Journal of Behavioral Health Services & Research最新文献_第3页

Youth Digital Mental Health Training Needs in Academic and Industry Sectors. 学术和工业部门的青少年数字心理健康培训需求。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-09-06 DOI: 10.1007/s11414-026-10017-3

Simon Daniel, Audrey J Michel, Bethany A Teachman

{"title":"Youth Digital Mental Health Training Needs in Academic and Industry Sectors.","authors":"Simon Daniel, Audrey J Michel, Bethany A Teachman","doi":"10.1007/s11414-026-10017-3","DOIUrl":"https://doi.org/10.1007/s11414-026-10017-3","url":null,"abstract":"Given the limited availability of evidence-based, in-person mental health care, digital mental health (DMH) is a rapidly growing field that is uniquely poised to address mental health needs in children and adolescents. The youth DMH field operates across multiple sectors (e.g., academic and industry) and bridges multiple disciplines (e.g., child development, clinical psychology, user design/experience, pediatrics), but little is known about the training needs and existing opportunities to prepare students to effectively contribute to the youth DMH workforce. To address this gap, the current study conducted a needs assessment, using a mixed-methods survey design, with an academic (N = 107) sample asked about training needs, strengths, and barriers in an academic research environment, and an industry (N = 60) sample asked to identify training needs, strengths, and barriers for graduates to effectively contribute to youth DMH industry roles. Quantitative findings suggest different training needs are endorsed at different frequencies by academic and industry sectors. The academic sample emphasized training needs in DMH-relevant research design and methodology, whereas the industry sample prioritized training in the fundamentals of healthcare administration. Qualitative findings highlighted the key priorities across academic and industry fields, including the logistics of conducting academic research (e.g., funding resources and research design) and translating academic research training into an industry space (e.g., demonstrating value for business and understanding industry research standards). These findings indicate a need for academic programs to provide tailored training and support to ready trainees to advance effective youth DMH.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901210","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

The Rural Divide in Behavioral Health Growth and Acquisition: Implications for Regional Mental Health. 行为健康成长与习得的农村差异：对地区心理健康的影响。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-09-06 DOI: 10.1007/s11414-026-10016-4

Jacob Gray, T Freeman Gerhardt

{"title":"The Rural Divide in Behavioral Health Growth and Acquisition: Implications for Regional Mental Health.","authors":"Jacob Gray, T Freeman Gerhardt","doi":"10.1007/s11414-026-10016-4","DOIUrl":"https://doi.org/10.1007/s11414-026-10016-4","url":null,"abstract":"Rural communities face persistent shortages in behavioral health providers and lower access to behavioral health services, contributing to poorer population behavioral health outcomes. Although prior research has documented lower provider availability in rural areas, less research has examined how rurality shapes provider acquisition and growth over time. This study analyzes 25 years of Florida behavioral health licensure data to examine associations between workforce acquisition and growth and population mental health outcomes. A multilevel hurdle negative binomial model estimated provider acquisition (presence versus absence of providers in a county) and provider growth conditional on presence (number of providers among counties with at least one provider). The model was applied to licensed mental health counselors, clinical social workers, marriage and family therapists, and psychologists. County-level estimates of provider availability and growth were extracted and used to examine associations with county-level mental distress and suicide rates. Urban and rural provider gaps remained stable over time. However, rural counties exhibited lower probabilities of provider presence and lower per capita provider rates across all provider types. Provider availability and growth were not associated with self-reported mental distress, yet higher provider availability and growth were associated with lower suicide rates in non-rural counties, with these associations attenuated in rural counties. These findings suggest workforce expansion alone may be insufficient to reduce mental distress in rural settings where structural barriers may limit the impact of provider supply on population-level outcomes. Policy efforts addressing workforce expansion and rural service delivery constraints may improve behavioral health outcomes in underserved counties.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901224","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

Exploring Organizational Barriers and Facilitators to a New Bachelor's-Level Behavioral Health Role. 探索组织障碍和促进因素对一个新的本科水平的行为健康的作用。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-09-01 DOI: 10.1007/s11414-026-10015-5

