MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Administration and Policy in Mental Health and Mental Health Services Research' source. Tue, 07 Feb 2012 09:35:39 +0100 http://www.medworm.com/index.php?rid=5636901&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft253pv96816n51q3%2F This study describes the implementation and evaluation of an electronic prescription ordering system and feedback report in three community-based mental health outpatient agencies and the usefulness of the system in improving psychiatrists’ prescribing behavior. Using the e-prescribing system as a data collection tool, feedback on evidence based prescribing practices for patients diagnosed with schizophrenia spectrum disorder or major affective disorder was provided to agency directors and prescribers via a monthly report. The results of the project were that e-prescribing tools can be installed at a reasonable cost with a short start up period. Although the feedback intervention did not show a significant reduction in questionable prescribing patterns, we should continue to invest... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5636901 Tue, 24 Jan 2012 18:09:18 +0100 5636901 http://www.medworm.com/index.php?rid=5636902&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft7117m0075215158%2F Abstract  Collaboration between researchers and stakeholder groups is a potentially powerful mechanism for strengthening the quality of mental health research and for amplifying its public health impact. For stakeholders, collaboration offers opportunities to help shape research questions; participate in data collection and interpretation; and improve local capacity to access and use research findings. For researchers, collaboration can build understanding of what stakeholders want and need from research; enhance capacity to frame research questions and findings in language and metrics of value to stakeholders; and provide opportunities to contribute science-backed knowledge to decision-making processes in real world settings. Key stakeholder groups can include the recipien... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5636902 Tue, 24 Jan 2012 07:19:56 +0100 5636902 http://www.medworm.com/index.php?rid=5595199&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe5821wm4400l1157%2F This study assessed the secondary effects of a parent training intervention program on maternal adjustment, with a focus on understanding ways in which program efficacy differed for participants as a function of whether or not their children had behavior problems. Mothers (N = 99) of toddlers (2–3 years of age) were randomly assigned to receive one of three levels of intervention: (1) informational booklet (2) booklet + face-to-face parent training sessions, or (3) booklet + web-based parent training sessions. Findings indicated that all levels of intervention were associated with increases in maternal well-being for participants with typically developing children. Mothers of toddlers with behavior problems, however, did not benefit from receiving only the booklet bu... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5595199 Fri, 13 Jan 2012 16:51:19 +0100 5595199 http://www.medworm.com/index.php?rid=5595200&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6116414804624241%2F We describe some lessons learned from the partnership and identify potential areas for future research on the prevention partnership model. We conclude with a discussion of the implications for both researchers and community partners engaged in translational research in school settings. Content Type Journal ArticleCategory Original PaperPages 1-13DOI 10.1007/s10488-011-0384-6Authors Catherine P. Bradshaw, Department of Mental Health, Johns Hopkins Center for the Prevention of Youth Violence, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USAElise T. Pas, Department of Mental Health, Johns Hopkins Center for the Prevention of Youth Violence, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USAJerry ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5595200 Fri, 13 Jan 2012 16:51:18 +0100 5595200 http://www.medworm.com/index.php?rid=5595201&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2724605622166p70%2F Content Type Journal ArticleCategory Research - Practice RelationshipsPages 1-4DOI 10.1007/s10488-011-0402-8Authors Sheppard G. Kellam, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5595201 Thu, 12 Jan 2012 16:49:03 +0100 5595201 http://www.medworm.com/index.php?rid=5595202&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9186634649v70533%2F This article reports results of a survey of 460 individuals in five stakeholder groups during the initial period of the law’s implementation. All respondents held favorable views of advance directives for mental health care. Identified barriers to completing and using advance directives varied by group. We conclude that relevant stakeholders support implementation of advance directives for mental health, but level of baseline knowledge and perception of barriers vary. A multi-pronged approach will be needed to achieve successful implementation of advance directives for mental health. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s10488-011-0401-9Authors Christine M. Wilder, Services Effectiveness Research Program, Department of Psychiatry and Behavi... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5595202 Thu, 12 Jan 2012 16:49:02 +0100 5595202 http://www.medworm.com/index.php?rid=5557497&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb003403k4p62p025%2F Content Type Journal ArticleCategory Point of ViewPages 1-4DOI 10.1007/s10488-011-0400-xAuthors Elizabeth B. Robertson, Prevention Research Branch (PRB), Division of Epidemiology Services and Prevention Research (DESPR), National Institute on Drug Abuse (NIDA), 6001 Executive Boulevard, Bethesda, MD 20892, USABelinda E. Sims, National Institute on Drug Abuse, Bethesda, MD, USAEve E. Reider, National Institute on Drug Abuse, Bethesda, MD, USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5557497 Tue, 27 Dec 2011 17:01:56 +0100 5557497 http://www.medworm.com/index.php?rid=5542934&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxwq762n172023220%2F Abstract  The use of restraint and seclusion is highly regulated in psychiatric inpatient settings. However, the majority of studies of restraint and seclusion are based on public hospitals serving adult patients, with some limited data available on adolescents and children. This paper presents prospectively collected data on restraint and seclusion over a 2-year period at a private psychiatric hospital whose patients include large numbers of both adolescents and pre-adolescent children. 2 years of restraint and seclusion data were analyzed on a total of 2,411 unique patients. Types of seclusion included in-room seclusion on the treatment unit and off-unit seclusion in a separate seclusion annex. Restraints consisted solely of short term (<15 min) and longer te... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5542934 Thu, 22 Dec 2011 16:37:22 +0100 5542934 http://www.medworm.com/index.php?rid=5535648&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm56h677822811856%2F Content Type Journal ArticleCategory Point of ViewPages 1-3DOI 10.1007/s10488-011-0395-3Authors Neil Krishan Aggarwal, Department of Psychiatry and the New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, Room 1715, Unit 11, New York, NY 10032, USAMichael Rowe, Program for Recovery and Community Health, Department of Psychiatry, Yale University School of Medicine, 319 Peck Street, Bldg. 1, New Haven, CT 06513, USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5535648 Mon, 19 Dec 2011 16:52:40 +0100 5535648 http://www.medworm.com/index.php?rid=5535649&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc0j40725540r6uv1%2F Abstract  Moving evidence-based practices into real-world settings is a high priority for education and public health. This paper describes the development of a partnership among the Houston Independent School District, the American Institutes of Research, and the Houston Federation of Teachers to support research on and program sustainability for the Good Behavior Game, a team-based classroom behavior management strategy that has shown positive impact in randomized field trials. The conceptual framework guiding partnership development is presented, followed by an application of the framework in Houston. Lessons learned and implications for the next stage of research and practice are then discussed. Content Type Journal ArticleCategory Original PaperPages 1-10DOI 10.100... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5535649 Mon, 19 Dec 2011 16:52:39 +0100 5535649 http://www.medworm.com/index.php?rid=5502718&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F10061v2j0q85v276%2F Abstract  A quantitative survey was conducted to investigate the perceived rehabilitation needs based on people with schizophrenia and their caregivers. A total of 194 persons with schizophrenia and 83 caregivers were recruited by convenience sampling to complete the two newly developed questionnaires for this purpose which included the Perceived Rehabilitation Needs Questionnaire for People with Schizophrenia and the Perceived Rehabilitation Needs Questionnaire for Caregivers towards People with Schizophrenia respectively. The findings deepened the understanding of this area. Some policy and service development suggestions for mental health strategies in Hong Kong and the Asian-Pacific region were made. Content Type Journal ArticleCategory Research - Practice Relations... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5502718 Mon, 12 Dec 2011 17:16:46 +0100 5502718 http://www.medworm.com/index.php?rid=5502720&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy96777x242n24v6p%2F Abstract  Behavioral health organizations have been increasingly required to implement plans to monitor and improve service quality. This qualitative study explores challenges that quality assurance and improvement (QA/I) personnel experience in performing their job in those practice settings. Sixteen QA/I personnel from different agencies in St. Louis, Missouri, U.S.A., were interviewed face-to-face using a semi-structured instrument to capture challenges and a questionnaire to capture participant and agency characteristics. Data analysis followed a grounded theory approach. Challenges involved agency resources, agency buy-in, personnel training, competing demands, shifting standards, authority, and research capacity. Further research is needed to assess these challenges g... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5502720 Mon, 12 Dec 2011 17:16:44 +0100 5502720 http://www.medworm.com/index.php?rid=5502719&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F85w210146g10t006%2F Abstract  Recovery has been adopted as either the national policy or guiding principle for reforming mental health services in many countries. Development and implementation of the concept of recovery is still in its infancy in most Asian countries, and Hong Kong is no exception. The present authors propose three strategies to guide the transformation of Hong Kong mental health services toward becoming more recovery-oriented. Content Type Journal ArticleCategory Point of ViewPages 1-4DOI 10.1007/s10488-011-0391-7Authors Samson Tse, Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, Room 1326, 13/F, K.K. Leung Building, Pokfulam Road, Hong Kong, Hong KongBonnie Wei Man Siu, Castle Peak Hospital, Tuen Mun, New Ter... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5502719 Mon, 12 Dec 2011 17:16:44 +0100 5502719 http://www.medworm.com/index.php?rid=5493303&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh166668nvw54x234%2F Abstract  What progress prevention research has made comes through strategic partnerships with communities and institutions that host this research, as well as professional and practice networks that facilitate the diffusion of knowledge about prevention. We discuss partnership issues related to the design, analysis, and implementation of prevention research and especially how rigorous designs, including random assignment, get resolved through a partnership between community stakeholders, institutions, and researchers. These partnerships shape not only study design, but they determine the data that can be collected and how results and new methods are disseminated. We also examine a second type of partnership to improve the implementation of effective prevention programs int... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5493303 Fri, 09 Dec 2011 17:09:08 +0100 5493303 http://www.medworm.com/index.php?rid=5455303&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy226034022177003%2F Abstract  The aim of this study was to evaluate the association of parent-reported barriers on the likelihood of attending a mental health evaluation after referral from pediatric primary care. As the part of procedure, parents of children (N = 55) referred for mental health from primary care completed a 23-item questionnaire (three subscales; Cronbach alpha > 0.7): intangible barriers, tangible barriers, and child functioning. Logistic regression examined associations between responses and referral follow-through. The results showed that the high levels of intangible barriers were associated with decreased odds of attending the mental health evaluation (OR = 0.20, 0.06–0.83; P = 0.03). Therefore, we conclude that parental concerns... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5455303 Wed, 23 Nov 2011 17:42:50 +0100 5455303 http://www.medworm.com/index.php?rid=5455304&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8306211435162561%2F This study describes characteristics of 60 Internet-based mental health services in Norway and Sweden and discusses their social consequences. More than half of the services were offered by voluntary organisations and targeted towards young people. Professionals answered service users’ questions in 60% of the services. Eight major themes were identified. These characteristics may indicate a shift in the delivery of mental health services in both countries, and imply changes in the understanding of mental health. Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s10488-011-0388-2Authors Anders Johan W. Andersen, Department of Psychosocial Health, Faculty of Health and Sport Sciences, University of Agder, Box 509, 4898 Grimstad, NorwayTommy Svensson, Nord... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5455304 Tue, 22 Nov 2011 18:00:00 +0100 5455304 http://www.medworm.com/index.php?rid=5405233&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh551801t5g87k80k%2F Abstract  While the majority of women with mental health problems (MHPs) are mothers, little is known about the community integration (CI) of these women and their children. Given that poorer mental health status has been linked with lower CI, CI has become a long standing goal of mental health policy. Data from a national survey examined the association of maternal mental health status with the physical, social, and psychological integration of families. After adjusting for sociodemographics, mothers with MHPs reported similar physical integration but less social and psychological integration. Interventions focused on improving social networks, scarce resources, and neighborhood safety are needed for families impacted by maternal MHPs. Content Type Journal ArticleCateg... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5405233 Sat, 12 Nov 2011 16:52:46 +0100 5405233 http://www.medworm.com/index.php?rid=5398410&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F87h0lj06g951r391%2F This study examined the association of mental and medical illnesses with the odds for leaving against medical advice (AMA) in a national sample of adult patients who left general hospitals between 1988 and 2006. Leaving AMA was first examined as a function of year and mental illness. Multiple logistic regression analysis was then used to adjust for patient and hospital characteristics when associating mental and major medical diagnoses with AMA discharges. The results indicated that leaving AMA was most strongly associated with mental health problems. However, the impact of mental illness was attenuated after adjusting for medical illnesses, patient and hospital characteristics. The strongest predictors of AMA discharge included being self-pay, having Medicaid insurance, being young ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5398410 Sat, 05 Nov 2011 17:11:14 +0100 5398410 http://www.medworm.com/index.php?rid=5345101&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F80xw6405k1u17536%2F This study evaluated patients’ and physicians’ characteristics associated with the purchase of benzodiazepines by older primary care patients in Israel. The analytic sample consists of those 6,421 patients age 65 and older. We used multi-level analysis with whether or not benzodiazepines were purchased at least once between June 2005 and 2007 as an outcome. We also evaluated patients’ and physicians’ characteristics associated with the purchase of benzodiazepines for 6 months or longer. Almost half the sample (41.5%) purchased benzodiazepines at least once during the study period and more than half (54.5%) of those purchasing benzodiazepines had a continued purchase for 6 months or longer. Physicians’ characteristics explained only a small portion of the variance ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5345101 Fri, 21 Oct 2011 05:47:43 +0100 5345101 http://www.medworm.com/index.php?rid=5345102&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe02m7834258l1056%2F Abstract  Delivering recovery-oriented services is particularly challenging in in-patient settings. The purpose of this study was to identify the most salient recovery competencies required of in-patient providers. Established methods for the development of competencies were used. Data collection included interviews with multiple stakeholders and a literature review. Data analysis focused on understanding how characteristics of the in-patient context influence recovery-enabling service delivery and the competencies associated with addressing these issues. Eight core competencies with four to ten sub-competencies were identified based on a tension–practice–consequence model. The competency framework can serve as a tool for tailoring workforce education. Content Type ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5345102 Wed, 19 Oct 2011 05:56:48 +0100 5345102 http://www.medworm.com/index.php?rid=5345103&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe652j6g70741573p%2F Abstract  In this commentary the authors highlight the difficulties developed countries have had in generating effective means of addressing inequities in mental health. Limitations in research, policy, and service responses are discussed and the social entrepreneurship framework is suggested as a means of better understanding how mental health disparities might be addressed. The example of the Canadian Centre for Victims of Torture is provided to illustrate the points made. Content Type Journal ArticleCategory POINT OF VIEWPages 1-3DOI 10.1007/s10488-011-0379-3Authors Sean A. Kidd, Department of Psychiatry, University of Toronto, Toronto, CanadaKwame J. McKenzie, Department of Psychiatry, University of Toronto, Toronto, Canada Journal Administration and Policy i... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5345103 Tue, 18 Oct 2011 05:59:02 +0100 5345103 http://www.medworm.com/index.php?rid=5322388&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F67p77r68x83384xq%2F Abstract  This paper aims to determine the prevalence, patterns, and demographic and diagnostic correlates of psychotropic medication use in a sample of youth in one state’s post-adjudicatory secure facilities. The health records database of the facilities was the source of linked demographic, diagnostic and pharmacy information for the 1-year period ending June 30, 2008. Age, gender, race, offense, prior petitions and diagnoses were examined across groups, and concomitant psychotropic pharmacotherapy patterns were identified. Period prevalence was 10.2% for youth ranging in age from 12 through 22 years who had any psychotropic drug prescribed during the first 30 days after intake to the facility. Among medicated youths, almost half received concomitant therapy.... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5322388 Fri, 14 Oct 2011 15:43:02 +0100 5322388 http://www.medworm.com/index.php?rid=5322387&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe3623373810p163l%2F We examined treatment-seeking patient (n = 55) and clinician (n = 26) perceptions of computer-based psychological treatment (CBPT) using Diffusion of Innovations theory as a conceptual framework. Diffusion of Innovations theory emphasizes potential adopter perceptions as being key to understanding adoption decisions, thus making it an ideal framework for evaluating barriers to use. Overall, treatment-seeking patients held slightly negative perceptions of CBPT, while clinicians’ perceptions were more neutral. In both groups, perceptions of observability (seeing or hearing about the treatment in use) were rated lowest. Implications for dissemination efforts and suggestions for future research are discussed. Content Type Journal ArticleCategory Original PaperPa... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5322387 Fri, 14 Oct 2011 15:43:02 +0100 5322387 http://www.medworm.com/index.php?rid=5294978&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F720nw5848xg73778%2F Abstract  Building on two independent studies, we compared burnout and job satisfaction of 66 VA staff and 86 community mental health center staff in the same city. VA staff reported significantly greater job satisfaction and accomplishment, less emotional exhaustion and lower likelihood of leaving their job. Sources of work satisfaction were similar (primarily working with clients, helping/witnessing change). VA staff reported fewer challenges with job-related aspects (e.g. flexibility, pay) but more challenges with administration. Community mental health administrators and policymakers may need to address job-related concerns (e.g. pay) whereas VA administrators may focus on reducing, and helping workers navigate, administrative policies. Content Type Journal ArticleC... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5294978 Wed, 05 Oct 2011 05:50:07 +0100 5294978 http://www.medworm.com/index.php?rid=5294979&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv051161788251q2j%2F This study aims at developing a single numerical measure that represents a depressed patient’s individual burden of illness. An exploratory study examined depressed outpatients (n = 317) followed by a hypothesis confirmatory study using the NIMH STAR*D trial (n = 2,967). Eigenvalues/eigenvectors were obtained from the Principal Component Analyses of patient-reported measures of symptom severity, functioning, and quality of life. The study shows that a single principal component labeled as the Individual Burden of Illness Index for Depression (IBI-D) accounts for the vast majority of the variance contained in these three measures providing a numerical z score for clinicians and investigators to determine an individual’s burden of illness, relative to other depres... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5294979 Tue, 04 Oct 2011 05:53:01 +0100 5294979 http://www.medworm.com/index.php?rid=5235675&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp001586k7402jx83%2F Content Type Journal ArticleCategory EditorialPages 1-1DOI 10.1007/s10488-011-0374-8Authors Leonard Bickman, Vanderbilt University, Nashville, TN, USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5235675 Sat, 17 Sep 2011 17:06:54 +0100 5235675 http://www.medworm.com/index.php?rid=5235676&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc24574h27237l432%2F Abstract  Health care reforms may offer several opportunities to build the mental health treatment capacity of primary care. Capitalizing on these opportunities requires identifying the types of clinical skills that the primary care team requires to deliver mental health care. This paper proposes a framework that describes mental health skills for primary care receptionists, medical assistants, nurses, nurse practitioners, and physicians. These skills are organized on three levels: cross-cutting skills to build therapeutic alliance; broad-based, brief interventions for major clusters of mental health symptoms; and evidence-based interventions for diagnosis specific disorders. This framework is intended to help inform future mental health training in primary care and catalyz... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5235676 Wed, 14 Sep 2011 05:43:45 +0100 5235676 http://www.medworm.com/index.php?rid=5220954&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd64l8kr845116401%2F This article describes a decade-long partnership between the Prevention Research Center at Penn State and the Pennsylvania Commission on Crime and Delinquency. This partnership has evolved into a multi-agency initiative supporting the implementation of nearly 200 replications of evidence-based prevention and intervention programs, and a series of studies indicating a significant and sustained impact on youth outcomes and more efficient utilization of system resources. We describe how the collaboration has developed into a sophisticated prevention support infrastructure, discuss the partnership and policy lessons learned throughout this journey, and identify remaining issues in promoting this type of research–policy partnership. Content Type Journal ArticleCategory Original Pape... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5220954 Thu, 08 Sep 2011 05:55:17 +0100 5220954 http://www.medworm.com/index.php?rid=5181456&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq3021q1000228t78%2F Abstract  Adoption of evidence-based programs for families by community agencies requires an understanding of variables that influence implementation. Managers and service providers from 64 community agencies reported on variables that affected the implementation of Triple P, an evidence-based parenting program. Both types of stakeholders reported adequate office resources; over half the managers and over two-thirds of service providers reported adequate training. Adequate office resources and positive agency characteristics, including organizational climate, were associated with higher program usage. Service providers’ reports of the variables impacted their individual adherence rates; managers had broader perspectives of the quality of implementation in their organizati... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5181456 Sun, 28 Aug 2011 05:36:25 +0100 5181456 http://www.medworm.com/index.php?rid=5169412&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb146612515202000%2F The objective was to demonstrate decision-analytic modeling in support of Child Welfare policymakers considering implementing evidence-based interventions. Outcomes included permanency (e.g., adoptions) and stability (e.g., foster placement changes). Analyses of a randomized trial of KEEP—a foster parenting intervention—and NSCAW-1 estimated placement change rates and KEEP’s effects. A microsimulation model generalized these findings to other Child Welfare systems. The model projected that KEEP could increase permanency and stability, identifying strategies targeting higher-risk children and geographical regions that achieve benefits efficiently. Decision-analytic models enable planners to gauge the value of potential implementations. Content Type Journal ArticleCategory Or... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5169412 Tue, 23 Aug 2011 05:57:02 +0100 5169412 http://www.medworm.com/index.php?rid=5107244&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm220p744801q6678%2F Abstract  With growing evidence that treatment as usual may have limited effectiveness in mental health the pressure on service providers to be accountable and produce evidence as to the effectiveness of their services has increased. Measurement Feedback Systems, such as the Contextualized Feedback System (CFS), have the potential to be powerful tools for service providers in assessing their own effectiveness at multiple levels with an organization. These systems represent an amalgamation of the data driven world of science and the experience driven world of clinical practice. However, the synthesis of these two worlds is not without significant challenges as these two very different cultures can easily clash. The key for successful collaboration in developing and implement... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5107244 Sat, 06 Aug 2011 05:55:08 +0100 5107244 http://www.medworm.com/index.php?rid=5107245&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F12470627133232m0%2F Abstract  This paper describes 27 years of collaborative activities between a team of researchers at the Arizona State University Prevention Research Center (ASU PRC) and the Maricopa County Family Court Division of the Superior Court. The complementary goals and expertise of the family court and prevention science are described as providing the foundation in which the missions of each can be advanced through collaborative activities. Four kinds of collaborative activities are described, which are differentiated according to the initiator of the activity and the primary immediate beneficiary. Nineteen separate collaborative activities that were conducted over the 27 years are described. Finally, lessons learned from this long-term collaboration are described including; mutu... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5107245 Thu, 04 Aug 2011 15:33:41 +0100 5107245 http://www.medworm.com/index.php?rid=5061981&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe96741354606xw71%2F Abstract  The aim of this study was to compare two methods to conduct CGAS rater training. A total of 648 raters were randomized to training (CD or seminar), and rated five cases before and 12 months after training. The ICC at baseline/end of study was 0.71/0.78 (seminar), 0.76/0.78 (CD), and 0.67/0.79 (comparison). There were no differences in training effect in terms of agreement with expert ratings, which speaks in favor of using the less resource-demanding CD. However, the effect was modest in both groups, and untrained comparison group improved of the same order of magnitude, which proposes more extensive training. Content Type Journal ArticlePages 1-8DOI 10.1007/s10488-011-0369-5Authors Anna Lundh, Section of Psychiatry, Department of Clinical Neuroscience, ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5061981 Fri, 22 Jul 2011 17:02:18 +0100 5061981 http://www.medworm.com/index.php?rid=5036072&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft71128m15p477387%2F Abstract  Since the Welfare Reform Act of 1996, citizenship status has become an important consideration in mental health service utilization due to the restrictions on federal healthcare benefits for noncitizens living in the U.S. Using a nationally representative sample of Latinos and Asians, we examined the extent to which U.S. citizenship status was related to rates of mental health service utilization. We also identified several predictors of mental health service utilization among noncitizens. Noncitizens were about 40% less likely than U.S.-born citizens to use any mental health services. Findings are discussed in the context of healthcare policy and recent healthcare reform. Content Type Journal ArticlePages 1-13DOI 10.1007/s10488-011-0366-8Authors Sungkyu Lee... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5036072 Thu, 14 Jul 2011 06:03:00 +0100 5036072 http://www.medworm.com/index.php?rid=5019128&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa53210770n470110%2F Abstract  Integrated care for medical conditions is essential for persons with serious mental illness (SMI). This qualitative study describes mental health provider perspectives regarding barriers and facilitators of integrated care for patients with SMI. We interviewed providers from a national sample of Veterans Health Administration facilities that scored in the top or bottom percentile in medical care quality. Providers from high-performing sites reported substantial in-person contacts with general medical providers, while providers from low-performing sites reported stigma and limited communication with medical providers as major concerns. Interventions to improve mental health and medical provider communication may facilitate integrated care for persons with SMI. ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=5019128 Thu, 07 Jul 2011 05:45:41 +0100 5019128 http://www.medworm.com/index.php?rid=4992470&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2321245558hg5q38%2F This article examines the ability of the first three stages of the SIC (Engagement, Consideration of Feasibility, Readiness Planning) to predict successful program start-up. Results suggest that completing SIC stages completely, yet relatively quickly, predicts the likelihood of successful implementation. Content Type Journal ArticlePages 1-7DOI 10.1007/s10488-011-0363-yAuthors Lisa Saldana, Center for Research TO Practice, 12 Shelton McMurphey Blvd, Eugene, OR 97401, USAPatricia Chamberlain, Center for Research TO Practice, 12 Shelton McMurphey Blvd, Eugene, OR 97401, USAWei Wang, Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL 33612, USAC. Hendricks Brown, Department of Epidemiology and Public Health, Center for Fami... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4992470 Tue, 28 Jun 2011 06:04:21 +0100 4992470 http://www.medworm.com/index.php?rid=4984231&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F27gn8357j1231473%2F Abstract  Administrative data were used to examine early dropout among 16,451 health plan members calling to request psychotherapy for depression. Compared to members referred to group-model therapists, those referred to network-model therapists were more likely to drop out before the initial visit (OR 2.33, 95% CI 2.17–2.50) but less likely to drop out after the first visit (OR 0.45, 95% CI 0.43–0.48). These differences were unaffected by adjustment for neighborhood income and educational attainment, antidepressant use, or generosity of insurance coverage. Efforts to increase the effectiveness of psychotherapy may required different strategies in group- and network-model practice. Content Type Journal ArticlePages 1-8DOI 10.1007/s10488-011-0364-xAuthors Gregory E... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4984231 Mon, 27 Jun 2011 18:11:46 +0100 4984231 http://www.medworm.com/index.php?rid=4975587&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw76q208l28n41853%2F This study estimated differential effects of an integrated treatment intervention (IT) across sub-groups of women in this population on services utilization outcomes. Data from a national study were used to cluster participants by symptoms and service utilization, and then estimate the effect of IT versus usual care on 12-month service utilization for each sub-group. The intervention effect varied significantly across groups, in particular indicating relative increases in residential treatment utilization associated with IT among women with predominating trauma and substance abuse symptoms. Understanding how IT influences service utilization for different groups of women in this population with complex needs is an important step toward achieving an optimal balance between need for tr... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4975587 Sat, 25 Jun 2011 15:51:53 +0100 4975587 http://www.medworm.com/index.php?rid=4921183&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu2p4h1242x45t243%2F Abstract  Therapist training efforts have been assessed using several outcomes. A model for evaluating therapist training in empirically supported treatments is presented, adapted from Kirkpatrick’s (in: Craig and Bittel (eds.) Training and development handbook, 1967) training evaluation model. The adapted framework includes short-term outcomes, such as reactions to training and changes in attitude, knowledge, or skills, and longer-term outcomes, such as changes in therapist behavior in practice or client outcomes. Evaluation methods for these outcomes are reviewed, with information on their validity, reliability, and feasibility. An agenda for further research to improve therapist training evaluation is presented, with discussion of how evaluation can inform other areas ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4921183 Wed, 08 Jun 2011 15:48:33 +0100 4921183 http://www.medworm.com/index.php?rid=4921184&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff1277u57w803m212%2F Content Type Journal ArticlePages 1-6DOI 10.1007/s10488-011-0361-0Authors Kimberly D. Becker, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, 8th Floor, Baltimore, MD 21205, USAShannon Wiltsey Stirman, Women’s Health Sciences Division, National Center for PTSD, VA Boston Healthcare System (116B-3), 150 S. Huntington Ave., Boston, MA 02130, USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4921184 Sun, 05 Jun 2011 05:46:05 +0100 4921184 http://www.medworm.com/index.php?rid=4902133&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F585n1g4q3073j368%2F This study sought to examine whether addiction counselors could be effectively trained to deliver group CBT for depression and to ascertain client perceptions of the treatment. Five counselors were trained in the therapy and treated 113 clients with depression symptoms. Counselors demonstrated high fidelity to the therapy and client perceptions of the therapy were positive. Our results suggest that training addiction counselors to deliver group CBT for depression is a promising integrated treatment approach for co-occurring depression and substance disorders. Content Type Journal ArticlePages 1-11DOI 10.1007/s10488-011-0359-7Authors Kimberly A. Hepner, RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, USASarah B. Hunter, RAND Corporation, 1776 Main St... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4902133 Tue, 31 May 2011 05:48:41 +0100 4902133 http://www.medworm.com/index.php?rid=4841149&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flh62m4724mw53w44%2F This study investigated domains of implementation activities and correlated them to implementation success during a large national evidence-based practice implementation project. Implementation success was correlated with active leadership strategically devoted to redesigning the flow of work and reinforcing implementation through measurement and feedback. Relative attention to workforce development was negatively correlated with implementation. Active leaders should focus on redesigning the flow of work to support the implementation and on reinforcing program improvements. Content Type Journal ArticlePages 1-12DOI 10.1007/s10488-011-0357-9Authors William C. Torrey, Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Rivermill Comercial Ce... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4841149 Sat, 14 May 2011 16:04:02 +0100 4841149 http://www.medworm.com/index.php?rid=4820607&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj1l7816347043344%2F Abstract  Systems collaboration has repeatedly been cited as a component of successful social service delivery. Through qualitative data, this study explored the process involved in inter-agency collaboration when providing Integrative Family and Systems Treatment (I-FAST) for families with severely emotionally or behaviorally disturbed children. Data were collected through a series of eight focus groups with 26 agency collaborators across 11 counties in Ohio. Data analysis revealed two emergent phenomena: the process of developing collaboration, consisting of making initial contact, a trial period and developing trust; and the key ingredients of collaboration, focusing on interpersonal and professional qualities. Implications of each theme are discussed. Content Type ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4820607 Wed, 11 May 2011 06:26:11 +0100 4820607 http://www.medworm.com/index.php?rid=4813055&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy482533qu4812068%2F This study examined antidepressant adherence and persistence among uninsured working adults diagnosed with major depression enrolled in the Texas Demonstration to Maintain Independence and Employment (DMIE) program. Antidepressant adherence was measured between intervention and control cohorts using proportion of days covered (PDC) during a 365-day observation period. Persistence examined duration of time from drug initiation to discontinuation based on a ≥35-day refill supply gap. Older, non-minority patients with higher education were more adherent or persistent to antidepressant therapy. Adjusting for covariates, results showed no significant difference in PDC at the end of 12-months between intervention and control participants (b = .07, P = .054, semi-partia... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4813055 Fri, 06 May 2011 16:25:25 +0100 4813055 http://www.medworm.com/index.php?rid=4813056&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9277707142289503%2F We present the findings from a representative survey of Michigan citizens showing that public support exists for increased assistance for these service members. Using the multiple streams framework, we propose that policy makers currently have the opportunity to facilitate increased support for National Guard members and families. Specifically we suggest policy implications that feature the important role of state and local resources. Content Type Journal ArticlePages 1-11DOI 10.1007/s10488-011-0356-xAuthors Adrian Blow, Department of Human Development and Family Studies, Michigan State University, 3B Human Ecology, East Lansing, MI 48824, USAMaryhelen D. MacInnes, Department of Sociology, Michigan State University, East Lansing, MI, USAJessica Hamel, Department of Human Developm... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4813056 Thu, 05 May 2011 16:35:20 +0100 4813056 http://www.medworm.com/index.php?rid=4780194&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbk2785u545454121%2F Abstract  This mixed methods study examined therapist perspectives on serving children with autism spectrum disorders (ASD) in community mental health (CMH) clinics. One hundred therapists completed a survey about their experiences with this population and 17 participated in subsequent focus groups to clarify and expand survey results. Results indicate that CMH therapists serve many children with ASD for behavior or other psychiatric problems and perceive serving this population as challenging and frustrating due to their limited training. Therapists are highly motivated for comprehensive ASD training on ASD characteristics and intervention strategies. These data were used to tailor and package evidence-based intervention strategies for delivery in CMH services. Content... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4780194 Sat, 30 Apr 2011 23:38:11 +0100 4780194 http://www.medworm.com/index.php?rid=4780196&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjt00524517147k76%2F Abstract  Staff burnout is increasingly viewed as a concern in the mental health field. In this article we first examine the extent to which burnout is a problem for mental health services in terms of two critical issues: its prevalence and its association with a range of undesirable outcomes for staff, organizations, and consumers. We subsequently provide a comprehensive review of the limited research attempting to remediate burnout among mental health staff. We conclude with recommendations for the development and rigorous testing of intervention approaches to address this critical area. Content Type Journal ArticlePages 1-12DOI 10.1007/s10488-011-0352-1Authors Gary Morse, Places for People: Community Alternatives for Hope, Health and Recovery, 3738 Chouteau Ave, St.... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4780196 Sat, 30 Apr 2011 23:38:10 +0100 4780196 http://www.medworm.com/index.php?rid=4780195&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftw214358556182l2%2F Abstract  The purpose of this study was twofold: (1) To investigate the individual- and system-level characteristics associated with high utilization of acute mental health services according to a widely-used theory of service use—Andersen’s Behavioral Model of Health Service Use —in individuals enrolled in a large, public-funded mental health system; and (2) To document service utilization by high use consumers prior to a transformation of the service delivery system. We analyzed data from 10,128 individuals receiving care in a large public mental health system from fiscal years 2000–2004. Subjects with information in the database for the index year (fiscal year 2000–2001) and all of the following 3 years were included in this study. Using logistic regression... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4780195 Sat, 30 Apr 2011 23:38:10 +0100 4780195 http://www.medworm.com/index.php?rid=4780197&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F00736670v66r5812%2F This study examines changes in children’s emotional and behavioral problems after 6 months of treatment and identifies factors associated with treatment improvement. Results from 3,215 youth indicated that externalizing and internalizing problems significantly decreased from intake to 6 months and that ethnicity, gender, and age were associated with caregiver-reported changes in symptomatology. While there was improvement associated with entry into treatment, the magnitude of symptom reduction was small to medium and not associated with amount of care, providing only limited support for the impact of routine out-patient care. Content Type Journal ArticlePages 1-11DOI 10.1007/s10488-011-0353-0Authors Emily V. Trask, Department of Psychiatry, Child & Adolescent Servic... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4780197 Fri, 29 Apr 2011 05:43:18 +0100 4780197 http://www.medworm.com/index.php?rid=4753526&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F050v28614t40971q%2F Abstract  Empirically supported treatments for posttraumatic stress reactions in children are not widely available. This observational study evaluates the feasibility and utility of adapting the Institute for Healthcare’s Breakthrough Series Collaborative (BSC) to support the broad implementation and sustained use of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in community practice settings. Study findings indicated that agency staff in diverse roles viewed the BSC methodology as a valuable and practicable approach for facilitating skillful delivery of TF-CBT with fidelity. Use of TF-CBT increased over the course of the collaborative and findings from a survey conducted one year later indicated that participating agencies were able to sustain and spread the pract... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4753526 Sat, 23 Apr 2011 15:42:07 +0100 4753526 http://www.medworm.com/index.php?rid=4744755&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F664570230511887v%2F This study investigated the relationships between practitioner background variables and EBP knowledge and attitudes, as well as the relationship between knowledge and attitudes among public sector youth direct service providers (n = 240). Findings suggest that knowledge and attitudes relate to practitioners’ most advanced degree, practice setting, and licensure status. Additionally, lack of knowledge in the form of EBP under-identification was related to negative attitudes. Findings are discussed as they relate to the dissemination of EBPs. Content Type Journal ArticlePages 1-14DOI 10.1007/s10488-011-0351-2Authors Brad J. Nakamura, Department of Psychology, University of Hawai’i at Mānoa, 1601 East-West Road, Honolulu, HI 96848, USACharmaine K. Higa-McMillan, Univ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4744755 Sun, 17 Apr 2011 05:49:32 +0100 4744755 http://www.medworm.com/index.php?rid=4723586&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4wk8q441px2511p4%2F Abstract  The current paper describes three models of research-practice collaboration to scale-up evidence-based practices (EBP): (1) the Rolling Cohort model in England, (2) the Cascading Dissemination model in San Diego County, and (3) the Community Development Team model in 53 California and Ohio counties. Multidimensional Treatment Foster Care (MTFC) and KEEP are the focal evidence-based practices that are designed to improve outcomes for children and families in the child welfare, juvenile justice, and mental health systems. The three scale-up models each originated from collaboration between community partners and researchers with the shared goal of wide-spread implementation and sustainability of MTFC/KEEP. The three models were implemented in a variety of contexts; ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4723586 Tue, 12 Apr 2011 05:59:59 +0100 4723586 http://www.medworm.com/index.php?rid=4709053&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv43g58401172v31u%2F Abstract  This preliminary report on dissemination of Cognitive Behavioral Therapy (CBT) for depression assessed numerous therapist factors thought to influence implementation in a community setting. Participants were 24 therapists, aged 26–61 who participated in three, 1-day workshops and 8 months of ongoing group consultation. Attitudes toward empirically supported treatments (ESTs) and readiness to change were positively correlated whereas attitudes toward ESTs were negatively correlated with perceived client barriers to implementation. Therapists’ report of client and setting factors were negatively associated with therapists’ reports of implementation of CBT. Results are discussed in terms of implications and recommendations for dissemination and implementat... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4709053 Sat, 09 Apr 2011 05:52:57 +0100 4709053 http://www.medworm.com/index.php?rid=4696515&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj0758607r2841502%2F Abstract  The Assertive Community Treatment (ACT) model for people with severe mental illness has typically been viewed as a time-unlimited intervention. Without a proscribed service duration, discharge from ACT largely depends on individual clients’ situations and practitioners’ discretion. We conducted semi-structured focus groups and interviews with practitioners to explore their discharge practices and considerations. Results highlight the heterogeneity of the clientele served in ACT, and therefore the importance of individualized treatment and discharge planning, guidance on assessing the timing of discharge for individual cases, practice strategies that balance independence and social connectedness to promote recovery, and the need for substantial system reform to... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4696515 Thu, 07 Apr 2011 06:00:04 +0100 4696515 http://www.medworm.com/index.php?rid=4684061&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy61193567653k613%2F This study examines behavioral health benefit design and management in separate CHIP programs on the eve of federal requirements for behavioral health parity. Even before parity implementation, many state CHIP programs did not impose service limits or cost sharing for behavioral health benefits. However, a substantial share of states imposed limits or cost sharing that might hinder access to care. The majority of states use managed care to administer behavioral health benefits. It is important to monitor how states adapt their programs to comply with parity. Content Type Journal ArticlePages 1-11DOI 10.1007/s10488-011-0340-5Authors Rachel L. Garfield, Henry J. Kaiser Family Foundation, 1330 G Street, NW, Washington, DC 20005, USAWilliam R. Beardslee, Baer Prevention Initiatives,... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4684061 Sun, 03 Apr 2011 05:54:17 +0100 4684061 http://www.medworm.com/index.php?rid=4684062&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F71884613615261v7%2F Abstract  Listening Visits (LV), an empirically supported depression treatment delivered by non mental health specialists, were implemented into two distinctly structured programs. The relative importance of providers’ views and organizational context on implementation were examined. Thirty-seven home visitors completed pre- and post-LV training surveys assessing their views toward implementing LV. Implementation rates markedly differed in the two organizations (73.9% vs. 35.7%). Logistic regression results showed that when predicting the implementation rate, the impact of the organizational setting outweighed home visitors’ personal views. These results underscore the importance of organizational context in the implementation of empirically supported treatments. Co... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4684062 Sun, 03 Apr 2011 05:54:16 +0100 4684062 http://www.medworm.com/index.php?rid=4684063&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F02338t10jw1l6272%2F Abstract  A qualitative study of child clinicians in a non-profit HMO examined implementation of evidence-based practices (EBPs) for anxiety and oppositional defiant disorders using interviews and focus groups with 33 clinicians (97% of participants), and ethnography of emails and meetings. Analysis showed statistical measures of access and service—key elements of rating organizations’ “report cards”— were central in creating “pressure” making transition to EBPs difficult. EBPs were secondary to access and service targets. “Research” and “statistics” were perceived as unrealistic, “literature” as lacking authority. Rating organizations should include outcome and fidelity metrics to align market share pressures with children’s health. Content ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4684063 Sat, 02 Apr 2011 05:51:13 +0100 4684063 http://www.medworm.com/index.php?rid=4684064&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff0n8037733u60547%2F Abstract  There is solid evidence for strategies and programs that, if implemented with fidelity in schools, will enhance the mental health of children and youth. These practices are, however, inconsistently applied and rarely evaluated programmatically in every day practice. In recent years, implementation variables that influence uptake have received attention. An emerging area of interest is the role that research partnerships might play in narrowing the gap between science and practice. Drawing on the literature and practice examples, collaborators from the United States and Canada explore the role of partnerships in bringing the worlds of research and practice closer into alignment. Content Type Journal ArticlePages 1-10DOI 10.1007/s10488-011-0342-3Authors Kathy ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4684064 Sat, 02 Apr 2011 05:51:12 +0100 4684064 http://www.medworm.com/index.php?rid=4669981&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu33186kn2257p91q%2F Abstract  Insurance coverage for mental health services has historically lagged behind other types of health services. We used a simulation exercise in which groups of laypersons deliberate about healthcare tradeoffs. Groups deciding for their “community” were more likely to select mental health coverage than individuals. Individual prioritization of mental health coverage, however, increased after group discussion. Participants discussed: value, cost and perceived need for mental health coverage, moral hazard and community benefit. A deliberative exercise in priority-setting led a significant proportion of persons to reconsider decisions about coverage for mental health services. Deliberations illustrated public-spiritedness, stigma and significant polarity of views. ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4669981 Thu, 31 Mar 2011 07:25:33 +0100 4669981 http://www.medworm.com/index.php?rid=4614994&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj5t5661633p2x457%2F Abstract  Although sustainability is frequently described as a project goal in community-based programs, concentrated efforts to sustain interventions beyond the conclusion of research funding have only recently emerged as a focus of implementation research. The current paper describes a study of behavioral consultation to after-school program staff in low-SES, urban communities. Following consultation, staff use of four recommended tools and strategies was examined, emphasizing facilitators and barriers to sustainability. Results indicated high perceived utility and intention to use intervention components, but low sustainability at two follow-up time points within 1 year after the initial consultation concluded. Findings suggest that ongoing implementation support in... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4614994 Thu, 17 Mar 2011 18:29:06 +0100 4614994 http://www.medworm.com/index.php?rid=4560045&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg4n4887718017590%2F Abstract  This review offers practical recommendations regarding research on training in evidence-based practices for mental health and substance abuse treatment. When designing training research, we recommend: (a) aligning with the larger dissemination and implementation literature to consider contextual variables and clearly defining terminology, (b) critically examining the implicit assumptions underlying the stage model of psychotherapy development, (c) incorporating research methods from other disciplines that embrace the principles of formative evaluation and iterative review, and (d) thinking about how technology can be used to take training to scale throughout all stages of a training research project. An example demonstrates the implementation of these recommendati... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4560045 Sat, 05 Mar 2011 16:52:18 +0100 4560045 http://www.medworm.com/index.php?rid=4501466&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe74448j47750300g%2F We describe its development and results of tests of its psychometric properties. When tested in 27 public mental health settings, factor analysis discerned three factors explaining 65% of the variance; each factor related to a stage of implementation of CC. Construct validity and inter-rater reliability were satisfactory. In tests of predictive validity, higher scores on items related to linguistic and service accommodations predicted a reduction in service disparities for engagement and retention outcomes for Hispanics. Disparities for Blacks essentially persisted independent of CC scores. Content Type Journal ArticlePages 1-11DOI 10.1007/s10488-011-0337-0Authors Carole E. Siegel, Nathan S. Kline Institute of Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY 10962,... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4501466 Fri, 18 Feb 2011 06:51:21 +0100 4501466 http://www.medworm.com/index.php?rid=4459676&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fekp3607p2h185731%2F We examined trajectories of symptom reduction during the course of on-site treatment for behavior problems in pediatric primary-care settings for a subset of children from a larger clinical trial. Participants (N = 80) were children (ages 6–11) referred for treatment due to moderate elevations (≥75th percentile) on the externalizing subscale of the Pediatric Symptom Checklist (PSC-17). The sample was recruited from six pediatric practices in an urban setting. The treatment (Protocol for an Office-based Nurse-administered Intervention; PONI) was administered on-site by trained nurses over the course of 3–6 months. Overall, symptom reduction from the first session to last session was moderate (ES = 0.61) and gradual. Roughly two-thirds (72%) of symptom redu... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4459676 Mon, 07 Feb 2011 22:26:29 +0100 4459676 http://www.medworm.com/index.php?rid=4450164&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe8603qw34k346x52%2F Abstract  The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions. Content Type Journal ArticlePages 1-9DOI 10.1007/s10488-011-0336-1Aut... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4450164 Sat, 05 Feb 2011 16:55:54 +0100 4450164 http://www.medworm.com/index.php?rid=4428872&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx461836q86436614%2F Abstract  Data on clinician diagnostic practices suggest they may not align with evidence-based guidelines. To better understand these practices, a multidisciplinary survey of 1,678 child clinicians examined attitudes toward the utility of diagnosis and standardized diagnostic tools. Psychiatrists were more likely than other disciplines to value diagnosis, whereas psychologists were more likely than others to value standardized diagnostic tools. Private practitioners held less positive views in both domains than other practitioners. Both attitude scales predicted self-reported diagnostic practices, although views of diagnosis utility were more associated with diagnosing in general, whereas views of diagnostic tools were more predictive of standardized tool use. Content... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4428872 Sat, 29 Jan 2011 17:18:57 +0100 4428872 http://www.medworm.com/index.php?rid=4405516&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F22885342w66234x7%2F Abstract  Service use and 2-year treatment outcomes were compared between chronically homelessness clients receiving comprehensive housing and healthcare services through the federal Collaborative Initiative on Chronic Homelessness (CICH) program (n = 281) a sample of similarly chronically homeless individuals receiving usual care (n = 104) in the same 5 communities. CICH clients were housed an average of 23 of 90 days (52%) more than comparison group subjects averaging over all assessments over a 2-year follow-up period. CICH clients were significantly more likely to report having a usual mental health/substance abuse treater (55% vs. 23%) or a primary case manager (26% vs. 9%) and to receive community case management visits (64% vs. 14%). They repor... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4405516 Sat, 22 Jan 2011 20:13:34 +0100 4405516 http://www.medworm.com/index.php?rid=4318206&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3267236w35568647%2F We examined the effects of redefining standards of evidence for treatments targeting childhood mental health problems by expanding outcomes beyond symptom reduction to include functioning. Over 750 treatment protocols from 435 randomized controlled trials were rated based on empirical evidence. Nearly two-thirds (63.9%) demonstrated at least a minimum level of evidence for reducing symptoms; however, only 18.8% of treatments demonstrated evidence for reducing functional impairment. Of those treatments with empirical support for symptom reduction, the majority did not demonstrate empirical support for improvement in functioning because measures of functioning were not included in the studies in which these treatments were tested. However, even when measures of functioning were include... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4318206 Tue, 04 Jan 2011 17:53:33 +0100 4318206 http://www.medworm.com/index.php?rid=4304802&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg3146p6838511p38%2F This study extends findings on these discrepancies by examining differences between youth at research and community clinics meeting criteria for two different primary disorders (anxiety and depression). Consistent with prior research, community clinic youth reported lower incomes, were more ethnically diverse, and had higher rates of externalizing problems compared to research clinic youth, regardless of primary diagnosis. Findings are discussed in terms of enhancing dissemination of evidence-based treatments for internalizing disorders in community settings. Content Type Journal ArticleDOI 10.1007/s10488-010-0328-6Authors Jill Ehrenreich-May, University of Miami, Miami, FL USAMichael A. Southam-Gerow, Virginia Commonwealth University, Richmond, VA USAShannon E. Hourigan, Virgi... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4304802 Fri, 31 Dec 2010 18:03:04 +0100 4304802 http://www.medworm.com/index.php?rid=4304803&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp81j3jr530242044%2F Abstract  Implementation science is a quickly growing discipline. Lessons learned from business and medical settings are being applied but it is unclear how well they translate to settings with different historical origins and customs (e.g., public mental health, social service, alcohol/drug sectors). The purpose of this paper is to propose a multi-level, four phase model of the implementation process (i.e., Exploration, Adoption/Preparation, Implementation, Sustainment), derived from extant literature, and apply it to public sector services. We highlight features of the model likely to be particularly important in each phase, while considering the outer and inner contexts (i.e., levels) of public sector service systems. Content Type Journal ArticleDOI 10.1007/s10488-01... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4304803 Fri, 31 Dec 2010 18:03:03 +0100 4304803 http://www.medworm.com/index.php?rid=4302065&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9103040t11104366%2F Abstract  Strategies specifically designed to facilitate the training of mental health practitioners in evidence-based practices (EBPs) have lagged behind the development of the interventions themselves. The current paper draws from an interdisciplinary literature (including medical training, adult education, and teacher training) to identify useful training and support approaches as well as important conceptual frameworks that may be applied to training in mental health. Theory and research findings are reviewed, which highlight the importance of continued consultation/support following training workshops, congruence between the training content and practitioner experience, and focus on motivational issues. In addition, six individual approaches are presented with careful ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4302065 Tue, 28 Dec 2010 20:45:41 +0100 4302065 http://www.medworm.com/index.php?rid=4281198&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk4053k4482508v34%2F Abstract  The formal leadership of mental health care organizations commonly resides in an executive director, who may or may not have had clinical training. The medical director is a psychiatrist who reports to the executive director. For some, this arrangement suggests that the medical director lacks or has lost power in the organization. This paper examines more specifically the types of power available to the medical director using French & Raven (1959) and Raven (2008) bases of power framework. The executive director/medical director relationship can be thought of as a relationship between individuals holding formal and informal power, respectively. Although medical directors lack formal or positional power, they potentially have and can gain more informal power based o... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4281198 Mon, 20 Dec 2010 15:20:20 +0100 4281198 http://www.medworm.com/index.php?rid=4245201&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn06wl027848145m6%2F Abstract  Poor outcomes for youth who have emotional disturbances (ED), especially for those youth who are placed in special education programs, are well documented. Parent Connectors is a parent-to-parent support program delivered through weekly telephone calls to families of youth with ED in special education programs, with the aim of increasing the engagement of parents in their child’s education and treatment and improving the academic and emotional functioning of the child. Findings from a proof of concept study using random assignment of participants yielded encouraging support for the clinical efficacy of the intervention. Results demonstrated enhanced outcomes for parents who were highly strained at the beginning of the study. Implications for future research in t... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4245201 Tue, 07 Dec 2010 06:55:13 +0100 4245201 http://www.medworm.com/index.php?rid=4225000&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn835886n6r474160%2F This study examined Florida Medicaid mental health expenditures for children in out-of-home care. Child welfare and Medicaid administrative databases were analyzed using two-part models to identify characteristics associated with expenditures. Mental health expenditures were higher for older children, boys, children who were abused or lost their caregivers, or with a longer length of stay in out-of-home care. In contrast, African American children were less likely to have positive expenditures than White children, but among youth with positive expenditures, African Americans had higher expenditures. In addition, among youth with positive expenditures, substance use and affective disorders were associated with higher expenditures. Content Type Journal ArticleDOI 10.1007/s10488-010... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4225000 Tue, 30 Nov 2010 07:03:46 +0100 4225000 http://www.medworm.com/index.php?rid=4179126&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F158l27m51mn71621%2F This study investigates the impact of a two-day training combined with an existing mandate for EBP use. Providers attending regional workshops showed improved attitudes toward the behavioral parent training model, but not EBPs in general. Participants were more accepting of behavioral techniques shortly after training, but the effect was not maintained. Examination of youth served prior to and after the training showed that providers increased their use of the EBP but overall outcomes were not improved. Content Type Journal ArticleDOI 10.1007/s10488-010-0326-8Authors Molly A. Lopez, University of Texas at Austin, 1717 W. 6th Street, Suite 335, Austin, TX 78703, USALeticia D. Osterberg, University of Miami, Miami, FL USAAmanda Jensen-Doss, University of Miami, Miami, FL USAWillia... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4179126 Tue, 16 Nov 2010 06:57:14 +0100 4179126 http://www.medworm.com/index.php?rid=4175517&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh1087v3676237ur3%2F Abstract  Despite the high prevalence of tobacco use, disproportionate tobacco consumption, and excess morbidity and mortality, smokers with mental illness have reduced access to tobacco dependence treatment across the health care spectrum. We have developed a comprehensive model for Mental Health Tobacco Recovery in New Jersey (MHTR-NJ) that has the overarching goal of improving tobacco cessation for smokers with serious mental illness. Important steps involve engaging patients, professionals and the community to increase understanding that addressing tobacco use is important. In addition to increasing demand for tobacco treatment services, we must educate mental health professionals in evidence-based treatments so that patients can seek help in their usual behavioral heal... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4175517 Sat, 13 Nov 2010 07:11:43 +0100 4175517 http://www.medworm.com/index.php?rid=4151445&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr2101004h242q221%2F Abstract  Parents who contacted 1 of 15 children’s mental health agencies in Ontario, Canada reported on where and why they were seeking mental health services for their 4- to 17-year-old children. Parents contacted an average of four agencies (±1.7; range = 1–14) in the previous year. Approximately one-half of parents were looking for either multiple types of treatment, or help for different problems, across agencies. The complex pattern of help-seeking evidenced in our study likely increases the burden on the mental health care system and on families, and may reduce the likelihood that families will connect with the most appropriate treatment. Content Type Journal ArticleDOI 10.1007/s10488-010-0325-9Authors Graham J. Reid, Department of Psychology... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4151445 Sat, 06 Nov 2010 20:06:46 +0100 4151445 http://www.medworm.com/index.php?rid=4139104&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4363680147448247%2F Content Type Journal ArticleDOI 10.1007/s10488-010-0316-xAuthors Sarah McCue Horwitz, Department of Pediatrics and the Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, 117 Encina Commons, Room 225, Stanford, CA 94305, USAJohn Landsverk, Child and Adolescent Services Research Center, Rady Children’s Hospital—San Diego, San Diego, CA USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4139104 Wed, 03 Nov 2010 07:46:44 +0100 4139104 http://www.medworm.com/index.php?rid=4118461&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F846448l451gpur57%2F Abstract  Collaborative care is known to improve satisfaction, patient-centered care, adherence, and depression symptom severity. However, associations among these outcomes have not been examined. Outcomes were measured at 6 months for 360 primary care patients with depression enrolled in a randomized trial of collaborative care. Main effects and mediation effects were examined using logistic regression analyses. Collaborative care significantly improved both satisfaction and patient-centered care. Patient-centered care did not mediate the positive effect that collaborative care had on satisfaction. Improvements in symptom severity partially mediated collaborative care’s effect on satisfaction. Satisfaction did not mediate collaborative care’s positive effect on an... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4118461 Wed, 27 Oct 2010 05:49:34 +0100 4118461 http://www.medworm.com/index.php?rid=4118463&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyn43126jgrm2h505%2F Abstract  In decisions to adopt and implement new practices or innovations in child welfare, costs are often a bottom-line consideration. The cost calculator, a method developed in England that can be used to calculate unit costs of core case work activities and associated administrative costs, is described as a potentially helpful tool for assisting child welfare administrators to evaluate the costs of current practices relative to their outcomes and could impact decisions about whether to implement new practices. The process by which the cost calculator is being adapted for use in US child welfare systems in two states is described and an illustration of using the method to compare two intervention approaches is provided. Content Type Journal ArticleDOI 10.1007/s10488... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4118463 Tue, 26 Oct 2010 06:51:36 +0100 4118463 http://www.medworm.com/index.php?rid=4118462&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgm633640652w5q1u%2F Abstract  Predictors of treatment attrition were examined in a sample of 197 youths (ages 5–18) with clinically-significant symptoms of anxiety seeking psychotherapy services at a community-based outpatient mental health clinic (OMHC). Two related definitions of attrition were considered: (a) clinician-rated dropout (CR), and (b) CR dropout qualified by phase of treatment (pre, early, or late phases) (PT). Across both definitions, rates of attrition in the OMHC sample were higher than those for anxious youths treated in randomized controlled trials, and comorbid depression symptoms predicted dropout, with a higher rate of depressed youths dropping out later in treatment (after 6 sessions). Using the PT definition, minority status also predicted attrition, with more Africa... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4118462 Tue, 26 Oct 2010 06:51:36 +0100 4118462 http://www.medworm.com/index.php?rid=4118464&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpn041018vt454305%2F Abstract  Persons with serious mental illness (SMI) have higher rates of co-morbid HIV disorders compared to the general population. There are concerns that the SMI/HIV population may be receiving fewer HIV and psychotropic medications due to problems of access and concerns by providers associated with following complex medication regimes. The purpose of this study was to examine any disparity in medication treatment of the SMI/HIV population by comparing medication use and continuity of prescription fills to groups that had HIV or SMI only versus those with SMI/HIV. Study participants were adult Medicaid recipients aged 19–64 with serious mental illness and HIV receiving services in Philadelphia from 2002 through 2003. Differences between the groups in case mix character... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4118464 Tue, 26 Oct 2010 06:51:35 +0100 4118464 http://www.medworm.com/index.php?rid=4097506&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F364m132113j190mj%2F Abstract  This paper describes the application of mixed method designs in implementation research in 22 mental health services research studies published in peer-reviewed journals over the last 5 years. Our analyses revealed 7 different structural arrangements of qualitative and quantitative methods, 5 different functions of mixed methods, and 3 different ways of linking quantitative and qualitative data together. Complexity of design was associated with number of aims or objectives, study context, and phase of implementation examined. The findings provide suggestions for the use of mixed method designs in implementation research. Content Type Journal ArticleDOI 10.1007/s10488-010-0314-zAuthors Lawrence A. Palinkas, School of Social Work, University of Southern Ca... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4097506 Fri, 22 Oct 2010 06:05:49 +0100 4097506 http://www.medworm.com/index.php?rid=4097507&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn7807n6478671765%2F Abstract  This descriptive study used stakeholder input to prioritize evidence-based strategies for improving depression care and to select incentives for mental health clinicians to adopt those strategies, and to conduct a feasibility test of an incentive-based program in a managed behavioral healthcare organization (MBHO). In two rounds of interviews and a stakeholder meeting, MBHO administrators and clinicians selected increasing combination treatment (antidepressant plus psychotherapy) rates as the program goal; and paying a bonus for case reviews, clinician feedback, and clinician education as incentives. We assessed program feasibility with case review and clinician surveys from a large independent practice association that contracts with the MBHO. Findings suggest th... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4097507 Tue, 19 Oct 2010 23:42:26 +0100 4097507 http://www.medworm.com/index.php?rid=4097508&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw32r507217770n17%2F Abstract  An unresolved issue in the field of implementation research is how to conceptualize and evaluate successful implementation. This paper advances the concept of “implementation outcomes” distinct from service system and clinical treatment outcomes. This paper proposes a heuristic, working “taxonomy” of eight conceptually distinct implementation outcomes—acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability—along with their nominal definitions. We propose a two-pronged agenda for research on implementation outcomes. Conceptualizing and measuring implementation outcomes will advance understanding of implementation processes, enhance efficiency in implementation research, and pave the way for s... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4097508 Tue, 19 Oct 2010 23:42:25 +0100 4097508 http://www.medworm.com/index.php?rid=4097509&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd07m36w1x767gr15%2F Abstract  Implementation science in mental health is informed by other academic disciplines and industries. Conceptual and methodological territory charted in psychotherapy research is pertinent to two elements of the conceptual model of implementation posited by Aarons and colleagues (2010)—implementation fidelity and innovation feedback systems. Key characteristics of scientifically validated fidelity instruments, and of the feasibility of their use in routine care, are presented. The challenges of ensuring fidelity measurement methods are both effective (scientifically validated) and efficient (feasible and useful in routine care) are identified as are examples of implementation research attempting to balance these attributes of fidelity measurement. Content Type J... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4097509 Tue, 19 Oct 2010 23:42:24 +0100 4097509 http://www.medworm.com/index.php?rid=4097510&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1g43632088524w02%2F Abstract  Implementation science is an emerging field of research with considerable penetration in physical medicine and less in the fields of mental health and social services. There remains a lack of consensus on methodological approaches to the study of implementation processes and tests of implementation strategies. This paper addresses the need for methods development through a structured review that describes design elements in nine studies testing implementation strategies for evidence-based interventions addressing mental health problems of children in child welfare and child mental health settings. Randomized trial designs were dominant with considerable use of mixed method designs in the nine studies published since 2005. The findings are discussed in reference to... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4097510 Sat, 16 Oct 2010 17:58:01 +0100 4097510 http://www.medworm.com/index.php?rid=4044945&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftt7717w285211p10%2F Abstract  Psychiatric length of stay (LOS) has reduced but is still longer than for physical disorders. Inpatient costs are 16% of total mental health spending. Regression analyses of the determinants of LOS for US adult psychiatric inpatients were systematically reviewed. Most studies predated recent LOS reductions. Psychosis, female gender and larger hospital size were associated with longer LOS, while discharge against medical advice, prospective payment, being married, being detained and either younger or middle age were associated with shorter LOS. Associations appeared consistent, especially where sample size was above 3,000. Updated studies should be adequately powered and include the variables above. Content Type Journal ArticleDOI 10.1007/s10488-010-0310-3Autho... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4044945 Wed, 06 Oct 2010 06:03:07 +0100 4044945 http://www.medworm.com/index.php?rid=4022716&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu5178x6v703v8054%2F This study examined adolescents with diabetes and their parents’ reactions to mental health screenings, assessments, and feedback. Most parents and adolescents did not report negative affect, but 15- and 16-year olds and referred adolescents showed greater levels of concern with assessment outcomes. Among those referred to mental health services, parents anticipated barriers in costs, insurance, and lack of qualified providers. Adolescents reported scheduling conflicts, time, and confidentiality concerns. Respondents perceived feedback as an important component of the clinical process and findings indicated a need for clinicians to incorporate psychosocial screenings and feedback in healthcare visits for adolescents with diabetes. Content Type Journal ArticleDOI 10.1007/s10488-... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=4022716 Wed, 29 Sep 2010 05:46:03 +0100 4022716 http://www.medworm.com/index.php?rid=3980626&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv56627366814374v%2F We present a model of recovery work and discuss implications for research and practice. Content Type Journal ArticleDOI 10.1007/s10488-010-0311-2Authors Michelle P. Salyers, VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VAMC and Regenstrief Institute, Inc, 1481 W. 10th St. (11H), Indianapolis, IN 46202, USALaura G. Stull, Department of Psychology, Indiana University Purdue University Indianapolis (IUPUI), Indianapolis, IN USAAngela L. Rollins, ACT Center of Indiana, Indianapolis, IN USAKim Hopper, Nathan Kline Institute for Psychiatric Research, and Mailman School of Public Health, Columbia University, New York, NY USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source:... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3980626 Tue, 14 Sep 2010 06:00:40 +0100 3980626 http://www.medworm.com/index.php?rid=3934400&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3rl750555488k106%2F This study compared treatment process and outcomes in these three programs and also sought to identify differences in outcome between dually diagnosed veterans, veterans with substance abuse problems or psychiatric problems alone, and those with no psychiatric diagnoses. Altogether, 1,338 veterans admitted to the 3 types of program were recruited to participate in a prospective naturalistic study which evaluated housing, clinical and community adjustment outcomes during the year following discharge. Data on 1,003 veterans for whom psychiatric diagnostic, social climate and length of stay data were available were used to compare participants in the three program types at baseline. Regression models were used to compare outcomes across program and diagnostic types net of baseline diffe... