Journal of Behavioral Health Services & Research最新文献_第8页

Evidence-based Treatment for Substance Use Disorders in Community Mental Health Centers: the ACCESS Program. 社区精神卫生中心物质使用障碍的循证治疗:ACCESS计划。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-07-01 DOI: 10.1007/s11414-023-09833-8

Matthew C Aalsma, Zachary W Adams, Michael P Smoker, Brigid R Marriott, Fangqian Ouyang, Emily Meudt, Leslie A Hulvershorn

{"title":"Evidence-based Treatment for Substance Use Disorders in Community Mental Health Centers: the ACCESS Program.","authors":"Matthew C Aalsma, Zachary W Adams, Michael P Smoker, Brigid R Marriott, Fangqian Ouyang, Emily Meudt, Leslie A Hulvershorn","doi":"10.1007/s11414-023-09833-8","DOIUrl":"https://doi.org/10.1007/s11414-023-09833-8","url":null,"abstract":"A significant gap remains in the availability and accessibility of evidence-based treatments (EBTs) in community substance use disorder (SUD) treatment. This study describes a 2-year statewide training initiative that sought to address this gap by training community-based therapists in motivational enhancement/cognitive behavioral therapy (MET/CBT). Therapists (N = 93) participated in a 2-day MET/CBT workshop followed by bi-weekly clinical consultation, fidelity monitoring, guided readings, and online resources. Therapists completed pre-training and follow-up assessments measuring knowledge, attitudes, confidence, and implementation barriers. Most therapists attended 10 or more consultation calls. Submission of session recordings for feedback was the least utilized training element. Therapists reported increased confidence in their ability to implement MET/CBT for SUD and demonstrated improvement in MI and CBT knowledge. Therapists reported several implementation barriers, including lack of time and opportunity to treat patients with MET/CBT. Recommendations for future training initiatives and addressing the barriers identified in this study are discussed.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9603270","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

A Qualitative Evaluation of an Adapted Assertive Community Treatment Program: Perspectives During COVID-19. 适应性自信社区治疗方案的定性评估:COVID-19期间的观点

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-07-01 DOI: 10.1007/s11414-022-09827-y

Jennifer T Tran, Kristin A Kosyluk, Charles Dion, Katie Torres, Victoria Jeffries

引用次数: 0

Documenting a Decade of Exponential Growth in Employer Demand for Peer Support Providers. 记录十年来雇主对同伴支持提供者需求的指数增长。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-07-01 DOI: 10.1007/s11414-023-09832-9

Margaret P Ziemann, Randl B Dent, Ellen D Schenk, Deborah Strod, Qian Luo, Rachel A Banawa, Sara Westergaard, Clese E Erikson

{"title":"Documenting a Decade of Exponential Growth in Employer Demand for Peer Support Providers.","authors":"Margaret P Ziemann, Randl B Dent, Ellen D Schenk, Deborah Strod, Qian Luo, Rachel A Banawa, Sara Westergaard, Clese E Erikson","doi":"10.1007/s11414-023-09832-9","DOIUrl":"https://doi.org/10.1007/s11414-023-09832-9","url":null,"abstract":"The past decade has seen peer support providers increasingly incorporated as part of a recovery-oriented approach to behavioral health (BH) services for mental illness and substance use disorder. Despite this, there are few data sources to track this sector of the BH workforce, and understanding of peer support provider supply, demand, distribution, and associated factors is limited. In this retrospective, observational study, the authors analyzed job postings from 2010 to 2020 to assess employer demand for peer support providers and the factors associated with its growth, using a labor market data set from Emsi Burning Glass. The authors identified peer support job postings using a three-pronged, stepwise approach. Then, bivariate regression analyses using robust standard errors were conducted to examine state-level relationships between the number of peer support job postings per 100,000 population and Medicaid policies and indicators of states' BH infrastructure. The authors identified approximately 35,000 unique postings, finding the number increased 17-fold between 2010 and 2020. Bivariate analysis found significant state-level associations between peer support job postings and Medicaid expansion, as well as states' mean number of mental health facilities. This analysis represents the first to quantify employer demand for peer support providers, clearly demonstrating robust growth over time. Findings underscore the importance of continuing to develop data on this workforce to better understand factors driving its growth.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9554012","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: Factors Associated with the Receipt of Follow-Up Care Among Medicare Beneficiaries Discharged from Inpatient Psychiatric Facilities. 修正:与从精神病院出院的医疗保险受益人接受后续护理相关的因素。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-022-09816-1