Alexandra L Rose, Brenna N Renn, Olga Vitruk, Lydia Chwastiak, William O'Connell, Anna Ratzliff

{"title":"Exploring Organizational Barriers and Facilitators to a New Bachelor's-Level Behavioral Health Role.","authors":"Alexandra L Rose, Brenna N Renn, Olga Vitruk, Lydia Chwastiak, William O'Connell, Anna Ratzliff","doi":"10.1007/s11414-026-10015-5","DOIUrl":"https://doi.org/10.1007/s11414-026-10015-5","url":null,"abstract":"Mental health provider shortages and associated mental health service treatment gaps have led to recent initiatives to broaden the types of providers delivering mental health services in the USA. A key example is the Behavioral Health Support Specialist (BHSS), a supervised bachelor's-level mental health provider, introduced in Washington State in 2023. Yet there is limited understanding of how behavioral health organizations who may employ these new providers perceive the acceptability and feasibility of these new roles, though such perceptions have critical implications for successful rollout and uptake. The research team conducted semi-structured individual interviews with n = 18 staff at organizations delivering behavioral health services throughout Washington to understand staff perspectives on these roles as the first cohort approached graduation and prepared to enter the workforce. The research team identified four main themes related to anticipated acceptability and feasibility: (1) the introduction of a bachelor's-level mental health provider role alongside existing behavioral health credentials was viewed as acceptable; (2) a lack of clear information on billing codes and financing could present an organizational barrier to uptake; (3) limited supervisor availability could present a barrier to feasibility at some organizations; and (4): high levels of burnout that exist among mental health providers could also present feasibility challenges for bachelor's-level providers. Although findings suggest promise for ongoing bachelor's-level mental health provider initiatives in Washington and other states, they also highlight several areas in which proactive implementation support may be needed to support successful introduction and sustainment of these roles.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876338","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

Enhancing Care for Youth at Elevated Suicide Risk: Impact of the Assessing and Managing Suicide Risk (AMSR) Training. 加强对高自杀风险青少年的关怀：自杀风险评估与管理培训的影响。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-08-07 DOI: 10.1007/s11414-026-10013-7

Alejandra Arango, Seth Finkelstein, Christina Magness, Tayla Smith, Lindsay DeCamp, Tristayn Owen, Cynthia Ewell Foster

{"title":"Enhancing Care for Youth at Elevated Suicide Risk: Impact of the Assessing and Managing Suicide Risk (AMSR) Training.","authors":"Alejandra Arango, Seth Finkelstein, Christina Magness, Tayla Smith, Lindsay DeCamp, Tristayn Owen, Cynthia Ewell Foster","doi":"10.1007/s11414-026-10013-7","DOIUrl":"https://doi.org/10.1007/s11414-026-10013-7","url":null,"abstract":"Suicide is a leading cause of preventable death among youth worldwide. Improving the knowledge and skills of professionals who care for youth is imperative to lowering the suicide rate. The Assessing and Managing Suicide Risk (AMSR) training aims to enhance professionals' therapeutic skills and increase the use of best practices for those working with individuals at elevated suicide risk. Changes in suicide prevention-specific therapeutic skills and the utilization of recommended brief interventions were evaluated in the 3 months following participation in AMSR training. Participants were youth-serving professionals (N = 115) across varied practice settings (e.g., mental health, education, emergency services) who attended an AMSR training and completed a pre-training and a 3-month post-training evaluation. Wilcoxon signed-rank tests were used to examine changes across time. Professionals reported a significant increase in use of recommended therapeutic skills overall, specifically in validating youth's experience of suicidal thinking and conveying that suicidal ideation is taken seriously. Moreover, professionals reported a significant increase in the use of specific brief interventions, namely safety planning and referring youth to additional care. Brief interventions that did not demonstrate significant change post-training included lethal means safety counseling and collaboration with caregivers. This is one of the first studies to evaluate the impact of AMSR training, a widely disseminated suicide prevention training, on self-reported clinical practices. Findings have important implications for efforts aimed at training a competent and confident professional workforce.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690079","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

