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

{"title":"Correction to: Scaling Out a Digital-First Behavioral Health Care Model to Primary Care","authors":"Soo Jeong Youn, Keke Schuler, Pratha Sah, Brittany Jaso-Yim, Mariesa Pennine, Heather O’Dea, Mara Eyllon, J. Ben Barnes, Lily Murillo, Laura Orth, Georgia H. Hoyler, Samuel S. Nordberg","doi":"10.1007/s10488-025-01442-1","DOIUrl":"10.1007/s10488-025-01442-1","url":null,"abstract":"","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 :","pages":"1057 - 1060"},"PeriodicalIF":2.7,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956379","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":"They Judge You By Your Incarceration: A Qualitative Study of Mistrust Among Formerly Incarcerated People Navigating Mental Health Care","authors":"Shivani Nishar,&nbsp;Jessica Jaiswal,&nbsp;Shromona Mandal,&nbsp;Esteem Brumfield,&nbsp;Jon Soske","doi":"10.1007/s10488-025-01435-0","DOIUrl":"10.1007/s10488-025-01435-0","url":null,"abstract":"<div><p>The goal of this paper is to explore the experiences of formerly incarcerated people navigating mental health care post-release and understand how mistrust of mental health services and providers is manifested among this population. Interviews were conducted between 2021 and 2022 with 25 people released from incarceration within the past five years. We partnered with community organizations to recruit a diverse sample of participants, using voluntary response and purposive sampling. The interview transcripts were coded using a modified grounded theory approach and the analysis further guided by critical phenomenology in order to center silenced or marginalized perspectives. Mistrust of mental health care was a prominent theme across interviews. Overall, participants felt that they did not have autonomy over their treatment planning and management. Participants described experiencing stigmatizing treatment from providers, suspicion of mandated mental health treatment, and believing that profit over patients was prioritized in the industry–all of which contributed to growing mistrust of the larger mental health system. The participants’ experiences of losing control over their lives and treatment, compounded by a perceived complicity between mental health and carceral systems, shaped their mistrust toward mental health care. Nevertheless, many demonstrated remarkable persistence in seeking care and engaging with multiple providers, while also actively seeking to reclaim their autonomy.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 3","pages":"561 - 569"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961146","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":"Effects of an Early Home Visiting Program on Maternal Depression","authors":"Kirsten McLaughlin,&nbsp;Regina M. Fasano,&nbsp;Mary Dozier","doi":"10.1007/s10488-025-01440-3","DOIUrl":"10.1007/s10488-025-01440-3","url":null,"abstract":"<div><p>Maternal depression has been associated with negative parenting behaviors and poor developmental outcomes in children. Home visiting programs have positively impacted parenting behaviors and child outcomes; however, such programs often require specialized, highly trained professionals, resulting in a limited number of home visiting providers. One home visiting parenting program, Attachment and Biobehavioral Catch-up (ABC), does not have requirements regarding experience or background to become an ABC parent coach and deliver the intervention. ABC consists of ten 1-hour weekly sessions for parents of children between 0 and 6 months (ABC-Newborn), 6–24 months (ABC-Infant) or 24–48 months (ABC-Early Childhood). ABC has demonstrated efficacy in improving parental sensitivity and children’s developmental outcomes. A randomized clinical trial in one community implementation setting showed that ABC decreased maternal depressive symptoms. The current study aimed to replicate this finding across multiple implementation sites and expand on it by exploring if the effect differed by ABC model. Data included a community sample of 163 families from six countries who completed ABC. Maternal reports of depressive symptoms were collected prior to and after receiving ABC. Results showed a significant decrease in maternal depressive symptoms scores from pre-intervention to post-intervention regardless of ABC model. Findings demonstrate that a home visiting parenting intervention program can successfully leverage non-traditional mental health providers to ensure that mothers and children receive necessary resources and support.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 :","pages":"1076 - 1086"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-025-01440-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778772","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}

