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

{"title":"Engaging Law Enforcement Employees in Mental Health Help-Seeking: Examining the Utilization of Interactive Screening Program and Motivational Interviewing Techniques","authors":"Yali Deng,&nbsp;Jodi J. Frey,&nbsp;Philip J. Osteen,&nbsp;Amanda Mosby,&nbsp;Rachel Imboden,&nbsp;Orrin D. Ware,&nbsp;Alicia Bazell","doi":"10.1007/s10488-024-01384-0","DOIUrl":"10.1007/s10488-024-01384-0","url":null,"abstract":"<div><h3>Aim</h3><p>The Interactive Screening Program (ISP) is an anonymous screening and dialogue platform used in workplaces to encourage mental health help-seeking. This study examined utilization of ISP among law enforcement workplaces and assessed how motivational interviewing techniques were associated with various help-seeking outcomes.</p><h3>Method</h3><p>This retrospective study used secondary ISP screening and dialogue data collected from 2013 to 2019 at four law enforcement workplaces or unions (<i>N</i> = 691). Independent variables include counselors’ use of motivational interviewing techniques in their dialogue such as asking questions and showing empathy in their response. Help-seeking outcomes include requesting a referral, making a commitment to counseling services, decreased ambivalence about mental health services, and increased willingness to seek future services.</p><h3>Results</h3><p>Two-thirds of participants screened within the high distress level of ISP. Among them, 53% responded to the counselor’s initial email and 50% of those who responded requested a referral for future services. Binary logistic regression models showed that counselors’ use of confrontation in the dialogue was associated with improved willingness to seek services among ISP users (OR = 2.88, 95% CI = 1.24, 6.64). Further, ISP users who accessed ISP through their workplace peer support program, as compared to their employee assistance program (EAP), are more likely to show decreased ambivalence about seeking future services over time (OR = 0.28, 95% CI = 0.09, 0.80).</p><h3>Conclusion</h3><p>This study demonstrates that the anonymous ISP program can successfully engage employees with high distress levels, including employees with suicidal ideation. Results highlight the importance of customizing ISP counselors’ responses to be responsive for law enforcement employees.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"890 - 904"},"PeriodicalIF":2.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086528","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: Motives of Therapists for Using Routine Outcome Monitoring (ROM) and How it is Used by Them in Clinical Practice: Two Qualitative Studies","authors":"Shaghayegh Azizian Kia,&nbsp;Lisette Wittkampf,&nbsp;Jacobine van Lankeren,&nbsp;Pauline Janse","doi":"10.1007/s10488-024-01383-1","DOIUrl":"10.1007/s10488-024-01383-1","url":null,"abstract":"","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 1","pages":"171 - 171"},"PeriodicalIF":2.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-024-01383-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943611","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":"Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review","authors":"Kim de Jong,&nbsp;Susan Douglas,&nbsp;Miranda Wolpert,&nbsp;Jaime Delgadillo,&nbsp;Benjamin Aas,&nbsp;Bram Bovendeerd,&nbsp;Ingrid Carlier,&nbsp;Angelo Compare,&nbsp;Julian Edbrooke-Childs,&nbsp;Pauline Janse,&nbsp;Wolfgang Lutz,&nbsp;Christian Moltu,&nbsp;Samuel Nordberg,&nbsp;Stig Poulsen,&nbsp;Julian A. Rubel,&nbsp;Günter Schiepek,&nbsp;Viola N. L. S. Schilling,&nbsp;Maartje van Sonsbeek,&nbsp;Michael Barkham","doi":"10.1007/s10488-024-01381-3","DOIUrl":"10.1007/s10488-024-01381-3","url":null,"abstract":"<div><p>We face increasing demand for greater access to effective routine mental health services, including telehealth. However, treatment outcomes in routine clinical practice are only about half the size of those reported in controlled trials. Progress feedback, defined as the ongoing monitoring of patients’ treatment response with standardized measures, is an evidence-based practice that continues to be under-utilized in routine care. The aim of the current review is to provide a summary of the current evidence base for the use of progress feedback, its mechanisms of action and considerations for successful implementation. We reviewed ten available meta-analyses, which report small to medium overall effect sizes. The results suggest that adding feedback to a wide range of psychological and psychiatric interventions (ranging from primary care to hospitalization and crisis care) tends to enhance the effectiveness of these interventions. The strongest evidence is for patients with common