Jonathan D Brown, Nadia Bell

引用次数: 0

Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health. 学习协作:行为健康质量改进和实施策略。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-022-09826-z

Heather J Gotham, Manuel Paris, Michael A Hoge

{"title":"Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health.","authors":"Heather J Gotham, Manuel Paris, Michael A Hoge","doi":"10.1007/s11414-022-09826-z","DOIUrl":"https://doi.org/10.1007/s11414-022-09826-z","url":null,"abstract":"Learning collaboratives are increasingly used in behavioral health. They generally involve bringing together teams from different organizations and using experts to educate and coach the teams in quality improvement, implementing evidence-based practices, and measuring the effects. Although learning collaboratives have demonstrated some effectiveness in general health care, the evidence is less clear in behavioral health and more rigorous studies are needed. Learning collaboratives may contain a range of elements, and which elements are included in any one learning collaborative varies widely; the unique contribution of each element has not been established. This commentary seeks to clarify the concept of a learning collaborative, highlight its common elements, review evidence of its effectiveness, identify its application in behavioral health, and highlight recommendations to guide technical assistance purveyors and behavioral health providers as they employ learning collaboratives to improve behavioral health access and quality.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9618963","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: 3

Racial and Ethnic Disparities in Health Care Access and Utilization among Medicaid Managed Care Beneficiaries. 医疗保健获取和利用在医疗补助管理医疗受益人中的种族和民族差异。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-022-09811-6

Eric Y Frimpong, Wahida Ferdousi, Grace A Rowan, Sahil Chaudhry, Hannah Swetnam, Michael T Compton, Thomas E Smith, Marleen Radigan

{"title":"Racial and Ethnic Disparities in Health Care Access and Utilization among Medicaid Managed Care Beneficiaries.","authors":"Eric Y Frimpong, Wahida Ferdousi, Grace A Rowan, Sahil Chaudhry, Hannah Swetnam, Michael T Compton, Thomas E Smith, Marleen Radigan","doi":"10.1007/s11414-022-09811-6","DOIUrl":"https://doi.org/10.1007/s11414-022-09811-6","url":null,"abstract":"This quasi-experimental study examined the impact of a statewide integrated special needs program Health and Recovery Plan (HARP) for individuals with serious mental illness and identified racial and ethnic disparities in access to Medicaid services. Generalized estimating equation negative binomial models were used to estimate changes in service use, difference-in-differences, and difference-in-difference-in-differences in the pre- to post-HARP periods. Implementation of the special needs plan contributed to reductions in racial/ethnic disparities in access and utilization. Notable among those enrolled in the special needs plan was the declining Black-White disparities in emergency room (ER) visits and inpatient stays, but the disparity in non-behavioral health clinic visits remains. Also, the decline of Hispanic-White disparities in ER, inpatient, and clinic use was more evident for HARP-enrolled patients. Health equity policies are needed in the delivery of care to linguistically and culturally disadvantaged Medicaid beneficiaries.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9242265","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: 1

Prescription Opioid Misuse and Suicidal Behaviors Among US Veterans: A Cross-Sectional Study from the 2015-2019 National Survey on Drug Use and Health. 美国退伍军人处方阿片类药物滥用和自杀行为:2015-2019年全国药物使用与健康调查的横断面研究

