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

{"title":"Budget Impact Analysis of the Veterans Crisis Line Caring Letters Project.","authors":"Yi-Jung Shen, Samantha G Auty, Kiersten Strombotne, Stuart M Figueroa, Caitlin Manchester, MaryGrace Lauver, Jolie E Bourgeois, Mark A Reger, Melissa M Garrido","doi":"10.1007/s10488-026-01528-4","DOIUrl":"https://doi.org/10.1007/s10488-026-01528-4","url":null,"abstract":"<p><p>The Veterans Crisis Line (VCL) launched the Caring Letters (VCL-CL) suicide prevention intervention to support Veterans in crisis in 2020. The intervention mails messages of support to Veterans who contact the VCL and was associated with increased use of mental health services among recipients. VCL-CL might be implemented for other Veterans, but no information exists on the budget impact of a large-scale caring contacts intervention. This budget impact analysis evaluated the costs related to labor, supplies, and information technology during each phase (i.e., development, implementation, maintenance) of VCL-CL from January 2020 to May 2022. We also forecasted the per Veteran costs of sustaining VCL-CL for three years with varying levels of VCL-CL users. The cost of VCL-CL during the intervention development, implementation, and maintenance phase were $54,483, $602,534, and $967,174, respectively-for a total cost of $1,624,190. This represents approximately $10.94 per Veteran over the duration of the project, or $1.22 per Veteran-letter. The forecasted cost to sustain the VCL-CL project was less than $1.40 under all scenarios of Veteran use (stable use, 10% increase, 10% decrease). This evaluation identified the budget impact of the VCL-CL project, which may provide critical information for the Veterans Health Administration or other health systems when determining the financial feasibility of maintaining or implementing similar interventions. Although these findings are specific to VCL-CL, the relatively low per-Veteran cost suggests that such interventions may be feasible to implement and sustain in comparable settings.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134547","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":"Strength-Focused Treatment is Associated with Positive Outcomes in Implemented Multisystemic Therapy.","authors":"Emilee H Turner, Kalyn L Holmes, Charles W Mueller","doi":"10.1007/s10488-026-01523-9","DOIUrl":"https://doi.org/10.1007/s10488-026-01523-9","url":null,"abstract":"<p><p>Multisystemic Therapy (MST) is a family-centered, community-based psychosocial treatment and is a leading evidence-based intensive-in-home treatment for youth. Prior findings from well-controlled effectiveness and randomized control trials of MST underscore the potential mental health benefits of targeting youth, family, and community strengths in treatment. However, less is known about the outcomes associated with strength-focused treatment in implemented MST settings, particularly in public mental health care (PMHC). Hierarchical and longitudinal growth modeling techniques were used to analyze archival clinical service data from a sample of 911 youth receiving implemented MST in a statewide PMHC system. Therapeutic focus on strengths was measured as a proportion of overall treatment targets endorsed by therapists that were strength-based (strength proportion [SP]). This study examined the associations between SP and three different treatment outcome measures: discharge status, end-of-treatment functional impairment, and therapist-rated treatment progress. Findings indicated significant positive associations between a greater therapeutic focus on strengths and higher likelihood of successful treatment discharge, better youth functioning at end-of-treatment, and greater treatment progress. Clinical implications and suggestions for future research are provided.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134453","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":"Organizational Factors Impacting Implementation of Evidence-based Practices for Autistic Youth: A Mixed Methods Evaluation of Virginia's Community Mental Health System.","authors":"Jennifer R Bertollo, Jessica E Tschida, Megan Fok, Elizabeth A DeLucia, Angela Scarpa, Amy Drahota","doi":"10.1007/s10488-026-01525-7","DOIUrl":"https://doi.org/10.1007/s10488-026-01525-7","url":null,"abstract":"<p><p>Despite elevated rates of co-occurring mental health needs among autistic youth, availability of and access to mental and behavioral health evidence-based practices (EBPs) remain limited in U.S. community-based settings. Further, community-based service systems are complex, with client- and provider-level characteristics situated within broader system contexts that collectively influence adoption and implementation of EBPs. Thus, the current convergent mixed methods study aimed to evaluate agencies, or Community Service Boards (CSBs), in Virginia's statewide Department of Behavioral Health and Developmental Services in terms of CSB leaders' perspectives of: (1) their CSB's organizational context, including leadership, structure, and climate around new practices, and (2) the process of adoption and implementation of EBPs for autistic youth at their CSB, including needs