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

{"title":"Professionals' and Families' Perspectives on Essential Elements of Shared Decision-Making: A Qualitative Analysis on Families with Multiple and Enduring Problems in Integrated Youth Care.","authors":"Anne Marie Barnhoorn-Bos, Eva A Mulder, Laura A Nooteboom, E H Alet Meurs, Robert R J M Vermeiren","doi":"10.1007/s10488-025-01443-0","DOIUrl":"https://doi.org/10.1007/s10488-025-01443-0","url":null,"abstract":"<p><p>Shared decision-making (SDM), known to improve client engagement in care and its quality, is crucial to achieve family-tailored care. However, when providing integrated youth care, SDM can be challenged by the complexity of families' problems and the multiple family members and professionals involved. Commonly used SDM models may not adequately address these specific challenges. Therefore, this qualitative study explores families' and professionals' perspectives on essential elements of SDM with families experiencing multiple and enduring problems on different life domains (e.g., mental health, parenting, financial, and social problems). Semi-structured interviews were conducted with 18 parents, 3 youth, and 22 professionals from Specialist Integrated care Teams in four regions of the Netherlands. A framework method - comprising essential elements of SDM - was applied to systematically code the transcripts both deductively and inductively. Our study shows the nine essential elements of SDM require a specific interpretation in the context of integrated youth care, regarding the diversity of participants in decision-making, the complexity of the problems, and SDM as a continuous process of multiple decisions. In addition, families and professionals mentioned three complementary elements: (1) build collaborative relationships, (2) prioritize problems, goals and actions, and (3) interprofessional consultation. Thus, in integrated youth care professionals are recommended to consider SDM as a cyclical process of larger and smaller decisions and take time to build collaborative relationships with families and the care network. Throughout the care process families and professionals balance their mutual roles in decision-making in line with the changing needs and preferences of families.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952198","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":"Using a Single Measure To Assess Adherence and Differentiation in Family Therapy for Adolescent Externalizing Problems.","authors":"Stephanie Violante, Bryce D McLeod, Aaron Hogue","doi":"10.1007/s10488-025-01445-y","DOIUrl":"https://doi.org/10.1007/s10488-025-01445-y","url":null,"abstract":"<p><p>The interpretation of effectiveness research can be enhanced by understanding what prescribed (i.e., adherence) and non-prescribed (i.e., differentiation) techniques were delivered. However, few measures exist that can assess both adherence and differentiation. The current study examined how the Therapy Process Observational Coding System for Child Psychotherapy Revised Strategies Scale (TPOCS-RS) can assess adherence to and differentiation from family therapy for youth with externalizing problems. Treatment sessions (N = 103) from 42 adolescents (M age = 15.0, SD = 1.4; 47.6% female; 59.5% Hispanic/Latinx/e, 19.0% Black, 11.9% multiracial, 4.8% other race) with primary externalizing problems treated by 24 clinicians (M age = 33.2, SD = 8.3; 66.7% female; 33.3% Hispanic/Latinx/e, 20.8% White, 12.5% Asian, 8.3% multiracial, 8.3% other race) in routine practice settings were coded with the TPOCS-RS. Treatment sessions were from three groups: (a) routine family therapy, (b) routine family therapy plus the medication integration protocol, or (c) usual care. Interrater reliability for the TPOCS-RS Family Therapy subscale was ICC = 0.90, and scores demonstrated evidence of convergent and discriminant validity via associations with treatment integrity and alliance measures. The TPOCS-RS Family Therapy subscale also demonstrated evidence of discriminative validity by identifying expected group differences. Results provide preliminary evidence that the TPOCS-RS can measure adherence to and differentiation from family therapy.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960753","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":"Precision Mental Healthcare: Identifying Service Preferences Through Discrete-Choice Experiments in Chinese Megacities.","authors":"Juan Chen, Luqi Yuan, Bo Li, Jie Yan, Liying Ren","doi":"10.1007/s10488-025-01444-z","DOIUrl":"https://doi.org/10.1007/s10488-025-01444-z","url":null,"abstract":"<p><p>Designing mental health services that align with individual preferences is a cornerstone of patient-centered care, enhancing both service utilization and treatment outcomes. This study applied the precision framework of mental healthcare to explore preferences for first-contact mental health services among community residents and family members with mild psychiatric symptoms in Chinese megacities. Using a discrete choice experiment, an online survey was conducted with 4,057 participants