Journal of Behavioral Health Services & Research最新文献

{"title":"An Evaluation of the Michigan Mental Health Workforce: Addiction Training and Competence.","authors":"Tiffany K Lee, Janeé M Steele","doi":"10.1007/s11414-026-10010-w","DOIUrl":"https://doi.org/10.1007/s11414-026-10010-w","url":null,"abstract":"<p><p>Mental health professionals frequently work with individuals who have addiction concerns; however, limited training is occurring in their educational programs. The purpose of this study was to evaluate counselors, psychologists, and social workers and investigate aspects of their addiction training and perceived addiction-related competency. The majority of the 1596 mental health professionals who participated in the study identified as White, non-Hispanic/Latino, heterosexual, women with a master's degree in social work. Over one-third had an addiction credential (35.81%) and worked in the addiction field (35.48%); 60.82% were counselors, 45.44% worked in an outpatient setting, and 24.51% worked in private practice. Half of the workforce felt unprepared in the area of addiction upon graduation, and over two-thirds wished they had taken more addiction coursework. Over nine out of 10 mental health professionals reported that addiction training is necessary in degree preparation programs, and almost three-fourths recommended that students complete one or more addiction-specific courses. The highest perceived competence among the participants was in the areas of motivational interviewing and diagnosis, and the lowest was in diversity aspects and drug policy. Despite being the largest group of mental health professionals within the USA, the social workers in the study reported the lowest overall perceived confidence. Results support the need for more addiction training in mental health professional preparation programs.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347044","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":"Workforce Investments in Telehealth Suicide Prevention in Emergency Departments: Implementation Costs of a Centralized Behavioral Health Consultation Service.","authors":"Freya Nezir, Megan E Reilly, Michael Steinberg, Kelly L Green, Shari Jager-Hyman, Courtney Benjamin Wolk, Danielle Mowery, David S Mandell, Maria A Oquendo, Gregory K Brown","doi":"10.1007/s11414-026-10006-6","DOIUrl":"https://doi.org/10.1007/s11414-026-10006-6","url":null,"abstract":"<p><p>Health systems increasingly deploy telehealth suicide prevention in emergency departments (EDs), yet little is known about required organizational investments. Transparent resource estimates are needed to plan and scale behavioral health services in acute care. This micro-costing study examined implementation of a centralized Suicide Prevention Consultation Center (SPCC) delivering telehealth Safety Planning Intervention with follow-up (SPI +) to suicidal ED patients across eight hospitals. Using Time-Driven Activity-Based Costing (TDABC) from a health system perspective, implementation strategies were mapped to actions, personnel roles, and time drivers. Standardized wages were applied to calculate total and per-ED costs, distinguishing centralized from site-specific activities and classifying costs by implementation strategies and Exploration, Preparation, Implementation, and Sustainment (EPIS) framework phases. Over 14 months, implementation required 1824 staff hours costing $163,329 ($20,416 per ED). Clinician consultation, workflow development, and training accounted for three-quarters of costs. Most resources (84%) supported one-time centralized activities (e.g., EHR referral and system-wide workflow design), while 16% supported site-specific activities such as ED leadership engagement, local workflow adaptation, and go-live meetings. Preparation-phase activities comprised 62.5% of costs; implementation-phase supports comprised the remainder. Costs were concentrated among the SPCC Clinical Consultant, Implementation Lead, and SPCC clinicians (71% of total), with additional opportunity costs borne by health system leadership and clinical personnel. Launching a centralized telehealth suicide prevention service in EDs requires substantial but time-limited behavioral health workforce investments, particularly clinical consultation, workflow development, and training to build clinician capacity and fidelity. These findings provide practical benchmarks for health systems considering scalable telehealth suicide prevention services.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310158","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":"Observed Differences in Burnout Between Master's-Level and Doctoral-Level Psychotherapists.","authors":"Vincent P Corcoran, Dean McKay","doi":"10.1007/s11414-026-10007-5","DOIUrl":"https://doi.org/10.1007/s11414-026-10007-5","url":null,"abstract":"<p><p>Burnout has received ongoing attention in the psychotherapist literature, with much of the emphasis placed on examining risks for its development and consequences of its occurrence. However, there is a paucity of research comparing burnout between psychotherapist training levels. The current study examined a sample of licensed psychotherapists (n = 108) from different training levels and educational backgrounds. Differences in emotional exhaustion, depersonalization and personal accomplishment were examined between psychotherapists trained at the master's-level and those trained at the doctoral-level. Findings indicated that master's-level psychotherapists experienced more depersonalization on average compared to doctoral-level psychotherapists. Moreover, exploratory regression analyses found that training-level moderated the relationship between treatment hours provided per week and depersonalization scores, which was additionally moderated by control over client caseload. Specifically, master's level-psychotherapists with less control over their caseload experienced greater depersonalization scores the more time they spent treating clients per week. Whereas no conditional relationships were found for doctoral-level psychotherapists or master's-level psychotherapists who reported greater control over their caseload in relation to treatment hours per week and depersonalization scores. Allowing master's-level psychotherapists to have more control over the topography of their client caseload when feasible may help to reduce burnout-related depersonalization.