and barriers, processes for making adoption decisions, and leadership attitudes about EBPs. Surveys and interviews were conducted with 23 CSB leaders and data analyses and interpretation were guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. CSB leaders rated their organizations as ready for change and moderately supportive of EBPs, but reported barriers to adoption and implementation, including resource constraints, organizational silos, and misalignment between EBP characteristics and organizational context. Conversely, implementation was facilitated by funding, leadership support, collaboration, and EBP fit. These findings reinforce the importance of understanding local contexts to make place-based recommendations for equitable, sustainable implementation of EBPs for autistic youth in community settings. Future efforts to adopt, implement, and sustain EBPs within similar service settings should proactively address these factors. Intervention developers should proactively consider community mental health systems as end users to improve fit between EBPs and these systems' organizational contexts.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102326","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":"Mental Health in Regularly Collected Nationally Representative U.S. Surveys: What's Measured and What's Missing?","authors":"Phillip M Hughes, Genevieve Graaf, Kristin H Gigli, Jennifer Murphy, Bethany Wood, Kathleen C Thomas","doi":"10.1007/s10488-026-01531-9","DOIUrl":"https://doi.org/10.1007/s10488-026-01531-9","url":null,"abstract":"<p><p>To document the availability and quality of mental health measures in regularly collected national surveys in the United States. We conducted a review of the mental health measures included in eight publicly available health-focused recurring surveys capable of producing nationally-representative estimates. For each measure, we documented the constructs measured, number of items in the measure, the populations for whom the measure is collected, and the years in which the measure was collected. We examined peer-reviewed literature for psychometric properties of the measures. U.S. national surveys vary substantially in their measurement of mental health constructs in terms of the number of constructs (3-15), measure complexity (1 item - 233 items), populations covered, years administered, and the proportion of constructs that have validated measures (0%-100%). The Medical Expenditure Panel Survey offered the best mix of mental health measures (9; 56% validated), years covered (1996-Present), and related health information; however, each of the surveys offered distinct advantages in terms of the geographic information available (e.g., national, state, census tract), populations covered (e.g., children, teens, and/or adults) and measured mental health constructs (conditions, the impact of those conditions, and mental health service use). Mental health is measured in various ways across the nationally-representative surveys, with each survey offering distinct advantages and disadvantages. Mental health researchers should consider these differences when using national survey data. Future research should attempt to validate the mental health measures used in these surveys and efforts should be made to address existing gaps in measurement.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102752","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":"Did Nationwide Mental Health Insurance Reform in Israel Increase Access to Community-Based Care? : A Population-Based Retrospective Cohort Study.","authors":"Avital Esther Alfandari Cohen, Orly Weinstein, Arad Kodesh, Gilad Bodenheimer, Jordan Lewinski, Tali Shmueli, Marnina Swartz Vanetik, Rinat Yoffe, Arnona Ziv, Racheli Magnezi","doi":"10.1007/s10488-026-01529-3","DOIUrl":"https://doi.org/10.1007/s10488-026-01529-3","url":null,"abstract":"<p><p>Israel's nationwide mental health reform (July 1, 2015) transferred responsibility and funding for mental healthcare from the Ministry of Health to Israel's four Health Maintenance Organizations (HMOs), aiming to improve access and availability, integrate mental health into general care, and shift delivery toward community-based models. Using electronic health records and administrative data from all four HMOs and the Ministry of Health, we assessed longitudinal trends in mental health service utilization from 2012 to 2019 among continuously insured Israeli residents with any recorded mental health diagnosis, mental health-related service contact, or psychotropic medication dispensing (31% of the national population). Outcomes included annual community-based mental health visits in HMO clinics, outpatient psychiatric visits in hospital clinics, mental health-related emergency department (ED) visits, psychiatric hospitalizations, and psychiatric medication dispensed. Post-reform changes were examined using Poisson regression adjusted for age, sex, social group, and socioeconomic status. Post-reform, community-based visits increased fourfold and hospital outpatient visits increased 3.3-fold. Psychiatric medication dispensing rose by 56% (psychostimulants + 87%; antidepressants + 60%). ED visits without admission increased