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

{"title":"Behavioral Health Student Assistance Programs: Leveraging Non-Traditional Mental Health Providers to Address Workforce Shortages and Mitigate the Youth Mental Health Crisis.","authors":"Eric J Bruns, Cassandra Ehde, Larissa M Gaias, Bethlehem Kebede, Christina McWherter, Erin Wick","doi":"10.1007/s10488-025-01465-8","DOIUrl":"https://doi.org/10.1007/s10488-025-01465-8","url":null,"abstract":"<p><p>Workforce shortages and other barriers have undermined efforts to address recent spikes in youth behavioral health problems. This study evaluates Washington State's Behavioral Health Student Assistance Program (BH-SAP), a novel approach to addressing the youth behavioral health crisis by using paraprofessional-delivered services in schools to expand the continuum of services available to youth. During the 2022-23 school year, 60 Student Assistance Specialists (SASs) delivered 3,218 prevention activities, provided group interventions to 1,158 students, and served 2,532 students with individual interventions, though there was substantial variation in the relative rates of BH-SAP activities across Washington's nine regional Educational Service Districts. Students receiving group and individual interventions reported significant improvements in hope, social connection, mental health agency, and reductions in internalizing symptoms and behavioral incidents, with small to moderate effect sizes (d = 0.23-0.39). Over 96% of N = 1,061 students who completed surveys reported the program was helpful. Students served by SASs who demonstrated greater adherence to the state's BH-SAP fidelity rubric showed greater improvements than those from lower-adherence providers. Results show that paraprofessionals, when properly trained and supervised, can effectively expand the workforce and extend the reach of evidence-based interventions in schools, and that a consistently implemented student assistance program can provide a promising strategy to address the youth mental health crisis.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938593","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 Factors Influencing Peer-Delivered Behavioral Evidence-Based Interventions for Substance Use Disorders: A Scoping Review.","authors":"Justin S Bell, Martha Tillson, Morgan S Anvari, Daniel M Blonigen, Mark McGovern, Jessica F Magidson","doi":"10.1007/s10488-025-01470-x","DOIUrl":"10.1007/s10488-025-01470-x","url":null,"abstract":"<p><p>Peer recovery specialists (PRS) are increasingly recognized as key members of the substance use disorder (SUD) treatment workforce. Recent efforts have focused on expanding PRS roles to include the delivery of behavioral evidence-based interventions (EBIs), such as motivational interviewing, cognitive-behavioral therapy techniques, and brief interventions. This scoping review aims to identify the determinants that influence the implementation of PRS-delivered behavioral EBIs and the strategies used to optimize their delivery within diverse SUD treatment contexts. A systematic search was conducted in APA PsycINFO, Web of Science, Scopus, PubMed, and Google Scholar, following PRISMA-ScR guidelines. Studies were included if they examined PRS delivering behavioral EBIs for SUD and reported on at least one implementation outcome as defined by Proctor et al. (2011). Data extraction and thematic synthesis were conducted using a hybrid deductive-inductive coding framework. Twelve studies met inclusion criteria. The most commonly studied interventions included behavioral activation, motivational interviewing, and Screening, Brief Intervention, and Referral to Treatment (SBIRT). PRS-delivered behavioral EBIs demonstrated high acceptability, appropriateness, and feasibility, with strong participant engagement and satisfaction. Facilitators of implementation included the integration of PRS within existing service structures, the adaptability of interventions, and the unique relatability of PRS. Barriers included PRS role ambiguity, gaps in training, and systemic challenges such as lack of funding and limited access to adjunctive support services. Implementation outcomes such as adoption, sustainability, and cost were infrequently assessed, highlighting gaps in the current literature. The findings suggest that PRS-delivered behavioral EBIs hold promise in expanding access to evidence-based care for individuals with SUD. However, structured training, supervision, and organizational support are critical for successful implementation. Future research should prioritize evaluating long-term sustainability, supervision, and strategies to enhance the integration of PRS within healthcare systems. Incorporating methods to address systemic barriers faced by service recipients will be essential for maximizing the impact of PRS-delivered interventions in SUD treatment.