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228882","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":"Healthcare Utilization in the Year Before Death By Suicide: A Multinomial Approach.","authors":"Austin Porter, Katy Allison, Srinivasa B Gokarakonda, Nakita Lovelady, Donald McCormick, Nichole Stanley, J Mick Tilford","doi":"10.1007/s11414-025-09978-8","DOIUrl":"10.1007/s11414-025-09978-8","url":null,"abstract":"<p><p>Suicide prevention is a critical public health priority. The opportunity to intervene with this population is often in the primary care setting, but many at-risk individuals do not seek treatment. This study examines demographic differences in healthcare utilization patterns among suicide decedents, categorized into three groups: decedents who accessed care for mental health conditions, decedents who accessed care for non-mental health conditions, and decedents who did not access care. Data from the Arkansas All-Payers Claims Database (2013-2021) were linked to vital records to identify adult decedents who died by suicide. Healthcare utilization was categorized based on insurance claims filed in the year before death. Multinomial logistic regression was used to identify predictors of healthcare utilization, including age, gender, race, education, marital status, and rurality. Among 1678 decedents, 38.9% accessed care for mental health conditions, 23.5% accessed care for non-mental health conditions, and 37.5% did not access care in the year before death. Younger decedents (18-44 years) were 49% less likely to access mental health services and 81% less likely to access non-mental health services compared to seniors (65+ years; p < 0.0001). Men were 50% less likely to access mental health services than women (p < 0.0001). African-Americans were more likely to access care for non-mental health conditions (p = 0.01). Identifying decedent characteristics of suicide based on healthcare utilization can help develop targeted interventions for this population. Additional efforts should be made to encourage young people to seek healthcare more regularly, particularly during periods of severe stress.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"291-299"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439891","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 Qualitative Analysis of Organizational Practices to Support Peer Support Workers in The Substance Use Disorder Recovery Field.","authors":"Sarah J Miller, Sarah Grace Frary, Eleanor Wu, Wendy Chu, Magdalena Moskal, Elizabeth Bodalski, Sayward E Harrison","doi":"10.1007/s11414-025-09980-0","DOIUrl":"10.1007/s11414-025-09980-0","url":null,"abstract":"<p><p>Peer support workers (PSWs) play a key role in the substance use disorder (SUD) recovery field. According to organizational support theory, organizational actions and policies are key factors that promote perceived support and positive job-related outcomes. However, limited qualitative research has examined the construct of perceived organizational support from the perspective of PSWs working in the SUD recovery field. This study sought to determine what organizational actions and policies are perceived as supportive for PSWs. Semi-structured qualitative interviews were conducted with 25 PSWs actively working in the recovery field in South Carolina. Participants were asked \"How does your employer or organization support you in the work that you do?\" and \"How could your organization support you better?\" Interviews were recorded and transcribed verbatim. A team-based, rapid qualitative analysis approach was used to analyze data. Themes were identified and mapped onto existing guidelines for incorporation of PSWs into addiction medicine settings. PSWs reported that organizations can foster organizational support for PSWs through valuing PSWs as people with lived experiences. PSWs noted important supports such as living wages, insurance, job-related resources, and high-quality training and supervision. In addition, PSWs described how autonomy and reduced workload enable PSWs to optimize their time. Implications for organizations employing PSWs and recommended best practices are discussed.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"254-272"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446287","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":"Implementing a Just-in-Time Precepting Model in Two Integrated Behavioral Health Programs: A Response to the COVID-19 Mental Health Surge.","authors":"Andrea M Shamaskin-Garroway, Tziporah Rosenberg","doi":"10.1007/s11414-025-09974-y","DOIUrl":"10.1007/s11414-025-09974-y","url":null,"abstract":"<p><p>The COVID-19 pandemic led to ongoing unmet demand for mental health services, with integrated behavioral health (BH) in primary care facing challenges due to reduced in-person consultations. Although telehealth helped maintain access, opportunities for collaboration in resident precepting clinics were limited. The authors developed a program in two academic primary care practices in 2021-2022, adapting the BH clinician schedules to support regular, timely consultation during resident precepting clinics, while balancing financial sustainability in the clinical sites' fee-for-service payment models. BH collaboration time was consolidated into a single clinic session to align with resident precepting clinics. BH clinicians tracked data related to consult volume, source, clinical domain, time spent, disposition, and direct patient contact. Preliminary data suggests that regular availability and accessibility of BH clinicians contributed to consultation by multiple medical team members across two practices. This flexible scheduling improved collaboration between medical and BH team member and maintained care access.