Administration and Policy in Mental Health and Mental Health Services Research最新文献

{"title":"Correction: Comparing Suicide Rates Across Subpopulations of Veterans Receiving Veterans Health Administration Care, 2017-2021: The Suicide Risk Encyclopedia.","authors":"Kevin G Saulnier, Stuart Brabbs, Kallisse R Dent, John F McCarthy","doi":"10.1007/s10488-026-01521-x","DOIUrl":"https://doi.org/10.1007/s10488-026-01521-x","url":null,"abstract":"","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148878807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the COVID-19 Pandemic on Peer Support Services in the Veterans Health Administration: Lessons for Healthcare Organizations.","authors":"Johanne Eliacin, Alexandria N Miller, Marianne S Matthias, Diana J Burgess, Scott Patterson, Caitlin E O'Connor, Angela L Rollins","doi":"10.1007/s10488-026-01520-y","DOIUrl":"https://doi.org/10.1007/s10488-026-01520-y","url":null,"abstract":"<p><p>To identify strategies that faciliate the implementation adaptation of peer support services to ensure continuity and effectiveness of mental health care during crisis or rapid organizational changes. This is a cross-sectional, qualitative study that was conducted during the COVID-19 pandemic with a purposeful sample of Veterans Health Administration (VHA) peer specialists and their supervisors from 11 facilities in a Veteran Integrated Service Network (VISN). Data collection and analysis were guided by the Consolidated Framework for Implementation Research (CFIR). Deductive and inductive thematic analysis approaches were used to analyze the data. VHA peer specialists employed various strategies that incorporated multiple CFIR domains to adapt to the COVID-19 restrictions and rapid organizational changes. Findings indicate that peer specialists as key individuals involved in delivering and implementing peer support services, as well as higher-level, outer setting factors such as patients' needs drove these adaptations. Some strategies and CFIR domains were more influential than others in shaping these adaptations. Three key strategies emerged as potentially useful in future public health crises and rapid organizational changes to expand the capacity of peer specialists' role to meet patients' healthcare needs: 1) adopting a work culture that is receptive to change (learning climate), 2) promoting collaboration (network and collaboration), and 3) fostering peer specialists' self-efficacy (characteristics of the individual). During times of crisis, foundational organizational practices, such as change management techniques and transformational leadership styles, can help support service delivery adaptations and improve care delivery to patients.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mothers' Perceptions of System-Related Burden Following Their Youth's Psychiatric Hospitalization: A Longitudinal Qualitative Study.","authors":"Katherine M Harris, Debora G Goldberg, David B Goldston, MacKenzie C Feeken, Abigail B Fry, Lauren Seibel, John F Curry, Stephanie S Daniel, Otima Doyle, Bridget E Weller, Christianne L Esposito-Smythers","doi":"10.1007/s10488-026-01522-w","DOIUrl":"https://doi.org/10.1007/s10488-026-01522-w","url":null,"abstract":"<p><p>The period following youth psychiatric hospitalization is characterized by considerable caregiver burden. Through research suggests that mental health system involvement, socioeconomic status, and change over time may influence caregiver experiences, these areas remain underexplored. Using qualitative methods, this study examined aspects of the mental health system that contribute to parental burden in the year following youth psychiatric hospitalization and compared burden between mothers with high and low household incomes. Drawing from a longitudinal dataset of 252 mothers with an adolescent recently discharged from psychiatric hospitalization, we randomly selected 20 mothers with high (>$100,000) and low (<$25,000) household incomes. Mothers completed semi-structured interviews one (M1), six (M6), and twelve (M12) months following their adolescent's hospital discharge. Interviews were analyzed using basic qualitative inductive and deductive coding approach and multi-cycle coding process; recurrent cross-sectional analysis explored longitudinal change. Four themes were found that generally persisted over time: (1) Difficulty accessing mental health services; (2) Dissatisfaction with mental health services; (3) Frustration with medications; and (4) Gaps in support from auxiliary systems. Exploratory analyses identified nuanced differences between income groups regarding dissatisfaction with services and gaps in support from auxiliary systems. Findings contribute to knowledge of service use following youth psychiatric hospitalization, a critical period for youth safety. Findings also highlight implications for clinical practice and systems reform, including the importance of collaborative and family-centered care, shared decision making, flexible and responsive provider-caregiver relationships, improved cross-system care coordination, and structural supports that reduce the burden on families navigating fragmented services.