{"title":"A Qualitative Review of Community Health Workers’ Training, Supervision, and Service Delivery Needs","authors":"Maya Mroué Boustani,&nbsp;Stacy L. Frazier,&nbsp;Diana Marin,&nbsp;Dina Bashoura","doi":"10.1007/s10488-025-01439-w","DOIUrl":"10.1007/s10488-025-01439-w","url":null,"abstract":"<div><p>Community Health Workers (CHW) are part of an emerging workforce in the field of mental health, but few studies have examined their training, supervision, and service delivery needs in the United States. Individual semi-structured interviews were conducted with CHWs (n = 9) and their administrators (n = 6) affiliated with a medical center and school districts in Southern California. Guiding questions focused on CHW roles, work-related stress, clinical decision making, and professional development. Findings pointed to high rates of stress, primarily attributed to role ambiguity, and need (and desire) for more training and supervision related to mental health interventions, and more systematic structures for data-informed decision-making. Discussion provides reflections and recommendations to the field about ways to support this growing and critical workforce.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 :","pages":"1061 - 1075"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-025-01439-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750413","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}

{"title":"User Satisfaction with Child and Adolescent Mental Health Services: Factor Structure of the Experience of Service Questionnaire (ESQ) in Norway and the UK","authors":"Yngvild Arnesen,&nbsp;Bjørn Helge Handegård,&nbsp;Børge Mathiassen,&nbsp;Kjersti Lillevoll,&nbsp;Monica Martinussen,&nbsp;Luís Costa da Silva,&nbsp;Jasmine Harju-Seppänen,&nbsp;Abigail Rennick,&nbsp;Jenna Jacob,&nbsp;Julian Edbrooke-Childs","doi":"10.1007/s10488-025-01436-z","DOIUrl":"10.1007/s10488-025-01436-z","url":null,"abstract":"<div><h3>Background</h3><p>Child and Adolescent Mental Health Services (CAMHS) are expected to track user satisfaction routinely, and to this end, the Experience of Service Questionnaire (ESQ) is increasingly being adopted worldwide. The literature is inconsistent concerning the underlying factor structure of satisfaction measures, and debate is ongoing regarding the evidence of a general satisfaction factor.</p><h3>Aim</h3><p>This study aimed to examine the factor structure and dimensionality of the parent/carer and adolescent versions of the ESQ in the UK and Norway.</p><h3>Methods</h3><p>Data were retrieved from routine CAMHS clinical practice in the UK and Norway. Three models suggested by the research group were tested through Confirmatory Factor Analysis (CFA) and reliability testing.</p><h3>Results</h3><p>A series of CFAs revealed sound psychometric properties of the ESQ in all samples. A bifactor model with a general satisfaction factor and two specific factors of Satisfaction with Care and Satisfaction with Environment fitted the data best, except for the Norwegian adolescent version where a unidimensional model was kept.</p><h3>Conclusion</h3><p>The results support the continued use of the ESQ in CAMHS in the UK and Norway and significantly contribute to the literature on user satisfaction by adding evidence of a general satisfaction factor.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 3","pages":"570 - 582"},"PeriodicalIF":2.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741797","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}

{"title":"Understanding Capacity to Treat First Episode Psychosis with a Hybrid Telemental Health Delivery Model: A Needs Assessment of Ohio Community Mental Health Centers","authors":"Brian P. O’Rourke,&nbsp;Jennifer L. Hefner,&nbsp;Nicholas J.K. Breitborde,&nbsp;Vicki L. Montesano,&nbsp;Kraig Knudsen,&nbsp;Tory H. Hogan","doi":"10.1007/s10488-025-01437-y","DOIUrl":"10.1007/s10488-025-01437-y","url":null,"abstract":"<div><p>Coordinated specialty care (CSC) is considered the gold-standard treatment for individuals experiencing first episode psychosis (FEP). However, CSC teams are resource-intensive, motivating the development of a hybrid delivery approach where community mental health centers (CMHCs) collaborate with an academic medical center to deliver a mix of in-person and virtual services. To inform the development of this hybrid approach, a needs assessment was conducted, evaluating the existing capacity of Ohio CMHCs to treat FEP and identifying barriers to expanded use of telemental health. CMHC administrators throughout Ohio whose agencies primarily provide mental health services were surveyed using a novel instrument. A concurrent mixed methods approach combined multivariable analysis of cross-sectional survey data with thematic coding of responses to open-ended questions. The 56 responding CMHCs on average offered 10.96 of 17 services associated with CSC for FEP. Agency size was positively associated with number of service offerings, but rurality was not. Most agencies perceived gaps in their care for patients with FEP, particularly rural CMHCs. 