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938641","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 Youth-Focused Cognitive and Behavioral Therapy Adherence Measure: A Multi-Informant, Transdiagnostic, Trans-Manual, Adherence Monitoring Tool","authors":"Evelyn Cho,&nbsp;Jack H. Andrews,&nbsp;Rebecca Woo,&nbsp;Sarah Kate Bearman,&nbsp;Kristin M. Hawley","doi":"10.1007/s10488-025-01462-x","DOIUrl":"10.1007/s10488-025-01462-x","url":null,"abstract":"<div><p>While treatment adherence is often considered necessary for optimal clinical outcomes, adherence to evidence-based practices (EBPs) may be poorer in usual care (UC) than in research settings. Practical, accurate adherence monitoring tools may enhance EBP delivery in UC. We examined the psychometric properties of the Cognitive and Behavioral Therapy Adherence Measure (CBTAM), a multi-informant (provider, caregiver, youth) measure of provider adherence to the core components of cognitive and behavioral therapy (CBT) for youth anxiety, depression, and behavior problems. Providers (<i>N</i> = 28, <i>M</i> 29.46 years old; 75% female; 82.14% White; 7.40% Latinx), youths (<i>N</i> = 46, <i>M </i>11.34 years old, 54.35% male; 58.70% White; 6.52% Latinx) and their caregivers (<i>N</i> = 41, <i>M</i> 42.63 years old; 92.68% female; 73.17% White; 9.76% Latinx) rated provider adherence to CBT following each treatment session. Coders rated a subset of treatment sessions using the CBTAM and established observational coding systems for CBT adherence and alliance. Provider, caregiver, and youth CBTAM ratings evidenced full range, but were generally higher than coder ratings. Caregivers and youths were concordant with coders on a few items, while providers were concordant on most items. Provider CBTAM ratings were also correlated with similar items on observational measures, and these correlations were higher than correlations with dissimilar items, demonstrating convergent and discriminant validity. There is initial support for the provider CBTAM as a session-level measure of CBT adherence for common youth mental health problems. Further research is needed to evaluate the CBTAM’s reliability and clinical utility in community settings. </p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"950 - 965"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854132","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":"Development and Piloting of a Scalable Training for Peer Recovery Specialists in an Evidence-Based Substance Use Intervention: Preliminary Implementation Outcomes.","authors":"Morgan S Anvari, Jessica F Magidson, Salam Sulaiman, Eddie Killing, Dwayne Dean, Annette Dewbury, Logan Zelenak, Ellen Nixon, Andre Johnson, Julia W Felton","doi":"10.1007/s10488-025-01464-9","DOIUrl":"https://doi.org/10.1007/s10488-025-01464-9","url":null,"abstract":"<p><p>Individuals from minoritized and under-resourced communities have significantly less access to specialized services from substance use disorder. Peer recovery specialists (PRSs) show promise for increasing access to services, especially in low-resource settings, but have not historically been trained to deliver evidence-based interventions (EBIs). While behavioral activation (BA) has shown promise as a PRS-delivered EBI, few studies have examined broader training efforts that may inform the scale-up of this model. This study describes the co-development (including PRSs and community-based treatment providers) and dissemination of a BA training for PRSs. The initial training was piloted with five PRSs, who provided qualitative feedback on training content and delivery. The revised training was then delivered to 168 PRSs. Post-training, participants completed implementation outcome measures assessing feasibility, acceptability, and appropriateness. A follow-up survey was sent within six months to assess continued use and perceptions of BA. Qualitative feedback identified BA as feasible for PRS delivery and appropriate for the PRS role, and identified ongoing supervision and experiential learning as key needs for PRS training. PRSs who received the revised training found it to be feasible, appropriate and acceptable. Follow-up surveys suggest PRSs continued to use BA skills and found it was a good fit to their role and feasible for their work situation. PRS-delivery of EBIs has the potential to increase access to treatment for individuals from low-resource communities. With appropriate modifications for the unique needs of this workforce, PRSs can be trained on a large-scale to deliver BA.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758920","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 Health Worker-Delivered Mental Health Interventions for Latine Populations in the U.S.: A Systematic Literature Review.","authors":"Erika L Gustafson, Jacqueline O Moses, Eliana Pimentel, Davielle Lakind, Viviana Uribe, Dillon Thorpe, Gabriella Bobadilla, Lily Caglianone, Grayson J Dickinson, Dale Smith, Jennifer Westrick, Lisa Sánchez-Johnsen","doi":"10.1007/s10488-025-01459-6","DOIUrl":"https://doi.org/10.1007/s10488-025-01459-6","url":null,"abstract":"<p><p>The United States (US) faces a mental health crisis characterized by persistent unmet mental health needs, provider shortages, and pronounced mental health inequities for systematically marginalized communities, including the Latine population. Integrating