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Care Service Use Outcomes of a Community Mental Health Program for Frequent Emergency Department Users.","authors":"Jonathan Samosh, Ayda Agha, Donna Pettey, Tim Aubry","doi":"10.1007/s10488-026-01518-6","DOIUrl":"https://doi.org/10.1007/s10488-026-01518-6","url":null,"abstract":"<p><p>Supporting frequent emergency department users' psychosocial needs while reducing strain on hospital resources is a growing area of mental health policy concern. This study thus aimed to investigate health care service use outcomes of a novel community mental health program for frequent emergency department users presenting with mental illness or addiction. The program offered stepped-care system navigation and intensive case management supports. A quasi-experimental, pre-test/post-test, nonequivalent groups design evaluated the interaction effects of group (stepped-care intervention and three treatment as usual comparisons) and time (baseline and two follow-up years) on health care service use (emergency department visits, hospital admissions, days in hospital, general practice outpatient visits, and psychiatric outpatient visits). Retrospective longitudinal participant data were obtained from population-level public health care records and analyzed using generalized estimating equations methods. Results replicated past research findings demonstrating that a targeted intervention did not reduce emergency department visits and hospital admissions among frequent emergency department users beyond what others experienced with treatment as usual. However, this study also identified benefits of the stepped-care intervention, notably for increasing access to psychiatric outpatient services.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Investigation of Managers' Experiences and Views of Early Support Hubs for Children and Young People.","authors":"Kylee Trevillion, Rebecca Appleton, Gilda Spaducci, Emma Maynard, Felicity Allman, Jessica L Griffiths, Connor Clarke, Hannah K Lewis, Sadiya Begum, Anam Bhutta, Nima Cas Hunt, Eva Driskell, Lizzie Mitchell, Phoebe Barnett, Rob Saunders, Julian Edbrooke-Childs, Isabel Hanson, Polly Waite, Brynmor Lloyd-Evans, Sonia Johnson","doi":"10.1007/s10488-026-01517-7","DOIUrl":"https://doi.org/10.1007/s10488-026-01517-7","url":null,"abstract":"<p><p>Early Support Hubs are an emerging model of youth mental health provision, designed to offer holistic, open-access support for young people whose needs often fall below the threshold for specialist services. Despite increased expansion in many countries, little is known about how these Hubs are implemented in practice or the challenges faced by those responsible for delivering them. This paper presents a qualitative interview study with 19 managers of Early Support Hubs in England. A codebook thematic analysis was used to explore managers' perceptions of the purpose of Early Support Hubs and factors that support or hinder effective implementation. Three overarching themes were identified. First, Hubs adopted a youth-centred, holistic ethos, characterised by open access and flexible support. Second, Hubs are balancing offers of early, brief interventions against the need for tailored/specialist support for some young people. Third, systemic factors key to effective delivery, include the need for strong inter-agency partnerships, a diverse and adaptable workforce, and sustainable funding. Early Support Hubs hold promise as an accessible, youth-led model that can plug gaps in traditional mental health systems and offer continuity across the transition into adulthood. However, these models are constrained by short-term funding cycles, workforce limitations, and rising demand from young people with more complex mental health needs. Establishing consistent service models, strengthening referral pathways, and securing long-term investment will be essential to realising the full potential of Early Support Hubs.