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"313-320"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309646","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":"Perceptions of Delta-8 THC and the Impact of a Brief Educational Video Intervention for College Students.","authors":"Destin Rothe, Erica K Yuen, Kathleen A Moore, Cynthia E Gangi, Mary Martinasek","doi":"10.1007/s11414-025-09983-x","DOIUrl":"10.1007/s11414-025-09983-x","url":null,"abstract":"<p><p>Delta-8 THC is a psychoactive cannabinoid typically synthesized from hemp, with similar intoxicating effects as delta-9 THC. Surging public interest alongside the lack of federal regulation of delta-8 THC has led to an unclear legal landscape and increasing safety concerns. Educating young adults about the dangers of delta-8 THC is imperative. The current study investigated the effects of a brief educational video about delta-8 THC for college students. First, to help develop the intervention, an exploratory online survey was administered (N = 291) to gather information about perceptions of delta-8 THC and motivations for use. Mixed-methods analysis indicated that many students perceive delta-8 THC to have weaker (less intense, shorter-lasting) effects while being beneficial for mental and physical health. A strong motive for consumption was to enhance positive feelings, while conformity was a significantly weaker motive. These results informed the development of an educational video for students to highlight the risks of delta-8 THC and improve decision-making. Participants (N = 120) were randomly assigned to watch either a brief educational video about delta-8 THC or an unrelated control video about attending college. Results found that the educational video increased knowledge about delta-8 THC across all students, and lowered intentions to use delta-8 THC specifically for students who reported prior but not recent use of the substance. Perceived benefits, perceived costs, and attitudes towards legislation were not affected. Overall, results demonstrate support for the format of a brief stand-alone video intervention to increase knowledge and reduce behavioral intentions regarding delta-8 THC.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"321-336"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558268","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":"Enhancing Depression Identification and Stratification with a Claims-Based Analytical Framework.","authors":"Andrey A Popkov, Tyson S Barrett, Jason Hohl, Amber Shergill, Susan L Deakin, Melissa Perry","doi":"10.1007/s11414-025-09972-0","DOIUrl":"10.1007/s11414-025-09972-0","url":null,"abstract":"<p><p>Depression, a prevalent health condition, substantially impacts both socioeconomic outcomes and individual wellbeing. Despite the availability of diagnostic tools, existing approaches for identifying depression severity often rely on single-indicator approaches, limiting accuracy. This retrospective study evaluates a multi-parameter analytics-enabled Identification and Stratification (IDS) framework designed to improve depression identification and severity stratification by leveraging health insurance claims and electronic health record data. For the evaluation, Highmark Health dataset was used, consisting of records for members aged 18 + with at least one healthcare encounter. The IDS framework identified 720,882 members with depression (16.6% of the population). The framework identified 258,206 more members (5.9% of the population) compared to using diagnoses alone. The stratification rules revealed variability in prevalence, with 5.0% mild, 8.5% moderate, 2.2% severe, with the remaining 0.9% in unknown, remission, or minimal. The IDS rules escalated 46% of mild and 19% of moderate cases to higher severity compared to single indicator assessments. Expenses for severe depression were, on average, 2.5 times higher than for minimal. The IDS framework demonstrated utility in identifying members with depression by linking fragmented data sources. Aligning multiple indicators provided a more comprehensive identification and a more nuanced severity evaluation compared to individual data elements. This enables targeting of cost-effective digital self-care tools to milder cases while reserving higher cost interventions for the most severely ill, potentially reducing costs while maintaining health outcomes. Implementation of this integrative platform can help focus efforts on those with the highest need and bridge the gap in treating depression.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"237-253"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082353","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":"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":"300-312"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","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":"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":"<p><p>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 ).</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"205-220"},"PeriodicalIF":1.6,"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}