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-022-09820-5

Christian A Betancourt, Panagiota Kitsantas, Deborah G Goldberg, Beth A Hawks

{"title":"Prescription Opioid Misuse and Suicidal Behaviors Among US Veterans: A Cross-Sectional Study from the 2015-2019 National Survey on Drug Use and Health.","authors":"Christian A Betancourt, Panagiota Kitsantas, Deborah G Goldberg, Beth A Hawks","doi":"10.1007/s11414-022-09820-5","DOIUrl":"https://doi.org/10.1007/s11414-022-09820-5","url":null,"abstract":"Suicide continues to be a serious public health issue for the US veteran population as its prevalence has skyrocketed over the last 15 years. This cross-sectional study estimates the prevalence of suicidal behaviors and prescription opioid misuse among veterans and identifies associations between suicidal behaviors and misuse of prescription opioids using data from the National Survey on Drug Use and Health. The findings show that approximately 3.7% of all veterans in this sample experienced suicidal behaviors, while nearly 3.0% reported misusing prescription opioids. Veterans who misused prescription opioids had a much higher prevalence of suicidal behaviors (16.3%) than veterans who used prescription opioids without misuse (4.8%) and those who did not use prescription opioids at all (2.5%). Opioid misuse is strongly associated with suicidal behaviors among veterans. Immediate substance use and mental health screenings, upon first contact with a healthcare system, are imperative in preventing and reducing suicide rates within this vulnerable population.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9237514","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: 1

Co-occurrence of Neurodevelopmental Disorders Predict Caretaker Mental Health in a Latinx Sample. 在拉丁裔样本中，神经发育障碍的共同发生预测看护人的心理健康。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-022-09818-z

Andy Torres, Francis Morales, Kim L Nguyen-Finn, Alfonso Mercado

引用次数: 1

To Prescribe or Not to Prescribe?: Barriers and Motivators for Progressing Along Each Stage of the Buprenorphine Training and Prescribing Path. 开还是不开?丁丙诺啡训练和处方路径中每个阶段进展的障碍和激励因素。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-021-09783-z

Rachel P Winograd, Bridget Coffey, Candice Woolfolk, Claire A Wood, Vinith Ilavarasan, David Liss, Subodh Jain, Erin Stringfellow

{"title":"To Prescribe or Not to Prescribe?: Barriers and Motivators for Progressing Along Each Stage of the Buprenorphine Training and Prescribing Path.","authors":"Rachel P Winograd, Bridget Coffey, Candice Woolfolk, Claire A Wood, Vinith Ilavarasan, David Liss, Subodh Jain, Erin Stringfellow","doi":"10.1007/s11414-021-09783-z","DOIUrl":"https://doi.org/10.1007/s11414-021-09783-z","url":null,"abstract":"This study aimed to identify the strongest barriers and motivators associated with each step toward buprenorphine prescribing (1. obtaining a waiver, 2. beginning to prescribe, and 3. prescribing to more people) among a sample of Missouri-based medical professionals (N = 130). Item weights (number of endorsements times mean rank of the item's importance) were calculated based on their responses. Across groups, lack of access to psychosocial support services, need for higher levels of care, and clinical complexity were strong barriers. Among non-prescribers (n = 57, 46.3%), administrative burden, potential of becoming an addiction clinic, and concern about misuse and diversion were most heavily weighted. Among prescribers (n = 66, 53.7%), patients' inability to afford medications was a barrier across phases. Prominent motivators among all groups were the effectiveness of buprenorphine, improvement in other health outcomes, and a personal interest in treating addiction. Only prescribers reported the presence of institutional support and mentors as significant motivators.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243029","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: 6

Correction to: Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health. 更正:学习合作:行为健康质量改进和实施的策略。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2023-04-01 DOI: 10.1007/s11414-023-09830-x

Heather J Gotham, Manuel Paris, Michael A Hoge

引用次数: 0