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

Barriers and Facilitators to Behavioral Healthcare for Women Veterans: a Mixed-Methods Analysis of the Current Landscape. 女性退伍军人行为健康的障碍和促进因素：对当前形势的混合方法分析。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-04-01 Epub Date: 2023-10-05 DOI: 10.1007/s11414-023-09862-3

Reagan E Fitzke, Kathryn E Bouskill, Angeles Sedano, Denise D Tran, Shaddy K Saba, Keegan Buch, Justin F Hummer, Jordan P Davis, Eric R Pedersen

{"title":"Barriers and Facilitators to Behavioral Healthcare for Women Veterans: a Mixed-Methods Analysis of the Current Landscape.","authors":"Reagan E Fitzke, Kathryn E Bouskill, Angeles Sedano, Denise D Tran, Shaddy K Saba, Keegan Buch, Justin F Hummer, Jordan P Davis, Eric R Pedersen","doi":"10.1007/s11414-023-09862-3","DOIUrl":"10.1007/s11414-023-09862-3","url":null,"abstract":"Women veterans have historically faced barriers to behavioral health treatment, particularly through the VA. In conjunction, there have been changes in behavioral healthcare delivery resulting from efforts to improve care for women veterans and the COVID-19 pandemic (e.g., widespread telehealth implementation). The current study draws on a quantitative and qualitative study centering current perspectives of women veterans in their choices to seek or not seek behavioral healthcare in VA and non-VA settings through interviewing 18 women recruited from a larger survey study on veteran behavioral health (n = 83 women, n = 882 men) on their experiences with behavioral health care access and satisfaction, including barriers and facilitators to seeking care. Quantitative findings are descriptively reported from the larger study, which outlined screening for behavioral health problems, behavioral health utilization, treatment modality preferences, and barriers/facilitators to care. While women in the survey sample screened for various behavioral health disorders, rates of treatment seeking remained relatively low. Women reported positive and negative experiences with telehealth and endorsed many barriers to treatment seeking in interviews not captured by survey findings, including lack of women-specific care (e.g., care for military sexual trauma, women-only groups), reports of stranger harassment at the VA, and lack of female providers. Women veterans continue to face barriers to behavioral healthcare; however, ongoing efforts to improve care access and quality, including the implementation of telehealth, show promise in reducing these obstacles. Continued efforts are needed to ensure diverse treatment modalities continue to reach women veterans as this population grows.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"164-184"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173981","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

Commentary on the Revision of SAMHSA's National Outcome Measures (NOMs) for Discretionary Programs. 关于修订SAMHSA自由裁量项目的国家成果指标的评论。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-04-01 Epub Date: 2023-11-03 DOI: 10.1007/s11414-023-09868-x

Michelle Riske-Morris, David L Hussey, Tugba Olgac, Jesse Bassett, Grayson Holt

引用次数: 0

Celebrating the Milestones to Integrated Care. 庆祝综合护理的里程碑。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-04-01 DOI: 10.1007/s11414-024-09880-9

Chuck Ingoglia

引用次数: 0

Native Hawaiians' Views on Depression and Preferred Behavioral Health Treatments: a Preliminary Qualitative Investigation. 夏威夷原住民对抑郁症和首选行为健康疗法的看法：初步定性调查。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-04-01 Epub Date: 2024-01-08 DOI: 10.1007/s11414-023-09874-z

Akihiko Masuda, Lisa Nakamura, Hannah Preston-Pita, Sid Hermosura, Lucas Morgan, Kyla Stueber, Samuel D Spencer, Joanne Qinaʻau, A Aukahi Austin-Seabury

{"title":"Native Hawaiians' Views on Depression and Preferred Behavioral Health Treatments: a Preliminary Qualitative Investigation.","authors":"Akihiko Masuda, Lisa Nakamura, Hannah Preston-Pita, Sid Hermosura, Lucas Morgan, Kyla Stueber, Samuel D Spencer, Joanne Qinaʻau, A Aukahi Austin-Seabury","doi":"10.1007/s11414-023-09874-z","DOIUrl":"10.1007/s11414-023-09874-z","url":null,"abstract":"Behavioral health issues, especially depression, are a major health disparity concern for Native Hawaiians in Hawai'i. Following the cultural safety framework and contextual behavioral science approach to intervention development, the present preliminary qualitative investigation aimed to gather better insight into Native Hawaiians' views of depression and its causes as well as their preferred forms of behavioral health services. Data were initially collected from a 2-hour virtual focus group with three behavioral health service providers working with Native Hawaiians, followed by a total of 38 online one-on-one in-depth interviews with Native Hawaiian clients with depression (n = 19), behavioral health service providers working with Native Hawaiian adults (n = 9), and Native Hawaiian cultural leaders (n = 10). Our qualitative data suggested that Native Hawaiians tend to view depression contextually and socioculturally as the manifestation of one's vital connection to the 'āina (land), 'ohana (family; continuity from ancestry and future generations), community, culture/spirituality, and one's authentic self being disrupted. Our findings also suggested that Native Hawaiians often attribute these disruptions to disparities due to the ongoing impact of colonization, historical trauma, and cultural loss. As a preferred form of treatment for depression, participants recommended various Hawaiian cultural practices to be integrated into existing behavioral health services to nurture the above-mentioned vital connection.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"203-218"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404856","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