Perspectives of Rural and Urban Veterans with Military Sexual Trauma Seeking Psychotherapy Through Community Care: A Qualitative Study. 城乡退伍军人性创伤寻求社区护理心理治疗的视角：一项质性研究。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-08-06 DOI: 10.1007/s11414-026-10011-9

Derrecka Boykin, Lindsey Romero, Isabelle Parra-Valencia, Jennifer Lee, Patricia V Chen, Gala True, John Fortney, Natalie E Hundt, Jeffrey A Cully

{"title":"Perspectives of Rural and Urban Veterans with Military Sexual Trauma Seeking Psychotherapy Through Community Care: A Qualitative Study.","authors":"Derrecka Boykin, Lindsey Romero, Isabelle Parra-Valencia, Jennifer Lee, Patricia V Chen, Gala True, John Fortney, Natalie E Hundt, Jeffrey A Cully","doi":"10.1007/s11414-026-10011-9","DOIUrl":"10.1007/s11414-026-10011-9","url":null,"abstract":"The Veterans Community Care Program (VCCP) has become essential to how the Veterans Health Administration (VHA) delivers care. Although VCCP expands Veterans' access to community providers, ongoing process inefficiencies create barriers to timely care. Veterans affected by military sexual trauma (MST) are at heightened risk for behavioral health challenges, especially when care is delayed or fragmented. These delays may be particularly harmful for Veterans with MST living in rural communities where structural barriers exacerbate health risks. In this study, the primary author interviewed 38 Veterans with MST (29% rural-dwelling) to understand rural-urban differences in experiences with seeking psychotherapy through VCCP. Three major themes emerged: (1) emotional strain from structural barriers that influenced psychotherapy access, (2) concerns about worsening health and safety, and (3) value of timely and clear processes. While rural and urban Veterans with MST expressed similar frustrations about the VCCP process, rural Veterans raised specific concerns about the impacts of treatment delays on worsening health. By comparison, urban Veterans were emotionally burdened by administrative hurdles (such as miscommunication and billing issues). They also indicated broader concerns about the safety of Veterans facing long wait times without additional support. Study findings highlight opportunities to enhance transparency, streamline administrative procedures, and bolster support for Veterans with MST undergoing the VCCP process. In addition, developing systems to monitor at-risk Veteran groups (such as rural Veterans with MST) during care transitions is necessary to reduce the likelihood of adverse outcomes.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686412","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

Ten Years of Outcomes in a National Mental Health Network for Veterans, Service Members, and Military Families. 退伍军人、服务人员和军人家属的国家心理健康网络的十年成果。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-08-05 DOI: 10.1007/s11414-026-10014-6

Steven L Lancaster, Heather Chiarello, Alice Kim, David J Linkh, Tracy A Neal-Walden, Anthony M Hassan

{"title":"Ten Years of Outcomes in a National Mental Health Network for Veterans, Service Members, and Military Families.","authors":"Steven L Lancaster, Heather Chiarello, Alice Kim, David J Linkh, Tracy A Neal-Walden, Anthony M Hassan","doi":"10.1007/s11414-026-10014-6","DOIUrl":"https://doi.org/10.1007/s11414-026-10014-6","url":null,"abstract":"Military-affiliated adults including veterans, active-duty service members, and their families experience elevated rates of mental health conditions such as PTSD, depression, and anxiety. Addressing these needs requires accessible, high-quality, and evidence-based care delivered at scale. Cohen Veterans Network (CVN), a national network of community-based military family clinics, was established in 2015 to provide rapid access to mental healthcare, emphasizing evidence-based psychotherapies, measurement-based care, and standardized clinical and operational practices. This retrospective study examined ten years of outpatient mental health care (2016-2025) across CVN clinics (N = 45,947 clients). Analyses focused on symptom change, clinically significant improvement, and trends over time, with stratification by client type and gender. Results indicate that across more than a decade of care, clients demonstrated consistent, meaningful symptom reductions. Among clients who screened positive at intake, mean PHQ-9 improvements ranged from 6.05 to 7.10 points, GAD-7 improvements from 5.67 to 6.24 points, and PCL-5 improvements from 16.50 to 18.37 points, with 55-68% of clients achieving clinically significant change. Outcomes remained stable despite network expansion, shifts in client composition, and external stressors such as the COVID-19 pandemic. Outcomes are also described by client type and gender, with all subgroups demonstrating symptom reductions. These findings demonstrate that using a social franchise model combining centralized infrastructure, local clinic management, standardized training requirements, and rigorous quality control can sustainably deliver high-quality, effective psychotherapy at scale. The CVN experience provides a replicable framework for addressing mental health disparities among military-affiliated populations and other underserved groups.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680441","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