community health workers (CHWs) into mental healthcare delivery via task-shifting is one promising approach to address longstanding inequities in treatment access. Yet, most studies of CHW mental health models have been conducted outside of the US, necessitating an evaluation of the evidence base for these models domestically, and in particular, their use with Latines living in the US. This systematic review examines the evidence for CHW-delivered mental health interventions for US-based Latines. In total, 27 articles (25 trials) met the eligibility criteria. The majority of interventions were delivered in Spanish to immigrant populations. The most common mental health targets included depression, stress, and parenting or the parent-child relationship. Common intervention components included psychoeducation, general coping skills, behavior management, case management, communication skills, relaxation, and problem solving. The majority of studies found that CHW-delivered interventions led to significant mental health symptom improvements. However, there was a high risk of bias across studies. Thus, there is promising preliminary evidence supporting CHW-delivered mental health interventions for US Latines, but more rigorous evaluation of these models is needed.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673699","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":"Barriers and Facilitators to Implementing a School-Based Social and Emotional Learning Program for Rural Children in China: A Qualitative Study Using the Consolidated Framework for Implementation Research.","authors":"Linyun Fu, Yibin Yang, Alida Bouris","doi":"10.1007/s10488-025-01460-z","DOIUrl":"https://doi.org/10.1007/s10488-025-01460-z","url":null,"abstract":"<p><p>Rural children in mainland China, particularly those whose parents migrate for economic opportunities, face distinct mental, emotional, and behavioral (MEB) challenges. With few mental health professionals available to address rural student's MEB needs, task-shifting approaches that rely on teacher-led interventions, such as the evidence-based Social and Emotional Learning (SEL) program, are a promising alternative. However, little is known about the implementation determinants of teacher-led SEL programs in rural China, a key gap for sustaining and scaling effective programs. The present study qualitatively explored the contextual determinants of implementing the Positive Growth Curriculum (PGC), an efficacious, teacher-led SEL program delivered to 648 fifth graders in two rural schools in southwest China. We conducted in-depth interviews with all N = 15 schoolteachers and administrators who implemented PGC, with questions guided by the Consolidated Framework for Implementation Research. Interviews were audio recorded and two independent coders conducted Rapid Qualitative Analysis. Codes were organized into four major themes detailing how contextual determinants shaped the acceptability, appropriateness, feasibility, fidelity, and sustainability of PGC. Findings indicated that innovation facilitators, e.g., relative advantage, low complexity, intervention design, and perceived effectiveness, facilitated PGC acceptability and appropriateness (Theme 1) and implementation strategies, e.g., training, facilitation and champions, were vital for ensuring fidelity (Theme 2). However, despite high teacher motivation and buy-in, feasibility and sustainability were threatened by inner setting pressures and administrative burdens that prioritize student's academic success over their SEL (Theme 3) and a lack of community buy-in and low governmental funding for SEL initiatives, two outer setting determinants (Theme 4). These barriers led some teachers to question if they are the optimal deliverers for SEL curricula. Potential PGC adaptations are discussed, as are possible implementation strategies and adjunctive interventions to sustain and scale effective teacher-led programs that can support rural students' MEB health and academic success.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635930","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 Simulation Model to Estimate Local Prevalence Based on Screening Data","authors":"Katherine M. Cooper,&nbsp;Leah Ramella,&nbsp;Esther Boama-Nyarko,&nbsp;Slawa Rokicki,&nbsp;Lulu Xu,&nbsp;Grace A. Masters,&nbsp;Nancy Byatt,&nbsp;Thomas I. Mackie,&nbsp;R. Christopher Sheldrick","doi":"10.1007/s10488-025-01454-x","DOIUrl":"10.1007/s10488-025-01454-x","url":null,"abstract":"<div><p>To develop screening guidelines, the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) Evidence to Decision (EtD) framework recommends careful assessment of both test accuracy and the downstream consequences of screening. To tailor recommendations to a specific context, GRADE EtD recommends ensuring that all assumptions and inputs on which the original recommendations are based are appropriate to the novel setting. Perinatal depression screening offers a notable example where evidence-based screening guidelines are recommended at a national level, yet implementation necessarily occurs in specific