Journal of Behavioral Health Services & Research最新文献_第9页

Telehealth Utilization During COVID-19: An Examination Among Young Adults Using Andersen's Behavioral Model of Health Care Utilization. 新型冠状病毒肺炎期间的远程医疗利用：基于安徒生医疗保健利用行为模型的青壮年调查

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2025-06-12 DOI: 10.1007/s11414-025-09952-4

Alan Kunz-Lomelin, Jennifer Murphy, Brian D Graves, Theresa Caputo-Buxton

{"title":"Telehealth Utilization During COVID-19: An Examination Among Young Adults Using Andersen's Behavioral Model of Health Care Utilization.","authors":"Alan Kunz-Lomelin, Jennifer Murphy, Brian D Graves, Theresa Caputo-Buxton","doi":"10.1007/s11414-025-09952-4","DOIUrl":"10.1007/s11414-025-09952-4","url":null,"abstract":"Young adulthood is a critical time for understanding mental health needs and young adults experience adverse symptoms at alarmingly increased rates. Following COVID-19, telehealth services came to the forefront of care for all ages. Despite increased use of telehealth services for behavioral health needs, a gap remains between service need and service use among young adults. Informed by Andersen's Behavioral Model of Health Care Utilization, the current study examined theoretically related factors for telehealth service utilization among young adults. Data were from the 2021 National Survey of Drug Use and Health. Participants were ages 18 to 25 years old (N = 13,979). Predictors included predisposing factors (sociodemographic characteristics), enabling factors (income, geographic location, insurance, and government assistance), and need factors (health, mental health, and substance use). A forward selection logistic regression was used to determine their impact on past-year telehealth use. Findings revealed factors associated with increased likelihood of telehealth use, including being female, being older, enrolled in school, being employed, earning over $75,000 per year, living in a metropolitan area, and having mental health, substance use, or health concerns. In contrast, identifying as non-white, being unemployed, earning between $20 k-$74 k, being on government assistance, or having insurance were associated with a decreased likelihood of telehealth use. Findings reveal important disparities and highlight the ongoing need to address structural and systemic barriers in telehealth access. Implications for practice and policy include expanding digital access, ensuring insurance flexibility that supports telehealth services, and investing in culturally responsive care models and training.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"635-647"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286854","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 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 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub 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":"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":"573-599"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528342/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identification of Patterns of Hospitalizations in Child and Adolescent Mental Health Service. 确定儿童和青少年心理健康服务的住院模式。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-10-01 Epub Date: 2024-06-06 DOI: 10.1007/s11414-024-09887-2

Sébastien Urben, Philippe Golay, Alberto Forte, Swen Courousse, Carole Kapp, Kerstin Jessica Plessen, Marco Armando

{"title":"Identification of Patterns of Hospitalizations in Child and Adolescent Mental Health Service.","authors":"Sébastien Urben, Philippe Golay, Alberto Forte, Swen Courousse, Carole Kapp, Kerstin Jessica Plessen, Marco Armando","doi":"10.1007/s11414-024-09887-2","DOIUrl":"10.1007/s11414-024-09887-2","url":null,"abstract":"Adolescence is a time of increased vulnerability to mental health conditions, which may necessitate hospitalization. This study sought to identify and characterize patterns of adolescent (re-)hospitalizations. The one-year (re-)hospitalization patterns of 233 adolescents were analyzed. The sequences of hospitalization and discharge was examined using cluster analyses. Results revealed five distinct (re-)hospitalization patterns or clusters: Cluster A represented brief hospitalizations with 56 cases (24.03%) averaging 7.71 days; cluster B consisted of repetitive short hospitalizations involving 97 cases (41.63%) with an average of 19.90 days; cluster C encompassed repetitive medium hospitalizations included 66 cases (28.33%) averaging 41.33 days; cluster D included long hospitalizations with 11 cases (4.72%) and an average of 99.36 days; cluster E depicted chronic hospitalizations, accounting for 3 cases (1.29%) with an average stay of 138.67 days. Despite no age-based differences across clusters, distinctions were noted in terms of sex, diagnoses, and severity of clinical and psychosocial difficulties. The study identified characteristics of both regular and atypical adolescent hospitalization users, emphasizing the distribution of hospitalization days and their associated clinical attributes. Such insights are pivotal for enhancing the organization of child and adolescent mental health services to cater to the growing care requirements of this age group.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"689-702"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285147","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