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Habit Formation to Enhance Implementation of Evidence-based Practice.","authors":"Zabin Patel-Syed, Kelli Scott, Sarah Helseth, Sara Becker","doi":"10.1007/s10488-026-01519-5","DOIUrl":"10.1007/s10488-026-01519-5","url":null,"abstract":"<p><p>Healthcare professionals often report strong intentions to use evidence-based practices to improve patient care, but intention does not always translate into action. Habits, automatic behaviors generated through repeated cue-behavior associations, may help address the intention-behavior gap and enhance adoption of evidence-based practices. As habits form, behavior control shifts from being internally guided to being triggered by external context cues, which can support making the use of evidence-based practice more routine. Despite calls to integrate habit formation in implementation science, habits have not yet been fully leveraged to select and specify implementation strategies. We argue that habits can be explicitly planned for with targeted cues, behavior routines, and rewards to support healthcare professionals in adopting evidence-based practices. We outline core elements of habit formation and provide case examples to illustrate how habit techniques can be used to catalyze implementation in healthcare.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Integration of Comprehensive Substance Use Services in Certified Community Behavioral Health Clinics: A Cross-sectional Study.","authors":"Yuanyuan Hu, Victoria Stanhope, Amanda I Mauri, Houa Vang, Ran Hu","doi":"10.1007/s10488-026-01515-9","DOIUrl":"https://doi.org/10.1007/s10488-026-01515-9","url":null,"abstract":"<p><p>Despite policy efforts to expand integrated behavioral health care in the United States, substantial gaps remain in service delivery for people with co-occurring mental health (MH) and substance use disorders (SUD). Certified Community Behavioral Health Clinics (CCBHCs) are intended to close these gaps through enhanced financing and certification standards that mandate comprehensive, integrated MH-SUD services. Using the 2023 National Survey of Substance Use and Mental Health Services (N-SUMHSS) data for 1,480 facilities (198 CCBHCs, 448 community mental health centers [CMHCs], and 834 other outpatient MH facilities), this study compared service availability across three domains: engagement services, outpatient SUD treatment, and recovery support. Descriptive statistics characterized service provision, and multivariable logistic regressions estimated adjusted odds of service availability by facility type, controlling for ownership, government funding, and being a part of a multisite organization. Relative to other outpatient MH facilities, CCBHCs had significantly higher odds of providing engagement services, including interim services, outreach, and transportation, as well as outpatient SUD services, including outpatient detoxification and medication-assisted treatment. CCBHCs also exhibited greater availability of recovery-oriented support, including employment counseling, assistance obtaining social services, and housing supports. These findings provide some of the first national evidence that the CCBHC model is associated with substantially broader SUD-related service offerings than traditional CMHCs and other outpatient MH settings. By expanding both clinical SUD care and enabling services that reduce access barriers and address social determinants, CCBHCs appear well positioned to improve care continuity and recovery for individuals with co-occurring MH and SUD conditions.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Support Deficiencies from Detection to Recovery in Adolescent Mental Health: A Qualitative Study in China.","authors":"Jing Yan, Yajuan Fang, Yean Li, Xiaoyan Wu, Lori E Ross, Xiaoli Zha","doi":"10.1007/s10488-026-01516-8","DOIUrl":"https://doi.org/10.1007/s10488-026-01516-8","url":null,"abstract":"<p><p>Adolescents in China face intensifying mental health challenges as extraordinary academic pressures rooted in cultural expectations for high achievement. While government-led initiatives provide multilevel formal support structures, critical gaps remain in understanding adolescents' perceptions of both formal and informal social support adequacy across different phases of mental health problems. This study applied qualitative thematic analysis to semi-structured interview data collected in Anhui Province. Participants included 17 adolescents aged 10-19 years and one 25-year-old whose mental health concerns originated in adolescence (age 15), with 15 family members jointly interviewed alongside them. Four themes characterized participants' narratives: the early manifestation phase, marked by multilevel barriers to timely mental health intervention, including insufficient parental response, a lack of systematic school-based prevention and stigma among adolescents; the problem escalation phase, characterized by insufficient policy implementation and a demand-execution gap, reflected in barriers to formal support access, insurance issues and disruptions in peer support; the treatment-recovery phase, multi-dimensional support gaps involving medicalization path dependence, limited inter-institutional coordination and inadequate follow-up support for families; and participants' visions for ideal collaborative support systems. The findings underscore the critical need to strengthen formal support systems for adolescents, which not only shape the identification of mental health needs and resource access but also play a crucial role in fostering adolescents' psychological development through informal networks such as families and peers.