contexts. Methods to examine the generalizability of assumptions underlying screening recommendations are needed. The GRADE EtD framework demonstrates how local prevalence can be combined with evidence on screening sensitivity and specificity to estimate the number of true positive, false positive, true negative, and false negative results. In turn, these estimates can be linked to evidence of benefit and harm, such as potential benefits from treatment or stigma from false positive identification. To estimate benefit at a local level, we developed a simulation model that expresses prevalence as a function of sensitivity, specificity, and the proportion of patients who screen positive. We then identified published systematic reviews and meta-analyses of (a) perinatal depression prevalence, (b) screening accuracy, (c) implementation of screening in clinical settings. We then used a participatory form of simulation modeling to estimate prevalence at a local level—a necessary first step to evaluation net benefit—and to explore alternative hypotheses through sensitivity analyses. We identified meta-analyses of prevalence and screening accuracy, as well as 14 screening studies with data sufficient to inform key questions. Simulation models estimated local prevalence as a function of positive screening rates and published estimates of sensitivity and specificity. These prevalence estimates displayed marked heterogeneity, including frequent implausible impossible values (e.g., prevalence &lt; 0%). Findings suggest that screening data are insufficient to estimate local prevalence and that sensitivity and specificity are not stable properties of screening questionnaires. Instead, study-level differences in context may be influential, such as variation in patients’ willingness to disclose depression symptoms across settings. Results highlight the opportunity for simulation modeling to inform evidence synthesis and decision-making.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 4","pages":"727 - 754"},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625264","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":"Attitudes of Mental Health Professionals Towards the Use of Routine Outcome Monitoring in Psychotherapeutic Inpatient Settings: A Thematic Analysis","authors":"Julia Barbara Krakowczyk,&nbsp;Martin Teufel,&nbsp;Eva-Maria Skoda,&nbsp;Christoph Jansen,&nbsp;Tania Lalgi,&nbsp;Lennart Martens,&nbsp;Ulrike Dinger,&nbsp;Wolfgang Lutz,&nbsp;Alexander Bäuerle","doi":"10.1007/s10488-025-01455-w","DOIUrl":"10.1007/s10488-025-01455-w","url":null,"abstract":"<div><p>Routine outcome monitoring (ROM) involves the systematic recording of patient-reported outcome measures to monitor treatment progress and outcomes within psychotherapy. It represents an evidence-based approach to enhance psychotherapeutic treatment outcomes. However, it remains a rather controversial topic among mental health care professionals (MHP), resulting in its limited use in clinical practice, especially in inpatient settings. This qualitative interview study aimed to gain a comprehensive understanding of MHP attitudes towards ROM and its implementation within psychotherapeutic inpatient settings in Germany. In this study, semi-structured interviews were conducted with MHP working in the psychotherapeutic inpatient setting in the German healthcare system. Three independent researchers inductively coded the data, and thematic codebook analysis was used to evaluate the data iteratively. In total, 20 participants (14 medical doctors, and 6 clinical psychologists) with varying levels of working experience participated in the present study. The general attitude towards ROM and its implementation was predominantly positive, with ROM being perceived as a helpful feature to support psychotherapeutic inpatient treatment. However, possible pitfalls requiring careful consideration were highlighted, such as the risk of potential misuse and additional workload. The insights of the present study contribute to the ongoing discourse of ROM in mental health care. The study highlights the importance of proper implementation strategies and transparent communication regarding the relevance, aims, and use of ROM. Moreover, it highlights potential risks and perceived disadvantages associated with ROM, which may be related to implementation barriers and possible negative attitudes among MHP.