Support for Safe Consumption Sites Among Peer Recovery Coaches. 同伴康复教练对安全消费场所的支持。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-04-01 Epub Date: 2023-07-10 DOI: 10.1007/s11414-023-09846-3

Emily Pasman, Suzanne Brown, Elizabeth Agius, Stella M Resko

{"title":"Support for Safe Consumption Sites Among Peer Recovery Coaches.","authors":"Emily Pasman, Suzanne Brown, Elizabeth Agius, Stella M Resko","doi":"10.1007/s11414-023-09846-3","DOIUrl":"10.1007/s11414-023-09846-3","url":null,"abstract":"Safe consumption sites (SCSs), legally sanctioned facilities where people can use drugs under medical supervision, are an effective strategy to reduce overdose fatalities. Peer recovery coaches (PRCs), substance use service providers with lived experience in recovery, are a key provider group affecting SCS implementation. This study assesses support for SCSs among PRCs and identifies personal and professional characteristics associated with support for these sites. PRCs (N = 260) in Michigan were recruited to complete a web-based survey (July-September 2021), reporting their demographics, lived experience, abstinence orientation, attitudes toward clients, training experiences, and support for legalizing SCSs. Logistic regression was used to identify factors associated with support for SCSs. Half of PRCs (49.0%) expressed support for legalizing SCSs in Michigan. Compared to women, men had greater odds of supporting SCSs (OR = 2.113, p = .014). PRCs who identified as Black (OR = 0.361, p = .014) and other people of color (OR = 0.338, p = .014) had lower odds of supporting SCSs compared to PRCs who identified as white. More stigmatizing attitudes toward clients (OR = 0.921, p = .022) and preference for abstinence-only treatment (OR = 0.452, p = .013) were associated with lower odds of supporting SCSs. Increasing support for SCSs among PRCs is important given their influence on the success of SCS initiatives. Professional training which addresses deeply rooted values and beliefs may help increase support for SCSs. However, policy changes may be necessary to address structural racism affecting SCS acceptability among PRCs of color.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"219-231"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9823315","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

Patterns and Predictors of Sustained Training and Technical Assistance Engagement Among Addiction Treatment and Affiliated Providers. 戒毒机构和附属机构持续参与培训和技术援助的模式和预测因素。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-04-01 Epub Date: 2023-08-07 DOI: 10.1007/s11414-023-09854-3

Michael S Shafer, Hyunsung Oh, Hanna Sturtevant, Thomas Freese, Beth Rutkowski

引用次数: 0

Patterns of polydrug use among Black Americans who misuse opioids. 滥用阿片类药物的美国黑人使用多种药物的模式。

IF 1.9 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-03-11 DOI: 10.1007/s11414-024-09878-3

Khary K Rigg, Michael A Weiner, Ethan S Kusiak

{"title":"Patterns of polydrug use among Black Americans who misuse opioids.","authors":"Khary K Rigg, Michael A Weiner, Ethan S Kusiak","doi":"10.1007/s11414-024-09878-3","DOIUrl":"https://doi.org/10.1007/s11414-024-09878-3","url":null,"abstract":"In the United States, opioid-related deaths involving polydrug use are now more prevalent than those involving only opioids. What often goes unnoticed is that deaths involving more than one substance are increasing more rapidly among Black Americans than Whites. Unfortunately, little research attention is paid to understanding opioid-related polydrug use patterns among Black Americans. As a result, less is known regarding which drug combinations are most common among this population and their reasons for co-using certain drugs. Therefore, the objective of this mixed methods study was to identify which substances were most commonly co-used with opioids among Black Americans, while also capturing their motives for combining opioids with other drugs. This study used data from the Florida Minority Health Study, a mixed-methods project that included online surveys (n = 303) and qualitative in-depth interviews (n = 30) of Black Americans who misuse opioids. Data collection was conducted from August 2021 to February 2022 throughout Southwest Florida. Analyses revealed that opioids were most commonly combined with alcohol, cocaine, and methamphetamine, respectively. Opioids were co-used with alcohol in an attempt to enhance the desired effect (i.e., intoxication), while stimulants and opioids were combined to counteract the undesirable side effects of the other. This study begins to answer the question of which/why substances are combined with opioids among Black Americans and should inform behavioral health interventions targeted at this population. Data on this topic are especially timely as the United States goes through the current fourth wave of the opioid crisis that is characterized by deaths due to polydrug use. These findings invite further study using nationally representative data to determine the extent to which polydrug using patterns differ across racial/ethnic groups.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102729","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