by 40% while admission rates remained stable; total hospitalizations increased by 10%. Women had higher outpatient and medication use, whereas men had higher ED and inpatient use. Adjusted models indicated a 16% post-reform increase in service utilization (P < .0001). During 2015-2019, we analyzed 265,286 mental health-related ED visits; 77% occurred in psychiatric-hospital EDs and 23% in general-hospital EDs, and most visits did not result in hospitalization (78% in general hospitals; 67% in psychiatric hospitals). Overall, Israel's reform was associated with system-wide expansion and a shift toward community-based care, alongside rising non-admission ED presentations, warranting further research on pathways, clinical need, and follow-up, and on strengthening accessible community-based urgent and crisis alternatives to ED care.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102778","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":"Three Strategies to Strengthen Therapist Follow-Through in Therapy Sessions: Examination of Accountability in Clinical Supervision.","authors":"Meredith R Boyd, Kimberly D Becker, Alayna L Park, Bruce F Chorpita","doi":"10.1007/s10488-026-01527-5","DOIUrl":"https://doi.org/10.1007/s10488-026-01527-5","url":null,"abstract":"<p><p>Clinical supervision is a natural opportunity for promoting therapist use of clinical practices supported by research in community mental health services. However, the research on thespecific strategies in supervision that are likely to have a positive impact is limited. One model from the organizational management literature suggests supervision behaviors that promote a sense of accountability-i.e., a perceived expectation to fulfill duties or obligations-may represent key strategies by which supervision promotes use of clinical practices supported by research. The present study aimed to identify the presence of \"accountability strategies\" during clinical supervision and investigate the association between strategies and therapist use of a clinical procedure supported by research during subsequent psychotherapy sessions. Transcripts of supervision sessions (n = 196) and subsequent treatment sessions (n = 196) were observationally coded for supervision accountability strategies and therapist follow-through use of an identified clinical procedure. Binary, multi-level logistic regression models were used to assess the association between accountability strategies during supervision and therapist use of a planned (i.e., \"expected\") practice during the subsequent therapy session. Results indicated explicit selection of the practice the therapist will use in their next treatment session, preparation through activities such as consulting manuals and practicing role plays, and review of how use of the practice went in the past increased the odds of therapist use of the expected practice during the next treatment session. These findings are notable as they demonstrate that supervision can directly influence therapist behavior through three specific strategies.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149056783","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":"Improving Vocational Rehabilitation for people with Mental Health Problems through Intersectoral Collaboration: A Mixed-Method Implementation Study.","authors":"Y Noteboom, R A Salawanej, M A Huysmans, C Bergmans, J R Anema, F van Nassau","doi":"10.1007/s10488-026-01526-6","DOIUrl":"https://doi.org/10.1007/s10488-026-01526-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Rationale: &lt;/strong&gt;Work participation is associated with improved health and wellbeing. Vocational rehabilitation (VR) programs support individuals, including those with mental health problems, in obtaining and maintaining employment. Integrating mental health and work support in VR is considered more effective but requires cross-sector collaboration. In a Dutch region, multiple stakeholders jointly implemented a collaborative initiative, covering the access route to and the delivery of three VR interventions. This study evaluated the implementation process, outcomes, and working mechanisms of this collaborative initiative.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;We conducted a mixed-methods process evaluation, including 37 interviews with 12 clients, 14 professionals, and 11 managers/directors, supplemented by field notes and documents over a 3-year period. Monitoring data included intervention start and end dates, participation ladder (PL) level, and registered outcomes (i.e., paid employment or voluntary work). Data were analysed using the UK MRC guidelines for process evaluations, covering implementation outcomes (according to Proctor), mechanisms of impact, context, and both intended and unintended outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Between January 2021 and December 2023, 129 clients were reached. Recruitment was challenging. Referral was hindered by external professionals' limited awareness, knowledge, and belief in clients' potential. Mean duration (dose) of the intervention lasted or exceeded the original setup, aligning with client perceived needs. Monitoring fidelity ranged from 100% at the start to 89% at 