Journal of Behavioral Health Services & Research最新文献

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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 1.6 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":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"188-204"},"PeriodicalIF":1.6,"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
{"title":"It's Not Oz: It's NatCon, Behavioral Health's International Village.","authors":"Chuck Ingoglia","doi":"10.1007/s11414-026-09992-4","DOIUrl":"10.1007/s11414-026-09992-4","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"185-187"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488114","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
{"title":"Effectiveness of Value-Based Payment and Assertive Community Treatment to Reduce Psychiatric Hospitalizations.","authors":"Deborah A Duch, Amy D Herschell, Carly T Ferrone, Jalal Maqsood, Lori A Fertall, Shari L Hutchison","doi":"10.1007/s11414-025-09982-y","DOIUrl":"10.1007/s11414-025-09982-y","url":null,"abstract":"<p><p>To address high-cost inpatient utilization for those with severe and persistent mental illness, stakeholders from a County Department of Human Services, a Behavioral Health Managed Care Organization, and mental health providers created a value-based payment (VBP) model to shift funding from inpatient mental health treatment (IPMH) to intensive, evidence-based, community-based mental health treatment, Assertive Community Treatment (ACT). Using a retrospective observational study, individuals who received ACT from providers participating in the VBP (N = 2) were compared to individuals who received ACT from providers (N = 17) not supported through a VBP. Results show decreasing average ACT and IPMH expenditures as well as shorter lengths of stay over time for providers under a VBP compared to those not in a VBP. Access to care was not impacted. These results, including implications for behavioral health, are discussed in the context of quality of care.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"273-290"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679281","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 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 1.6 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":"<p><p>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.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"221-236"},"PeriodicalIF":1.6,"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
Characterizing Fidelity Monitoring Practices in Community Behavioral Health Care. 社区行为卫生保健中保真监测实践的特征
IF 1.4 4区 医学
Journal of Behavioral Health Services & Research Pub Date : 2026-01-01 Epub Date: 2025-09-10 DOI: 10.1007/s11414-025-09967-x
Brigid R Marriott, Allison E Meyer, Amanda Feagans, Brielle L Batch, Zachary W Adams
{"title":"Characterizing Fidelity Monitoring Practices in Community Behavioral Health Care.","authors":"Brigid R Marriott, Allison E Meyer, Amanda Feagans, Brielle L Batch, Zachary W Adams","doi":"10.1007/s11414-025-09967-x","DOIUrl":"10.1007/s11414-025-09967-x","url":null,"abstract":"<p><p>Evidence-based practices (EBPs) are most effective when they are delivered with a high degree of fidelity, or as they are intended to be delivered. Because clinicians often deviate from fidelity, it is important to monitor EBP fidelity over time to guide corrective actions. However, little is known about current fidelity monitoring practices in community behavioral health care. The current study used a mixed methods approach to characterize current fidelity monitoring practices, as well as barriers and facilitators to fidelity monitoring, in community behavioral health care agencies. Therapists, supervisors, recovery coaches, executive leaders, and agency leaders (N = 191) from multiple agencies in a Midwestern state completed a survey measuring current fidelity monitoring methods at their agency and perceived acceptability and feasibility of potential fidelity monitoring methods and strategies. Additionally, agency leaders, supervisors, and therapists (N = 10) within the state and leaders of intermediary organizations (N = 11) across the United States participated in individual qualitative interviews asking about facilitators, barriers, and priorities related to ongoing fidelity monitoring. Most respondents indicated their agency currently monitors what practices are being delivered, with self-report and chart review the most frequently reported methods used and session recordings and role-play assessment the least-frequently endorsed. Mixed methods results revealed common barriers to and potential strategies for facilitating fidelity monitoring efforts at the clinician-, agency-, and system-level. Findings highlight the need for scalable and sustainable methods for monitoring fidelity and the need for multi-level approaches to support EBP fidelity monitoring in community behavioral health settings.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"45-64"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034367","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}
引用次数: 0
Patient Perspectives on the Psychosocial Impact of Chronic Pelvic Pain and Implications for Integrated Behavioral Care Approaches. 慢性盆腔疼痛对患者心理社会的影响及其对综合行为护理方法的影响。
IF 1.4 4区 医学
Journal of Behavioral Health Services & Research Pub Date : 2026-01-01 Epub Date: 2025-01-09 DOI: 10.1007/s11414-024-09926-y
Lisa S Panisch, Sierra M Jansen, Flora Abudushalamu, Timothy R Petersen, Kate V Meriwether
{"title":"Patient Perspectives on the Psychosocial Impact of Chronic Pelvic Pain and Implications for Integrated Behavioral Care Approaches.","authors":"Lisa S Panisch, Sierra M Jansen, Flora Abudushalamu, Timothy R Petersen, Kate V Meriwether","doi":"10.1007/s11414-024-09926-y","DOIUrl":"10.1007/s11414-024-09926-y","url":null,"abstract":"<p><p>Chronic pelvic pain (CPP) is a medically complex, multifaceted gynecological condition associated with psychological comorbidities and sexual trauma among women. Low rates of positive treatment outcomes underscore the need to better understand complex relationships between CPP, trauma exposure, and the psychosocial context of patients' lives. We conducted a secondary analysis of English and Spanish qualitative interviews with female-identity patients (N = 48) about CPP's impact on psychosocial well-being. Interviews were coded and analyzed in accordance with reflexive thematic analysis. We generated 4 themes regarding CPP and psychosocial well-being: navigating pain-filled relationships, multiple burdens of mental health challenges and marginalization, sexual trauma exposure embedded in illness experience, and harnessing hope in healing and dealing with CPP. We used insights from these findings to generate a list of treatment recommendations for trauma-informed, CPP-specific integrated care. Patients described the importance of social support and how psychological comorbidities and trauma exposure contributed to CPP's psychosocial toll. Findings provide insight into the burden of CPP-related minority stress and the role of hope on patients' well-being. Patients with CPP endorse the integration of psychosocial support into their CPP treatment plans. The authors encourage the incorporation of behavioral health providers into integrated care teams to deliver trauma-informed, culturally responsive methods for engaging patients with CPP in psychosocial interventions addressing multiple domains of well-being.