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":"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":"448-463"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315492/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New-Onset Mania in the Setting of Progressive HIV Infection: A Case Report.","authors":"Benjamin Walsh, Benjamin Kalivas","doi":"10.1007/s11414-025-09984-w","DOIUrl":"10.1007/s11414-025-09984-w","url":null,"abstract":"<p><p>HIV infection has been known to cause or exacerbate psychiatric symptoms. In individuals with HIV, mania may present as part of a bipolar disorder or as a distinct condition referred to as Mania Associated with Advanced HIV Disease (previously known as AIDS mania). We present a case of a 57-year-old patient with new onset symptoms of bipolar disorder in the setting of HIV infection. The patient was admitted for treatment of mania and found to have an HIV infection, but with a CD4 + count that was still above the threshold of AIDS. Eventually, the patient's mood stabilized on a regimen of valproic acid 1500 mg twice daily and olanzapine 10 mg once daily. He developed infectious symptoms and was found to have cryptococcal pneumonia. He was started on fluconazole, but then subsequently left the hospital against medical advice.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"501-505"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835092","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":"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":"404-428"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315514/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"10.1007/s11414-026-09991-5","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"464-480"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","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}

{"title":"Helping Teens Thrive with Teen Mental Health First Aid 2.0.","authors":"Chuck Ingoglia","doi":"10.1007/s11414-026-10005-7","DOIUrl":"10.1007/s11414-026-10005-7","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"337-339"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266711","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":"Internalized Stigma and Help-Seeking Across Problems and Targets.","authors":"A Grace Kelly, Natasha A Tonge","doi":"10.1007/s11414-025-09981-z","DOIUrl":"10.1007/s11414-025-09981-z","url":null,"abstract":"<p><p>Mental health difficulties have been on the rise in recent years. Self-disclosure of mental health symptoms is related to a range of positive outcomes, and seeking help for mental health can be life-saving. Help-seeking for one's mental health can be impacted by a variety of factors, such as the help-seeking target (e.g., friend, family member, or professional source) and the presenting problem (e.g., a personal emotional problem vs suicidal ideation). Internalized stigma of mental illness can impede help-seeking; however, it is not known if internalized stigma impedes (1) only certain types of problems or (2) help-seeking only from certain targets. It was hypothesized that the relationship between internalized stigma and willingness to seek help would vary based on (1) help-seeking target and (2) whether someone is seeking help for a personal emotional problem or suicidal thinking. Utilizing a sample of undergraduate students and a sample recruited through Prolific of adults with a history of help-seeking for mental health, bifactor models were run with stigma included as a manifest variable predicting willingness to seek help for suicidal ideation and personal emotional problems (each included as general factors) from three types of targets (friends/intimate partners, family members, and professional sources, each included as specific factors). Results indicate that internalized stigma negatively predicts willingness to seek help for suicidal thinking across targets and negatively predicts willingness to seek help for personal/emotional problems from friends/intimate partners and family members, but not from professional targets. These findings demonstrate that the relationship between internalized stigma and willingness to seek help is not uniform across help-seeking targets and presenting problems.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"362-380"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496323","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}

{"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":"10.1007/s11414-025-09988-6","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"429-447"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315470/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"10.1007/s11414-026-09989-z","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"340-361"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","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}

{"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":"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":"381-403"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","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":"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":"10.1007/s11414-025-09987-7","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"481-500"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314813/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}