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

Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the "Lock to Live" Decision Aid, and Connection to Out-of-Home Firearm Storage. 军队卫生系统中的枪支自杀预防：临床医生培训、“锁定生活”决策辅助和与家庭外枪支储存的联系的定性研究。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-04-18 DOI: 10.1007/s11414-025-09945-3

Sydney Rachel Kennedy, Ian H Stanley, Kaitlyn Friedman, Kayla Meza, Megan L Johnson, Ricardo I Villarreal, Marian E Betz

{"title":"Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the \"Lock to Live\" Decision Aid, and Connection to Out-of-Home Firearm Storage.","authors":"Sydney Rachel Kennedy, Ian H Stanley, Kaitlyn Friedman, Kayla Meza, Megan L Johnson, Ricardo I Villarreal, Marian E Betz","doi":"10.1007/s11414-025-09945-3","DOIUrl":"10.1007/s11414-025-09945-3","url":null,"abstract":"Suicide remains a leading cause of death in the U.S. military, with the majority of suicides enacted by firearm. A recommended intervention for suicide prevention in clinical settings, including in the Military Health System (MHS), is counseling at-risk patients about reducing access to firearms and other lethal means of suicide. The team sought to examine MHS clinicians' views on a firearm suicide prevention toolkit that included (1) clinician training, (2) the \"Lock to Live\" (L2L) decision aid, and (3) connection to out-of-home firearm storage options. The study team conducted one-on-one, semi-structured qualitative interviews with MHS clinicians, administrators, and other stakeholders (January-October 2022). Interviewees viewed the toolkit items and completed a brief questionnaire. The study used a team-based, mixed deductive-inductive approach to qualitative analysis. The study had institutional review board approval. Across interviews (n = 18), there was general support for the lethal means safety counseling toolkit, including clinician training, L2L use, and connection to out-of-home storage options. Participants also provided recommendations for optimal uptake in the MHS, including military-specific messaging. Firearm suicide prevention is a key focus within the Department of Defense, and the findings from this qualitative study can support incorporation of tools for MHS clinicians and patients.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"621-634"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041588","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 Providers' Attitudes, Norms, and Beliefs About Cultural Humility in Service Delivery. 心理健康服务提供者对服务提供中文化谦逊的态度、规范和信念。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-06-18 DOI: 10.1007/s11414-025-09953-3

Alexandria G Bauer, Amudha Balaraman, Ayanna Gilmore

{"title":"Mental Health Providers' Attitudes, Norms, and Beliefs About Cultural Humility in Service Delivery.","authors":"Alexandria G Bauer, Amudha Balaraman, Ayanna Gilmore","doi":"10.1007/s11414-025-09953-3","DOIUrl":"10.1007/s11414-025-09953-3","url":null,"abstract":"Cultural humility is an important provider-level strategy for improving engagement and retention in mental health care. Yet, little research has used theoretical frameworks to examine beliefs and intentions to practice with cultural humility among mental health providers. The current study aimed to fill this gap by using the Theory of Planned Behavior (TPB) to qualitatively explore beliefs, norms, and attitudes regarding cultural humility practice among a sample of 16 professional mental health providers. Participants were predominately women (89.5%), with an average age of 38 years old (SD = 7.98). Participants completed a 30- to 60-min online interview. Thematic analysis was used to examine patterns and identify overarching themes within TPB constructs of behavioral, normative, and control beliefs. Themes within behavioral beliefs reflected improved practice, particularly for working with clients from marginalized groups. However, there was uncertainty in navigating cultural humility practice and concerns about potentially altering the client relationship. Referents for normative beliefs were clinical agencies, professional organizations, university training programs, and supervisors and mentors. Within control beliefs, themes for facilitators and barriers centered around lack of support from mental health systems, personal limitations and strengths, and professional development. This study furthers understanding of mental health providers' attitudes and intentions to practice with cultural humility, as well as underscoring the nuances of when and how these practices are used. This research can help to address barriers and promote cultural humility practice among mental health providers across multiple fields.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"663-680"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327492","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

State-Level Changes in Youth Inpatient, Residential, and Outpatient Mental Health Services, 2010-2022. 2010-2022年青少年住院、住院和门诊精神卫生服务的州级变化。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-07-10 DOI: 10.1007/s11414-025-09959-x