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 4","pages":"771 - 784"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537686","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":"Keeping Our ACT Team Together: Supervisory Strategies to Promote Workforce Retention","authors":"Mimi Choy-Brown,&nbsp;William Carlson,&nbsp;Nathaniel J. Williams,&nbsp;Lynette Studer,&nbsp;Sheetal Digari","doi":"10.1007/s10488-025-01458-7","DOIUrl":"10.1007/s10488-025-01458-7","url":null,"abstract":"<div><p>Strategies are urgently needed to address the mental health workforce crisis in the United States that threatens essential care for people living with psychiatric disabilities. Assertive Community Treatment (ACT) is a cornerstone of community mental health care and workforce turnover negatively impacts patient experiences and outcomes. The present study aims to examine malleable supervisory strategies for reducing the intention to leave among the ACT workforce in order to reduce voluntary turnover. A cross-sectional observational survey of the largest sample yet of ACT team members (<i>N</i> = 334) from 80 ACT teams working in four States assessed team-level and team members’ supervision characteristics theorized to predict supervisory working relationships and team members’ intention to leave their positions. Unadjusted and adjusted hierarchical linear regression models examined factors at multiple levels (i.e., team member, team) in relation to team members’ intention to leave and accounted for the clustering of team members within teams. Adjusted models indicated that team member and team factors were negatively associated with team members’ intention to leave. Specifically, higher levels of transformational leadership and strong supervisory working alliances had a significant association with reduced intention to leave. Additionally, empirically supported supervision strategies and transformational leadership were significantly associated with stronger supervisory working alliances. Strategic workforce investment in the development of ACT team leaders and their use of transformational leadership and empirically supported supervision strategies may represent a promising pathway to promote strong supervisory working alliances and retention of essential ACT team members.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 4","pages":"785 - 799"},"PeriodicalIF":2.7,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525974","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":"Feasibility in Community Mental Health Research: A Scoping Review","authors":"Clara Johnson,&nbsp;Carla Valero Martínez,&nbsp;Celine Lu,&nbsp;Sharon Kiche,&nbsp;Rashed AlRasheed,&nbsp;Priya Dahiya,&nbsp;Noah S. Triplett,&nbsp;Kirstyn N. Smith-LeCavalier,&nbsp;Anna Testorf,&nbsp;Shannon Dorsey","doi":"10.1007/s10488-025-01457-8","DOIUrl":"10.1007/s10488-025-01457-8","url":null,"abstract":"<div><p>Feasibility, the degree to which an innovation is successfully carried out in a given setting, is key to whether an intervention will be implemented as planned and is connected to implementation success and service outcomes. In settings with limited resources, feasibility may be a particularly important determinant of whether an intervention is adopted and/or sustained over time. However, there is limited consensus on how to define, measure, and report feasibility in research conducted in community mental health settings. Following guidance from Arksey and O’Malley (2005), Levac et al. (2010), and Westphaln et al. (2021), the current scoping review aims to synthesize how trials conducted in community mental health settings describe the rationale, definition, measurement approach, and results of feasibility. The search included articles from Medline, PsycInfo, CENTRAL, Global Health, and Global Index Medicus and was conducted in September 2023. Included articles referenced feasibility and had each of the following: (1) delivery of an evidence-based psychotherapy (EBP) in a community mental health setting, (2) participants with elevated mental health symptomatology, and (3) implementation and/or clinical outcomes. Through data extraction, data synthesis, and qualitative content analysis, the authors identified feasibility definitions, measures, results, and explanations as well as intervention characteristics. Sixty-one articles across 20 countries were included. Articles included a wide range of EBPs delivered to individuals across the life span in community mental health settings. While all studies reported some level of feasibility of an intervention or trial, only 60.7% described a rationale for examining feasibility, 11.5% defined feasibility, 73.8% measured feasibility, and 67.2% reported descriptive statistics to accompany the level of feasibility found. Our results highlight the lack of clear and consistent rationales, definitions, measurement approaches, and results of feasibility in research conducted in community mental health settings. To improve the conceptualization and study of feasibility, we propose guidelines for future researchers to consider when examining feasibility. The guidelines include providing a clear definition of feasibility (i.e., the extent to which an EBP is possible in a certain context; Proctor et al., 2011), combining reflective and formative measures of feasibility to assess how feasible an intervention is and why it is deemed feasible (respectively), considering when in the implementation process researchers are engaged, involving multiple voices in the measures of feasibility, and exploring the impact of feasibility on other implementation outcomes as well as clinical outcomes.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 4","pages":"800 - 818"},"PeriodicalIF":2.7,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525973","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}