mental health problems compared to those with very severe disorders. Effect sizes for not-on-track cases, a subgroup of cases that are not progressing well, are found to be somewhat stronger, especially when clinical support tools are added to the feedback. Systematic reviews and recent studies suggest potential mechanisms of action for progress feedback include focusing the clinician’s attention, altering clinician expectations, providing new information, and enhancing patient-centered communication. Promising approaches to strengthen progress feedback interventions include advanced systems with signaling technology, clinical problem-solving tools, and a broader spectrum of outcome and progress measures. An overview of methodological and implementation challenges is provided, as well as suggestions for addressing these issues in future studies. We conclude that while feedback has modest effects, it is a small and affordable intervention that can potentially improve outcomes in psychological interventions. Further research into mechanisms of action and effective implementation strategies is needed.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 1","pages":"210 - 222"},"PeriodicalIF":2.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-024-01381-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908162","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":"Effect of Psychosocial Interventions on Children and Youth Emotion Regulation: A Meta-Analysis","authors":"Kristin Espenes,&nbsp;Anita J. Tørmoen,&nbsp;Kristian Rognstad,&nbsp;Karianne H. Nilsen,&nbsp;Pamela M. Waaler,&nbsp;Tore Wentzel-Larsen,&nbsp;John Kjøbli","doi":"10.1007/s10488-024-01373-3","DOIUrl":"10.1007/s10488-024-01373-3","url":null,"abstract":"<div><p>To investigate the effect of psychosocial interventions on emotion regulation outcomes in children and youth (0–23 years). We conducted a meta-analysis using a three-level modeling approach extracting multiple effect-sizes from experimental and quasi-experimental studies. We included 40 interventions from 35 publications involving 3,891 participants and extracted 258 posttreatment effect sizes. Analyses were performed to assess intervention effects on emotion regulation, moderating effects of inclusion of acceptance focus and other potential moderators. Additionally, we examined intervention effects on mental health outcomes. Interventions showed a significant small-to-medium effect on emotion regulation (<i>d</i> = 0.37, 95% CI [0.22, 0.51], <i>p</i> &lt; .001). Similar effects on were found regardless of acceptance-focus. Interventions significantly associated with a higher level of effect (<i>p</i> ≤ 0.045) included ACT, DBT, CBT and behavior parent training interventions. Significant small-to-medium effects were found for mental health outcomes (<i>d</i> = 0.39, 95% CI [0.25, 0.53], <i>p</i> &lt; .001), with a correlation of .56 between overall outcomes across domains. Meta-regression results indicated that psychosocial interventions are moderately effective in improving emotion regulation, with no significant difference in inclusion of acceptance-focus. Findings suggest that emotion regulation is a transdiagnostic process that may inform the development of more beneficial interventions.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"833 - 852"},"PeriodicalIF":2.7,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-024-01373-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875507","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":"Correction to: Heterogeneity in Unmet Treatment Need and Barriers to Accessing Mental Health Services Among U.S. Military Service Members with Serious Psychological Distress","authors":"Michael S. Dunbar,&nbsp;Joshua Breslau,&nbsp;Rebecca Collins,&nbsp;Robin Beckman,&nbsp;Charles C. Engel","doi":"10.1007/s10488-024-01379-x","DOIUrl":"10.1007/s10488-024-01379-x","url":null,"abstract":"","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 4","pages":"713 - 713"},"PeriodicalIF":2.7,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852261","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":"Critical Gaps in Assisted Outpatient Treatment Research in the United States","authors":"Elizabeth Sinclair Hancq,&nbsp;Mark Munetz,&nbsp;Shanti C. Silver,&nbsp;Hope A. Parker,&nbsp;Natalie Bonfine","doi":"10.1007/s10488-024-01377-z","DOIUrl":"10.1007/s10488-024-01377-z","url":null,"abstract":"<div><p>In 2023, the White House included the implementation and improvement of assisted outpatient treatment in a list of under-researched strategies to support recovery and long-term treatment engagement for people with serious mental illness. Assisted outpatient treatment is a community-based, court-ordered, mental health treatment