from Beijing, Shanghai, Guangzhou, and Shenzhen. Mixed logit analysis identified service providers as a key determinant of mental health service utilization across cities. While both potential patients and family members favored lower-cost public services, notable variations emerged in preferences for psychological counseling/therapy across cities and between patient and family contexts. Latent class analysis further revealed four distinct preference groups among potential patients. Psychological distress levels and hukou type were significantly associated with preferences. These findings highlight the importance of tailored interventions that accommodate patient and family needs, leveraging the unique features of China's mental healthcare system to improve access, quality, and equity in mental health services.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959878","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":"Peer Perspectives on Challenges Encountered During a Multi-Site Digital Mental Health Intervention Project.","authors":"Biblia S Cha, Elizabeth V Eikey, Dana B Mukamel, Kristy J Palomares, Stephen M Schueller, Dara H Sorkin, Nicole A Stadnick, Sarah Elizabeth Stoeckl, Kai Zheng, Margaret L Schneider","doi":"10.1007/s10488-025-01441-2","DOIUrl":"https://doi.org/10.1007/s10488-025-01441-2","url":null,"abstract":"<p><p>Peers are individuals with lived experience of mental health challenges trained to provide support to others with similar challenges. Help@Hand was a multi-site project that integrated peers into digital mental health intervention (DMHI) implementation. This study uses the Consolidated Framework for Implementation Research (CFIR) to frame challenges reported by peers when implementing DMHIs. Individuals leading the local peer workforce completed quarterly online surveys about perceived challenges to DMHI implementation. Biannual interviews probed for details on survey-reported challenges. 103 quarterly surveys and 39 bi-annual interviews were collected from key informants at 11 Help@Hand sites between Summer 2020 and Fall 2022. One challenge was tied directly to DMHIs; namely, device distribution. Several related to the Implementation Process, including challenges with recruiting qualified peers and integrating peers into DMHI implementations; communication and collaboration; and translation. Challenges in the Individual domain included unclear peer roles and multi-tasking across various projects. Inner Setting challenges included structural barriers to hiring peers, issues with communication and project management, and workforce turnover. Outer Setting challenges related to environmental technology readiness, COVID-19, unclear decision-making processes across the collaborative, and uneven communication between sites' peers. Funding uncertainty bridged the Inner and Outer Settings. Using the CFIR model to frame challenges to DMHI implementation yielded useful lessons, especially when peers are engaged as partners in planning and implementation process. Successful implementation will be enhanced by ensuring adequate environmental readiness for tech-based interventions, clear role definition, streamlined peer hiring processes, and well-delineated lines of communication locally and across sites.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958585","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: 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":"https://doi.org/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":" ","pages":""},"PeriodicalIF":2.0,"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":"Effects of an Early Home Visiting Program on Maternal Depression.","authors":"Kirsten McLaughlin, Regina M Fasano, Mary Dozier","doi":"10.1007/s10488-025-01440-3","DOIUrl":"https://doi.org/10.1007/s10488-025-01440-3","url":null,"abstract":"<p><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>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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, Stacy L Frazier, Diana Marin, Dina Bashoura","doi":"10.1007/s10488-025-01439-w","DOIUrl":"https://doi.org/10.1007/s10488-025-01439-w","url":null,"abstract":"<p><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>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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, 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/s10488-025-01433-2","DOIUrl":"10.1007/s10488-025-01433-2","url":null,"abstract":"&lt;p&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 havin","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.0,"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":"The Use of Feedback in Mental Health Services: Expanding Horizons on Reach and Implementation","authors":"Elizabeth H. Connors,&nbsp;Pauline Janse,&nbsp;Kim de Jong,&nbsp;Len Bickman","doi":"10.1007/s10488-024-01426-7","DOIUrl":"10.1007/s10488-024-01426-7","url":null,"abstract":"","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 1","pages":"1 - 10"},"PeriodicalIF":2.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738028","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}