities in Persistent Poverty Counties versus Non-Persistent Poverty Counties. 持续贫困县与非持续贫困县的心理健康服务差异

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-09-28 DOI: 10.1007/s11414-025-09973-z

Carissa van den Berk-Clark, Nitin Katakam, Danielle Thistle

{"title":"Mental Health Service Disparities in Persistent Poverty Counties versus Non-Persistent Poverty Counties.","authors":"Carissa van den Berk-Clark, Nitin Katakam, Danielle Thistle","doi":"10.1007/s11414-025-09973-z","DOIUrl":"10.1007/s11414-025-09973-z","url":null,"abstract":"There is a dose-response relationship between the incidence of psychiatric issues and poverty. To better understand disparities related to extreme poverty and inequality, this study aims to investigate whether there is a difference in mental health services between counties identified as persistent poverty counties and those not identified. Data from the National Survey on Substance Abuse and Mental Health Services and the U.S. Census American Community Survey were analyzed. A random-effects logit regression analysis was performed to determine the likelihood of access to various types of mental health facilities, behavioral health services, medical services, screening services, emergency services, and ancillary services. Adjusted regression results revealed that persistent poverty county status was associated with a lower likelihood of residential facility services (OR = 0.65, 95% CI 0.45, 0.96), a higher likelihood of medication use (OR = 1.58, 95% CI 1.20, 2.09), and a higher likelihood of ancillary services (OR = 1.10, 95% CI 1.05, 1.16), especially chronic disease management, housing, intensive case management, and peer support. Meanwhile, fewer trauma-related treatments were available in these counties. A subsample of rural counties showed similar results. Mental health providers in persistent poverty counties were less likely to offer residential and behavioral health services and more likely to provide medication and ancillary services. Implications for mental health policy and practitioners are discussed.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"221-236"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187223","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

Effectiveness of Value-Based Payment and Assertive Community Treatment to Reduce Psychiatric Hospitalizations. 基于价值的支付和自信的社区治疗减少精神病住院的有效性。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-12-04 DOI: 10.1007/s11414-025-09982-y

Deborah A Duch, Amy D Herschell, Carly T Ferrone, Jalal Maqsood, Lori A Fertall, Shari L Hutchison

引用次数: 0

Youth Mental Health Treatment Knowledge and Information Sources Among Racially and Ethnically Minoritized Parents: A Cross-Sectional Study. 少数族裔家长青少年心理健康治疗知识及信息来源的横断面研究

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-03-18 DOI: 10.1007/s11414-026-09991-5

Lindsay E Holly, Emily J Bivins, Alexandra R Bowling, Madeline Buchanan

{"title":"Youth Mental Health Treatment Knowledge and Information Sources Among Racially and Ethnically Minoritized Parents: A Cross-Sectional Study.","authors":"Lindsay E Holly, Emily J Bivins, Alexandra R Bowling, Madeline Buchanan","doi":"10.1007/s11414-026-09991-5","DOIUrl":"https://doi.org/10.1007/s11414-026-09991-5","url":null,"abstract":"Parents play a central role in youth mental health service utilization, including by seeking care, selecting treatment providers, and supporting treatment engagement. This help-seeking process often depends on parents having sufficient mental health literacy, including knowledge of treatment options. However, limited research has examined how parents-particularly those from racially and ethnically minoritized backgrounds-learn about youth mental health treatments and the degree to which they are familiar with evidence-based treatment options. Using a cross-sectional design, this study explored parents' use, preferences, and trust in information sources and their familiarity with treatment modalities, across White, African American, Hispanic/Latino, and Asian parents. Participants were 281 parents who completed an online survey battery. Results from descriptive analyses suggest that parents most commonly use pediatricians, health websites, and family members to gather information, though healthcare providers (i.e., pediatricians, mental health professionals, psychiatrists) were rated as the most trusted sources. Discrepancies emerged between information sources used and those preferred, including an unmet desire for information from mental health professionals. On average, parents recognized 40% of treatment modalities, with highest familiarity for family therapy, medication, and cognitive behavioral therapy. Results from chi-square tests of independence and ANOVAs showed both commonalities and differences in parental information-seeking and knowledge of youth treatment across racial and ethnic groups. Together, findings have implications for the design and delivery of programs designed to improve mental health literacy and ultimately increase mental health service utilization among youth, including those from racially and ethnically minoritized backgrounds.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481824","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