program for a subset of individuals with serious mental illness who have a history of difficulty adhering to treatment and staying well while living in the community. There is research supporting the use of assisted outpatient treatment for this specific population, however, the majority focuses on limited geographic regions, specific program organizations, and is outdated. Meanwhile, assisted outpatient treatment programs have increasingly been adopted by counties and states across the country. More research is needed to ensure that assisted outpatient treatment programs are being implemented in the most effective and equitable way possible. In this paper, the authors identify several key gaps in the current literature base relating to the effectiveness and implementation of assisted outpatient treatment.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"51 6","pages":"839 - 842"},"PeriodicalIF":2.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-024-01377-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849958","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":"Managers’ Micro-Communities Matter: The Impact of Clinical Supervision Team on Therapist Perception of the Organization","authors":"Meredith R. Boyd,&nbsp;Kimberly D. Becker,&nbsp;Alayna L. Park,&nbsp;Kaitlyn Pham,&nbsp;Bruce F. Chorpita","doi":"10.1007/s10488-024-01376-0","DOIUrl":"10.1007/s10488-024-01376-0","url":null,"abstract":"<div><p>Positive organizational climate — employee perceptions of their work environment and the impact of this environment on well-being and functioning — is associated with desirable organizational and client-level outcomes in mental health organizations. Clinical supervisors are well-positioned to impact organizational climate, as they serve as intermediaries between higher-level administrators who drive the policies and procedures and the therapists impacted by such decisions. This cross-sectional study examined the role of clinical supervisors as drivers of therapist perceptions of organizational climate within supervisory teams. Specifically, the present study investigated: (1) shared perceptions of organizational climate among therapists on the same supervisory team; (2) predictors of therapist climate perceptions. Eighty-six therapists were supervised by 22 supervisors. Indices of interrater agreement and interrater reliability of therapists on the same supervisory team were examined to determine shared or distinct perceptions of organizational climate. Multi-level models were used to examine whether supervisor attitudes towards evidence-based practices and therapist perceptions of supervisor communication predicted perceived organizational climate. Results showed perceptions of organizational cohesion and autonomy were shared among therapists on the same supervisory team and distinct from therapists on different supervisory teams. Therapist perceptions of their supervisor’s communication was positively associated with perceptions of organizational cohesion and autonomy. These findings align with emerging evidence that middle managers shape their employees’ experience of their work environment through communication strategies. These findings also point to the potential for intervening at lower organizational levels to improve overall organizational climate.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"863 - 875"},"PeriodicalIF":2.7,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-024-01376-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850034","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":"Data-Informed Communication: How Measurement-Based Care Can Optimize Child Psychotherapy","authors":"Elizabeth H. Connors,&nbsp;Amber W. Childs,&nbsp;Susan Douglas,&nbsp;Amanda Jensen-Doss","doi":"10.1007/s10488-024-01372-4","DOIUrl":"10.1007/s10488-024-01372-4","url":null,"abstract":"<div><p>Measurement-based care (MBC) research and practice, including clinical workflows and systems to support MBC, are grounded in adult-serving mental health systems. MBC research evidence is building in child and adolescent services, but MBC practice is inherently more complex due to identified client age, the family system and the need to involve multiple reporters. This paper seeks to address a gap in the literature by providing practical guidance for youth-serving clinicians implementing MBC with children and their families. We focus on MBC as a data-informed, client-centered communication process, and present three key strategies to enhance usual care child and adolescent psychotherapy via developmentally-appropriate MBC. These strategies include (1) go beyond standardized measures; (2) lean into discrepancies; and (3) get curious together. Case-based examples drawn from various child-serving settings illustrate these key strategies of MBC in child psychotherapy.