John A Cosgrove, Sarah Beehler, Sushmita Shoma Ghose, Tabitha Hoey, Mustafa Karakus

{"title":"State-Level Changes in Youth Inpatient, Residential, and Outpatient Mental Health Services, 2010-2022.","authors":"John A Cosgrove, Sarah Beehler, Sushmita Shoma Ghose, Tabitha Hoey, Mustafa Karakus","doi":"10.1007/s11414-025-09959-x","DOIUrl":"10.1007/s11414-025-09959-x","url":null,"abstract":"There are rising concerns over the availability of mental health services for children and youth. Recent evidence has shown reductions in the use of psychiatric inpatient, residential, and outpatient services among youths ages 0-17, with the COVID-19 pandemic and mental health workforce shortages identified as reasons for recent declines. The current study builds upon this evidence by exploring predictors of state-level changes in youth inpatient, residential, and outpatient service use from 2010 to 2022. This investigation involved secondary analysis of data collected from a Substance Abuse and Mental Health Services Administration (SAMHSA) annual survey of mental health treatment facilities across all 50 US states, D.C., and Puerto Rico, and publicly available data from the US Census Bureau and Kaiser Family Foundation. Results from longitudinal panel data models identified several state-level factors explaining variation in service use beyond reductions associated with COVID-19. Medicaid expansion, higher Federal Medical Assistance Percentage (FMAP), and more treatment facilities per capita were associated with higher utilization, and a greater percentage of youths from racial or ethnic minority backgrounds was associated with lower utilization. These findings suggest some actionable steps and service gaps needing further attention to help states improve service use in youth populations.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"703-716"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610124","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

Slipping Through the Cracks: Identifying Families At-Risk of Not Engaging with Mental Health Care Within a Specialty Anxiety Clinic. 从裂缝中溜走：在专业焦虑诊所中识别有不参与精神卫生保健风险的家庭。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-05-13 DOI: 10.1007/s11414-025-09947-1

Megan Brady, Jesslyn Jamison, Michal Weiss, Sophia Young, Danielle R Adams, Dominique G Ruggieri, Emily M Becker-Haimes

{"title":"Slipping Through the Cracks: Identifying Families At-Risk of Not Engaging with Mental Health Care Within a Specialty Anxiety Clinic.","authors":"Megan Brady, Jesslyn Jamison, Michal Weiss, Sophia Young, Danielle R Adams, Dominique G Ruggieri, Emily M Becker-Haimes","doi":"10.1007/s11414-025-09947-1","DOIUrl":"10.1007/s11414-025-09947-1","url":null,"abstract":"Most youth in need of specialty anxiety treatment services do not receive it. Many families are lost between the time of initial outreach and attending a first therapy appointment. A retrospective administrative database review identified characteristics of families at risk of failing to connect with anxiety specialty services. Data included 563 records (2019-2023) from a specialty pediatric anxiety program embedded within a large community mental health setting. Variables of interest included client characteristics (age, gender, previous mental health diagnosis/history); household characteristics (insurance, parent/caregiver custody, distance from clinic); and a symptom screener. Descriptive statistics characterized documented non-response to appointment offers and failure to attend an initial scheduled appointment. The highest drop off occurred after families expressed initial interest in services; 113 (21%) families were non-responsive to outreach. Logistic regression analyses indicated that having insurance covered services (vs. self-pay) and living closer to the clinic (vs. farther) predicted increased odds of intake appointment scheduling (ps < .01). Clients with insurance covered services (vs. self-pay) also had higher odds of successful appointment attendance (ps < .01). Findings indicate that many families seeking specialty anxiety services for youth \"fall off\" after initial outreach (e.g., leaving a voicemail or completing an online inquiry form to learn about services). The results suggest the potential importance of streamlining initial contacts to make it easier for families to engage and suggest the potential for future work to examine whether strategies like direct intake booking can improve initial engagement rates.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"648-662"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046628","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

Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment. 基于初级保健的阿片类药物使用障碍治疗团队合作的经验。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-04-16 DOI: 10.1007/s11414-025-09946-2