Appreciation to Reviewers. 感谢审稿人。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-09-15 DOI: 10.1007/s11414-025-09969-9

引用次数: 0

Identifying Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis. 识别研究生水平行为健康专业的教育途径：一个潜在阶级分析。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-03-03 DOI: 10.1007/s11414-025-09937-3

Todd M Jensen, Lisa de Saxe Zerden, Brianna M Lombardi

{"title":"Identifying Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis.","authors":"Todd M Jensen, Lisa de Saxe Zerden, Brianna M Lombardi","doi":"10.1007/s11414-025-09937-3","DOIUrl":"10.1007/s11414-025-09937-3","url":null,"abstract":"To address the behavioral health workforce crisis occurring in the United States, supporting students' interest in the behavioral health professions is urgent. Ongoing exploration of possible educational pathways into the behavioral health workforce is warranted, which can highlight opportunities to expand the number of adequately trained, culturally and linguistically representative, behavioral health providers. The purposes of the current study are to identify distinct educational pathways into graduate-level behavioral health professions and assess the extent to which varying pathways are associated with individual sociodemographic and employment characteristics. Leveraging an analytic sample of 1858 individuals from the 2021 National Survey of College Graduates (representative of a subpopulation of 847,095 individuals) who possessed a graduate degree and indicated being employed full time in a principal job related to behavioral health, latent class analysis is employed to identify distinct patterns with respect to the attainment of an associate degree, undergraduate field of study, and graduate field of study. Results favor a four-class solution featuring the following four general patterns: social work, psychology foundation and non-social work graduate degree, non-social work foundation and social work graduate degree, and non-psychology foundation and non-social work graduate degree. The educational pathways possess notable similarities in terms of gender identity, average salary, and job satisfaction; but also demonstrate important differences that could shape efforts to develop new programs and extend investments to support behavioral health workforce professional trajectories, with particular emphasis placed on financial support for educational pathways that efficiently increase the diversity of the graduate-level behavioral health workforce.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"480-504"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544279","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

Among Transitioning Veterans with Service-Connected Disabilities: Who Benefits Most from Career Coaching? 在与服务有关的残疾退伍军人中，谁从职业指导中受益最大？

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-02-26 DOI: 10.1007/s11414-025-09934-6

Gary R Bond, Justin D Metcalfe, Monirah Al-Abdulmunem

{"title":"Among Transitioning Veterans with Service-Connected Disabilities: Who Benefits Most from Career Coaching?","authors":"Gary R Bond, Justin D Metcalfe, Monirah Al-Abdulmunem","doi":"10.1007/s11414-025-09934-6","DOIUrl":"10.1007/s11414-025-09934-6","url":null,"abstract":"U.S. service members transitioning from the military face formidable challenges to securing meaningful employment matching their preferences and qualifications. Despite diverse employment services, many veterans settle for dead-end jobs. This study examined personal characteristics predicting successful employment outcomes. In a secondary analysis of a controlled trial assessing 2-year employment outcomes for 205 transitioning veterans with service-connected disabilities participating in a career coaching program, multivariate regression analyses were conducted to identify personal characteristics associated with employment outcomes, including characteristics differentiating who benefits more from a career coaching program, compared to usual services. Two employment outcomes were examined: job acquisition and employment earnings. The single best predictor of job acquisition was assignment to the career coaching intervention. Among 18 demographic, military service, and health and well-being measures, the only predictor of job acquisition was gender (91% of men and 79% of women worked during follow-up). Twelve personal characteristics were associated with mean monthly earnings from employment, including four demographic measures, three military service measures, and five measures of health and well-being. Disability ratings did not predict employment outcomes. Overall, career coaching helped veterans gain employment, regardless of their personal characteristics. Three personal characteristics differentiated veterans who benefited more from career coaching. Veterans reporting alcohol use and those who had a longer period of military service benefited more, as did veterans who were not depressed. The authors conclude that most veterans obtain civilian employment soon after separation from the military, but personal characteristics strongly influence their employment earnings.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"424-441"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517204","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

Coercion in Psychiatry: Exploring the Subjective Experience of Coercion Among Patients in Five Portuguese Psychiatric Departments. 精神病学中的胁迫：探索葡萄牙五家精神病院患者对胁迫的主观感受。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2024-07-10 DOI: 10.1007/s11414-024-09890-7