12 months, indicating fair to good fidelity. Clients valued informal conversations equally or more than the structured monitoring conversations. Trust between clients and professionals enhanced the intervention experience and perceived effectiveness. From 111 out of 129 participants their outcomes were monitored: 62 (56%) entered voluntary or paid work, after participation in the intervention. Key collaborative mechanisms were mutual trust among professionals and belief in the added value of collaboration. Contextual factors included economic-financial, political-financial, and socio-psychological factors: Governmental support and the meaningfulness of work were facilitating factors, whereas barriers included legislation and stigma, including low expectations regarding the capabilities of individuals with mental health problems.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Professionals' knowledge and awareness of VR interventions, alongside stigma and existing legislation influenced whether individuals with mental health issues were reached for an intervention that best fits their needs. This may lead to practice variation and unequal opportunities. Clients appreciated the multifaceted support and felt they had more choices although intervention choice was usually directed by professionals. During interventions delivery both clients ","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149056818","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":"Implementation Determinants for AI-Enabled Digital Mental Health Interventions Across Asian Mental Health Systems: A Scoping Review Using the Donabedian Model.","authors":"Mohd Fauzie Ismail, Muamar Iskandar Mohamed Yusoff, Zainal Zulkifli, Ahmad Shahril Hafifi Saad, Muhamad Syafiq Zainul Abidin, Afiq Izzudin A Rahim","doi":"10.1007/s10488-026-01524-8","DOIUrl":"https://doi.org/10.1007/s10488-026-01524-8","url":null,"abstract":"<p><p>Mental health disorders impose a rapidly growing burden across Asia, where treatment gaps routinely exceed 70% due to fragmented services, workforce shortages, and underinvestment in mental health infrastructure. AI-enabled digital interventions are widely promoted as scalable solutions, yet implementation frequently falters at the interface between technology design and local health-system, sociocultural, and infrastructural realities. No synthesis has systematically mapped implementation determinants for these tools across Asian mental health ecosystems using a service-quality framework. This scoping review addresses that gap. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, a systematic search was conducted across five electronic databases (PubMed, Scopus, Web of Science, JMIR, and ScienceDirect) for peer-reviewed, English-language studies published between January 2015 and December 2025. Eligible studies included empirical research, reviews, and conceptual analyses focusing on barriers to AI-enabled mental health screening and assessment among Asian populations. Data were extracted from 12 included sources and synthesised using descriptive content analysis organised by the Donabedian framework (Structure, Process, Outcome), with each study coded for evidence maturity and mapped against a taxonomy of AI tool types and the mental health care continuum. Structural barriers included limited organisational readiness, absent governance frameworks, and inadequate digital infrastructure. Process-level barriers arose from cultural and contextual mismatch between Western-centric tool designs and Asian collectivist values, language difficulties, suboptimal user-experience designs, and concerns about clinical safety of AI outputs. Outcome-level barriers manifested as low perceived relevance, poor user engagement, and reduced utilisation driven by concerns over privacy, accuracy, and the absence of human-like emotional support. Evidence concentrated on chatbots and screening tools at prevention and help-seeking stages, with critical gaps in governance, clinical-workflow integration, crisis response, and real-world service evaluation. Implementation success depends on governance and safety infrastructure, culturally valid and linguistically appropriate design, workforce integration and supervision, and explicit equity safeguards. A system-readiness checklist is proposed to guide planners and mental health service leaders in embedding AI tools within care pathways that preserve meaningful human involvement in clinical decision-making.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943975","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":"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":"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,&nbsp;Alexandria N. Miller,&nbsp;Marianne S. Matthias,&nbsp;Diana J. Burgess,&nbsp;Scott Patterson,&nbsp;Caitlin E. O’Connor,&nbsp;Angela L. Rollins","doi":"10.1007/s10488-026-01520-y","DOIUrl":"10.1007/s10488-026-01520-y","url":null,"abstract":"<div><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></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"53 5","pages":"559 - 575"},"PeriodicalIF":2.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-026-01520-y.pdf","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}