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"115-130"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957412","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
Letter to the Editor: Response to "Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire" (Saglam et al., 2025). 致编辑的信:对“消防员的童年创伤和分离:自杀欲望的中介作用”的回应(Saglam et al., 2025)。
IF 1.6 4区 医学
Journal of Behavioral Health Services & Research Pub Date : 2026-01-01 Epub Date: 2025-06-27 DOI: 10.1007/s11414-025-09961-3
Ezra N S Lockhart
{"title":"Letter to the Editor: Response to \"Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire\" (Saglam et al., 2025).","authors":"Ezra N S Lockhart","doi":"10.1007/s11414-025-09961-3","DOIUrl":"10.1007/s11414-025-09961-3","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"183-184"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512650","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
Prism Model: Factors that Influence Teaming in Behavioral Health from the Perspectives of Interprofessional Clinicians. 棱镜模型:跨专业临床医生视角下影响行为健康团队合作的因素。
IF 1.4 4区 医学
Journal of Behavioral Health Services & Research Pub Date : 2026-01-01 Epub Date: 2025-09-10 DOI: 10.1007/s11414-025-09964-0
Julie Berrett-Abebe, Jocelyn Novella, Michelle Pagnotta
{"title":"Prism Model: Factors that Influence Teaming in Behavioral Health from the Perspectives of Interprofessional Clinicians.","authors":"Julie Berrett-Abebe, Jocelyn Novella, Michelle Pagnotta","doi":"10.1007/s11414-025-09964-0","DOIUrl":"10.1007/s11414-025-09964-0","url":null,"abstract":"<p><p>This qualitative study explores what factors influence teaming in behavioral health settings, from the perspective of behavioral health providers. Twenty-four participants from a range of behavioral health professions engaged in semi-structured interviews. Using a grounded theory approach, data were analyzed, and a \"prism\" model was developed to capture the complexities of behavioral health providers' perceptions of factors influencing teaming in various mental health and/or substance use disorder treatment programs. Specific model components included: behavioral health context, individual factors, navigating disciplinary-specific approaches, workplace structures, communication as a \"throughline,\" and varied perceptions of teaming. The prism model is dynamic, acknowledging the role of the individual in the system while also recognizing that participant perceptions of teaming are shaped by environmental and contextual forces. Each pathway is singular, with a variety of interacting factors. A key finding is that while teaming was viewed positively, there was no shared understanding of what teaming meant or whether it was occurring. The article concludes with implications for behavioral health education and practice, including support for new models of behavioral health care that incentivize teaming, expand community supports and peer workforce, prioritize the goals of recovery and wellness, and provide opportunities for more flexible financing.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"65-87"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034372","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}
引用次数: 0
Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV: Correspondence. 与艾滋病毒感染者发生性行为的男性中病毒抑制和物质使用的调节作用:对应关系。
IF 1.4 4区 医学
Journal of Behavioral Health Services & Research Pub Date : 2026-01-01 Epub Date: 2025-07-10 DOI: 10.1007/s11414-025-09962-2
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV: Correspondence.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1007/s11414-025-09962-2","DOIUrl":"10.1007/s11414-025-09962-2","url":null,"abstract":"","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"178-179"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploratory Factor Analysis of a Patient-Facing PCBH Adherence Measure: The PPAQ-Patient. 对面向患者的多氯联苯H依从性测量方法:PPAQ-患者进行探索性因素分析。
IF 1.4 4区 医学
Journal of Behavioral Health Services & Research Pub Date : 2026-01-01 Epub Date: 2024-09-30 DOI: 10.1007/s11414-024-09912-4
Paul R King, Gregory P Beehler, Jacob L Scharer
{"title":"Exploratory Factor Analysis of a Patient-Facing PCBH Adherence Measure: The PPAQ-Patient.","authors":"Paul R King, Gregory P Beehler, Jacob L Scharer","doi":"10.1007/s11414-024-09912-4","DOIUrl":"10.1007/s11414-024-09912-4","url":null,"abstract":"<p><p>Model adherence indicates the degree to which a program or intervention is delivered as intended. In integrated primary care, where mental health services are embedded into primary care clinics, appraisal of model adherence provides insight into whether these services align with key features of this unique practice environment (e.g., brief, interdisciplinary care). To date, such evaluations have emphasized system and provider factors. This study is a preliminary evaluation of whether a novel patient-facing measure, the Primary Care Behavioral Health Provider Adherence Questionnaire-Patient Version (PPAQ-Patient), can provide insight into adherence to the Primary Care Behavioral Health (PCBH) model of integrated primary care. Survey data were collected from 281 veterans who received PCBH care. Exploratory factor analyses evaluated the data structure. Results suggest that 19 items spanning three temporally-referenced subscales may feasibly capture patient perspectives on PCBH adherence at various stages of treatment. Future work is needed to refine the measure.</p>","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"165-177"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330680","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
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