Deborah Oyine Aluh, Diego Diaz-Milanes, Sofia Azeredo-Lopes, Sofia Barbosa, Margarida Santos-Dias, Manuela Silva, Ugnė Grigaitė, Barbara Pedrosa, Ana Velosa, Graça Cardoso, José Miguel Caldas-de-Almeida

{"title":"Coercion in Psychiatry: Exploring the Subjective Experience of Coercion Among Patients in Five Portuguese Psychiatric Departments.","authors":"Deborah Oyine Aluh, Diego Diaz-Milanes, Sofia Azeredo-Lopes, Sofia Barbosa, Margarida Santos-Dias, Manuela Silva, Ugnė Grigaitė, Barbara Pedrosa, Ana Velosa, Graça Cardoso, José Miguel Caldas-de-Almeida","doi":"10.1007/s11414-024-09890-7","DOIUrl":"10.1007/s11414-024-09890-7","url":null,"abstract":"The subjective experience of coercion may have a more significant impact on clinical outcomes than formal coercive measures. This study aimed to investigate the subjective experience of coercion among patients on admission in Portuguese psychiatric departments by assessing their perceived coercion, procedural justice, and negative pressures during admission. The study also investigated whether this subjective experience of coercion changed with time during admission, and the predictors of this change. Validated instruments, including the McArthur Admission Experience Survey (AES) and the Client Assessment of Treatment Scale, were used to collect information from 208 adults admitted to five public psychiatric inpatient departments in rural and urban regions of Portugal. About a third (32.24%, n = 49) of the sample had a legal involuntary admission status, while more than a third of them perceived their admission to be involuntary (40.13%, n = 61). The subjective experience of coercion was significantly higher among people who perceived their admission to be involuntary compared to people who perceived their admission to be voluntary (Median = 10, IQR = 5.5 vs. Median = 3, IQR = 6; p < 0.001). Satisfaction with their care was significantly inversely correlated with the subjective experience of coercion (p < 0.01). The changes in the subjective experience of coercion at the second assessment were predicted by the perceived admission status rather than the legal admission status, and the initial procedural justice (p < 0.05). The study findings highlight the importance of improving procedural justice in psychiatric admissions, regardless of the legal status of admission.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"505-524"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581284","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

How and Why Do People Use Behavioral Health Services? A Qualitative Exploration of Service Use Among People Experiencing Housing Insecurity. 人们如何以及为什么使用行为健康服务？住房不安全人群服务使用的定性探索。

IF 1.4 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-03-24 DOI: 10.1007/s11414-025-09941-7

Lynden Bond, Caitlin Krenn, Deborah Padgett

{"title":"How and Why Do People Use Behavioral Health Services? A Qualitative Exploration of Service Use Among People Experiencing Housing Insecurity.","authors":"Lynden Bond, Caitlin Krenn, Deborah Padgett","doi":"10.1007/s11414-025-09941-7","DOIUrl":"10.1007/s11414-025-09941-7","url":null,"abstract":"People experiencing housing insecurity and homelessness are diagnosed with mental health and substance use-related conditions at higher rates than their stably housed peers and often engage with systems including housing and homelessness systems such as eviction prevention, emergency shelters, homeless outreach services, and transitional housing, health systems including emergency departments and criminal legal systems including police interaction and incarceration. This qualitative study's aims are (1) to understand how people experiencing housing insecurity and homelessness access behavioral health services, including mental health and substance use-related care and (2) examine the role of social support, systems involvement, and previous treatment experiences in accessing or using these services. Thirty interviews were conducted with people experiencing homelessness or housing insecurity to learn about their experiences accessing and using mental health or substance use-related services, including the role of other service systems and social supports. A framework approach was used for analysis. The researchers identified five key themes related to use or non-use of services including personal networks as a conduit; housing situations as directly related to use of services; siloed systems; policies and procedures create barriers; and using services when there was a need. This study contributes to the literature by providing a more nuanced and in-depth understanding of factors related to use or non-use of mental health and substance use-related services among people experiencing housing insecurity and highlights the role that systems and social supports play, in addition to individual-level factors.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"442-455"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701992","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