75% believed that telemental health service expansion would benefit patients. Thematic analysis revealed three success factors for expanded telemental health usage: adapting care to virtual assessment, ensuring patient access, and adjusting workflows for virtual delivery. Responding CMHCs generally agreed that care for individuals with FEP could be improved and saw potential in expanded use of virtual services. Hybrid models may represent a valuable opportunity to overcome conventional barriers to CSC availability, but their development must account for current CMHC resource infrastructure and workflows.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 3","pages":"584 - 593"},"PeriodicalIF":2.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735619","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}

{"title":"Mental Health Shortfalls: Perceptions of Unmet Needs and Barriers and Facilitators to Receiving Care","authors":"Olga V. Berkout,&nbsp;Emily Barena","doi":"10.1007/s10488-025-01438-x","DOIUrl":"10.1007/s10488-025-01438-x","url":null,"abstract":"<div><p>Understanding the perspectives of individuals with mental health concerns and the influence of barriers and facilitators on treatment access can help mental health professionals ensure that those they serve receive needed care. The current study examined these factors in an online survey among 295 adults self-identifying as diagnosed with a mental health condition, which they felt was uncontrolled by intervention or psychiatric medication and impacted their daily lives. Most participants were not receiving psychotherapy or psychiatric medication, although some were accessing care and indicating unmet needs. A majority expressed a desire for more specialized care. Positive perception of providers, higher distress, and greater stigma tolerance were related to greater openness towards receiving psychotherapy and greater openness to psychotherapy, higher distress, and lower perceived barriers were associated with psychotherapy receipt. The relationship between openness towards psychotherapy and receipt was also stronger for those who perceived lower barriers to care. Advocacy and efforts to promote positive attitudes and reduce barriers by mental health practitioners and professional organizations may help support treatment access.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 3","pages":"594 - 602"},"PeriodicalIF":2.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735618","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 To: Should We Use Clinician Self-Report To Tailor Implementation Strategies? Predicting Use of Youth CBT With Clinician Self-Report Versus Direct Observation","authors":"Simone H. Schriger,&nbsp;Steven C. Marcus,&nbsp;Emily M. Becker-Haimes,&nbsp;Rinad S. Beidas","doi":"10.1007/s10488-025-01434-1","DOIUrl":"10.1007/s10488-025-01434-1","url":null,"abstract":"","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 2","pages":"438 - 440"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-025-01434-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536343","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}

{"title":"Scaling out a Digital-First Behavioral Health Care Model to Primary Care","authors":"Soo Jeong Youn,&nbsp;Keke Schuler,&nbsp;Pratha Sah,&nbsp;Brittany Jaso-Yim,&nbsp;Mariesa Pennine,&nbsp;Heather O’Dea,&nbsp;Mara Eyllon,&nbsp;J. Ben Barnes,&nbsp;Lily Murillo,&nbsp;Laura Orth,&nbsp;Georgia H. Hoyler,&nbsp;Samuel S. Nordberg","doi":"10.1007/s10488-025-01433-2","DOIUrl":"10.1007/s10488-025-01433-2","url":null,"abstract":"&lt;div&gt;&lt;p&gt;There is an established supply/demand problem in addressing behavioral health needs. A proposed solution is to have primary care providers respond to patients’ behavioral health challenges directly. The current study describes the adaptation and evaluation process of Precision Behavioral Health (PBH), a digital-first behavioral health care model with provider-referral to an ecosystem of digital interventions. User-centered design strategies used to adapt the PBH program included applying process to system-level behaviors, defining target users and their needs, defining workflows, rapid prototyping cycles, and a complimentary mixed-methods iterative development phase with a pilot trial. Twenty-one primary care providers, 164 medical assistants and check out staff, and 45 