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 1","pages":"179 - 193"},"PeriodicalIF":2.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849593","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":"Implementing a Treatment for People with Serious Mental Illness in Jail: A Mixed-Methods Study of Stakeholder Perspectives on Feasibility and Acceptability","authors":"Faith Scanlon,&nbsp;Robert D. Morgan,&nbsp;Daisy Aceves","doi":"10.1007/s10488-024-01380-4","DOIUrl":"10.1007/s10488-024-01380-4","url":null,"abstract":"<div><p>People with mental illness are over-represented in the U.S. criminal legal system. Jail presents an optimal opportunity to provide needed mental health care as the entry point to corrections. However, there is a lack of programming available in jails, which may be partly due to limited understanding of how to successfully implement interventions in this complex setting. We implemented a nine-session psychotherapeutic intervention for people with serious mental illness in a county jail. As part of a larger implementation-effectiveness hybrid study, we gathered mixed-methods data from stakeholders (treatment recipients and jail administrators) on the feasibility and acceptability of the intervention’s implementation. In focus group discussions and qualitative interviews, treatment recipients (<i>n</i> = 29) provided qualitative and quantitative data on their perceptions of the implementation’s feasibility and acceptability. Jail administrators (<i>n</i> = 6) completed two quantitative self-report measures on their perceptions of the treatment’s feasibility and acceptability. Qualitative analyses were conducted by two coders using inductive thematic template analysis; seven global themes relating to treatment recipients’ perceptions of the assets and hindrances to feasibility and acceptability were developed and are presented with supporting quotations. Quantitatively, all treatment recipients endorsed the intervention’s feasibility (100%), and nearly all (97%) endorsed its acceptability. On both self-report measures, jail administrators’ mean scores fell above a-priori thresholds indicating feasibility and acceptability. We found qualitative and quantitative support for the use of this intervention in jail from both sets of stakeholders. These results have implications for clinical service and policy in jail, where service providers struggle to meet the considerable demand for mental health services.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"876 - 889"},"PeriodicalIF":2.7,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848352","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":"The Content of Usual Clinical Care for Youth with Primary Anxiety Problems","authors":"Bryce D. McLeod,&nbsp;Stephanie Violante,&nbsp;Erica Ross,&nbsp;Alexys Weihl,&nbsp;Navneet Kaur,&nbsp;Michael A. Southam-Gerow,&nbsp;Heather A. Jones,&nbsp;John R. Weisz,&nbsp;Bruce F. Chorpita","doi":"10.1007/s10488-024-01378-y","DOIUrl":"10.1007/s10488-024-01378-y","url":null,"abstract":"<div><p>The current study was designed to describe usual clinical care for youth with primary anxiety problems in community mental health centers. The observer-rated Therapy Process Observational Coding System for Child Psychotherapy – Revised Strategies scale (TPOCS-RS), designed to assess therapeutic techniques from five theory-based domains, was used to code sessions (<i>N =</i> 403) from the usual clinical care group of two randomized effectiveness trials: (a) Youth Anxiety Study (YAS) with 21 youth (<i>M age</i> = 10.44 years, <i>SD</i> = 1.91; 49.2% Latinx; 46.6%, 53.4% male) and 16 clinicians (77.5% female; 43.8% White), and (b) Child STEPS Multisite Trial with 17 youth (<i>M age</i> = 10.00 years, <i>SD</i> = 1.87; 58.8% male; 41.2% White) and 13 clinicians (<i>M age</i> = 40.00 years; <i>SD</i> = 9.18; 76.9% female; 61.5% White). The average number of TPOCS-RS items observed per treatment session was more than 10, and multiple techniques were used together in each session. All TPOCS-RS items were observed at least once throughout a clinical case, and most items reoccurred (i.e., observed in two or more sessions). The dosage of TPOCS-RS in all items was below 5 on a 7-point scale. In conclusion, clinicians in both usual care samples used a wide range of techniques from several theory-based domains at a low to medium dose. However, the type and dosage of the techniques used did vary across the two samples.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"1017 - 1030"},"PeriodicalIF":2.7,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849964","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}