Missing Elements in Child Welfare Systems of Care. 儿童福利体系中缺失的要素。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-02-27 DOI: 10.1007/s11414-026-09990-6

Paul Block, John Farley, Robert Kinscherff

{"title":"Missing Elements in Child Welfare Systems of Care.","authors":"Paul Block, John Farley, Robert Kinscherff","doi":"10.1007/s11414-026-09990-6","DOIUrl":"https://doi.org/10.1007/s11414-026-09990-6","url":null,"abstract":"This paper describes conclusions from an expert report prepared for litigation against the Office of Refugee Resettlement (ORR) with relevance for all children at risk for placement in restrictive settings. The claims that ORR refused to release unaccompanied immigrant children to appropriate custodians, improperly retained children in restrictive placements, and placed children with behavioral, mental health, or intellectual and/or developmental disabilities in restrictive facilities because of their disabilities rather than their needs have universal relevance to systems of care for children. These conclusions could be used by regulators, funders, advocates, family members, and others to improve decision-making about the management of children at risk for placement in restrictive settings. 1. Children can often be safely maintained in least restrictive settings with effective, individualized, community-based services and behavior management strategies. 2. Services must be based on adequate, evidence-based evaluation of children's needs. 3. Criteria for placement of children in more restrictive settings must include a specific determination that each child could not be maintained safely in a lower level of care, and the specific basis for that determination. 4. Effective systems of care require internal mechanisms to evaluate decisions and promote best services in the least restrictive setting.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311773","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

Mental Health Literacy for Professionals Working with At-Risk Youth. 为从事高危青少年工作的专业人员提供心理健康素养。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-02-27 DOI: 10.1007/s11414-026-09989-z

Kristina K Childs, James V Ray, Kim Gryglewicz

{"title":"Mental Health Literacy for Professionals Working with At-Risk Youth.","authors":"Kristina K Childs, James V Ray, Kim Gryglewicz","doi":"10.1007/s11414-026-09989-z","DOIUrl":"https://doi.org/10.1007/s11414-026-09989-z","url":null,"abstract":"This study evaluated the factor structure of a measure of mental health literacy (MHL) tailored to the role of helping professionals and assessed its association with help-seeking intentions among a sample of 946 child-serving professionals. Confirmatory factor analysis was used to model different factor structures of MHL for supporting youth, item response theory examined item discrimination, and structural equation modeling tested the relationship between MHL for supporting youth and help-seeking intentions. Results provided support for a higher order factor of MHL for supporting youth, with four first-order factors (i.e., mental health knowledge, attitudes/beliefs, perceived behavior control, subjective peer norms). Item discrimination varied across observed items and first-order factors. The second-order, multidimensional MHL factor was positively correlated with help-seeking intentions. These findings provide an initial step in validating a measure of MHL that accounts for the specific work roles and population characteristics unique to at-risk youth and aligns with prior definitions of MHL and the Theory of Planned Behavior. Future research should seek to replicate these findings across diverse service settings.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311680","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

Children's Adverse Childhood Experiences and Parent-Reported Use of Supplemental Nutrition Assistance Program in U.S. Households. 儿童的不良童年经历和父母报告的使用补充营养援助计划在美国家庭。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-01-22 DOI: 10.1007/s11414-025-09988-6