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3934400 Fri, 03 Sep 2010 17:31:56 +0100 3934400 http://www.medworm.com/index.php?rid=3866885&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb160726614u77815%2F Abstract  This mixed method study examined current practices and barriers for screening and assessing substance use among youth/young adults in community mental health systems. Substance use rates remain high among youth/young adults in the general population and substance use disorders are prevalent among young people involved in public service systems such as mental health. In an effort to understand the dynamics for early intervention, 64 case managers and/or clinical directors from children’s mental health systems in two states participated in an online survey or focus group in fall 2008. Quantitative survey questions and qualitative focus group questions explored attitudes and perspectives about screening and early intervention for substance use among youth/young adu... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3866885 Fri, 13 Aug 2010 07:07:19 +0100 3866885 http://www.medworm.com/index.php?rid=3822746&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu4167t7322u20kj4%2F Abstract  A randomized trial of substance abuse treatment programs tested whether “enhanced profiles,” consisting of feedback and coaching about performance indicators, improved the performance of residential, methadone, and detoxification programs. These enhanced profiles were reviewed during quarterly on-site visits between October 2005 and July 2007. The performance indicators were the percentage of clients completing referrals to a lower level of care, and the percentage of clients admitted to a higher level of care within 30 days of discharge. Control programs received only “basic profiles,” consisting of emailed quarterly printouts of these performance indicators. Effectiveness was evaluated using hierarchical linear models with client-level information n... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3822746 Mon, 02 Aug 2010 20:08:54 +0100 3822746 http://www.medworm.com/index.php?rid=3822747&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk674l86225042062%2F Abstract  The present study examined the relationships between how research participants experienced their neighborhood, their neighborhood social climate, and psychological well-being. Participants (n = 525) were residents of supported housing programs who used mental health services at one of 17 community mental health centers in South Carolina. Hierarchical regression and mediation analyses were employed to answer research questions. Results suggest that neighbor relations, perceptions of neighborhood safety, and neighborhood satisfaction were significantly associated with perceptions of neighborhood social climate; and neighborhood social climate accounted for a significant amount of the variance in psychiatric distress. Of particular interest, perceptions of ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3822747 Mon, 02 Aug 2010 20:08:51 +0100 3822747 http://www.medworm.com/index.php?rid=3742203&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F84202g28344018j3%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s10488-010-0305-0Authors Leonard Bickman, Vanderbilt University Nashville TN USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3742203 Thu, 08 Jul 2010 12:07:14 +0100 3742203 http://www.medworm.com/index.php?rid=3736933&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa3210881q0217m48%2F Abstract  Mental health and social service provider attitudes toward evidence-based practice have been measured through the development and validation of the Evidence-Based Practice Attitude Scale (EBPAS; Aarons, Ment Health Serv Res 6(2):61–74, 2004). Scores on the EBPAS scales are related to provider demographic characteristics, organizational characteristics, and leadership. However, the EBPAS assesses only four domains of attitudes toward EBP. The current study expands and further identifies additional domains of attitudes towards evidence-based practice. A qualitative and quantitative mixed-methods approach was used to: (1) generate items from multiples sources (researcher, mental health program manager, clinician/therapist), (2) identify potential content domains, an... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3736933 Wed, 07 Jul 2010 05:57:56 +0100 3736933 http://www.medworm.com/index.php?rid=3671503&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6631300112l8821w%2F Abstract  Medication adherence is critical for patients with bipolar disorder to avoid symptom exacerbation and diminished quality of life. Most analyses consider adherence barriers individually rather than conjointly, while neglecting potential ethnic differences. 435 patients in the Continuous Improvement for Veterans in Care––Mood Disorders study reported multiple financial and psychosocial factors influencing adherence. Logistic regression modeled adherence as a function of perceived barriers, including cost burden, access, binge drinking, poor therapeutic alliance, and medication beliefs. Nearly half the cohort experienced adherence difficulty, averaging 2.8 barriers, with minority veterans reporting lower adherence than white patients, particularly financial burden... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3671503 Mon, 14 Jun 2010 14:07:32 +0100 3671503 http://www.medworm.com/index.php?rid=3644623&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F23261255578t1548%2F Conclusion  Ironically, this study revealed that providers working within Treatment First programs were consumed with the pursuit of housing, whereas Housing First providers focused more on clinical concerns since consumers already had housing. Clearly, how programs position permanent housing has very different implications for how providers understand their work, the pressures they encounter, and how they prioritize client goals. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0303-2Authors Benjamin F. Henwood, New York University School of Social Work 1 Washington Square North New York NY 10003 USAVictoria Stanhope, New York University School of Social Work 1 Washington Square North New York NY 10003 USADeborah K. Padgett, New York Univer... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3644623 Thu, 03 Jun 2010 07:56:40 +0100 3644623 http://www.medworm.com/index.php?rid=3524030&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe5xw4716277t3406%2F Abstract  Since some of the data used for quality assurance purposes (i.e. rating scales) requires the active participation of clinicians, administrators use various mandates or incentives to insure its collection. However, although improving clinician compliance these measures may bias clinician responses. It is suggested that the concept of ‘demand characteristics’ originally developed by Orne to describe how non-specific aspects of the experimental setting shape what the human subject does may be applicable. For example a measure that might increase clinician compliance with completing GAF ratings on an inpatient unit might also influence the scores to make them coincide with the expectation that all patients are very ill when admitted and improved when discharged. W... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3524030 Fri, 30 Apr 2010 05:57:12 +0100 3524030 http://www.medworm.com/index.php?rid=3482805&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjm825012673776g4%2F Abstract  This special issue on child and adolescent mental health contains a thoughtful set of papers that address many of the challenges in bridging research and practice. These articles, however, focus predominantly on the supply side of producing research for use by a range of audiences, including practitioners, administrators and policy makers. This commentary emphasizes the importance of attending to, and better understanding, the demand side with regard to how research evidence is evaluated, understood, and utilized. Drawing from work underway at the William T. Grant Foundation, the authors argue for the need to understand three broad topics: user settings and perspectives, political, economic and social contexts, and the various uses of research. Furthermore, unders... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3482805 Thu, 15 Apr 2010 06:48:07 +0100 3482805 http://www.medworm.com/index.php?rid=3479569&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh24882j503835360%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0272-5Authors Patrick H. DeLeon, 5701 Wilson Lane Bethesda MD 20817 USAWendy S. Pachter, 5701 Wilson Lane Bethesda MD 20817 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3479569 Tue, 13 Apr 2010 06:49:14 +0100 3479569 http://www.medworm.com/index.php?rid=3432736&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F364l43u512234072%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0246-7Authors Jeanne Miranda, University of California, Los Angeles Department of Psychiatry and Biobehavioral Sciences 10920 Wilshire Blvd., Suite 300 Los Angeles CA 90024 USAFrancisca Azocar, Optimum Health Behavioral Solutions 425 Market Street, 27th Floor San Francisco CA 94105 USAM. Audrey Burnam, Behavioral and Social Sciences Group, RAND Corporation 1776 Main Street Santa Monica CA 90401 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3432736 Wed, 31 Mar 2010 05:44:54 +0100 3432736 http://www.medworm.com/index.php?rid=3429031&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4917k01015q86884%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s10488-010-0289-9Authors Leonard Bickman, Center for Evaluation and Program Improvement Nashville TN USAKimberly Eaton Hoagwood, Columbia University Clinical Psychology in Psychiatry New York NY USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3429031 Tue, 30 Mar 2010 05:46:44 +0100 3429031 http://www.medworm.com/index.php?rid=3403736&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl626l94g1178t112%2F Abstract  Education and mental health integration will be advanced when the goal of mental health includes effective schooling and the goal of effective schools includes the healthy functioning of students. To build a solid foundation for this reciprocal agenda, especially within the zeitgeist of recent educational reforms, a change in the fundamental framework within which school mental health is conceptualized is needed. This change involves acknowledging a new set of priorities, which include: the use of naturalistic resources within schools to implement and sustain effective supports for students’ learning and emotional/behavioral health; inclusion of integrated models to enhance learning and promote health; attention to improving outcomes for all students, including ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3403736 Tue, 23 Mar 2010 07:55:40 +0100 3403736 http://www.medworm.com/index.php?rid=3386835&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj2j136j677v07046%2F This study addresses the utility of the SRF for describing session content by exploring patterns of self-reported behavior of 235 clinicians in 7,058 sessions with 600 clients. Results indicate that the SRF has a distinct subscale of treatment process and provides an adequate range of topics related to session content while also discriminating between client and clinician influences on patterns of topics addressed. The SRF is a promising measure meeting a significant need in describing session content in usual care. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0298-8Authors Susan Douglas Kelley, Vanderbilt University Center for Evaluation and Program Improvement Peabody #151, 230 Appleton Place Nashville TN 37203-5721 USAAna Regina Vides de Andrade, ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3386835 Thu, 18 Mar 2010 15:36:45 +0100 3386835 http://www.medworm.com/index.php?rid=3386834&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjp60n431k277t6p3%2F Content Type Journal ArticleDOI 10.1007/s10488-010-0293-0 Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3386834 Thu, 18 Mar 2010 15:36:45 +0100 3386834 http://www.medworm.com/index.php?rid=3386836&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F286120l17k441821%2F Content Type Journal ArticleCategory Original paperDOI 10.1007/s10488-010-0273-4Authors Patrick McCarthy, Annie E. Casey Foundation Baltimore MD USABen Kerman, Annie E. Casey Foundation Baltimore MD USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3386836 Thu, 18 Mar 2010 15:36:44 +0100 3386836 http://www.medworm.com/index.php?rid=3378220&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj2v5723788781654%2F Abstract  To understand the low utilization rates of child and adolescent mental health services, it is necessary to recognize the kinds of professional and institutional stigma that may produce barriers to care. We address the large literature on the stigmatization of mental illness, linkages between such literature and children’s mental health services use, and the kinds of professional and institutional attitudes and practices that communicate shame and low expectations to youth and their families. It will take recognition of such stigmatizing practices—including overcoming resistance to the messages presented herein—to make real progress in the effort to increase utilization of evidence-based practices. Multi-faceted, multi-level, and multi-disciplinary approaches... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3378220 Tue, 16 Mar 2010 08:51:20 +0100 3378220 http://www.medworm.com/index.php?rid=3370279&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3m0367310413471t%2F Abstract  This commentary presents data about the emotional, behavioral, and substance abuse disorders of youth in foster care and former recipients of foster care (“alumni”) in the United States to underscore the reasons why high quality mental health services are essential. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0295-yAuthors Peter J. Pecora, Casey Family Programs 1300 Dexter Ave North, Floor 3 Seattle WA 98109 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3370279 Sun, 14 Mar 2010 12:25:51 +0100 3370279 http://www.medworm.com/index.php?rid=3370280&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj7725848212258qm%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0290-3Authors Gary M. Blau, Substance Abuse and Mental Health Services Administration Rockville MD USALarke N. Huang, Substance Abuse and Mental Health Services Administration Rockville MD USACoretta J. Mallery, American Institutes for Research Washington DC USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3370280 Sun, 14 Mar 2010 12:25:50 +0100 3370280 http://www.medworm.com/index.php?rid=3370281&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F245u60007x542432%2F Abstract  The Individual Placement and Support model of supported employment is one of the most robust interventions available for people with severe mental illness. Supported employment specialists deliver this intervention. There has been little research on what influences specialists’ performance in the field. This paper redresses this deficit by documenting characteristics and competencies self-reported by specialists as influential to proficient performance in the field. Twenty-two qualitative interviews were conducted with specialists and their supervisors. Content analysis suggested the importance of eight factors: (1) initiative; (2) outreach; (3) persistence; (4) hardiness; (5) empathy; (6) passion; (7) team orientation (8) professionalism. Content Type Journ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3370281 Sun, 14 Mar 2010 12:25:49 +0100 3370281 http://www.medworm.com/index.php?rid=3358794&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F801127434n458835%2F This article examines the policy, structural, and economic problems in which this gap originates. We identify four steps to close this gap. First, the field should develop scientific measures of the research-practice gap. Second, payors should link incentives to outcomes-based performance measures. Third, providers and others should develop improved understanding and application of effective dissemination and business models. Fourth, efforts to link EBP to clinical practice should span patient/consumers, providers, practices, plans, and purchasers. The paper discusses each of these in turn and relates them to fundamental problems of service delivery. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0286-zAuthors Peter S. Jensen, The REACH Institute 708 ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3358794 Wed, 10 Mar 2010 15:59:57 +0100 3358794 http://www.medworm.com/index.php?rid=3358795&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy04rr1430w16r800%2F Abstract  Needs assessment is key in mental health rehabilitation. Using a representative sample of consumers with severe mental disorders living in supervised housing in Montréal, Québec, the study describes consumer needs and variables associated with the adequacy of help provided. Descriptive, component, and regression analyses were performed. Four needs components, including 20 domains, were examined. Greater adequacy of help was found to be associated with five variables: “daytime social relations”; number of needs; number of unmet needs; gender; and help from services. Components associated with “daytime social relations” and “higher social needs” would be more effectively addressed by integrated healthcare providers. Content Type Journal ArticleCate... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3358795 Wed, 10 Mar 2010 15:59:56 +0100 3358795 http://www.medworm.com/index.php?rid=3326848&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh2736r76x6h9h25v%2F This study qualitatively examined the approaches and processes of “parent advocate” programs implemented in two Ohio counties for children served through publicly funded mental health services. Descriptions of each county’s program, the background and roles of parent advocates, reasons families decline advocate services, and challenges to advocates’ work with families are provided. Implications for the field in developing clear and effective administrative and practice structures for peer support services are discussed. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0288-xAuthors Tamara S. Davis, The Ohio State University College of Social Work 1947 College Road Columbus OH 43210 USAScott D. Scheer, The Ohio State University Human and Community... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3326848 Mon, 01 Mar 2010 18:10:38 +0100 3326848 http://www.medworm.com/index.php?rid=3316041&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F58u61u7j0t64g808%2F Abstract  In September 2009 key stakeholders convened for the invitation-only Child and Adolescent Mental Health Services (CAMHS): Issues and Solutions conference. This paper provides a brief synopsis of the key high points and issues in children’s mental health (CMH) and describes the process by which participants collectively brainstormed the priorities and distilled the four key foci for the new action agenda, and summarizes the key outcomes. In addition, this paper offers participants’ perspectives on the conference. Based on observation notes and post-conference qualitative interviews, this paper reports conference participants’ feedback on the event, their views on the prospects for change generated by the conference and suggestions for follow-up. Content Ty... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3316041 Fri, 26 Feb 2010 06:46:12 +0100 3316041 http://www.medworm.com/index.php?rid=3316040&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd1hjv62555234450%2F The objective of this study was to evaluate community-based outpatient mental health services for young adults. Participants were interviewed at ages 21, 24, 27, and 30. Outcomes included: (1) symptoms of depression, generalized anxiety, social phobia, dysthymia and post traumatic stress individually and as a global scale; and (2) a dichotomous diagnosis variable inclusive of all above disorders. Treatment was indicated by an outpatient visit to a psychiatrist or other professional. Treatment did not reduce mental disorder or symptoms. Substance use, violence, poverty, community disorganization, and family history of antisocial behavior increased risks for negative outcomes, while social support was protective. The absence of positive findings associated with outpatient treatment is ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3316040 Fri, 26 Feb 2010 06:46:12 +0100 3316040 http://www.medworm.com/index.php?rid=3316042&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu73616028761h108%2F Abstract  Although mental health policy initiatives have called for quality improvement in depression care, practical tools to describe the quality of psychotherapy for depression are not available. We developed a clinician-report measure of adherence to three types of psychotherapy for depression—cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. A total of 727 clinicians from a large, national managed behavioral health care organization responded to a mail survey. The measure demonstrated good psychometric properties, including appropriate item-scale correlations, internal consistency reliability, and a three-factor structure. Our results suggest that this questionnaire may be a promising approach to describing psychotherapy for depression i... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3316042 Fri, 26 Feb 2010 06:46:11 +0100 3316042 http://www.medworm.com/index.php?rid=3311491&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F301m03562515246j%2F Abstract  Treatment and services research in the general medical sector has emphasized the importance of addressing organizational capacity to improve interventions for patients with chronic conditions. Efficacious interventions for child and adolescent mental disorders without substantial enhancements in mental health organizational capacity will not result in improvements for children. This paper (a) lists some organizational enhancements that have resulted in improved medical care, (b) briefly underscores recent market trends such as state healthcare reform efforts, increased use of electronic records and contracting initiatives that push consolidation of agencies, and (c) describes one example of the organizational development of child behavioral services that will enha... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3311491 Wed, 24 Feb 2010 06:52:23 +0100 3311491 http://www.medworm.com/index.php?rid=3306641&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F44m1381rj5193qqw%2F This article reviews existing research on routine or “usual care” practice, identifies strengths and weaknesses in routine psychotherapeutic care, as well as gaps in knowledge, and proposes quality improvement recommendations based on existing data to improve the effectiveness of children’s mental health care. The two broad recommendations for bridging the research-practice gap are to implement valid, feasible measurement feedback systems and clinician training in common elements of evidence-based practice. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0279-yAuthors Ann F. Garland, University of California, San Diego 3020 Children’s Way, MC 5033 San Diego CA 92123 USALeonard Bickman, Vanderbilt University Nashville TN USABruce F. Chorpita, Uni... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3306641 Tue, 23 Feb 2010 07:51:42 +0100 3306641 http://www.medworm.com/index.php?rid=3306642&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb29713v054p2745k%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s10488-010-0287-yAuthors Edward Seidman, William T. Grant Foundation and New York University 570 Lexington Avenue, 18th Floor New York NY 10022 USABruce F. Chorpita, University of California Los Angeles CA USAWilliam E. Reay, OMNI Behavioral Health and Northcentral University Omaha NE USAWayne Stelk, Massachusetts Behavioral Health Partnership/ValueOptions Boston MA USAAnn F. Garland, University of California San Diego CA USAKrista Kutash, University of South Florida Research and Training Center for Children’s Mental Health Tampa FL USACharlotte Mullican, Agency for Healthcare Research and Quality (AHRQ) Center for Primary Care, Prevention and Clinical Partnerships Washington DC USAHeather Ringeisen, RTI International Research T... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3306642 Tue, 23 Feb 2010 07:51:41 +0100 3306642 http://www.medworm.com/index.php?rid=3290741&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa18x487443j01835%2F Abstract  Evidence suggests that the current mental health system is failing in the provision of quality mental health care for diverse children and families. This paper discusses one critical domain missing to improve care: serious attention given to diversity, culture, and context. It discusses what we mean by understanding culture and context at the individual, family, organizational, and societal level. Focusing on key predictors of children’s adjustment in natural contexts would increase attention to building community and family capacities that strengthen children’s mental health. To conclude, we suggest changes in organizational culture to build natural supports to enhance children’s mental health. Content Type Journal ArticleCategory Original PaperDOI 10.1... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3290741 Thu, 18 Feb 2010 06:51:16 +0100 3290741 http://www.medworm.com/index.php?rid=3287603&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa6418k334364m7p2%2F Abstract  For more than a generation, the levels of anxiety, depression, and misconduct among young people in the United States have been steadily increasing. So too have isolation, alienation, mistrust, and boredom, with the result that ongoing social support has been diminishing, particularly for young people. These trends constitute a national public health crisis affecting young people in general, those already defined as having mental health problems, and their families. To respond adequately, the child mental health system must change dramatically—away from the provision of units of service defined by protocols, time, and professionals’ presence and toward the engagement of primary community institutions in the creation and maintenance of new norms of giving and r... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3287603 Wed, 17 Feb 2010 06:58:42 +0100 3287603 http://www.medworm.com/index.php?rid=3270979&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvp642141u33t8w02%2F Abstract  There is a widespread recognition that the mental health system is not effective in meeting the needs of the children, adolescents, and families who seek its services. In response to this recognition, researchers and policy makers are developing and implementing strategies to transform mental health systems. This paper suggests that transformational interventions should not proceed faster than our understanding of the complexities of a mental health system. In a complex system, all component parts are interactive and interdependent. Problems with one component cannot be solved in isolation from other components. The inter-relationships between problems create inter-dependencies; and changes in the balance of these inter-dependencies can cause dramatic shifts in po... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3270979 Fri, 12 Feb 2010 07:11:28 +0100 3270979 http://www.medworm.com/index.php?rid=3270980&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F95142752k73172vv%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0280-5Authors V. Robin Weersing, San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology 6363 Alvarado Court, Suite 103 San Diego CA 92120-4913 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3270980 Thu, 11 Feb 2010 11:51:34 +0100 3270980 http://www.medworm.com/index.php?rid=3266815&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0x5kt2560637632v%2F Abstract  The industrialization of health care, underway for several decades, offers instructive guidance and models for speeding access of children and families to clinically and cost effective preventive, treatment, and palliative interventions. This industrialization—i.e., the systematized production of goods or services in large-scale enterprises—has the potential to increase the value and effects of care for consumers, providers, and payers (Hayes and Gregg in Integrated behavioral healthcare: Positioning mental health practice with medical/surgical practice. Academic Press, San Diego, 2001), and to generate efficiencies in care delivery, in part because workforce responsibilities become more functional and differentiated such that individuals with diverse education... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3266815 Wed, 10 Feb 2010 06:49:01 +0100 3266815 http://www.medworm.com/index.php?rid=3266816&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe07k168842026425%2F Abstract  Currently, the children’s mental health system appears dysfunctional and in need of serious attention. A possible remedy for this disarray would be for researchers and providers to establish integrated management systems which include mutual, cross organizational learning, and reciprocal feedback mechanisms. This type of adaptive co-management to organizational governance would fully integrate research and practice at the community level. Using a public health service model, this organizational management approach to research and practice would harvest diverse scientific knowledge and disseminate that knowledge through the natural occurring culture and practice of each community. Organizational and clinical knowledge acquisition, as well as practice improvements... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3266816 Tue, 09 Feb 2010 06:46:54 +0100 3266816 http://www.medworm.com/index.php?rid=3266817&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6t88637441206738%2F Abstract  Any comprehensive approach to children’s mental health should consider services systems such as Child Welfare that provide services to children with high rates of emotional and behavioral disorders. This paper will review what is known about efficacious parent-focused interventions that can improve the lives of children in Child Welfare and explore possible reasons why such interventions are rarely used by Child Welfare agencies. Data from a pilot study suggest key features for increasing the implementation of efficacious practices to improve children’s mental health. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0274-3Authors Sarah McCue Horwitz, Stanford University The Department of Pediatrics and the Centers for Primary Care a... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3266817 Tue, 09 Feb 2010 06:46:53 +0100 3266817 http://www.medworm.com/index.php?rid=3258747&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy26851676214072n%2F Abstract  Improving the quality of children’s mental health care can benefit from the adoption of evidence based and evidence informed treatments. However, the promise of moving science into practice is hampered by three core elements that need to be addressed in the current conversation among key stakeholders: (1) expanding our understanding of the clinical relevance of different types of evidence, (2) emphasizing the identification of core mechanisms of change, and (3) re-conceptualizing what evidence-based practice means. This paper focuses on these elements in an attempt to find a common core among stakeholders that may create opportunities for more inclusive conversation to move the field of children’s mental health care forward. Content Type Journal ArticleCateg... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3258747 Sat, 06 Feb 2010 08:20:19 +0100 3258747 http://www.medworm.com/index.php?rid=3258746&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0679k57h54057440%2F Abstract  The goal of this study was to examine the degree to which youths and caregivers attend to different factors in evaluating their experiences with mental health programs. Youth (n = 251) receiving mental health services at community agencies and their caregivers (n = 275) were asked open-ended questions regarding the positive and negative aspects of the services. Qualitative analyses revealed some agreement but also divergence between youth and caregivers regarding the criteria by which services were evaluated and aspects of services that were valued most highly. Youths’ positive comments primarily focused on treatment outcomes while caregivers focused more on characteristics of the program and provider. Youths’ negative comments reflected diss... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3258746 Sat, 06 Feb 2010 08:20:19 +0100 3258746 http://www.medworm.com/index.php?rid=3243609&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmk2626625166576k%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0269-0Authors Alan E. Kazdin, Yale University Department of Psychology 2 Hillhouse Avenue New Haven CT 06520-8205 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3243609 Wed, 03 Feb 2010 06:50:56 +0100 3243609 http://www.medworm.com/index.php?rid=3231344&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0882p51x1p0k5488%2F Abstract  This commentary builds on the papers presented at the Vanderbilt Conference by emphasizing the importance of better understanding the process of change-making if real change in the real world is to be achieved. The commentary reviews several frameworks and research findings related to achieving large-scale sustainable change that benefits children and families. It calls for the application of systems thinking as a complement to the more micro-level research that was presented at the Vanderbilt conference. Such an approach would have implications for framing of the issue, for the strategies that are taken to try to achieve change, and for research/evaluation methods for studying complex, dynamic, nonlinear systems. Content Type Journal ArticleCategory Original Pa... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3231344 Sat, 30 Jan 2010 18:14:19 +0100 3231344 http://www.medworm.com/index.php?rid=3231345&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fll694588614104l2%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0266-3Authors Beverly Pringle, National Institute of Mental Health Division of Services and Intervention Research Room 7165, Mail Stop 9631, 6001 Executive Blvd. Bethesda MD 20892-9631 USADavid Chambers, National Institute of Mental Health Division of Services and Intervention Research Room 7164, Mail Stop 9631, 6001 Executive Blvd. Bethesda MD 20892-9631 USAPhilip S. Wang, National Institute of Mental Health Office of the Director Room 8229, Mail Stop 9669, 6001 Executive Blvd. Bethesda MD 20892-9669 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Servic... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3231345 Fri, 29 Jan 2010 12:18:58 +0100 3231345 http://www.medworm.com/index.php?rid=3208217&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm2150vk206l77305%2F Abstract  The aim of this study was to measure expert consensus on the implementation of Psychiatric Advance Directives (PADs) within the Veterans Health Administration. We conducted a two-round Delphi study with 55 panelists including consumers, caregivers, mental health providers and researchers. For a number of items where no positive or negative consensus was reached we found differences between the views of consumers and non-consumers, reflecting consumer’s preferences for nonmedical settings for completion and assistance with completion independent of the treatment team. Thus, the principle of consumer choice that applies to MHAD content should also be applied to the process of completion offered. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s104... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3208217 Sat, 23 Jan 2010 07:44:37 +0100 3208217 http://www.medworm.com/index.php?rid=3208216&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw978765m5m271745%2F Content Type Journal ArticleCategory CommentaryDOI 10.1007/s10488-010-0267-2Authors Barbara J. Burns, Duke University School of Medicine Department of Psychiatry and Behavioral Sciences Box 3454 DUMC Durham NC 27710 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X Journal Volume Volume -1 Journal Issue Volume -1, Online First / January, 2008 (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3208216 Sat, 23 Jan 2010 07:44:37 +0100 3208216 http://www.medworm.com/index.php?rid=3208218&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F582h4088622258w6%2F Content Type Journal ArticleCategory Original paperDOI 10.1007/s10488-010-0268-1Authors Carl C. Bell, Community Mental Health Council, Inc 8704 S. Constance Chicago IL 60617 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X Journal Volume Volume -1 Journal Issue Volume -1, Online First / January, 2008 (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3208218 Sat, 23 Jan 2010 07:44:36 +0100 3208218 http://www.medworm.com/index.php?rid=3208219&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9m7g60k73385k134%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-010-0265-4Authors Edward P. Mulvey, University of Pittsburgh School of Medicine Department of Psychiatry, Western Psychiatric Institute and Clinic Pittsburgh PA USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3208219 Fri, 22 Jan 2010 10:12:01 +0100 3208219 http://www.medworm.com/index.php?rid=3208220&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1317532970821076%2F Content Type Journal ArticleCategory CommentaryDOI 10.1007/s10488-010-0270-7Authors John A. Morris, The Technical Assistance Collaborative, Inc. Human Services Practice 1001 Barton Street Columbia SC 29203 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3208220 Fri, 22 Jan 2010 10:12:00 +0100 3208220 http://www.medworm.com/index.php?rid=3163630&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe17593n217666717%2F This study examined risk and determinants of rehospitalization of children and adolescents (n = 186) following a first psychiatric hospitalization. It specifically examined the role of post-discharge services. Data were collected for a 30-month follow-up period through structured telephone interviews with caregivers and case record abstractions. 43% of youth experienced readmissions during the follow-up period. Risk of rehospitalization was highest during the first 30 days following discharge and remained elevated for 3 months. 72% of youth received 284 post-discharge services during the follow-up period, which significantly reduced the risk of rehospitalization. Longer first hospitalizations and a higher risk score at admission increased risk. Content Type Jour... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3163630 Sat, 09 Jan 2010 08:25:34 +0100 3163630 http://www.medworm.com/index.php?rid=3156361&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft845288301872128%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0262-7Authors Thomas L. Sexton, Indiana University Center for Adolescent and Family Studies Bloomington IN 47401 USAPatti Chamberlin, The Center for Research to Practice Oregon Social Learning Center Eugene OR USAJohn Landsverk, Rady Children’s Hospital Child and Adolescent Services Research Center (CASRC) San Diego CA USAAble Ortiz, The Annie E. Casey Foundation Baltimore MD USASonja K. Schoenwald, Medical University of South Carolina Department of Psychiatry and Behavioral Sciences Charleston SC USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3156361 Wed, 06 Jan 2010 06:54:56 +0100 3156361 http://www.medworm.com/index.php?rid=3135465&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy7250825452u70w1%2F Abstract  The authors present a multi-level framework for conceptualizing and designing measurement systems to improve decision-making in the treatment and prevention of child and adolescent mental health problems as well as the promotion of well-being. Also included is a description of the recommended drivers of the development and refinement of these measurement systems and the importance of the architecture upon which these measurement systems are built. The authors conclude with a set of recommendations for the next steps for the field. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0260-9Authors Edward Seidman, William T. Grant Foundation and New York University 570 Lexington Avenue, 18th Floor New York NY 10022 USABruce F. Chorpita, Unive... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3135465 Wed, 30 Dec 2009 06:47:24 +0100 3135465 http://www.medworm.com/index.php?rid=3133515&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm732882u21r33821%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0259-2Authors Arlene Rubin Stiffman, Washington University George Warren Brown School of Social Work Campus Box 1196 St. Louis MO 63130 USAWayne Stelk, Massachusetts Behavioral Health Partnership/ValueOptions Boston MA USASarah McCue Horwitz, Stanford University Stanford School of Medicine Stanford CA USAMary E. Evans, University of South Florida College of Nursing Tampa FL USAFreida Hopkins Outlaw, Tennessee Department of Mental Health and Developmental Disabilities Division of Special Populations and Minority Services Gatlinburg TN USAMarc Atkins, University of Illinois Department of Psychiatry Chicago IL USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISS... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3133515 Tue, 29 Dec 2009 06:55:39 +0100 3133515 http://www.medworm.com/index.php?rid=3123346&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw1773214n53728h0%2F Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0261-8Authors Beth A. Stroul, Management and Training Innovations 7417 Seneca Ridge Drive, Suite 100 McLean VA 22102 USACraig Anne Heflinger, Vanderbilt University Human and Organizational Development Peabody College Nashville TN USAMargarita Alegría, Cambridge Health Alliance and Harvard Medical School Center for Multicultural Mental Health Research 120 Beacon Street, 4th Floor Somerville MA 02143 USAElaine Slaton, National Federation of Families for Children’s Mental Health 9605 Medical Center Drive, Suite 280 Rockville MD 20850 USAElizabeth M. Z. Farmer, Pennsylvania State University Department of Health Policy and Administration 601E Ford Building University Park PA 16802 USAVirginia Trotter Betts, Tenness... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3123346 Thu, 24 Dec 2009 19:47:02 +0100 3123346 http://www.medworm.com/index.php?rid=3100677&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl7h7j4263h211r6n%2F Abstract  Cumulative employment rates published by randomized trials are based on each enrollee’s pre-planned 18–24-months of study participation. By contrast, community programs typically report employment rates for clients active in services during a calendar quarter. Using data from three supported employment programs in randomized trials, we show that trial cumulative employment rates are about twice as large as quarterly employment rates for the same program. Therefore, we recommend that administrators, service networks, and mental health authorities begin to publish quarterly employment rates, and quarterly median earnings, to allow policymakers to set realistic performance expectations for supported employment programs. Content Type Journal ArticleCat... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3100677 Tue, 15 Dec 2009 07:09:15 +0100 3100677 http://www.medworm.com/index.php?rid=3089139&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb4060158703q5420%2F This study examined annual turnover and fidelity data collected in a statewide implementation of ACT over a 5-year period. Mean annual staff turnover across all observations was 30.0%. Turnover was negatively correlated with overall fidelity at Year 1 and 3. The team approach fidelity item was negatively correlated with staff turnover at Year 3. For 13 teams with 3 years of follow-up data, turnover rates did not change over time. Most ACT staff turnover rates were comparable or better than other turnover rates reported in the mental health and substance abuse literature. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0257-4Authors Angela L. Rollins, Indiana University Purdue University Indianapolis (IUPUI) Department of Psychology, ACT Center of In... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3089139 Fri, 11 Dec 2009 06:53:48 +0100 3089139 http://www.medworm.com/index.php?rid=3033510&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fch06u71338423204%2F This study explored the illness perceptions, attitudes towards mental health services and adherence behaviors among a group of adolescents in treatment for mood disorders in an urban city in the United States. Seventy adolescents completed a battery of questionnaires assessing demographics (e.g., gender, family income), perceptions of illness (e.g., consequences, treatment control) and overall attitudes towards mental health services. Adolescents and their parents also reported on the youth’s adherence to both psychotropic medication and mental health appointments. Simultaneous logistic regression analyses revealed that attitudes and family income made a significant and unique contribution in explaining adolescents’ adherence behaviors. Interventions that help adolescents become ... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=3033510 Tue, 24 Nov 2009 07:12:14 +0100 3033510 http://www.medworm.com/index.php?rid=2993709&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0k311u1215075653%2F Content Type Journal ArticleDOI 10.1007/s10488-009-0254-7Authors M. Audrey Burnam, RAND Corporation 1,776 Main Street PO Box 2138 Santa Monica CA 90407-2138 USAKimberly A. Hepner, RAND Corporation 1,776 Main Street PO Box 2138 Santa Monica CA 90407-2138 USAJeanne Miranda, UCLA/NPI Health Services Research Center Department of Psychiatry and Biobehavioral Sciences 10920 Wilshire Boulevard Suite 300 Los Angeles CA 90024 USA Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental Health Services Research) Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=2993709 Fri, 13 Nov 2009 07:27:23 +0100 2993709 http://www.medworm.com/index.php?rid=2992608&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07q17575249j832m%2F Abstract  Adult mental illness in the community including depression and anxiety has achieved greater public awareness and visibility in recent years and this has also resulted in increased recognition about the widespread impact on dependent children. During the past decade in Australia, policies and specific programs for infants, children and youth in terms of prevention, early intervention and promotion in relation to children of parents with a mental illness (‘copmi’) have been devised. However, these have generally been disconnected projects, essentially supported only by non-recurrent funding. In more recent years, systematic and interconnected responses involving a wider range of government, non-government and consumer and carer organisations to build sustainabil... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=2992608 Thu, 12 Nov 2009 07:23:48 +0100 2992608 http://www.medworm.com/index.php?rid=2992609&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyj61r2h2k3g8t82m%2F This study examined counseling content reported by a national sample of persons receiving care for alcohol, drug or mental health (ADM) problems in a year. The sample included 2,722 individuals over 18 who reported past year mental health or substance abuse care or assessments in a nationally representative survey conducted in 2000–2001. Counseling domains approximating commonly practiced or evidence-based approaches for depression, anxiety, or substance abuse were assessed. Patient self-report may be one useful way of tracking whether components of standard therapies are implemented in practice. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0250-yAuthors Craig Landry, UCLA Health Services Research Center 10920 Wilshire Blvd., Suite 300 Los Angeles CA... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=2992609 Thu, 12 Nov 2009 07:23:37 +0100 2992609 http://www.medworm.com/index.php?rid=2984675&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn2g8531k4j2761n7%2F The objective of this study is to examine the characteristics of outpatient mental health services delivered in community-based outpatient clinics, comparing information obtained from two different sources, therapists serving children and families, and observational coders viewing tapes of the same treatment sessions. Videotaped therapy sessions were rated by therapists and independent coders regarding goals and strategies pursued during each session. Sixty-three sessions were taped of outpatient care provided to 18 children and their caregivers by 11 therapists. Children were 4–13 years old and families were receiving services at least in part due to reported child behavior problems, confirmed by ratings from the Child Behavior Checklist and Conners Parent Rating Scale—Revi... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=2984675 Tue, 10 Nov 2009 07:37:19 +0100 2984675 http://www.medworm.com/index.php?rid=2967177&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1324251750755x50%2F Abstract  In this pilot study we examined the determinants of recovery orientation among employees and influential stakeholders in a sample of 12 county departments of mental health in California. A two-level hierarchical linear model with random intercepts was estimated. Analyses show that recovery orientation has a U-shaped relationship with the age of staff/influential stakeholders and is negatively related to the difference between the desired level of adhocracy and the current level of adhocracy. Recovery orientation is positively related to the education level of staff/influential stakeholders, satisfying transformational leadership outcomes, and larger mental health budgets per capita. Policy implications are discussed. Content Type Journal ArticleCategory Original... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=2967177 Tue, 03 Nov 2009 21:41:05 +0100 2967177 http://www.medworm.com/index.php?rid=2939150&cid=s_33263_172_f&fid=33263&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm04764767737g623%2F Abstract  Evidence-based psychotherapies to treat depression are available, yet it remains unknown the extent to which these practices are used in routine care for depression. Using survey and administrative data, we sought to describe usual care psychotherapy for depression for adult patients receiving care through a large, managed behavioral health care organization. Data from 420 patients receiving psychotherapy for depression and 159 of their therapists provide evidence that some practitioners are using evidence-based psychotherapy techniques for depression, but also demonstrate the need for improved tools to monitor and improve quality of psychotherapy in usual care. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10488-009-0247-6Authors Kimberly A.... Administration and Policy in Mental Health and Mental Health Services Research journals http://www.medworm.com/rss/comments.php?id=2939150 Tue, 27 Oct 2009 09:01:05 +0100 2939150