Journal of Behavioral Health Services & Research最新文献_第6页

The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression. 初级保健项目ECHO和综合行为健康对青少年抑郁症患者急诊就诊的影响

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI: 10.1007/s11414-024-09928-w

Jessica M McClure, Constance A Mara, Lori J Stark, Jeffrey Anderson, Melissa Young, Avneesh Aggarwal, Emily Harris, Avani C Modi

{"title":"The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression.","authors":"Jessica M McClure, Constance A Mara, Lori J Stark, Jeffrey Anderson, Melissa Young, Avneesh Aggarwal, Emily Harris, Avani C Modi","doi":"10.1007/s11414-024-09928-w","DOIUrl":"10.1007/s11414-024-09928-w","url":null,"abstract":"Rates of depression among youth and emergency department (ED) visits for un- or under-treated symptoms are on the rise. Early identification and treatment of depression is imperative at the patient, program, system, and population levels. This paper examines the individual and cumulative impact of Project ECHO and the inclusion of IBH services in pediatric primary care practices on mental health-related ED rates among youth diagnosed with depression for those practices. Twenty-eight practices participated and provided data on 5,388 patients diagnosed with depression who were seen between 2019 and 2022. A binominal mixed effect model was used to examine the impact of Project ECHO and IBH on mental health-related ED rates among youth diagnosed with depression per month within each practice. Compared to practices without an IBH program, those who implemented IBH had a significantly lower rate of mental health-related ED visits among this patient population (Incident Rate Ratio (IRR) = 0.80, p = .005, 95% Confidence Intervale (CI) = 0.68, 0.93). No significant differences were found between practices regardless of participation in Project ECHO, nor was there a significant interaction effect between practices that employed Project ECHO and IBH in combination. This study shows promising results with IBH having a positive impact on practice outcomes compared to treatment as usual, while Project ECHO in isolation or combined with IBH did not significantly affect rates of mental health-related ED visits.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"357-366"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957413","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

Telemental Health and Remote Work: An Exploratory Analysis of Their Dual Impact on Mental Health Professionals' Experiences During COVID-19 Stay-at-Home Orders. 远程心理健康和远程工作：对COVID-19留守令期间心理健康专业人员经历的双重影响的探索性分析

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI: 10.1007/s11414-024-09925-z

Erica L Lizano, Clara Bergen, Britni Smith, Fred J Pasquarella, Sae Lee

{"title":"Telemental Health and Remote Work: An Exploratory Analysis of Their Dual Impact on Mental Health Professionals' Experiences During COVID-19 Stay-at-Home Orders.","authors":"Erica L Lizano, Clara Bergen, Britni Smith, Fred J Pasquarella, Sae Lee","doi":"10.1007/s11414-024-09925-z","DOIUrl":"10.1007/s11414-024-09925-z","url":null,"abstract":"Rapid shifts in modes of mental health service delivery, for example, from in-person to telehealth, profoundly impact mental health workers, particularly those providing services for at-risk populations in community mental health (CMH) settings. The COVID-19 pandemic offered a unique opportunity to examine the impacts of one such transition, as CMH agencies were compelled to adopt telemental health services abruptly due to mandatory stay-at-home orders. This study examines the experiences of CMH workers during the emergency transition to remote work and telemental health services in 2020 at a large CMH agency in California. Seven months after the emergency transition to remote work, 112 providers and staff members submitted written responses to open-ended self-report questions about the impacts of remote work and the transition to telemental health on their professional and personal lives. A team of five researchers analyzed these data using content analysis. Findings underscore the dual nature of the shift to remote work and telemental health, exposing specific positive and negative impacts. Three categories of themes are identified and analyzed: structural changes, impact on staff, and impact on clinical care. Multiple themes are identified and explored within these categories, including work environment, productivity, and emotional well-being. Understanding CMH workers' needs and experiences during the transition to remote work and telemental health is critical to ensuring provider well-being and service quality. Building on these insights, tailored strategies can be developed to support the CMH workforce better during future periods of transition in modes of mental health service delivery.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"282-293"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392187","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

Identifying Patients at Risk of Not Receiving Timely Community Mental Health Follow-Up After Psychiatric Hospitalisation Using Linked Routinely Collected Data. 利用关联的常规收集数据识别精神病住院后未及时接受社区精神健康随访的风险患者。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub Date: 2024-09-24 DOI: 10.1007/s11414-024-09910-6