Elizabeth J Austin, Madeleine J Bentley, Lori Ferro, Andrew J Saxon, John C Fortney, Geoffrey M Curran, Brittany E Blanchard, Yavar Moghimi, Emily C Williams, Anna D Ratzliff, Monica S Ruiz, Ulrich Koch

{"title":"Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment.","authors":"Elizabeth J Austin, Madeleine J Bentley, Lori Ferro, Andrew J Saxon, John C Fortney, Geoffrey M Curran, Brittany E Blanchard, Yavar Moghimi, Emily C Williams, Anna D Ratzliff, Monica S Ruiz, Ulrich Koch","doi":"10.1007/s11414-025-09946-2","DOIUrl":"10.1007/s11414-025-09946-2","url":null,"abstract":"Team-based models of care delivery are increasingly utilized to address co-occurring mental health and/or substance use conditions. However, little is known about how team-based models function among primary care teams delivering treatment for opioid use disorder (OUD). The research team conducted qualitative interviews with a sample of multidisciplinary, primary care team members delivering OUD treatment using the collaborative care model (CoCM). Providers were recruited from 13 diverse United States (U.S.) clinics participating in a multisite hybrid effectiveness-implementation trial. Interviews were audio recorded and professionally transcribed. All transcripts were double-coded using a coding schema informed by relational coordination theory. Thirty-five team members completed an interview, including 14 primary care providers (PCPs), 13 behavioral health care managers (BHCM), and eight consulting psychiatric providers (CPP). Four themes emerged: (1) team-based work increases shared knowledge about patients; (2) team members leverage one another's relationships with patients to increase treatment engagement; (3) team collaboration is enhanced when BHCMs have opportunities and space to connect informally with PCPs; and (4) increased mutual respect between team members is needed to maximize patient engagement efforts. Team-based models may enhance patient engagement in OUD care by increasing the volume of patient contacts and augmenting therapeutic alliances.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"560-572"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13692937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036064","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

System Effects of Mental Health Agency Expenditures and Mental Health Parity Legislation at the State Level. 州一级精神卫生机构支出和精神卫生平等立法的系统效应。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-05-27 DOI: 10.1007/s11414-025-09949-z

Jenna Morales Ledbetter, Ronald W Manderscheid

{"title":"System Effects of Mental Health Agency Expenditures and Mental Health Parity Legislation at the State Level.","authors":"Jenna Morales Ledbetter, Ronald W Manderscheid","doi":"10.1007/s11414-025-09949-z","DOIUrl":"10.1007/s11414-025-09949-z","url":null,"abstract":"The escalating mental health crisis in the USA has left over fifty percent of adults with a mental illness without mental health services. Federal mental health parity legislation addresses financial barriers to mental healthcare by requiring that insurance coverage for mental health services is equivalent to coverage for other medical services. Using data from the top ten and bottom ten states ranked by per capita State Mental Health Agency expenditures, this paper examines the impact of parity implementation and enforcement on three system-level access to care measures: (1) mental health workforce availability, (2) percent of state population living in a mental health shortage area, and (3) percent of total health expenditure spent on mental health by state agencies. As hypothesized, the top ten states had more comprehensive parity implementation and enforcement and a larger allocation of total health expenditures to mental health (p = 0.0002). The other two measures did not show a significant difference but trended in the direction of greater workforce availability (p = 0.11) and fewer residents living in mental health provider shortage areas (p = 0.054) among the top ten states compared to the bottom ten states. Using the scope of mental health parity alone, all three access-to-care measures were significantly better among states with comprehensive parity compared to states without comprehensive parity. These findings highlight the critical roles of financial investment, policy prioritization, and enhanced mental health infrastructure in addressing access to mental healthcare.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"600-620"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163109","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

Direct Outreach Meetings Increase Primary Care Utilization of Psychiatry Access Programs. 直接外展会议增加精神病学访问计划的初级保健利用。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-06-16 DOI: 10.1007/s11414-025-09954-2

Matthew D Jandrisevits, Michelle Broaddus, Rosa Kim, Wayne DiFranceisco, Colleen Manak