Promoting Equitable Access to Behavioral Health in Rural Communities: Lessons from a Qualitative Study of Oregon's Certified Community Behavioral Health Clinic Program. 促进农村社区行为健康的公平获取：俄勒冈州认证社区行为健康诊所项目定性研究的经验教训。

IF 1.6 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2025-02-10 DOI: 10.1007/s11414-025-09933-7

Robin Baker, Erin Young, Alexandra Kihn-Stang, Sherril Gelmon

{"title":"Promoting Equitable Access to Behavioral Health in Rural Communities: Lessons from a Qualitative Study of Oregon's Certified Community Behavioral Health Clinic Program.","authors":"Robin Baker, Erin Young, Alexandra Kihn-Stang, Sherril Gelmon","doi":"10.1007/s11414-025-09933-7","DOIUrl":"10.1007/s11414-025-09933-7","url":null,"abstract":"The evaluation of nine rural Oregon Certified Community Behavioral Health Clinics (CCBHCs) revealed lessons for delivering equitable behavioral health services to diverse populations from the perspectives of clinic leaders and other key partners, including those who receive services at CCBHCs. The Oregon CCBHC evaluation team employed a mixed methods data collection strategy from July to November 2022, including virtual interviews with clinic leaders, in-person focus groups with CCBHC clients at the CCBHCs, a virtual focus group with community-based organization representatives, and interviews with interested parties. Surveys of individuals who could not attend interviews or focus groups were conducted to supplement the findings. The results of this evaluation suggest the importance of four major themes to guide the equitable delivery of behavioral health services: challenges of addressing heath inequities, importance of fostering genuine community engagement, need for building capacity for innovation, and importance of integrating services and care. The experience of Oregon's CCBHCs provides insights into how rural clinics can improve equitable access to behavioral health services and encourage holistic, person-centered care by collaborating with state health authorities and other local community partners. The findings can inform clinicians and policymakers, highlighting the importance of strategic actions centered on equity for achieving better behavioral healthcare access in rural America.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"376-390"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392184","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

Whose Job is it Anyway? A Qualitative Study of Providers' Perspectives on Diagnosing Anxiety Disorders in Integrated Health Settings. 到底是谁的工作？综合医疗机构中医疗服务提供者对焦虑症诊断观点的定性研究》。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-07-01 Epub Date: 2024-09-19 DOI: 10.1007/s11414-024-09909-z

Patricia V Chen, Hardeep Singh, Natalie E Hundt, Mark E Kunik, Melinda A Stanley, Maribel Plasencia, Terri L Fletcher

{"title":"Whose Job is it Anyway? A Qualitative Study of Providers' Perspectives on Diagnosing Anxiety Disorders in Integrated Health Settings.","authors":"Patricia V Chen, Hardeep Singh, Natalie E Hundt, Mark E Kunik, Melinda A Stanley, Maribel Plasencia, Terri L Fletcher","doi":"10.1007/s11414-024-09909-z","DOIUrl":"10.1007/s11414-024-09909-z","url":null,"abstract":"Up to 33% of American adults will experience a diagnosable anxiety disorder in their lifetime. Approximately one-third of anxiety diagnoses assigned by mental health providers in outpatient settings are unspecified. The tendency of many providers to use an unspecified anxiety diagnosis may negatively impact the provision of evidence-based treatments for specific anxiety disorders. This study examines the perspectives of mental health providers working in an integrated and stepped health care system, asking how their roles and responsibilities shape their practices related to diagnosing specific anxiety disorders. The authors conducted semi-structured interviews with 32 Veteran Health Administration (VHA) mental health providers to understand their perspectives on diagnosing anxiety disorders. Matrix analysis was used to identify different roles and responsibilities articulated. Thematic analysis was used to highlight themes across providers' discussion of their roles in diagnosing and treating patients. The results show that, for most providers, assigning a specific diagnosis is a component of duties but rarely their focus. Second, it is unclear in which clinic setting a specific anxiety diagnosis should be made. Finally, among different types of mental health professionals, there is no clear designation on who should be providing a specific anxiety diagnosis. Altogether, results indicate that many providers feel making a specific diagnosis for anxiety is the responsibility of others-either those in other clinic settings or with other credentials. Findings call for clearer guidelines that specify individual clinician accountability for obtaining a specific anxiety diagnosis in a team-based environment.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":"391-407"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299345","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