Findings from an Organizational Context Survey to Inform the Implementation of a Collaborative Care Study for Co-occurring Disorders. 组织背景调查的结果，为共存障碍合作护理研究的实施提供参考。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-01-01 Epub Date: 2023-08-03 DOI: 10.1007/s11414-023-09851-6

Sandra K Evans, Alex Dopp, Lisa S Meredith, Allison J Ober, Karen C Osilla, Miriam Komaromy, Katherine E Watkins

{"title":"Findings from an Organizational Context Survey to Inform the Implementation of a Collaborative Care Study for Co-occurring Disorders.","authors":"Sandra K Evans, Alex Dopp, Lisa S Meredith, Allison J Ober, Karen C Osilla, Miriam Komaromy, Katherine E Watkins","doi":"10.1007/s11414-023-09851-6","DOIUrl":"10.1007/s11414-023-09851-6","url":null,"abstract":"Primary care is an opportune setting to deliver treatments for co-occurring substance use and mental health disorders; however, treatment delivery can be challenging due multi-level implementation barriers. Documenting organizational context can provide insight into implementation barriers and the adaptation of new processes into usual care workflows. This study surveyed primary care and behavioral health staff from 13 clinics implementing a collaborative care intervention for opioid use disorders co-occurring with PTSD and/or depression as part of a multisite randomized controlled trial. A total of 323 completed an online survey for a 60% response rate. The Consolidated Framework for Implementation Research guided this assessment of multi-level factors that influence implementation. Most areas for improvement focused on inner setting (organizational level) constructs whereas individual-level constructs tended to be strengths. This work addresses a research gap regarding how organizational analyses can be used prior to implementation and provides practical implications for researchers and clinic leaders.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"4-21"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10733218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10005709","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

Using Collaborative Documentation to Support Person-Centered Care in Substance Use Settings. 在物质使用环境中使用协作文档支持以人为中心的护理。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-01-01 Epub Date: 2023-10-31 DOI: 10.1007/s11414-023-09866-z

Elizabeth B Matthews, Michael Peral

引用次数: 0

Negative Urgency Linked to Craving and Substance Use Among Adults on Buprenorphine or Methadone. 服用丁丙诺啡或美沙酮的成年人中，消极的紧迫感与渴求和药物使用有关。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2024-01-01 Epub Date: 2023-07-06 DOI: 10.1007/s11414-023-09845-4

Stefanie F Gonçalves, Alyssa M Izquierdo, Rebecca A Bates, Angeela Acharya, Holly Matto, Siddhartha Sikdar

{"title":"Negative Urgency Linked to Craving and Substance Use Among Adults on Buprenorphine or Methadone.","authors":"Stefanie F Gonçalves, Alyssa M Izquierdo, Rebecca A Bates, Angeela Acharya, Holly Matto, Siddhartha Sikdar","doi":"10.1007/s11414-023-09845-4","DOIUrl":"10.1007/s11414-023-09845-4","url":null,"abstract":"Despite the effectiveness of medication-assisted treatment (MAT), adults receiving MAT experience opioid cravings and engage in non-opioid illicit substance use that increases the risk of relapse and overdose. The current study examines whether negative urgency, defined as the tendency to act impulsively in response to intense negative emotion, is a risk factor for opioid cravings and non-opioid illicit substance use. Fifty-eight adults (predominately White cis-gender females) receiving MAT (with buprenorphine or methadone) were recruited from online substance use forums and asked to complete self-report questionnaires on negative urgency (UPPS-P Impulsive Behavior Scale), past 3-month opioid cravings (ASSIST-Alcohol, Smoking, and Substance Involvement Screening Test), and non-opioid illicit substance use (e.g., amphetamines, cocaine, benzodiazepines). Results revealed that negative urgency was associated with past 3-month opioid cravings, as well as past month illicit stimulant use (not benzodiazepine use). These results may indicate that individuals high in negative urgency would benefit from receiving extra intervention during MAT.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"114-122"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11002981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758701","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