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148417772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restructuring Crisis Response Programs as Civilian-Led: A Scoping Review.","authors":"Megan W Rowe, Allannah Nguyen, Leyna Lowe, Kara Fletcher, Andrew D Eaton","doi":"10.1007/s10488-026-01514-w","DOIUrl":"https://doi.org/10.1007/s10488-026-01514-w","url":null,"abstract":"<p><p>Civilian-led crisis response teams provide emergency mental healthcare for individuals in acute distress in community settings, often without the involvement of police as first responders. These models represent one of several emerging alternatives to police-led crisis response and have gained attention for their potential to improve safety, trust, and care outcomes. Reports included in this scoping review discussed: the development, need, potential, implementation, and outcomes of civilian-led crisis response models. Covidence software was utilized by two independent reviewers to search 11 databases, with a third reviewer resolving conflicts. A dataset of 46 reports were then analyzed with thematic content analysis by a multidisciplinary team using critical theories to offer an exploration of how civilian-led crisis teams have begun to address the harms of policing responses to mental health. In exploring the key processes for civilian-led crisis response teams, three themes emerged. The first theme, Decentering Police, explores the growing collective awareness of the harms associated with police-involved crisis intervention and the corresponding need for alternative approaches, alongside efforts to establish a team composition that is intentionally distinct. The second theme, Team Scope of Practice, explores the subthemes of dispatch logistics and defining criteria for response. Team Sustainability is the third theme and explores how social and political will shape the uptake and long-term operation of civilian-led crisis programs.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Humility and Recovery-Promoting Competencies Among Mental Health Practitioners: The Mediating Role of Recovery Attitudes.","authors":"Subin Na, Suzanne S Tham, Phyllis Solomon","doi":"10.1007/s10488-026-01513-x","DOIUrl":"https://doi.org/10.1007/s10488-026-01513-x","url":null,"abstract":"<p><p>Recovery-oriented mental health practice represents a paradigm shift toward holistic, client-centered care prioritizing autonomy, hope, and social integration for individuals with serious mental illness. Mental health practitioners are instrumental in facilitating recovery; however, mechanisms through which practitioner orientations translate into recovery-promoting competencies remain underexamined. Individuals with serious mental illness face disparities arising from stigma and structural inequities. Cultural humility, characterized by ongoing self-reflection, power awareness, and commitment to equitable partnership, has emerged as a critical orientation to operationalize recovery values. Yet mechanisms linking cultural humility to recovery-promoting competencies remain unclear. This study examines whether recovery attitudes mediate the relationship between cultural humility and recovery-promoting competencies among mental health practitioners. Data were collected via anonymous survey from 188 mental health practitioners (June 2024-March 2025) employed in U.S. mental health organizations providing clinical services to adults with serious mental illness. Structural equation modeling tested a mediation model using three latent variables: cultural humility, recovery attitudes, and recovery-promoting competencies. Results showed cultural humility was significantly associated with recovery attitudes (β = 0.638, p < .001), which in turn was associated with recovery-promoting competencies (β = 0.654, p < .001). Recovery attitudes mediated 54.9% of the total effect of cultural humility on recovery-promoting competencies (indirect effect β = 0.417, 95% CI [0.310, 0.670], p < .001). This relationship remained robust after controlling for demographic and professional covariates. Findings provide empirical evidence that cultural humility operates through recovery attitudes to shape practitioner behavior, underscoring the importance of cultivating cultural humility within supervisory and organizational contexts.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}