Edson Chipalo, Rebecka Bloomer

{"title":"Children's Adverse Childhood Experiences and Parent-Reported Use of Supplemental Nutrition Assistance Program in U.S. Households.","authors":"Edson Chipalo, Rebecka Bloomer","doi":"10.1007/s11414-025-09988-6","DOIUrl":"https://doi.org/10.1007/s11414-025-09988-6","url":null,"abstract":"Adverse childhood experiences (ACEs) have been linked to food insecurity, poor health outcomes, and socioeconomic challenges. Despite this, there is a dearth of studies connecting ACEs to use of safety net programs in the United States (U.S). This study examines the prevalence and association between ACEs and parent-reported use of SNAP benefits in U.S. households. Data were obtained from the parent-reported 2022 National Survey of Children's Health ( N = 52,521 children). Descriptive statistics were used to estimate prevalence rates, and six logistic regression models were used to determine the significant association between ACEs and parent-reported SNAP benefits use during the past 12 months. An estimated 57.5% of children with one or more ACEs had parent-reported SNAP benefits use in their households during the past 12 months. Children's individual ACE exposure such as experiencing economic hardships (AOR = 2.29) and being discriminated due to health conditions (AOR = 1.69) were associated with higher likelihood of parent-reported SNAP benefits use in households during the past 12 months. However, living with a family member with mental illness was associated with lower likelihood of parent-reported SNAP benefits use in households during the past 12 months (AOR = 0.70). Additionally, children's exposure to at least one ACE (AOR = 1.60), two ACEs (AOR = 2.27), three ACEs (AOR = 2.88), and four or more ACEs (AOR = 2.80) were associated with higher likelihood of parent-reported SNAP benefits use in households during the past 12 months. This study underscores the need for comprehensive interventions to address children's ACEs and strengthen public welfare policies for continuous use of SNAP benefits for families with limited resources in U.S households. Detailed implications for behavioral health, practice, and policy are further discussed.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020265","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

Systematic Review of Managed Care Medicaid Outcomes Versus Fee-for-Service Medicaid Outcomes for Youth in Foster Care. 寄养青少年管理医疗补助结果与按服务收费医疗补助结果的系统评价。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-01-13 DOI: 10.1007/s11414-025-09987-7

Emma R Breen, Nosherwan Yasin, Zhidi Luo, Annie B Wescott, Richard A Epstein

{"title":"Systematic Review of Managed Care Medicaid Outcomes Versus Fee-for-Service Medicaid Outcomes for Youth in Foster Care.","authors":"Emma R Breen, Nosherwan Yasin, Zhidi Luo, Annie B Wescott, Richard A Epstein","doi":"10.1007/s11414-025-09987-7","DOIUrl":"https://doi.org/10.1007/s11414-025-09987-7","url":null,"abstract":"Transitioning foster care children from fee-for-service (FFS) Medicaid to Medicaid managed care (MMC) plans is increasingly common, yet research on the impact of such transitions is limited. This systematic review addresses this gap by synthesizing evidence on the effects of transitioning foster care children from FFS to MMC on healthcare utilization and costs. Eligibility criteria included peer-reviewed articles on youth in foster care in the United States, aged 0-18 years, comparing selected outcomes under FFS vs. MMC. The outcomes of interest included behavioral, dental, vision, and well-child care. The databases searched were MEDLINE (PubMed), Cochrane Library (Wiley), APA PsycINFO (Ebsco), Social Services Abstracts (ProQuest), and Web of Science (Clarivate). A qualitative synthesis of articles meeting the inclusion criteria was performed. Five articles met the inclusion criteria. Three articles yielded mixed findings regarding behavioral healthcare, which was evaluated as having low certainty of evidence. Two articles on well-child visits indicate significant changes when transitioning youth from FFS to MMC coverage, with varied impacts based on how well-child visits were defined and rated moderate certainty of evidence. No articles examined dental or vision outcomes. Results suggest a shortage of empirical evidence on the effects of transitioning from FFS to MMC for children in foster care. Future research should describe insurance benefits packages in greater detail, as not all FFS or MMC programs are the same and continue to study the impacts of such transitions on healthcare utilization and outcomes for this vulnerable group.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960562","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