nursing staff were trained as part of the pilot. The RE-AIM implementation framework was used for evaluation. Fourteen primary care providers participated in a semi-structured interview to provide feedback on their experience. The adapted PBH program reached 39.54% of primary care patients seen by the pilot providers during the timeframe. Providers offered PBH to 76.63% of the patients reached, and 26.10% accepted the PBH referral. Out of the accepted patients, 78.15% registered, 73.95% activated their digital intervention, and 59.09% showed clinical improvement in outcomes. Nineteen (90.48%) pilot providers adopted PBH and referred a median of 2 patients each week. Medical assistants/check out staff scheduled 5% of digital care navigator appointments and 84.03% of provider follow up appointments. Primary care providers used the program’s clinical decision support tool to aid their discussion and referral process with 95.33% of patients that accepted PBH and selected one of the top 3 recommended tools 95% of the time. Qualitative results identified six broad content categories: Overall PBH referral experience, PBH training, PBH eligibility flag, PBH follow-up appointment workflow, impacts of PBH program on providers, and future modifications. Providers described a positive experience with PBH elements, low burden, positive impact on their jobs, and PBH enhancing treatment options for their patients. Primary care providers identified several adaptations, such as expanding PBH to other types of visits (e.g., sick visits), and optimizing workflow for check-out staff when booking follow-up appointments. Primary care providers are willing and able to successfully refer patients to behavioral health digital interventions with minimal training time for onboarding. Patients referred through primary care demonstrate high acceptance rates, and comparable rates of improvement to those that are referred by licensed behavioral health providers. The results have the potential to impact public health, by increasing behavioral health access for patients without adding burden to providers, and providing healthcare organizations an alternative pathway to address increasing needs without hav","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 :","pages":"1036 - 1056"},"PeriodicalIF":2.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522485","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":"Community Impact of Capacity-Building to Develop Trauma Resilient Communities","authors":"Todd P. Gilmer,&nbsp;Kimberly Center,&nbsp;Natalie J. Romero,&nbsp;Lila Burgos,&nbsp;Joelle Greene,&nbsp;Elizabeth Siantz,&nbsp;Lawrence A. Palinkas,&nbsp;Amy E. Lansing","doi":"10.1007/s10488-024-01429-4","DOIUrl":"10.1007/s10488-024-01429-4","url":null,"abstract":"<div><p>This paper explores the impact of an initiative designed to promote trauma resilient communities by mitigating social determinants of health and reducing health disparities through capacity-building partnerships. Nine regional partnerships in Los Angeles County were funded to build community capacity to adapt to and recover from traumatic events through outreach and engagement with community members, training related to the impact of trauma, linkages of community members to existing services, and developing new services for target populations. Primary quantitative and qualitative data on community impact were gathered from agency leads (N = 10), partnership members (N = 136), and community members (N = 42). A convergent sequential mixed methods design (qual → QUAN → qual) was selected to provide both breadth and depth of understanding about the impact of community capacity-building from multiple perspectives. From January 2018 through July 2023, partnerships conducted over 30,000 community capacity-building activities with over 1.4 M community members and created 101,370 successful linkages to resources and services among 12,663 unique community members. Agency leads, partnership members, and community members converged on three main themes describing the initiative’s impact: (1) Building more empowered and resilient communities; (2) Normalizing help-seeking and reducing the stigma of mental health; and (3) Connections within partnerships/families and with community members. On average, 82% of partnership members endorsed medium to large positive changes in the impacts identified during qualitative analysis. Future work should examine whether contracting with community-based organizations is an effective approach for health systems to promote health equity.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 3","pages":"506 - 519"},"PeriodicalIF":2.7,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439474","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}