Acceptability of Social Needs Assessment Among Patients with History of Suicidal Ideation. 自杀意念史患者社会需要评估的可接受性。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-07-16 DOI: 10.1007/s11414-026-09993-3

Elyse N Llamocca, Elizabeth Lockhart, Alyssa M Vanderziel, Mia L Boulay, Brian K Ahmedani, Jordan M Braciszewski

引用次数: 0

Barriers to Behavioral Health Workforce Development in Nebraska: A Focus on Faculty Shortages. 内布拉斯加州行为健康劳动力发展的障碍：关注师资短缺。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-07-16 DOI: 10.1007/s11414-026-10012-8

Katrina M Poppert Cordts, Alyssa Spartz, Marley A Doyle, Erin Obermeier Schneider

引用次数: 0

Perspectives on Turnover and Workforce Shortages in Community Behavioral Health: Implications for Policy and Research. 社区行为健康中人员流动和劳动力短缺的观点：对政策和研究的影响。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-07-07 DOI: 10.1007/s11414-026-10008-4

Elyse Ganss, Vanesa A Mora Ringle, Temma Schaechter, Kofi Adutwum, Cherry Du, Natalie Dallard

{"title":"Perspectives on Turnover and Workforce Shortages in Community Behavioral Health: Implications for Policy and Research.","authors":"Elyse Ganss, Vanesa A Mora Ringle, Temma Schaechter, Kofi Adutwum, Cherry Du, Natalie Dallard","doi":"10.1007/s11414-026-10008-4","DOIUrl":"https://doi.org/10.1007/s11414-026-10008-4","url":null,"abstract":"There is a high rate of worker turnover in public mental health settings, contributing to a critical provider shortage with serious implications for mental healthcare access, particularly for low-income and underserved populations. These challenges unfold within strained public mental health systems characterized by chronic underfunding, high caseloads, and administrative demands, all of which exacerbate workforce instability. The primary objective of this study was to qualitatively examine public mental health workers' perspectives on factors influencing turnover and experiences of ongoing workforce shortages. Semistructured interviews were conducted between September and October 2024 with mental health workers (N = 20) from 12 agencies within the public mental health system in Philadelphia. Thematic analysis identified four key themes: (1) identification of financial and occupational stressors that contribute to turnover, (2) profound dedication and commitment to serving acute community mental health populations, (3) reactions and implications of staffing shortages, and (4) factors important to staying at work in the public mental health system. A notable secondary finding highlighted disparities in access to care for Spanish-speaking clients with participants describing shortages of Spanish-speaking clinicians and interpreters across the public mental health system that may negatively impact therapeutic rapport and timely access to services. Findings highlight the value of frontline provider perspectives in informing policy and research efforts aimed at strengthening and sustaining the public mental health workforce while promoting equitable and linguistically responsive access to behavioral health services.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406520","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

Rethinking AUD Pharmacotherapy Gaps in Primary Care: A Systems-Level Imperative Beyond Diagnosis. 重新思考初级保健中的药物治疗差距：超越诊断的系统级当务之急。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2026-07-01 Epub Date: 2025-12-28 DOI: 10.1007/s11414-025-09985-9

Schawanya Kaewpitoon Rattanapitoon, Natnapa Heebkaew Padchasuwan, Nav La, Nathkapach Kaewpitoon Rattanapitoon

引用次数: 0