{"title":"Direct Outreach Meetings Increase Primary Care Utilization of Psychiatry Access Programs.","authors":"Matthew D Jandrisevits, Michelle Broaddus, Rosa Kim, Wayne DiFranceisco, Colleen Manak","doi":"10.1007/s11414-025-09954-2","DOIUrl":"10.1007/s11414-025-09954-2","url":null,"abstract":"Child psychiatry access programs address the shortage of child and adolescent psychiatrists and other mental health professionals nationwide. The Wisconsin Child Psychiatry Consultation Program (WI CPCP) provides telephone or email guidance to pediatric primary care providers treating mild to moderate psychiatric symptoms in patients. Statewide programs like the WI CPCP offer direct outreach meetings to primary care clinics, which, though resource-intensive, are hypothesized to increase program utilization. This study examined whether direct outreach meetings to primary care corresponded with subsequent increased primary care consultations with the WI CPCP. The authors hypothesized that direct outreach meetings would increase primary care consultations with the WI CPCP. WI CPCP consultations among 492 primary care providers were compared in the period 3 and 12 months before and after receiving a direct outreach meeting. These were also compared to 492 matched control providers who did not receive a direct outreach meeting. Results of generalized estimating equation analyses suggested that direct outreach meetings significantly increased primary care utilization of the WI CPCP (p < .01). Consultation numbers more than doubled when including consultations generated during direct outreach meetings themselves. Consultation numbers nearly doubled when examining consultations after direct outreach meetings. Results held for both the 3- and 12-month periods following a direct outreach meeting. Although direct outreach meetings may require additional time and resources for pediatric psychiatry access programs, they add value via increased primary care engagement for at least 1 year.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"717-727"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310707","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 One-ness. 一的力量。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 DOI: 10.1007/s11414-025-09968-w

Chuck Ingoglia

引用次数: 0

Evidence-Based Practice Implementation Does Not Affect Provider Turnover in Community Mental Health Clinics. 基于证据的实践实施不影响社区精神卫生诊所的提供者流动率。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-07-10 DOI: 10.1007/s11414-025-09955-1

G S Woodard, O Michael, S Douglas, P Cavanaugh, A Jensen-Doss

引用次数: 0

A Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting. 一种治疗高危饮酒或吸烟并伴有心血管疾病的患者的新方法：在综合初级保健设置中应用跨学科联合预约。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-05-06 DOI: 10.1007/s11414-025-09943-5

Julie C Gass, Jennifer S Funderburk, Aria F Wiseblatt, David Edelman, Gary Nelson, Brandi Roelk, Stephen A Maisto

{"title":"A Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting.","authors":"Julie C Gass, Jennifer S Funderburk, Aria F Wiseblatt, David Edelman, Gary Nelson, Brandi Roelk, Stephen A Maisto","doi":"10.1007/s11414-025-09943-5","DOIUrl":"10.1007/s11414-025-09943-5","url":null,"abstract":"Complex concerns, such as tobacco use and risky drinking in patients with cardiovascular disease (CVD) who report not being ready to change, may require multi-dimensional approaches to intervention. In this Notes from the Field, an interdisciplinary, integrated conjoint appointment is described wherein primary care providers (PCPs) and behavioral health providers (BHPs) meet together briefly with the patient, bringing varying expertise in an effort to increase readiness to change and cessation of problem behaviors such as smoking. First, the protocol for this appointment, which is part of an intervention, which will be referred to as CARE-PACT (CardiovAscular Risk Education in Patient-Aligned Care Teams), will be described, including the evidence-informed components and choices made to increase feasibility and implementation of conjoint appointments across primary care clinics. Next, using an illustrative case example, the authors describe the flow, content, and logistics of CARE-PACT conjoint appointments, and the follow-up after the conjoint portion. CARE-PACT was examined as part of a small research pilot, and feasibility data, acceptability, satisfaction, and perception of usefulness was collected. Ten patient participants responded favorably to CARE-PACT, rating helpfulness and satisfaction a 4.1-4.7 on a 5-pt scale (5 signifying best). With the exception of some technological issues, qualitative data revealed patients found conjoint appointments were informative, patient-centered, and a good way to introduce a BHP. Altogether, this work supports the use of brief, interprofessional conjoint appointments in primary care in order to improve care processes for patients who have complex needs and who may need more than standard primary care interventions.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"728-737"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992932","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