Joanne M Stubbs, Shanley Chong, Helen M Achat

{"title":"Identifying Patients at Risk of Not Receiving Timely Community Mental Health Follow-Up After Psychiatric Hospitalisation Using Linked Routinely Collected Data.","authors":"Joanne M Stubbs, Shanley Chong, Helen M Achat","doi":"10.1007/s11414-024-09910-6","DOIUrl":"10.1007/s11414-024-09910-6","url":null,"abstract":"Timely receipt of community-based follow-up after inpatient psychiatric discharge is associated with positive outcomes. This retrospective cross-sectional study aimed to identify socio-demographic and clinical factors associated with failure to receive community mental health follow-up within 7 days. Routinely collected hospital and community mental health data were linked for all inpatients discharged with a mental health condition in 2017 to 2019 in a local health district in New South Wales, Australia. Of the 8780 patients discharged, 28% (n = 2466) did not have 7-day follow-up. Males were significantly more likely than females to fail follow-up. Adjusted logistic regression analyses revealed that both male and female patients aged 65 years and older were generally less likely to fail follow-up than those who were younger; conversely, patients referred to a hospital by a law enforcement agency and those who left the hospital at their own risk were more likely to fail follow-up. Other factors significantly related to failure to follow-up varied between the sexes. Improved outcomes may be achieved by enhancing the transition from inpatient to outpatient care through targeted strategies aimed at patients who are more likely to disengage with care.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"309-329"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330682","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 Power of New Perspectives. 新观点的力量。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 DOI: 10.1007/s11414-025-09939-1

Chuck Ingoglia

引用次数: 0

Using Photovoice to Improve Engagement in Community Health Assessments Addressing Behavioral Health. 利用摄影荐言提高行为健康社区健康评估的参与度。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-01 Epub Date: 2024-05-06 DOI: 10.1007/s11414-024-09885-4

Stacey Li, Jennifer Gulley, Marisa Booty, Bradley Firchow, Margaret L McGladrey

{"title":"Using Photovoice to Improve Engagement in Community Health Assessments Addressing Behavioral Health.","authors":"Stacey Li, Jennifer Gulley, Marisa Booty, Bradley Firchow, Margaret L McGladrey","doi":"10.1007/s11414-024-09885-4","DOIUrl":"10.1007/s11414-024-09885-4","url":null,"abstract":"Behavioral health disorders are well-known to have close links with the social determinants of health, yet little is known about how impacted communities perceive these links. Qualitative participatory methods can not only provide insight into how communities conceptualize these relationships but also empower those with lived experience to contextualize their perspectives and formulate calls to action. This study used Photovoice as a participatory method to supplement the Clark County Health Department Community Health Assessment and determine priority facilitators and barriers contributing to the behavioral health of Clark County, KY, residents. A secondary aim was to gain a greater understanding of how the Photovoice methodology impacts community engagement efforts in Community Health Assessments. Twenty-three Clark County residents participated in four Photovoice groups involving five weekly sessions, which included photograph \"show and tell,\" critical group dialogue, participatory analysis, and planning for dissemination. Secondary analysis of Photovoice focus group discussions revealed behavioral health facilitators and barriers were most influenced by (1) public sector unresponsiveness, (2) strong partnerships formed between community and grassroots organizations, and (3) the siloed division of responsibility between agencies and across sectors. The authors also found the Photovoice method successfully enhanced engagement and empowered those with lived experience to frame their perspectives of the behavioral health landscape. This project has implications for enhancing community engagement and empowerment in behavioral health-focused public health assessments and shaping policy to promote multi-sector collaboration.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"213-230"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870883","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

"Involuntary" and "Voluntary" in Psychiatric, Behavioral, and Mental Health Services: A Scoping Review of Definitions. 精神病学、行为和心理健康服务中的“非自愿”和“自愿”：定义的范围审查。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-03-26 DOI: 10.1007/s11414-025-09940-8

Benjamin D Smart, Kritheeka Kalathil, William V McCall, Sahil Munjal, Haley Kirkendall, Madison Patel, Amy Taliaferro, Lauren H Yaeger, Ana S Iltis

{"title":"\"Involuntary\" and \"Voluntary\" in Psychiatric, Behavioral, and Mental Health Services: A Scoping Review of Definitions.","authors":"Benjamin D Smart, Kritheeka Kalathil, William V McCall, Sahil Munjal, Haley Kirkendall, Madison Patel, Amy Taliaferro, Lauren H Yaeger, Ana S Iltis","doi":"10.1007/s11414-025-09940-8","DOIUrl":"https://doi.org/10.1007/s11414-025-09940-8","url":null,"abstract":"The meaning of (in)voluntary in the context of psychiatric, behavioral, and mental health services in the United States lacks shared understanding despite widespread use, such as in \"involuntary treatment,\" \"involuntary hospitalization,\" and \"voluntary patient.\" A pre-registered scoping review was conducted to describe how U.S.-based healthcare professionals explicitly define (in)voluntary when referring to psychiatric, behavioral, and mental health concepts. Nine databases and nine organization/government websites were searched. Eligibility criteria included English availability, U.S.-based healthcare author(s), and an explicit definition of (in)voluntary. Extracted data included study characteristics and (in)voluntary term(s) with definitions. Open coding was used for the (in)voluntary-associated definition. Meaning categories were created by grouping codes. A total of 29,313 citations were screened for a final 162 sources, containing 203 definitions. Evidence sources (years 1966-2023) were most frequently research articles (33%), review articles (24%), and books (20%) with authorship including persons with an M.D./D.O. (70%) and/or Ph.D. (51%). The most common definition words were order, coercion, against/opposed to a patient's will/wishes, consent, force, and adhere. Meaning categories were external pressure, civil rights, individual agency, competence and capacity, and ethics. Involuntary definitions more commonly characterized the patient as actively against an intervention (23%), rather than without active agreement (11%). Some definitions included a legal (62%) and/or ethical dimension (33%). Two-thirds of sources used at least one additional (in)voluntary term in the publication without defining it. Because there exists a range of competing definitions for the term (in)voluntary, authors who use this descriptor clearly are recommended to explain their meaning.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721950","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

Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire. 消防员童年创伤与分离：自杀欲望的中介作用。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-03-04 DOI: 10.1007/s11414-025-09936-4

Ozgur Saglam, Erdinc Ozturk, Gorkem Derin

{"title":"Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire.","authors":"Ozgur Saglam, Erdinc Ozturk, Gorkem Derin","doi":"10.1007/s11414-025-09936-4","DOIUrl":"https://doi.org/10.1007/s11414-025-09936-4","url":null,"abstract":"Firefighters are public safety personnel who act as first responders to protect people and property from fire dangers. Although firefighters frequently face severe incidents in their profession, there has been limited attention given to the childhood traumas they may have experienced and the long-term psychological impact of these early traumatic experiences within this professional group. This study aims to examine the correlation between childhood traumas and dissociative experiences, as well as suicidal ideas, among firefighters. The study was conducted on firefighters employed by the Hatay Metropolitan Municipality Fire Department. Between January and June 2024, the study recruited 210 firefighters from the Fire Department. Childhood traumas, dissociative experiences, and suicidal ideas were evaluated with validated psychometric instruments. The 4th model of the Hayes was utilized to examine the mediating role of suicidal ideas on the relationship between childhood traumas and dissociative experiences. Additionally, independent samples t-test and coefficient of determination were utilized. The firefighters who scored higher on the CTQ cut-off score showed greater levels of dissociative experiences and suicidal ideas compared to the lower-scoring group. The r2 values emphasized significant correlations between childhood traumas, dissociative experiences, and suicidal ideas. Dissociative experiences partially mediate the relationship between childhood traumas and suicidal desire. The establishment of specific mental health services is essential to mitigate the psychological effects of both occupational and previous traumas that firefighters have encountered. The long-term consequences of traumatic experiences should be the primary focus when developing mental health interventions for firefighters.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558551","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

Correction to: Assessing Feasibility and Barriers to Implementing a Family-Based Intervention in Opioid Treatment Programs. 修正：评估在阿片类药物治疗项目中实施家庭干预的可行性和障碍。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-02-11 DOI: 10.1007/s11414-025-09935-5

Khary K Rigg, Steven L Proctor, Ethan S Kusiak, Sharon A Barber, Lara W Asous, Tyler S Bartholomew

引用次数: 0

The Impact of Peer-Based Recovery Support Services: Mediating Factors of Client Outcomes. 基于同伴的康复支持服务的影响：客户结果的中介因素。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-01-14 DOI: 10.1007/s11414-024-09929-9

Esther Quiroz Santos, L A R Stein, Amy Stamates, Hailey Voyer

{"title":"The Impact of Peer-Based Recovery Support Services: Mediating Factors of Client Outcomes.","authors":"Esther Quiroz Santos, L A R Stein, Amy Stamates, Hailey Voyer","doi":"10.1007/s11414-024-09929-9","DOIUrl":"https://doi.org/10.1007/s11414-024-09929-9","url":null,"abstract":"Research demonstrates a positive impact of Peer Based Recovery Support Services (PBRSS) facilitated by peer recovery specialists (PRS), who are people in recovery from behavioral health conditions (e.g., substance use disorders [SUD] and mental health conditions). This study investigated PBRSS, their impact on client outcomes (e.g., substance use, health), and the factors (e.g., self-efficacy, perceived relationship with/helpfulness of PRS) mediating the relationship between services and outcomes while controlling for sociodemographic information (e.g., age). Data were collected across 58 sites within 25 agencies providing PBRSS in a state located in Northeastern USA. Cross-lagged panel models were used to examine 12 longitudinal mediational models in a sample of N = 412. Models were examined over two time periods (i.e., T1 and T2). After alpha correction (p = .00417), most results were nonsignificant. However, several findings indicated that constructs were significantly related across time in all models (e.g., self-efficacy at T1 significantly predicted self-efficacy at T2), while many point-in-time associations were also significant (e.g., number of services received was positively related to relationship/helpfulness of PRS at T1 and T2). Better PRS relationship/helpfulness at T1 significantly predicted a lower number of services received at T2, while receiving more services at T1 significantly predicted better PRS relationship/helpfulness at T2. Being older significantly predicted a worse overall health at T2 in some models. While no mediation was found, this study is important as it assists in building models with respect to the mechanisms by which PRS may effect change or not.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980266","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

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 1.5 4区医学

Journal of Behavioral Health Services & Research Pub 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":"https://doi.org/10.1007/s11414-024-09926-y","url":null,"abstract":"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.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-09","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