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 'The Journal of Behavioral Health Services and Research' source. Thu, 09 Feb 2012 02:32:29 +0100 http://www.medworm.com/index.php?rid=5651900&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd275g15h43h013pu%2F Abstract  Process and quality improvement techniques have been successfully applied in health care arenas, but efforts to institute these strategies in alcohol and drug treatment are underdeveloped. The Network for the Improvement of Addiction Treatment (NIATx) teaches participating substance abuse treatment agencies to use process improvement strategies to increase client access to, and retention in, treatment. NIATx recommends five principles to promote organizational change: (1) understand and involve the customer, (2) fix key problems, (3) pick a powerful change leader, (4) get ideas from outside the organization, and (5) use rapid cycle testing. Using case studies, supplemented with cross-agency analyses of interview data, this paper profiles participating NIATx treatm... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5651900 Fri, 27 Jan 2012 06:51:31 +0100 5651900 http://www.medworm.com/index.php?rid=5640049&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fam370v45086h4431%2F This study examined the patterns of criminal arrest and co-occurring psychiatric disorders among individuals with schizophrenia or related psychosis that were receiving public mental health services and had an arrest history. Within a 10-year period, 65% of subjects were arrested for crimes against public order, 50% for serious violent crimes, and 45% for property crimes. The presence of any co-occurring disorder increased the risk of arrest for all offense categories. For nearly all offense types, antisocial personality disorder and substance use disorders conferred the greatest increase in risk for arrest. Among anxiety disorders, post-traumatic stress disorder was associated with a greater risk of arrest for serious violent crimes but not other offense types. Criminal risk assessm... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5640049 Tue, 24 Jan 2012 07:26:53 +0100 5640049 http://www.medworm.com/index.php?rid=5621888&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1rw46757v5171876%2F This study examined the ability of a risk assessment algorithm, the Risk of Harm to Others Clinical Assessment Protocol (RHO CAP) to predict inpatient aggression within a mental health and addictions treatment facility in Ontario, Canada. Anonymized patient records were retrospectively reviewed from April 1, 2004 to July 31, 2009 (N = 6,425). Survival analysis using Cox’s regression was used to predict time to inpatient aggression using the RHO CAP. Approximately 10% of inpatients were at moderate risk of harm to others, and 2% were considered high risk. The pattern of survival curves revealed that within the first month of admission, approximately 10% of inpatients at high risk of harm to others displayed physical aggression. Patients at high risk were also two times more likel... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5621888 Thu, 19 Jan 2012 06:47:38 +0100 5621888 http://www.medworm.com/index.php?rid=5573639&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy65v525038433402%2F Abstract  Primary care physicians play a significant role in depression care, suicide assessment, and suicide prevention. However, little is known about what factors relate to and predict quality of depression care (assessment, diagnosis, and treatment), including suicide assessment. The authors explored the extent to which select patient and physician factors increase the probability of one element of quality of care: namely, intention to conduct suicide assessment. Data were collected from 404 randomly selected primary care physicians after their interaction with CD-ROM vignettes of actors portraying major depression with moderate levels of severity. The authors examined which patient factors and physician factors increase the likelihood of physicians’ intention to cond... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5573639 Thu, 05 Jan 2012 06:52:23 +0100 5573639 http://www.medworm.com/index.php?rid=5554084&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr72h1107k5641825%2F Abstract  Behavioral health providers (BHPs) are trained by their respective programs and professions on the importance of communicating with other professionals around patient care, yet few are trained on how to provide collaborative care and work as part of a team. New clinical innovation models, such as integrated care, punctuate the need to further develop training methods to best equip the next generation of BHPs to work in collaborative settings. Supervision is a tool that students, interns, and new professionals can use to help them navigate new and unfamiliar territory in health care settings. This manuscript will describe the steps of choosing a supervisor, provide elements that must be considered when developing a supervision contract, offer a template for craftin... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5554084 Wed, 28 Dec 2011 16:44:58 +0100 5554084 http://www.medworm.com/index.php?rid=5554085&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F003761108300r150%2F Abstract  Behavioral health has become a public health crisis. No other public health crises are as widespread or contribute as much to the burden of illness in the U.S. as do behavioral health disorders. By 2020, mental and substance use disorders will surpass all physical diseases worldwide as major causes of disability. Yet state and federal governments continue to make steep cuts to funding for public behavioral health services. We cannot afford to wait for the next national tragedy to recognize that behavioral health disorders are a public health crisis deserving of our nation's attention and support. Content Type Journal ArticlePages 1-2DOI 10.1007/s11414-011-9265-8Authors Linda Rosenberg, National Council for Community Behavioral Healthcare, Rockville, MD, USA ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5554085 Mon, 26 Dec 2011 16:46:54 +0100 5554085 http://www.medworm.com/index.php?rid=5489361&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft07622v8r35ptu53%2F Abstract  Reducing dependency on professionals and social integration has been a major goal of recovery-oriented mental health services. This cross-sectional study examined 531 male outpatients at three public mental health centers in Southern Connecticut. Hierarchical multiple regression analyses were conducted to answer: (1) Do clients who have more severe clinical problems rely more on professional support and mental health services, and rely less on natural supports? (2) Do clients who have greater natural supports rely less on professional support and mental health services? Results found clients with more severe clinical problems do not rely more on professional support and report less natural social support. Natural support was also found to be a complement, rather t... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5489361 Wed, 07 Dec 2011 10:52:13 +0100 5489361 http://www.medworm.com/index.php?rid=5412428&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F84v1j62336253316%2F Abstract  This paper examines racial and ethnic disparities in continuation of mental health services for children and youth in California and how English language proficiency moderates the effect of race/ethnicity on the continuation of service. While previous research indicated racial/ethnic or geographic disparities in accessing mental health services among children and youth, few studies specifically focused on the continuation of mental health care. The authors used administrative data from California county mental health services users under age 25. Applying logistic regression, English language proficiency was found to be the major determinant of continuation of mental health services in this age group. With the exception of children of Asian descent, non-English spe... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5412428 Fri, 11 Nov 2011 06:54:25 +0100 5412428 http://www.medworm.com/index.php?rid=5412427&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq5418u42605863h4%2F Abstract  In primary care (PC), patients with post-traumatic stress disorder (PTSD) are often undiagnosed. To determine variables associated with treatment, this cross-sectional study assessed 592 adult patients for PTSD. Electronic medical record (EMR) review of the prior 12 months assessed mental health (MH) diagnoses and MH treatments [selective serotonin reuptake inhibitor (SSRI) and/or ≥1 visit with MH professional]. Of 133 adults with PTSD, half (49%; 66/133) received an SSRI (18%), a visit with MH professional (14%), or both (17%). Of those treated, 88% (58/66) had an EMR MH diagnosis, the majority (71%; 47/66) depression and (18%; 12/66) PTSD. The odds of receiving MH treatment were increased 8.2 times (95% CI 3.1–21.5) for patients with an EMR MH diagnosis... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5412427 Fri, 11 Nov 2011 06:54:25 +0100 5412427 http://www.medworm.com/index.php?rid=5368158&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F130631424r65w781%2F This study consists of 744 families with an 11- to 12-year-old child recruited for a family-based substance use prevention program. Using US Census data, logistic regressions showed neighborhoods were related to recruitment, beyond individual characteristics. Greater neighborhood unemployment was related to decreased agreement to participate in the study and lower rates of high school graduation were related to lower levels of actual enrolment. Conversely, higher rates of single-female-headed households were related to increased agreement. Recruitment procedures may need to recognize the variety of barriers and enabling forces within the neighborhood in developing different strategies for the recruitment of youth and their families. Content Type Journal ArticlePages 1-16DOI 10.1... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5368158 Mon, 31 Oct 2011 17:02:10 +0100 5368158 http://www.medworm.com/index.php?rid=5368159&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq66h870744125166%2F Abstract  An outcomes management system (OMS) greatly facilitates an organization or state achieving requirements regarding accountability and use of empirically based interventions. A case example of the authors’ experience with a successful and enduring OMS is presented, followed by a review of the literature and a proposed model delineating the key components and benefits of an OMS. Building capacity to measure performance requires embedding utilization of youth-specific, clinically meaningful outcome data into the organization’s processes and structures. An OMS measures outcomes associated with services, facilitates implementation of evidence-based practices, informs case decision making, enables better and more efficient clinical management, and provides aggregated... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5368159 Fri, 28 Oct 2011 16:48:23 +0100 5368159 http://www.medworm.com/index.php?rid=5277181&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw51lg0r135gp7228%2F This study evaluated feasibility and impact of a CBT-based pain management program in three public primary care clinics for HIV patients. The program included a workbook and 12-weeks of group CBT sessions. HIV-positive patients with chronic moderate to severe pain were invited to participate in the program and were assessed at enrollment, 6, 12, and 24 weeks. Despite only moderate group attendance, program enrollment was associated with significant improvements in pain intensity, pain-related functioning, anxiety and acceptance, and mental health. At 24 weeks, effect sizes for pain outcomes were −0.83 for pain intensity and −0.43 for functioning. The pattern of change in outcomes was consistent with predictions based on cognitive-behavioral theory. Effects were observed... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5277181 Tue, 27 Sep 2011 05:55:00 +0100 5277181 http://www.medworm.com/index.php?rid=5253830&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F04p375mkv1431615%2F This study addresses this gap in knowledge by examining the employer-incurred costs of SBI in an employee assistance program (EAP) when delivered by counselors. Screening was self-administered as part of the intake paperwork, and the brief intervention (BI) was delivered during a regular counseling session. Training costs were 83 per counselor. The cost of a screen to the employer was0.64; most of this cost comprised the cost of the time the client spent completing the screen. The cost of a BI was $2.52. The cost of SBI is lower than cost estimates of SBI conducted in a health care setting. The low costs for the current study suggest that only modest gains in outcomes would likely be needed to justify delivering SBI in an EAP setting. Content Type Journal ArticlePages 1-13DOI 10.... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5253830 Thu, 22 Sep 2011 05:48:02 +0100 5253830 http://www.medworm.com/index.php?rid=5229424&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw43x3g6131q73105%2F Abstract  The Network for the Improvement of Addiction Treatment (NIATx) promotes treatment access and retention through a customer-focused quality improvement model. This paper explores the issue of the “business case” for quality improvement in addiction treatment from the provider’s perspective. The business case model developed in this paper is based on case examples of early NIATx participants coupled with a review of the literature. Process inefficiencies indicated by long waiting times, high no-show rates, and low continuation rates cause underutilization of capacity and prevent optimal financial performance. By adopting customer-focused practices aimed at removing barriers to treatment access and retention, providers may be able to improve financial performanc... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5229424 Thu, 15 Sep 2011 05:55:31 +0100 5229424 http://www.medworm.com/index.php?rid=5171826&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm3375636695q6362%2F Abstract  Individuals with histories of violence, abuse, and neglect from childhood onward make up the majority of clients served by public mental health and substance abuse service systems. The greater the trauma, the greater the risk for alcoholism and alcohol abuse, depression, illicit drug use, suicide attempts, and other negative outcomes. Clearly, we cannot begin to address the totality of an individual’s healthcare, or focus on promoting health and preventing disease, unless we address trauma. Trauma-informed care is now the expectation, not the exception, in behavioral health treatment systems. Content Type Journal ArticlePages 1-4DOI 10.1007/s11414-011-9256-9Authors Linda Rosenberg, National Council for Community Behavioral Healthcare, Washington, D.C., USA ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5171826 Sat, 27 Aug 2011 05:57:50 +0100 5171826 http://www.medworm.com/index.php?rid=5165336&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc3654365ur664729%2F The objective of this study was to determine associations between displayed depression symptoms on Facebook and self-reported depression symptoms using a clinical screen. Public Facebook profiles of undergraduates from two universities were examined for displayed depression references. Profiles were categorized as depression symptom displayers or non-displayers. Participants completed an online PHQ-9 depression scale. Analyses examined associations between PHQ-9 score and depression symptom displayers versus non-displayers. The mean PHQ-9 score for non-displayers was 4.7 (SD = 4.0), the mean PHQ-9 score for depression symptom displayers was 6.4 (SD = 5.1; p = 0.018). A trend approaching significance was noted that participants who scored into a depression category by their... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5165336 Wed, 24 Aug 2011 07:19:56 +0100 5165336 http://www.medworm.com/index.php?rid=5149858&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl3180145v21u2621%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11414-011-9257-8 Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5149858 Fri, 19 Aug 2011 06:41:49 +0100 5149858 http://www.medworm.com/index.php?rid=5149859&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff36k3071npul0277%2F Abstract  Patient satisfaction is increasingly becoming an important component of quality for behavioral health care systems. The following report describes Group Health Cooperative’s Behavioral Health Services department experiences over a 5-year period in moving from uncertainty about the value of patient satisfaction and the ability to positively impact patient ratings to achieving a significant improvement in patient ratings of satisfaction with mental health care. In this process, the Behavioral Health Department developed a deeper understanding of patient requirements and improvement strategies which could impact these requirements. A description of the results achieved along with the role of quality improvement processes in understanding and improving patient satis... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5149859 Wed, 17 Aug 2011 05:43:25 +0100 5149859 http://www.medworm.com/index.php?rid=5134535&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb52vu48502441272%2F Abstract  Subgroups among the uninsured and even the insured may be at increased risk for not receiving and utilizing effective clinical smoking cessation services. Data for this study came from 18 to 64 year old smokers in the 2005 National Health Interview Survey. Long-term uninsured (greater than or equal to one year) smokers were less likely to receive physician advice to quit than those continuously-insured in the past year. Being long-term and short-term uninsured (less than one year) was negatively associated with dependence treatments’ use in quit attempts compared to the continuously-insured, even though the prevalence of quit attempts were similar between these groups. Intermittent-uninsurance (spell of uninsurance in past year) did not influence cessation servi... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5134535 Sat, 13 Aug 2011 06:07:23 +0100 5134535 http://www.medworm.com/index.php?rid=5013256&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg14k3j88642v8t56%2F Abstract  Therapeutic communities (TCs) for substance abusers are oriented toward changing the entire person as a means for facilitating a drug-free future. This vision parallels ideas such as integrated care for the treatment of co-occurring substance abuse and psychiatric conditions. The extent to which integrated services are available in TCs has not been documented. Using data from a national sample of 345 TCs, this paper examines the availability of integrated care in TCs and the structural and cultural characteristics of TCs that offer integrated care. The results indicate that a substantial portion of TCs in this sample admit clients with co-occurring disorders (70.7%), and as many as half of the TCs offer integrated care. TCs that offer integrated care show increase... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5013256 Sat, 09 Jul 2011 06:19:55 +0100 5013256 http://www.medworm.com/index.php?rid=5013257&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv7313476p4747391%2F Abstract  Are longer stays in Veterans Health Administration (VHA) substance abuse residential rehabilitation treatment programs (SARRTPs) associated with better substance-related outcomes? To investigate, up to 50 new patients were randomly selected from each of 28 randomly selected programs (1,307 patients). The goal was to examine if patient and program average length of stay (ALOS) were associated with improvement on Addiction Severity Index (ASI) Alcohol and Drug composite scores in covariate-adjusted, multi-level regression models. Patients in programs with ALOS greater than 90 days tended to have more mental health treatment prior to the index episode and less severe substance-related symptoms, but more homelessness. At follow-up, programs longer than 90 da... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=5013257 Wed, 06 Jul 2011 05:58:52 +0100 5013257 http://www.medworm.com/index.php?rid=4948304&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F88262124080401qv%2F This study examines racial disparities in Child Protective Services (CPS) reporting at delivery in a county with universal screening for alcohol/drug use in prenatal care. It also explores two mechanisms through which universal screening could reduce reporting disparities: Equitable Surveillance and Effective Treatment. Equitable Surveillance is premised on the assumptions that identification of drug use through screening in prenatal care leads to CPS reporting at delivery and that Black women are screened more than White women, which leads to disproportionate reporting of Black newborns. Universal screening would correct this by ensuring that prenatal providers screen and therefore also report White women to CPS, thereby reducing disparities. Effective Treatment is premised on the id... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4948304 Fri, 17 Jun 2011 11:59:31 +0100 4948304 http://www.medworm.com/index.php?rid=4916484&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F336252217u75m758%2F Content Type Journal ArticlePages 1-5DOI 10.1007/s11414-011-9248-9Authors Linda Rosenberg, National Council for Community Behavioral Healthcare, Washington, USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4916484 Wed, 08 Jun 2011 05:47:43 +0100 4916484 http://www.medworm.com/index.php?rid=4916485&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmp80x66665081k3n%2F This study examines associations among counselors’ implementation of therapy sessions dedicated to smoking cessation, organizational factors, and counselor-level variables. A two-level hierarchical linear model including organization- and counselor-level variables was estimated using survey data collected from 1,794 counselors working in 359 treatment organizations. Overall implementation of smoking cessation counseling was low. In the final model, implementation was positively associated with counselors’ knowledge of the Public Health Service’s clinical practice guideline, perceived managerial support, and belief that smoking cessation had a positive impact on recovery. Private versus public funding and presence of a formal smoking cessation program were organization-level var... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4916485 Tue, 07 Jun 2011 05:49:21 +0100 4916485 http://www.medworm.com/index.php?rid=4916486&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F427p456821974064%2F Abstract  The goal of this study was to evaluate potential mental health benefits of yoga for adolescents in secondary school. Students were randomly assigned to either regular physical education classes or to 11 weeks of yoga sessions based upon the Yoga Ed program over a single semester. Students completed baseline and end-program self-report measures of mood, anxiety, perceived stress, resilience, and other mental health variables. Independent evaluation of individual outcome measures revealed that yoga participants showed statistically significant differences over time relative to controls on measures of anger control and fatigue/inertia. Most outcome measures exhibited a pattern of worsening in the control group over time, whereas changes in the yoga group over ti... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4916486 Tue, 07 Jun 2011 05:49:20 +0100 4916486 http://www.medworm.com/index.php?rid=4857417&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw3jp11975w587554%2F Abstract  The demographic landscape of the United States is changing as the general population ages and the size of racial/ethnic minority groups grows. Most prior studies on mental health service use among Asians in America have overlooked older adults. A deeper understanding of the way acculturation factors impact help-seeking behaviors among older Asian Americans will inform behavioral health practice and program planners as they address the disparities affecting a diverse racial group. The California Health Interview Survey was used to examine the correlates of perceived mental health need among 980 older Asian immigrants. The study found that English proficiency and other covariates affected how Asian Americans perceived mental health need. Implications for understandi... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4857417 Fri, 20 May 2011 05:59:32 +0100 4857417 http://www.medworm.com/index.php?rid=4849361&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr173pq2685656243%2F Abstract  How are characteristics of communities associated with the implementation of the principles of systems of care (SOC)? This study uses multilevel modeling with a stratified random sample (N = 225) of US counties to explore community-level predictors of the implementation factors of the System of Care Implementation Survey. A model composed of community-level social indicators fits well with 5 of 14 factors identified as relevant for effective SOCs. As hypothesized, community disadvantage was negatively and residential stability positively associated with the implementation of SOC principles. Designation as a mental health professional shortage area was positively related to some implementation scores, as was the percentage of minority residents, while rurality w... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4849361 Thu, 19 May 2011 05:49:15 +0100 4849361 http://www.medworm.com/index.php?rid=4849362&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fav88n73306757w13%2F Abstract  The children’s system of care framework has been extensively implemented in the U.S. Since its inception in 1993, the Comprehensive Community Mental Health Services for Children and Their Families Program has invested in excess of $1 billion supporting the development of systems of care in 164 grantee sites across the country. Despite these efforts to implement children’s systems of care nationally, little is known about the extent to which the principles and values actually have been put into practice outside of the funded grantee sites. This paper describes the development of the Systems of Care Implementation Survey, a measure designed specifically for the first ever study assessing the level of implementation of factors contributing to effective childr... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4849362 Tue, 17 May 2011 05:59:05 +0100 4849362 http://www.medworm.com/index.php?rid=4808630&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkl30008757352472%2F Abstract  A major impediment to obtaining national information on systems of care implementation has been the lack of a psychometrically sound large-scale survey instrument. The present study provided information on the factorial and concurrent validity of the Systems of Care Implementation Survey scales. Multilevel confirmatory factor analysis and multilevel regression analysis were used to test these indicators of internal and external validity. Two hundred twenty-five counties were randomly selected and stratified by population size and poverty level. Nine hundred ten informants responded to the survey questionnaire, M = 4.04 informants per county (SD = 3.17). Results indicated that all models had at least adequate fit to the data, with nine of the 14 factor model... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4808630 Wed, 04 May 2011 05:45:29 +0100 4808630 http://www.medworm.com/index.php?rid=4785061&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn32k775722240245%2F Abstract  Despite the high prevalence of substance use disorders (SUDs) in the U.S., many with a SUD go untreated and/or report lengthy delays to help-seeking initiation. From a public health standpoint, because SUDs often emerge in early adulthood, information on help-seeking behaviors among young adults is important. Using data from young adults ages 18–23 years with a history of a SUD (n = 672) in Miami-Dade County, Florida, this study estimates the prevalence of lifetime help-seeking initiation and examines factors related to help seeking and delays to help-seeking initiation. The majority (68%) of young adults with a history of a SUD reported never having sought help, and those who reported help seeking experienced relatively lengthy delays (1–7 years)... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4785061 Wed, 27 Apr 2011 05:47:17 +0100 4785061 http://www.medworm.com/index.php?rid=4785062&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fml5867r4r5008117%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11414-011-9238-yAuthors Robert M. Friedman, Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, University of South Florida, MHC 2335, Tampa, FL, USAKrista Kutash, Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, University of South Florida, MHC 2335, Tampa, FL, USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4785062 Wed, 27 Apr 2011 05:47:15 +0100 4785062 http://www.medworm.com/index.php?rid=4728560&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2p938364u7312383%2F Abstract  The results of a survey to measure the implementation of the systems of care (SOC) approach in a nationally representative sample of counties are presented. The results from 910 informants within 225 counties reveal a moderate level of implementation of SOC factors, with the level of poverty and population size influencing implementation. Furthermore, mental health informants generally tended to rate the implementation of systems of care greater than administrators associated with the school system, other family serving agency personnel or family members. Family members and school personnel tended to rate the implementation lowest, while staff from the other child serving agencies tended to rate the implementation closer to mental health administrators. A quarter ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4728560 Fri, 15 Apr 2011 05:48:39 +0100 4728560 http://www.medworm.com/index.php?rid=4728561&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg352655m48uq464m%2F Abstract  Research on treatment utilization among offenders with mental health problems and substance use problems, i.e. the ‘triply troubled’, is scarce. The aim was to contribute to the general knowledge about treatment patterns among the triply troubled. This register-based study explored treatment patterns during a 3-year follow-up among 157 Swedish offenders with substance use problems who had undergone forensic psychiatric assessment. There were three subgroups of treatment users: low treatment, planned substance abuse treatment and substance abuse emergency room visits, and planned psychiatric treatment. About 40% of the participants displayed a stable treatment pattern. Outcomes were less successful for those participants displaying a non-stable treatment patter... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4728561 Thu, 14 Apr 2011 05:51:17 +0100 4728561 http://www.medworm.com/index.php?rid=4706540&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0457325176g530m4%2F Abstract  High-risk offenders treated by California’s Proposition 36 court-supervised drug treatment initiative account for a disproportionate number of re-arrests (Hawken 2008) undermining the many successes of the program, yet little is known about their characteristics, treatment experiences, or factors that influence re-arrest. To better understand this group, self-reported and administrative data were analyzed on 78 high-risk (five or more convictions in the previous 5 years) and 1,009 low-risk offenders enrolled during 2004. At intake, high-risk offenders were younger, more were male, and more had prior contact with psychiatric and criminal justice systems. Treatment received and the proportion recidivated during the 30-months after treatment assessment were sim... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4706540 Sat, 09 Apr 2011 05:55:35 +0100 4706540 http://www.medworm.com/index.php?rid=4563031&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F43j23616622pn36x%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11414-011-9236-0Authors Linda Rosenberg, National Council for Community Behavioral Healthcare, Washington DC, USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4563031 Fri, 04 Mar 2011 10:59:33 +0100 4563031 http://www.medworm.com/index.php?rid=4440127&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1t41642r1v7283u6%2F This study examined the availability of child care in outpatient substance abuse treatment facilities and whether or not certain facility characteristics were associated with the availability of child care. Using data from the 2008 National Survey of Substance Abuse Treatment Services, 6.5% of outpatient substance abuse treatment facilities that served women provided child care. The results of multivariate logistic regression found that child care was more common among facilities that were located in metropolitan areas, were operated by non-profit or government agencies, received public funding, or provided free services or other ancillary services including case management, domestic violence counseling, and transportation assistance. Facilities that served only women had more than t... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4440127 Fri, 04 Feb 2011 09:24:49 +0100 4440127 http://www.medworm.com/index.php?rid=4440128&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F841747207x205ql3%2F This study uses data from the Health and Retirement Study to evaluate the relationship between depression at baseline and new onset of chronic illnesses including cancer, heart problems, arthritis, and diabetes. Analysis controlling for demographics (age, gender, race, education), health risk indicators (BMI and smoking), functional limitations (gross motor index, health limitations for work), and income show that working-age older people (ages 50–62) with depression at baseline are at significantly higher risk to develop diabetes, heart problems, and arthritis during the 12-year follow-up. No significant association was found between depression and cancer. Prevention efforts aimed at chronic illnesses among the elderly should recognize the mind–body interaction and focus on pre... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4440128 Fri, 04 Feb 2011 09:24:48 +0100 4440128 http://www.medworm.com/index.php?rid=4402511&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq62m677570v1h46h%2F Abstract  To explore whether the implementation of performance-based contracting (PBC) within the State of Maine’s substance abuse treatment system resulted in improved performance, one descriptive and two empirical analyses were conducted. The first analysis examined utilization and payment structure. The second study was designed to examine whether timeliness of access to outpatient (OP) and intensive outpatient (IOP) substance abuse assessments and treatment, measures that only became available after the implementation of PBC, differed between PBC and non-PBC agencies in the year following implementation of PBC. Using treatment admission records from the state treatment data system (N = 9,128), logistic regression models run using generalized equation estimation tec... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4402511 Thu, 20 Jan 2011 07:09:16 +0100 4402511 http://www.medworm.com/index.php?rid=4302653&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F841x0738727g7722%2F Abstract  Research on patient-centered care supports use of patient/consumer self-report measures in monitoring health outcomes. This study examined the incremental value of self-report mental health measures relative to a clinician-rated measure in predicting functional outcomes among mental health service recipients. Participants (n = 446) completed the Behavior and Symptom Identification Scale, the Brief Symptom Inventory, and the Veterans/Rand Short Form-36 at enrollment in the study (T1) and 3 months later (T2). Global Assessment of Functioning (GAF) ratings, mental health service utilization, and psychiatric diagnoses were obtained from administrative data files. Controlling for demographic and clinical variables, results indicated that improvement based on th... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4302653 Thu, 30 Dec 2010 06:52:02 +0100 4302653 http://www.medworm.com/index.php?rid=4291087&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu332017g4745317t%2F Content Type Journal ArticleDOI 10.1007/s11414-010-9232-9Authors Elizabeth L. Merrick, Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South St., Mailstop 035, Waltham, MA 02454, USAConstance M. Horgan, Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South St., Mailstop 035, Waltham, MA 02454, USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4291087 Fri, 24 Dec 2010 07:02:09 +0100 4291087 http://www.medworm.com/index.php?rid=4291086&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc41k50278713ut3u%2F This study uses a national sample of outpatient substance abuse treatment units surveyed in 2005 to examine associations between public managed care and service access, measured as both the types of services provided and the amount of treatment received by clients. The percentage of clients funded through public managed care versus other types of public funding was positively associated with treatment units’ odds of providing some types of resource-intensive services and with the odds of providing transportation to clients, but was negatively associated with the average number of individual therapy sessions clients received over the course of treatment. In general, public managed care does not appear to restrict access to outpatient substance abuse treatment, although states should... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4291086 Fri, 24 Dec 2010 07:02:09 +0100 4291086 http://www.medworm.com/index.php?rid=4269612&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq5663667067l2rh7%2F Content Type Journal ArticleDOI 10.1007/s11414-010-9233-8Authors Linda Rosenberg, National Council for Community Behavioral Healthcare, Washington, DC USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4269612 Thu, 16 Dec 2010 06:54:28 +0100 4269612 http://www.medworm.com/index.php?rid=4206706&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6277xn4732787xr4%2F Abstract  Computerized administration of mental health-related questionnaires has become relatively common, but little research has explored this mode of assessment in “real-world” settings. In the current study, 200 consumers at a community mental health center completed the BASIS-24 via handheld computer as well as paper and pen. Scores on the computerized BASIS-24 were compared with scores on the paper BASIS-24. Consumers also completed a questionnaire which assessed their level of satisfaction with the computerized BASIS-24. Results indicated that the BASIS-24 administered via handheld computer was highly correlated with pen and paper administration of the measure and was generally acceptable to consumers. Administration of the BASIS-24 via handheld computer may all... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4206706 Wed, 24 Nov 2010 20:22:33 +0100 4206706 http://www.medworm.com/index.php?rid=4206705&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe183n695357t6263%2F Abstract  In pursuit of quality care for drug abuse treatment programs, researchers continue to monitor program characteristics related to service provision. The current study examines 115 outpatient drug-free programs in four U.S. regions and documents typical methods of offering an array of services and the relationship between program characteristics and services offered onsite and by referral. Core services (e.g., comprehensive assessments) are offered primarily onsite, whereas delivery methods of wraparound services are mixed with transitional services offered generally onsite and medical services traditionally offered offsite. Accredited programs offered more core services onsite, while those providing case management offered more core and wraparound services onsite. ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4206705 Wed, 24 Nov 2010 20:22:33 +0100 4206705 http://www.medworm.com/index.php?rid=4187860&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa1790x731664646v%2F Abstract  The study investigated the behavioral health of a consecutive sample of 5,641 adult emergency department (ED) patients aged 19 through 60 presenting for medical care in a large, inner-city hospital ED. Twenty-three percent met the criteria for major depression; average mental health functioning, as measured by the mental health component of the SF-12, was half of a standard deviation lower than in the general population; 15% met the criteria for alcohol or drug abuse/dependence in the past year. Comorbidity was high. These behavioral health disorders may complicate treatment and diagnosis of the chief presenting complaint. These findings, coupled with the high rates of these disorders, suggest the importance of screening and either beginning appropriate treatment ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=4187860 Thu, 18 Nov 2010 07:57:43 +0100 4187860 http://www.medworm.com/index.php?rid=3979077&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdu4t01p5n8r71k37%2F Abstract  To investigate patterns of mental health services, psychotropic treatments, and psychiatric diagnoses received by youth diagnosed with bipolar disorder, insurance claims of 323 youth (ages 6–18 years) were examined from the 2000–2001 Thomson/Medstat-MarketScan(c) database. Longitudinal patterns are assessed 6 months prior and following a new treatment episode of bipolar disorder. Youth subgroups (i.e., continuous, intermittent, and discontinuous services), defined by persistence of claims associated with a bipolar diagnosis, are compared by demographic and clinical characteristics. Virtually all youth had high rates of mental health service use and treatment immediately following initial bipolar diagnosis, but only half continued to receive services ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3979077 Wed, 15 Sep 2010 05:50:13 +0100 3979077 http://www.medworm.com/index.php?rid=3949158&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Few3702k26394x0t2%2F Abstract  Many adolescents entering substance abuse treatment do not stay for the full course of prescribed treatment. There have been few explorations into what facilitates the ongoing participation of adolescents while in treatment. This paper describes adolescent, parent, and treatment staff perceptions of the barriers and facilitators to retention and participation. Interviews were conducted with 87 adolescents, parents, and staff from three residential substance abuse treatment agencies in two states. Data were coded thematically and organized into themes by respondent type. Respondents reported barriers related to treatment population, program design, and communication and relationships, and reported facilitators related only to communication and relationships. Staff ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3949158 Wed, 08 Sep 2010 12:21:22 +0100 3949158 http://www.medworm.com/index.php?rid=3866363&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flg177713um338765%2F Abstract  Chest pain is the most common medical complaint among cocaine-using emergency department (ED) patients. Correlates of substance abuse treatment seeking were examined using 3-month post-discharge surveys from 170 ED patients admitted with cocaine-related chest pain. Four treatment categories were specified as the dependent variable in an ordered logistic regression: no treatment (74.7%), informal treatment only (7.1%), formal treatment only (5.9%), and both formal and informal treatment (12.4%). The following variables were found to be positively associated with a higher treatment category: frequency of cocaine use (OR = 1.07, CI95 = 1.01–1.15, p = 0.03), global severity index (OR = 2.26, CI95 = 1.04–4.90, p = 0.04), number of endorsed st... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3866363 Wed, 11 Aug 2010 14:51:16 +0100 3866363 http://www.medworm.com/index.php?rid=3819374&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4m30w51k1381rg76%2F Abstract  With health care reform the law of the land, we must be ready to compete on a new playing field where increasing numbers of individuals will have healthcare insurance benefits. Our job is to ensure that their new benefits result in access to effective behavioral health services. The National Council for Community Behavioral Healthcare has led breathtaking initiatives to make access to care more timely, to create structures for collaborative care for shared patients, to enhance the knowledge, skills, and abilities of psychiatrists who are medical directors in community behavioral health centers, and to combat stigma, educate key audiences, and improve awareness of treatment options for individuals with mental illnesses. Content Type Journal ArticleDOI 10.1007/s... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3819374 Tue, 03 Aug 2010 15:00:54 +0100 3819374 http://www.medworm.com/index.php?rid=3819375&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk6j1066446174r41%2F Content Type Journal ArticleDOI 10.1007/s11414-010-9222-yAuthors Linda B. Cottler, Washington University School of Medicine Department of Psychiatry 40 N. Kingshighway, Suite 4 St. Louis MO 63108 USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3819375 Tue, 03 Aug 2010 15:00:53 +0100 3819375 http://www.medworm.com/index.php?rid=3700686&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F13g23576403x8682%2F Abstract  Despite treatment improvement and performance management imperatives, little research describes the data management capacity of substance abuse treatment programs, and useful metrics are not available to gauge capacity. This exploratory study evaluates clinical and administrative data management at eight substance abuse treatment programs in four US states to identify factors for developing an appropriate metric. Findings indicate that programs tend to manage data inefficiently and have few protocols guiding information management. Barriers to better data management included lack of integrated information technology (IT) systems; limited funding, time, and staff for developing and implementing IT-related changes; and divergent staff skills in and attitudes toward ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3700686 Wed, 23 Jun 2010 18:51:55 +0100 3700686 http://www.medworm.com/index.php?rid=3693603&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg2t2qvmj2v733172%2F This study used an expanded version of Andersen’s Behavioral Model of Health Services Use to evaluate factors associated with the use of different types of mental health services among a sample of predominantly African-American 16–24 year olds (n = 500) in an employment training program in Baltimore City. Results indicated that participants were more likely to have received mental health services in correctional facilities than in community- or school-based contexts. Use of mental health services in correctional facilities was significantly greater among males, those less than 18 years, and those who experienced more stressful events. Findings illustrate the need to develop seamless mental health services for vulnerable young adults in multiple contexts, including t... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3693603 Wed, 23 Jun 2010 08:23:08 +0100 3693603 http://www.medworm.com/index.php?rid=3650910&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9376503n66k67183%2F Abstract  Data from 18,437 children enrolled in the national evaluation of the Children’s Mental Health Initiative between 1994 and 2005 were used to examine the evolution of patterns of risk among boys and girls across funding phases using multigroup latent class analysis. Consistent with previous research, this study identified four subgroups of children with similar patterns of child risk. Membership to these risk subgroups varied as a function of age and was associated with differences in impairment levels. Changes in the distribution of boys and girls in the risk classes suggest that, over time, an increasing proportion of boys have entered the system of care program with complex histories of risk. Information on children’s exposure to child risk factors can aid po... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3650910 Mon, 07 Jun 2010 19:31:42 +0100 3650910 http://www.medworm.com/index.php?rid=3579912&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr6574k73t6j5234h%2F Abstract  While Medicare’s discriminatory copayments for mental and physical health care are being eliminated, much remains to be done to achieve true parity within Medicare. Medicare needs to recognize and pay for such critical mental health services as case management, psychiatric rehabilitation, and assertive community treatment. Medicare must cover payments for all behavioral health professionals. Also the 190-day lifetime limit on inpatient psychiatric hospital days under Medicare must be removed. We envision a time—in the not too distant future—when Medicare provides a mental health benefit that includes vital community services. Content Type Journal ArticleDOI 10.1007/s11414-010-9218-7Authors Linda Rosenberg, National Council for Community Behavioral Heal... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3579912 Tue, 18 May 2010 08:15:44 +0100 3579912 http://www.medworm.com/index.php?rid=3579913&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1357226705041g87%2F This study examined correlates of arrests among offenders with SMI, specifically the role of gender. County criminal justice records, as well as county and statewide social service archival databases, were used to identify jail inmates with SMI in a large urban county in Florida. Of the 3,769 inmates identified, 41% were female. This study identified three distinct classes of male and female offenders within which persons had similar trajectories of arrests over the 4-year study period representing those with minimal, low, and high arrest rates. Findings suggest some important differences between women and men in risk factors for re-arrests. Attention to these factors may improve the ability to prevent future recidivism among men and women with SMI. Content Type Journal ArticleD... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3579913 Tue, 18 May 2010 08:15:42 +0100 3579913 http://www.medworm.com/index.php?rid=3565598&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F574v75p054413671%2F This study evaluated whether results of smoking or alcohol screening were associated with hospitalizations for ACSCs. Participants included 33,273 male Veterans Affairs general medicine outpatients who returned mailed surveys. The main outcome was hospitalization with a primary discharge diagnosis for an ACSC in the year following screening. Analyses were adjusted for demographics, comorbidity, and other health behaviors. Current and previous smoking and abstaining from alcohol were associated with significantly increased risk of hospitalization for ACSCs, but alcohol misuse was not. However, severe alcohol misuse was associated with increased risk of hospitalizations with a primary or secondary ACSC discharge diagnosis. When ACSCs are used to evaluate the quality of care, health sys... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3565598 Thu, 13 May 2010 07:49:23 +0100 3565598 http://www.medworm.com/index.php?rid=3492696&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7337j533602n5281%2F Abstract  Utilizing lessons learned from development and implementation of “Project Liberty” in New York City, created in response to the attacks of September 11, 2001, this paper explores the importance of integrating structured mental health services with community-based social service programs offered in large-scale humanitarian relief responses. Relevant international research studies illustrating similar integrated programs are also reviewed. The primary approach is community-based and resilience-enhancement focused, offering structure, stability, support, and community cohesion, with an added integrated screening component to identify persons with severe treatable mental health conditions. Because there is thus far little evidence that resilience-enhancing program... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3492696 Tue, 20 Apr 2010 11:19:20 +0100 3492696 http://www.medworm.com/index.php?rid=3434399&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjl31405562378724%2F Abstract  People with serious mental illnesses are increasingly becoming more active participants in their treatment and recovery. At times, their participation may be limited by incomplete, unclear, or insufficient information. The authors used a grounded theory approach to look at the unmet informational needs described by consumers. Participants in this study called for materials appropriate to their level of understanding, assistance with interpreting and comprehending information when necessary, and information on policies that affect the treatment they receive. Ultimately, an informed consumer is one empowered to make decisions about the course of his or her recovery and participate meaningfully in the patient–provider relationship. Content Type Journal ArticleD... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3434399 Thu, 01 Apr 2010 07:52:10 +0100 3434399 http://www.medworm.com/index.php?rid=3406740&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2638450n74226202%2F Abstract  The development and implementation of provider performance and consumer outcome measures for behavioral health care have been growing over the last decade, presumably because they are useful tools for improving service quality. However, the extent to which providers have successfully used performance measurement results has not been adequately determined. To this end, two methods were used to better understand the use of data obtained from an annual survey of behavioral health care consumers: a cross-sectional survey of executive directors, clinical program directors, and quality improvement directors and follow-up interviews with a subsample of survey respondents. Results revealed information about the use of consumer survey data, factors that facilitate and hind... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3406740 Wed, 24 Mar 2010 05:46:49 +0100 3406740 http://www.medworm.com/index.php?rid=3368659&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff5152119712h8782%2F Content Type Journal ArticleDOI 10.1007/s11414-010-9212-0Authors Linda Rosenberg, National Council for Community Behavioral Healthcare 1701 K Street, NW, Suite 400 Washington DC 20006 USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3368659 Sun, 14 Mar 2010 12:25:58 +0100 3368659 http://www.medworm.com/index.php?rid=3329647&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa833k6626461686g%2F Abstract  The Federal Collaborative Initiative to Help End Chronic Homelessness funded 11 sites to expand permanent housing and offer supportive services to persons experiencing chronic homelessness and suffering from mental and substance use disorders. This study examines qualitative data on how the projects used US Department of Housing and Urban Development funding and three housing approaches (scattered units, congregate/clustered, or a combination) for rapid placement of clients. Each housing approach called for adaptations by the services teams and property personnel in order to support clients with independent living skills, prevent housing loss, and promote their overall health in line with Initiative goals. Property personnel reported taking on new roles with clien... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3329647 Tue, 02 Mar 2010 10:06:36 +0100 3329647 http://www.medworm.com/index.php?rid=3304878&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa84113kq2h3h8u07%2F Content Type Journal ArticleDOI 10.1007/s11414-009-9210-2Authors Sarah A. McGraw, Education Development Center, Inc. Center for Applied Ethics 55 Chapel Street Newton MA 02458 USAJames M. Herrell, SAMHSA (Retired) 1 Choke Cherry Road Rockville MD 20850 USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3304878 Tue, 23 Feb 2010 07:59:21 +0100 3304878 http://www.medworm.com/index.php?rid=3289855&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F077w7652x50822g5%2F Abstract  The present study examines the impact of child and family risk factors on service access for youth and families in a school-based system of care. Regression analyses examined the relationships between risk factors and services recommended, services received, and dosage of services received. Logistic regression analyses examined the relationship between risk factors and whether or not youth received specific types of services within the system of care. Results revealed that youth with a personal or family history of substance use had more services recommended than youth without these risk factors, while youth with a family history of substance use received more services. Youth with a history of substance use received a significantly higher dosage of services overal... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3289855 Thu, 18 Feb 2010 06:52:04 +0100 3289855 http://www.medworm.com/index.php?rid=3286165&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F204824mmt07867k0%2F Abstract  State mental health systems are actively seeking to disseminate empirically supported treatment approaches to improve the outcomes of adults with serious mental illnesses. However, many of these interventions have not been studied within public mental health settings. Cognitive behavioral therapy (CBT) has been shown to be effective for major depression in well-controlled trials, but its effectiveness in public mental health settings is less known. The present study examines the feasibility of dissemination of CBT in the Texas public mental health system. Seven clinicians were trained by a CBT expert and supervised for 5 months, during which time their skills approached competency levels of therapists in randomized controlled trials. Forty clients were treate... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3286165 Wed, 17 Feb 2010 07:03:53 +0100 3286165 http://www.medworm.com/index.php?rid=3242111&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkx27p4550pv00k3p%2F Abstract  The study examined the association between life events and mental health services use, accounting for social networks and social support. Main and stress-buffering effects were estimated using longitudinal data from the Baltimore Epidemiologic Catchment Area cohort (1,920 participants in 1993–1996, of whom 1,071 were re-interviewed in 2004–2005). Following a life event, the odds of using general medical services were increased by almost 50% when there was increased social support from spouse/partner (referral function). The odds of using mental health services within general health setup were reduced by 60% when there was increased support from relatives (stress-reduction function). Increased social support from friends and relatives was associated with a 40–... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3242111 Tue, 02 Feb 2010 07:00:12 +0100 3242111 http://www.medworm.com/index.php?rid=3242110&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4280l4t7363540x0%2F This study examines routine computerized mental health screening for adolescents scheduled for a routine physical examination in a group pediatric practice. Medical records of adolescents aged 13 to 17 who were offered screening (n = 483) were reviewed. Approximately 44.7% (95% confidence interval (CI) 40.3–49.2) were screened, and 13.9% (95% CI 9.3–18.5) were identified as being at risk. Screening was associated with significantly increased odds of receiving either pediatric mental health care or a referral for specialty mental health care (adjusted odds ratio (AOR): 2.6 95% CI 1.2–5.6). Among patients who received either mental health intervention, those who were screened were significantly more likely to be referred to specialty care (AOR: 15.9 95% CI 2.5–100.4), though... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3242110 Tue, 02 Feb 2010 07:00:12 +0100 3242110 http://www.medworm.com/index.php?rid=3162270&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg72q71231611pn57%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11414-009-9200-4Authors Whitney P. Witt, University of Wisconsin-Madison Department of Population Health Sciences, School of Medicine and Public Health 610 North Walnut Street, Office 503 Madison WI 53726 USAAbiola Keller, University of Wisconsin-Madison Department of Population Health Sciences, School of Medicine and Public Health 610 Walnut Street, Office 636 Madison WI 53726 USACarissa Gottlieb, University of Wisconsin-Madison Department of Population Health Sciences, School of Medicine and Public Health 610 Walnut Street, Office 660 Madison WI 53726 USAKristin Litzelman, University of Wisconsin-Madison Department of Population Health Sciences, School of Medicine and Public Health 610 Walnut Street Madison WI 53726 USAJohn Ham... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3162270 Thu, 07 Jan 2010 15:58:47 +0100 3162270 http://www.medworm.com/index.php?rid=3155161&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1438u07716266850%2F Abstract  Hiring and retaining appropriate staff is essential for programs serving those who have experienced chronic homelessness. This paper describes specific staffing challenges and strategies from the Collaborative Initiative to Help End Chronic Homelessness (CICH), an 11-site, multi-agency Federal program designed to serve people experiencing chronic homelessness who also have a disabling condition such as substance use or mental health problems. This paper addresses approaches to staffing including team structures, staff supervision, and training. Challenges identified include low pay, high rates of burnout and turnover, limited time for supervision, and multiple staff training needs. This paper also explores specific staffing strategies based on the experience of th... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3155161 Wed, 06 Jan 2010 06:55:30 +0100 3155161 http://www.medworm.com/index.php?rid=3155163&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgg2ruj4332463423%2F This study examined the main and differential effects of depression care management on outpatient utilization and work costs over 24 months in a preplanned secondary analysis of 479 depressed patients from rural and urban primary care practices in a randomized controlled trial. Over 24 months, the intervention did not significantly reduce outpatient utilization costs in the entire cohort (−191, 95 confidence interval (CI)?=?-2,083 to 1,647), but it did decrease work costs (-1,970, 95% CI = −3,934 to -92). While not statistically significant, rural–urban differences in work costs were in the same direction, while rural–urban differences in utilization costs differed in direction. These findings provide preliminary evidence that employers who elect to cover depres... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3155163 Wed, 06 Jan 2010 06:55:29 +0100 3155163 http://www.medworm.com/index.php?rid=3155162&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq130630pp4333440%2F Abstract  Social integration involves a process through which an individual establishes and maintains meaningful interpersonal relationships characterized by mutual exchange with community members in nonclinical settings. Using self-report data from a probability sample (n = 252) of supportive independent housing residents, transactional (i.e., support exchanges) characteristics of social networks, paying particular attention to reciprocation of exchanges between residents and their network members, were analyzed. The study also examined the extent to which transactional characteristics are related to satisfaction with social relations. Findings indicated considerable reciprocity in social relationships. Controlling for sociodemographic variables and network structure c... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3155162 Wed, 06 Jan 2010 06:55:29 +0100 3155162 http://www.medworm.com/index.php?rid=3098824&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffr042778j3255134%2F Abstract  There are enormous concerns regarding the recruitment, retention, training, and performance of the behavioral health workforce. Paramount among these concerns is turnover, which causes disruption in continuity of care, diminishes access to care while a position remains vacant, and poses financial hardship on the provider organization through costs related to recruitment, orientation, and training of a new hire. There is frequent mention of burnout within the literature and among behavioral health managers as a potential cause of turnover. However, there is no recent or comprehensive review of burnout that examines the evidence surrounding its validity, utility, and potential relationship to turnover. The purpose of this paper is to provide such a review by examinin... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3098824 Tue, 15 Dec 2009 07:12:05 +0100 3098824 http://www.medworm.com/index.php?rid=3054897&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F51j24274rl381334%2F This study examined factors associated with turnover among supervisors in outpatient substance abuse treatment. Turnover was conceptualized as being an individual response to organizational-level influences, and predictors represent aggregate program measures. Participants included 532 staff (including 467 counselors and 65 clinical/program directors) from 90 programs in four regions of the USA. Using logistic regression, analyses of structural factors indicated that programs affiliated with a parent organization and those providing more counseling hours to clients had higher turnover rates. When measures of job attitudes were included, only parent affiliation and collective appraisal of satisfaction were related to turnover. Subsequent analyses identified a trend toward increased su... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3054897 Tue, 01 Dec 2009 08:41:58 +0100 3054897 http://www.medworm.com/index.php?rid=3042643&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw512373302163084%2F Abstract  The private psychiatric hospital market has exhibited great volatility over time. From 1976 to 1992, the number of hospitals more than doubled, while in the decade following, the number of facilities dropped by half. Recently, however, the industry has begun to grow again. The evolution of this market reflects the response of a private industry with access to capital markets to changes in both the supply of substitutes and the demand for services. Most recently, the limited supply of facilities and expanded demand for psychiatric services have spurred renewed growth. The two leading firms today, Universal Health Services, Inc., which rode the market crest and downturn since the 1980s, and Psychiatric Solutions, Inc., a newer entrant, have employed different strate... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3042643 Thu, 26 Nov 2009 08:14:52 +0100 3042643 http://www.medworm.com/index.php?rid=2983576&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fym1636127320mp44%2F Content Type Journal ArticleDOI 10.1007/s11414-009-9195-xAuthors Linda Rosenberg, National Council for Community Behavioral Healthcare 1701 K Street NW, Suite 400 Washington D.C. 20006-1526 USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2983576 Tue, 10 Nov 2009 07:38:47 +0100 2983576 http://www.medworm.com/index.php?rid=2965741&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8822494l82503132%2F Abstract  Recent changes in legislation regarding mental health parity in Medicare will revolutionize payment for mental health care and delivery systems. This commentary discusses why this policy change was essential to promote adequate care for populations served by Medicare and to address expected changes in beneficiary, provider, and plan behavior as more equitable payments by Medicare are implemented. Content Type Journal ArticleDOI 10.1007/s11414-009-9197-8Authors Laysha Ostrow, Human Services Research Institute 2336 Massachusetts Avenue Cambridge MA 02140 USARonald Manderscheid, Global Health Sector, SRA International Mental Health and Substance Abuse Programs 6003 Executive Boulevard, Suite 400 Rockville MD 20852 USA Journal The Journal of Behavioral Health... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2965741 Wed, 04 Nov 2009 07:06:05 +0100 2965741 http://www.medworm.com/index.php?rid=2941796&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmv404vw443784684%2F Abstract  Risk adjustment for mental health care is important for making meaningful comparisons of provider, program, and system performance. The purpose of this study was to compare the predictive value of three diagnosis-based risk-adjustment models for predicting self-reported mental health outcomes. Baseline and 3-month follow-up mental health assessments were obtained on 1,023 veterans in Veterans Health Administration mental health programs between 2004 and 2006. Least-squares regression models predicting mental health outcomes used the Behavior and Symptom Identification Scale-24, Veterans RAND-36, and Brief Symptom Inventory. Sequential models began with sociodemographics, added baseline self-reported mental health, and compared three psychiatric case mix schemes: t... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2941796 Wed, 28 Oct 2009 07:19:00 +0100 2941796 http://www.medworm.com/index.php?rid=2907328&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy67327t6t6666n22%2F Abstract  Maternal depression is often untreated, resulting in serious consequences for mothers and their children. Factors associated with receipt of adequate treatment for depression were examined in a population-based sample of 2,130 mothers in the USA with depression using data from the 1996–2005 Medical Expenditure Panel Survey. Chi-squared analyses were used to evaluate differences in sociodemographic and health characteristics by maternal depression treatment status (none, some, and adequate). Multivariate regression was used to model the odds of receiving some or adequate treatment, compared to none. Results indicated that only 34.8% of mothers in the USA with depression received adequate treatment. Mothers not in the paid workforce and those with health insurance... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2907328 Sat, 17 Oct 2009 11:08:23 +0100 2907328 http://www.medworm.com/index.php?rid=2856927&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F068krl3504683043%2F Abstract  Mental health courts developed in the USA in the late 1990s as one means to reduce the involvement of people with mental illness in the criminal justice system. In response to the growth in number of mental health courts, the Council of State Governments led an initiative to identify essential elements of mental health courts to guide their development and implementation. This paper applies these essential elements to a municipal mental health court in a multijurisdictional, suburban county. While this court met most essential elements, they faced a number of challenges. The primary ones included not being able to advance from hearing municipal cases only to state misdemeanor and felonies, not having the resources to expand program capacity for municipal cases, an... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2856927 Thu, 01 Oct 2009 05:52:11 +0100 2856927 http://www.medworm.com/index.php?rid=2817561&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl6v7022rp019h342%2F Abstract  Co-occurring mental health and substance use disorders are highly prevalent among individuals experiencing long-term homelessness. This paper describes strategies used by 11 projects funded by the Federal Collaborative Initiative to Help End Chronic Homelessness (CICH) to serve individuals with co-occurring disorders (COD) as they transition from homelessness to permanent-supported housing. Findings are based on the observations of clients, program team members, and administrators. This paper presents findings organized around three themes: characteristics and needs of CICH clients with COD, strategies employed to respond to those needs, and challenges associated with implementing an integrated approach to COD. Client characteristics include histories of untreated... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2817561 Sat, 19 Sep 2009 05:52:56 +0100 2817561 http://www.medworm.com/index.php?rid=2817562&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc550m20v26p45468%2F This study investigated the relationship between presenting complaints and prior mental health encounters in youth seen for emergency psychiatric consultation. Records of youths aged 9–17 years old receiving a psychiatric consultation in a pediatric emergency department from 2002 to 2007 were examined (N = 1,900). Youth were classified by presenting complaint: suicide attempt, suicidal ideation, and behavioral problems. Nearly half of the youth presented with behavior problems, and 39% presented with suicidal ideation and/or attempt. Those presenting with both suicide attempt and behavior problems were most likely to have made a prior suicide attempt. Those presenting with suicide attempt alone were least likely to report current mental health treatment, while youth present... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2817562 Sat, 19 Sep 2009 05:52:55 +0100 2817562 http://www.medworm.com/index.php?rid=2811365&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F472457q5r3857621%2F Abstract  The purpose of this study was to explore the structure, process, and outcomes of emergency department (ED) psychiatric services that are available to children who present with behavioral health problems. The author designed and employed a 33-item survey for data collection. All nonfederal EDs in one southeastern state (N = 68) were solicited to participate. Descriptive analyses including ANOVAs, t tests, and chi-squares summarized sample characteristics and group differences by ED pediatric psychiatric service (EDPPS) arrangement. Thirty-four hospitals participated, sharing similar organizational characteristics with nonresponders except that participating hospitals were significantly more likely to have inpatient psychiatric services. The survey successfully c... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2811365 Tue, 15 Sep 2009 21:54:27 +0100 2811365 http://www.medworm.com/index.php?rid=2811366&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk184112515486u07%2F Abstract  This paper reports on the frequency and distribution of seclusion or restraint (SR) episodes among 1,266 adult inpatients at a state psychiatric hospital during the 2004 calendar year. Data on the concentration of SR episodes over patients and time can assist in planning alternative, recovery-oriented treatment models. Fifteen percent (N = 194) of patients experienced seclusion or restraint. Sixty-three percent of all seclusion hours were concentrated among only ten patients. Likewise, the ten patients with the most restraint hours constituted nearly 65% of total restraint hours for the year and 48% of all restraint episodes. Variables accessible through administrative data accounted for modest seclusion and restraint variance. A comprehensive strategy to preve... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2811366 Tue, 15 Sep 2009 21:54:25 +0100 2811366 http://www.medworm.com/index.php?rid=2767846&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F048m75vtu5r2h138%2F This study uses “trajectory analysis,” a methodology widely employed by criminologists exploring patterns of desistence in offending, to examine patterns of criminal justice involvement in a cohort of mental health service recipients. Data for this study are from a statewide cohort of individuals who received services from the Massachusetts Department of Mental Health in 1991 (N = 13,876) and whose arrests were followed for roughly 10 years. Zero-inflated Poisson trajectory analysis applied to cohort members having two or more arrests identified five trajectories with widely varying arrest patterns. Analysis of differences in the composition of the five trajectory-based groups revealed few between-group differences in members' demographic and service use characteristics,... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2767846 Thu, 03 Sep 2009 06:35:56 +0100 2767846 http://www.medworm.com/index.php?rid=2718365&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwr01651234361405%2F Content Type Journal ArticleDOI 10.1007/s11414-009-9187-x Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2718365 Tue, 18 Aug 2009 08:32:59 +0100 2718365 http://www.medworm.com/index.php?rid=2732609&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd272h72r2kq55v61%2F This study describes patterns of youth functioning at intake and 6 months into services in systems of care and change in functioning profiles. Participants included 2,826 males and 1,335 females aged 5 to 18 at intake. Functional impairment was assessed at intake and 6 months. Latent class analysis was used to classify youth based on their functional impairment profiles, and latent class transition analysis was used to examine the conditional probabilities of transitions in class membership between intake and 6 months. Males and females enter services with distinct patterns of functional impairment. The majority of youth remained in their respective profiles. Transitions tended to be from a higher to a lower impairment class. Importantly, a small group of males and fem... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2732609 Tue, 18 Aug 2009 08:32:57 +0100 2732609 http://www.medworm.com/index.php?rid=2718366&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvk76k662p6664wg9%2F This study examined primary data collected on 1,453 offenders by 30 programs during 2004 to explore the characteristics, employment services utilization, and outcomes of those who did and did not receive employment services while in drug treatment. One-year outcomes were mostly similar across groups, however, increases in the proportion of offenders employed, receiving income from employment and family or friends, and being paid for work were significantly greater among the received-employment-services group, and a greater proportion of this group also completed drug treatment. Employment services utilization was less likely for persons recruited from outpatient settings and more likely with greater severity of family/social problems and desire for services. Odds of employment one-ye... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2718366 Tue, 18 Aug 2009 08:32:54 +0100 2718366 http://www.medworm.com/index.php?rid=2683297&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F521012814234h347%2F This study examined the association of maternal mental health status and pediatric health care for their children in a nationally representative sample of 17,830 women parenting children ages 0–17 insured through Medicaid or a State Children’s Health Insurance Program (SCHIP). Mothers with a mental health problem were significantly more likely to be poorer, single parents, with lower levels of education, fewer parenting supports, and greater difficulty coping with parenting than mothers without a mental health problem; however, they reported comparable receipt of pediatric health care for their children, indicating their resilience as caretakers. The findings also suggest that all Medicaid- or SCHIP-eligible families could benefit from targeted engagement strategies linking them ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2683297 Fri, 07 Aug 2009 13:24:33 +0100 2683297 http://www.medworm.com/index.php?rid=2680510&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F62774014405wkh23%2F Abstract  This paper presents a first look at network and survey data collected to ascertain the salience and value-added of technology transfer networks in reducing the science-to-service gap in behavioral healthcare services. The National Child Traumatic Stress Network served as the case setting upon which administrative and survey data were analyzed. Results show a rich set of formal relationships within the National Child Traumatic Stress Network and suggest participants found these relationships and this medium useful in altering their day-to-day practices and increasing their professional knowledge. The implications of these findings are that technology transfer networks are useful mechanisms worthy of investment of scarce resources. Content Type Journal ArticleDOI ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2680510 Wed, 05 Aug 2009 10:10:46 +0100 2680510 http://www.medworm.com/index.php?rid=2661784&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj82228427tng7740%2F Abstract  The Collaborative Initiative to Help End Chronic Homelessness (CICH) was established to provide housing and supportive services for individuals experiencing chronic homelessness. As part of this initiative, 11 projects across the country received funding to apply models of best practices to support their clients in housing. This paper reports on the experiences of the CICH projects in their use of Assertive Community Treatment (ACT) and Motivational Interviewing (MI), clinical practice models commonly used by CICH projects. A qualitative analysis identified five areas of challenge for the projects: (1) Incomplete and underdeveloped staff teams; (2) Incomplete understanding of the practice models; (3) Using the elements of the practice models; (4) Interagency teami... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2661784 Fri, 31 Jul 2009 06:56:24 +0100 2661784 http://www.medworm.com/index.php?rid=2661785&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj73098408405621v%2F The objective of this cohort study is to describe the service utilization by clients of homeless resources in Quebec and Montreal (Canada) over a 5-year period. Participants (N = 426) were recruited from a survey conducted in 1999 about clients’ utilization of resources intended for homeless people in Montreal and Quebec. Data analyzed in this study were also drawn from three administrative databanks managed by the Quebec health care system. Results revealed that: (1) in general, mental health services are less used than physical health services; (2) generally, women, older persons, nonhomeless persons, and persons with mental health problems utilized proportionately more health services; and (3) participants involved in this study tend to continue using services over years in a... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2661785 Thu, 30 Jul 2009 07:58:42 +0100 2661785 http://www.medworm.com/index.php?rid=2643667&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw82547210426kj64%2F Content Type Journal ArticleDOI 10.1007/s11414-009-9182-2Authors Linda Rosenberg, 1701 K Street, Suite 400 Washington DC NW USA 20006 Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2643667 Sat, 25 Jul 2009 08:48:18 +0100 2643667 http://www.medworm.com/index.php?rid=2430685&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp49j30ju36300166%2F Abstract  The development of a detailed model of substance-abuse treatment (SAT) staff performance is described. The model describes the key behaviors of SAT staff. Specifically, researchers used the critical incident technique to develop the model, which includes a total of 15 dimensions, nested under four meta-dimensions: providing clinical services, employee citizenship behaviors, providing clinical support, and managerial behavior. Development and validation of a measure based on the model are also described. More than 600 SAT staff members in 51 SAT agencies completed the new measure. Factor analyses supported the measure’s hypothesized dimensional structure; high internal consistency reliabilities were observed for all scales; and interrater agreement metrics indica... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2430685 Fri, 22 May 2009 05:49:40 +0100 2430685 http://www.medworm.com/index.php?rid=2430686&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff721g56330453457%2F This study examines correlates of delinquent offending among 2,554 youths presenting to community-based treatment in Center for Mental Health Services-funded systems of care. Variables in five key domains, including demographics, family risk, child clinical risk, school, and service system involvement, were examined in relation to severity of offending at treatment entry for early/middle (11–15 years) versus late (16–18 years) adolescents. Significant correlates of offending severity were identified in all domains except family risk for the 11 to 15 year olds and in demographics and child clinical risk for the 16 to 18 year olds. Service system involvement was a unique correlate of delinquency in the younger group. Findings add to other studies showing that co... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2430686 Fri, 22 May 2009 05:49:39 +0100 2430686 http://www.medworm.com/index.php?rid=2367995&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbg8r0p15n7886v93%2F Content Type Journal ArticleCategory CommentaryDOI 10.1007/s11414-009-9178-yAuthors Linda Rosenberg, National Council for Community Behavioral Healthcare Washington, DC USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2367995 Fri, 24 Apr 2009 07:15:49 +0100 2367995 http://www.medworm.com/index.php?rid=2358345&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb8572507082m4276%2F This study sought to estimate nationwide and regional incidence and costs of hospitalizations for illicit drug users with SSTIs in the US. AHRQ’s Nationwide Inpatient Sample was used to conduct a retrospective cross-sectional, time-series study. Hospitalizations of illicit drug users with SSTIs were identified using International Classification of Diseases, 9th Revision Clinical Modification codes. An estimated 106,126 hospitalizations for illicit drug users with SSTIs represented 0.07% of all US non-Federal hospitalizations from 1998 to 2001 and cost over 193 million dollars in 2001. Higher rates of hospitalization were found in the West, Northeast, and urban teaching hospitals. Hospitalization rates for illicit drug users with SSTIs vary significantly according to US region. Res... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2358345 Tue, 21 Apr 2009 11:25:00 +0100 2358345 http://www.medworm.com/index.php?rid=2336655&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F87520r8500695668%2F Abstract  Collaborative Initiative to Help End Chronic Homelessness clients (N = 734) were enrolled into an evaluation wherein assessments at program entry and quarterly thereafter addressed sociodemographic characteristics, health status, and a wide range of service use and outcomes data. Mixed linear regression analysis was used to test for significant changes over time. The average number of days housed during the previous 3 months increased dramatically from 18 at baseline to 83 by year’s end. Significant improvements of more modest magnitude were also observed in overall quality of life, mental health functioning, and reduced psychological distress. Alcohol and drug problems remained largely unchanged over time, among clients overall. However, among baseline ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2336655 Tue, 07 Apr 2009 05:40:10 +0100 2336655 http://www.medworm.com/index.php?rid=2316200&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv56k1262536l2ktq%2F Abstract  This paper reviews current models, research, and approaches to improving care on the primary care/behavioral health interface in the USA. We focus on care in the public sector where high rates of comorbidity, regulatory burdens, and lack of resources create particular challenges to collaboration and coordination. To achieve the goals of improved coordination and collaboration, it will be critical to address key financing, workforce, information technology, performance assessment, and research issues. It will also be critical to engage multiple stakeholders including consumers, mental health and health providers, and policymakers and public sector funders. Content Type Journal ArticleDOI 10.1007/s11414-009-9176-0Authors Barbara J. Mauer, MCPP Healthcare Consult... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2316200 Thu, 02 Apr 2009 06:01:40 +0100 2316200 http://www.medworm.com/index.php?rid=2316202&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc353710w41151820%2F This article provides background on chronic homelessness, describes the federal collaboration to comprehensively address chronic homelessness, and introduces the seven articles in this special issue that describe the findings and lessons learned from the participating communities in addressing chronic homelessness. Collectively, these articles offer insight into the challenges and benefits of providing housing and services to individuals experiencing chronic homelessness. Content Type Journal ArticleDOI 10.1007/s11414-009-9175-1Authors Lawrence D. Rickards, 1710 Hobart Street, NW Washington, DC 20009 USASarah A. McGraw, New England Research Institutes Center for Qualitative Research 9 Galen Street Watertown MA 02472 USALynnette Araki, US Department of Health and Human Services Off... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2316202 Wed, 01 Apr 2009 06:08:20 +0100 2316202 http://www.medworm.com/index.php?rid=2316205&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3h8w1ll71h555526%2F Abstract  To assess mental health status among Latinos, culturally and linguistically appropriate instruments are needed. The purpose of this study was to assess psychometric properties and sensitivity of the Spanish revised Behavior and Symptom Identification Scale (BASIS-24©), a self-report mental health assessment instrument first developed and validated in English. The Spanish translation was field tested among Spanish-speaking recipients of inpatient (N = 283) or outpatient (N = 311) mental health services in Massachusetts, Puerto Rico, and California. BASIS-24© was completed within 72 h of admission and up to 48 h before discharge (for inpatients) or at intake and 30–60 days later for outpatients. Confirmatory factor analysis indicated adequa... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2316205 Sat, 28 Mar 2009 09:09:07 +0100 2316205 http://www.medworm.com/index.php?rid=2291251&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F957286802p28j583%2F Abstract  To examine the influence of top managers’ characteristics on the adoption of buprenorphine for opioid dependence among U.S. outpatient substance abuse treatment units, this investigation analyzed a cross-sectional national study of 547 such units in the 2004–2005 wave of the Drug Abuse Treatment System Survey. Administrators reported their demographics, training, and treatment orientation, as well as features of the unit and its pattern of use of buprenorphine. Nationally, 15.8% of programs offered any buprenorphine services. Greater adoption of buprenorphine correlated with directors’ younger age, longer tenure, male gender, and weaker endorsement of abstinence as the most important treatment goal. Availability of naltrexone and medical services also correl... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2291251 Fri, 20 Mar 2009 10:27:07 +0100 2291251 http://www.medworm.com/index.php?rid=2279942&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff301102210kr0341%2F This study examines the implementation of a district-wide suicide prevention program through key informant interviews with school personnel. Schools with higher rates of implementing district protocols for at-risk students had an organized system to respond to at-risk students, a process for effectively responding to students who were at-risk for suicide, and strong administrative support. In contrast, schools that had lower rates of implementing district protocols relied on a handful of individuals for suicide prevention activities and had limited administrative support. Attention to organizational factors leading to successful implementation of school-based suicide prevention programs may enhance the role of schools in national adolescent suicide prevention efforts. Content Type... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2279942 Tue, 17 Mar 2009 06:59:51 +0100 2279942 http://www.medworm.com/index.php?rid=2265849&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0g3g33482guu4r6w%2F Abstract  The already frayed mental health and addictions safety net is in danger of collapse as demand for behavioral health services reaches an all-time high. The backdrop to our field’s everyday struggles is health care reform. The details and implications of health care reform for the mental health and addictions community remain uncertain. What is certain is that we must build upon our 2008 legislative successes. While health care reform evolves, the National Council is focused on moving a practical actionable 2009 agenda that includes single points of accountability for continuity of care for people with serious mental illnesses and addictions, cost-based-plus financing that supports clinical excellence, a federal mental health funding stream dedicated to mental hea... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2265849 Thu, 12 Mar 2009 10:06:58 +0100 2265849 http://www.medworm.com/index.php?rid=2265850&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07p6005h36300311%2F Abstract  The present study examined youth characteristics that predict level of impairment at entry into a system of care and rate of improvement over the course of service provision. Youth characteristics studied included gender, age, specific diagnostic categories, and comorbidity. A total of 2,171 youth served in a state-wide public mental health system were included in the study. Hierarchical linear modeling was used to analyze longitudinal data derived from quarterly ratings of functional status. Gender had no relationship to initial level of impairment or rate of improvement. Older youth, those with disruptive behavior disorders, and those with more than one DSM diagnosis were more impaired at system entry. Those with attentional disorders began services less impaire... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2265850 Wed, 11 Mar 2009 11:17:45 +0100 2265850 http://www.medworm.com/index.php?rid=2233778&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F55274767u7234x0q%2F Abstract  Overall, women are more likely than men to seek professional care when they face light or moderate mental health problems. This difference is usually attributed to culture-related factors, but neither women nor men form a homogeneous cultural group. The help-seeking behavior may reflect not only the cultural values and expectations associated with a specific gender but also those associated with specific social roles endorsed by women and men. In addition, the influence of these culture-related factors on the help-seeking behavior is constrained by barriers to care, which apply similarly to women and men. In consequence, the gender difference in the use of mental health services should vary across social roles and types of service. This hypothesis was tested on da... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2233778 Sat, 28 Feb 2009 16:28:32 +0100 2233778 http://www.medworm.com/index.php?rid=2191002&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq5880l7m57100wjv%2F This study examined differences in past year outpatient, school-based, day treatment and residential/inpatient service utilization among African American and Caucasian youth (n = 3,649) entering a federally funded system of care program. Random effect logistic regression models were implemented to examine the relationship between race and past year service utilization. Analyses revealed that African American youth were less likely than Caucasian youth to have utilized school-based and residential/inpatient mental health services in the past year. Findings suggest that racial disparities exist in service use for certain types of service sectors and highlight the importance of understanding and identifying individual, family, and community factors that contribute to disparities in s... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2191002 Sat, 14 Feb 2009 08:02:37 +0100 2191002 http://www.medworm.com/index.php?rid=2149744&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkm54614m1416105k%2F This study examines system changes associated with the implementation of the Collaborative Initiative to Help End Chronic Homelessness, an 11-site multi-agency intervention for chronically homeless adults. Data obtained from key informants on community-level interventions and interorganizational relationships were gathered from an average of 6.6 agencies at each site in four yearly waves. Hierarchical linear modeling was used to examine time trends and bivariate relationships between measures. There were significant increases over the full study period in the use of practices designed to encourage system integration, as well as in interorganizational measures of joint planning and coordination, and of trust and respect, although in later waves of the study these measures leveled off.... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2149744 Fri, 30 Jan 2009 09:26:35 +0100 2149744 http://www.medworm.com/index.php?rid=2104768&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft01r64311032p245%2F Content Type Journal ArticleCategory TributeDOI 10.1007/s11414-008-9165-8 Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2104768 Tue, 13 Jan 2009 08:41:02 +0100 2104768 http://www.medworm.com/index.php?rid=2095029&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft478014122m4q787%2F Abstract  One of the most persistent questions plaguing researchers and service providers is how to best estimate the extent of targeted behaviors in relevant populations. One problem of particular importance is the prevalence of drug use in justice-involved populations. Data have been collected through such methods as self-report and analysis of biological specimens, although both have notable limitations when used alone. As a means of drawing on the strengths of both methods, such data can be used in a confirmatory manner or, alternatively, may be summed to estimate prevalence. However, this latter approach is not without difficulty as different sources lack substantial agreement. The focus of this study is to employ a methodology that utilizes multiple data sources and a... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2095029 Thu, 08 Jan 2009 08:58:15 +0100 2095029 http://www.medworm.com/index.php?rid=2065509&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F06012652527rr431%2F This study examined treatment entry procedures for specialty behavioral health care in private health plans and their relationship with behavioral health contracting arrangements, focusing primarily on initial entry into outpatient treatment. The data source was a nationally representative health plan survey on behavioral health services in 2003 (N = 368 plans with 767 managed care products; 83% response rate). Most health plan products initially authorized six or more outpatient visits if authorization was required, did not routinely conduct telephonic clinical assessment, had standards for timely access, and monitored wait time. Products with carve-outs differed on several treatment entry dimensions. Findings suggest that health plans focus on timely access and typically do not... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2065509 Tue, 23 Dec 2008 08:10:12 +0100 2065509 http://www.medworm.com/index.php?rid=2053124&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5x23446778740783%2F This study assessed factors associated with extended length of stay (ELOS) for patients presenting to a psychiatric emergency service (PES). Two hundred six subjects with a length of stay of 24 h or longer were compared with time-matched controls (patients that presented directly after the ELOS patient). Binary logistic regression was used to identify risk factors for ELOS. ELOS was associated with suicidal ideation, disposition to an inpatient unit, homicidal ideation, lack of insurance, homelessness, male gender, past history of psychiatric hospitalization, diagnosis of substance abuse, significant psychiatric co-morbidity (represented by three or more Axis I diagnoses), and diagnosis of a psychotic disorder. Lack of insurance, suicidal ideation, disposition to inpatient unit,... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2053124 Wed, 17 Dec 2008 08:33:25 +0100 2053124 http://www.medworm.com/index.php?rid=2053126&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu806510592kj0918%2F This article utilizes a sample of N = 633 21-year-olds to examine the prevalence of (1) violence and substance use, (2) mental illness (i.e., mood and anxiety disorders) and substance use, and (3) the use of multiple substances and investigates the relationship between various social determinants and said outcomes. Overall, the prevalence rates for the comorbid conditions were low; although on average males had higher rates than did females. Individual attitudes, perceived opportunities, and recent stressful life events were associated with the co-occurrence of outcomes. Implications for behavioral health are explored. Content Type Journal ArticleCategory Regular ArticleDOI 10.1007/s11414-008-9159-6Authors Richard A. Van Dorn, University of South Florida Department of Mental ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2053126 Wed, 17 Dec 2008 08:33:24 +0100 2053126 http://www.medworm.com/index.php?rid=2053125&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4j46v4vm758n6619%2F This study surveyed 1,150 staff at three state hospitals and 230 staff at four community mental health centers on personal optimism, consumer optimism, and agency recovery orientation. Responses were obtained from 729 (63.4%) hospital staff and 181 (78.7%) community staff. Staff at state hospitals scored significantly lower on all three recovery measures even after controlling for background differences. Treatment setting may be an important factor in the dissemination of recovery-oriented care principles. Content Type Journal ArticleCategory Regular ArticleDOI 10.1007/s11414-008-9158-7Authors Jack Tsai, Indiana University–Purdue University Indianapolis Department of Psychology 402 N. Blackford Street Indianapolis IN 46202 USAMichelle P. Salyers, Indiana University–Purdue Univ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2053125 Wed, 17 Dec 2008 08:33:24 +0100 2053125 http://www.medworm.com/index.php?rid=2047576&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg263u1x31125613m%2F Abstract  Administrators of mental health services may expect evidence-based practice (EBP) to offer strategic benefits. Existing theory suggests that the benefits of implementing EBP vary by organizational characteristics. This paper presents a conceptual framework for considering how implementation impacts organizational performance. The framework is developed as a system dynamics simulation model based on existing literature, organizational theory, and key informant interviews with mental health services administrators and clinical directors. Results from the simulations show how gains in performance depended on organizations’ initial inertia and initial efficiency and that only the most efficient organizations may see benefits in organizational performance from implem... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2047576 Tue, 16 Dec 2008 08:03:18 +0100 2047576 http://www.medworm.com/index.php?rid=2033542&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F176g446271h5q1l2%2F Abstract  This is an Introduction to a special issue in memory of Douglas Longshore, a prominent researcher in the field of addiction health services. The findings from the ten papers in this issue are summarized and discussed within the context of Doug’s development as a researcher and the core themes from his work. Three core areas are addressed: (1) internal processes related to change among substance abusers, (2) processes related to ethnicity and gender, and (3) treatment effectiveness, particularly regarding interventions to reduce risk of HIV/AIDS among substance abusers. The implications for addiction health services are discussed with regard to the application of these themes to practice. Content Type Journal ArticleCategory Introduction to Special IssueDOI 10.... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2033542 Thu, 11 Dec 2008 12:00:49 +0100 2033542 http://www.medworm.com/index.php?rid=2033544&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0256277q01x72564%2F This study examined structural characteristics of community-based treatment facilities in relationship to the availability of supportive services within a sample of 1,332 substance abuse treatment programs surveyed through the Alcohol and Drug Services Study in 1996 and 1997. Structural and client characteristics are important predictors of added supportive services. Furthermore, a program with a broader and established set of core services is more likely to have expanded supportive services. These findings have implications for public health professionals, both in terms of ensuring sustainable service programming for these chronic clients and in identifying services to adopt or discard to meet a population with multiple needs. Content Type Journal ArticleCategory Regular ArticleD... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2033544 Thu, 11 Dec 2008 12:00:48 +0100 2033544 http://www.medworm.com/index.php?rid=2033543&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8l25506l51155228%2F Abstract  Twenty-two-year-old Nicole who had a heroin addiction died of an accidental overdose. Her family tried to get her help as she battled her addiction, but they found that treatment for addiction disorders was hard to access. Nicole’s story underscores the need to continue to probe the gaps in the addiction treatment system and to share what we learn in hopes of helping others avoid this kind of tragedy. Fundamental changes are needed in the configuration of services and service providers to make effective treatments sufficiently attractive, accessible, and affordable. Content Type Journal ArticleCategory CommentaryDOI 10.1007/s11414-008-9163-xAuthors Linda Rosenberg, National Council for Community Behavioral Healthcare Washington DC USA Journal The Journ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=2033543 Thu, 11 Dec 2008 12:00:48 +0100 2033543 http://www.medworm.com/index.php?rid=1985130&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr256110170508506%2F Abstract  Levo-alpha-acetylmethadol maintenance (LAAM) was compared to methadone maintenance (MM) on the behavioral performance of 315 heroin addicts before, during, and after 12 months of fully subsidized treatment. Assessments of drug use, criminal behavior, HIV risk behaviors, and employment and residential status were obtained at treatment intake and at 6, 12, and 18 months after admission. Treatment retention and in-treatment suppression of heroin use were significantly better for the LAAM group than for the MM group. Improvements were also noted during treatment in criminal behavior, criminal justice involvement, and employment status, and there were reductions in injection HIV risk and number of sexual partners. Most significant effects were primarily relat... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1985130 Fri, 21 Nov 2008 07:13:31 +0100 1985130 http://www.medworm.com/index.php?rid=1985129&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa56tw31087823222%2F Abstract  Religiosity and spirituality (R/S) have been shown to be related to better outcomes in many health service areas, including drug abuse treatment. The latter area, however, lacks a fully emergent empirical framework to guide further study. Moreover, although scientists have tested isolated hypotheses, no comprehensive process model has been designed and validated, limiting conceptual development as well. This paper reviews the relevant R/S and health research literature with a primary focus on drug treatment processes. Then a conceptual model is suggested to guide future incremental study of R/S assessment and intervention development. Implications for addiction health services include increased efforts to empirically validate R/S interventions, to increase practit... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1985129 Fri, 21 Nov 2008 07:13:31 +0100 1985129 http://www.medworm.com/index.php?rid=3094954&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5384v4636344684m%2F Abstract  This special issue is dedicated to the memory of Douglas Longshore, who was affiliated with the UCLA Integrated Substance Abuse Programs and RAND. The special issue reflects Longshore’s research legacy in the areas of addiction and health services research and his many productive collaborations with other investigators. Content Type Journal ArticleCategory Special IssueDOI 10.1007/s11414-008-9156-9Authors Christine E. Grella, University of California UCLA Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior 1640 S. Sepulveda Blvd., Suite 200 Los Angeles CA 90025–7535 USAM. Douglas Anglin, University of California UCLA Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior Los Angeles CA USA... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=3094954 Tue, 18 Nov 2008 08:11:28 +0100 3094954 http://www.medworm.com/index.php?rid=1975614&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5384v4636344684m%2F Abstract  This special issue is dedicated to the memory of Douglas Longshore, who was affiliated with the UCLA Integrated Substance Abuse Programs and RAND. The special issue reflects Longshore’s research legacy in the areas of addiction and health services research and his many productive collaborations with other investigators. Content Type Journal ArticleCategory Special IssueDOI 10.1007/s11414-008-9156-9Authors Christine E. Grella, University of California UCLA Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior 1640 S. Sepulveda Blvd., Suite 200 Los Angeles CA 90025–7535 USAM. Douglas Anglin, University of California UCLA Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior Los Angeles CA USA... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1975614 Tue, 18 Nov 2008 08:11:28 +0100 1975614 http://www.medworm.com/index.php?rid=1969267&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7g52776h711803n7%2F This study explores these relationships by analyzing baseline data from a 153-participant subsample in the Study of Transitions and Recovery Strategies. Higher scores on the recovery assessment scale were related to both social support/network size and engagement in more activities. The particular nature of the activities (more/less social, more/less physically active, inside/outside the home) was not important, rather, activities of any type were related to recovery. Furthermore, engagement in activities was more important as levels of social support declined. The results suggest that both social support and activities may promote recovery, and that for persons with poor social support, engagement in a variety of individualized activities may be particularly beneficial. Content T... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1969267 Sun, 16 Nov 2008 11:50:35 +0100 1969267 http://www.medworm.com/index.php?rid=1886594&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffq2731q132073681%2F Abstract  This paper explores associations among the vulnerabilities of being female, being a member of a minority group, and being a drug abuser in homeless women’s hospitalizations. It uses a 1997 probability survey of 974 homeless females age 15–44 in Los Angeles. In unadjusted analyses, whites were more likely than other ethnic minority groups to be hospitalized, and drug abusers were more likely to be hospitalized than non-drug abusers. Multiple logistic regression analyses indicated that factors associated with hospitalization differed considerably among the ethnic and drug-abuse subgroups. For example, ethnic disparities in inpatient health care were found for drug-abusing women, but not for those who did not abuse drugs. Pregnancy was the only important determin... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1886594 Thu, 16 Oct 2008 09:59:07 +0100 1886594 http://www.medworm.com/index.php?rid=1871088&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu426322051k8v757%2F Content Type Journal ArticleCategory Introduction to Special IssueDOI 10.1007/s11414-008-9149-8Authors Brenda M. Booth, University of Arkansas for Medical Sciences Division of Health Services Research, Department of Psychiatry Little Rock AR USAJoseph J. Shields, National Institute on Alcohol Abuse and Alcoholism Bethesda MD USARedonna K. Chandler, National Institute on Drug Abuse Services Research Branch, Division of Epidemiology, Services, and Prevention Research Bethesda MD USA Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1871088 Fri, 10 Oct 2008 08:17:44 +0100 1871088 http://www.medworm.com/index.php?rid=1848069&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F63k3r6t04564p463%2F Abstract  This paper describes the development and implementation of the Boston Medical Center (BMC) Advanced Clinical Capacity for Engagement, Safety, and Services Project. In October 2002, the BMC Division of Psychiatry became the first such entity to open a Safe Haven shelter for people who are chronically homeless, struggling with severe mental illness, and actively substance abusing. The low-demand Safe Haven model targets the most difficult to reach population and serves as a “portal of entry” to the mental health and addiction service systems. In this paper, the process by which this blended funded, multi-level collaboration, consisting of a medical center, state, city, local, and community-based consumer organizations, was created and is maintained, as well as t... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1848069 Wed, 01 Oct 2008 09:25:06 +0100 1848069 http://www.medworm.com/index.php?rid=1806477&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F012518071264wu21%2F Abstract  A longstanding tradition of employment-related research has shown the mental health advantages of employment. However, given welfare reform mandates for employment and a welfare population with disproportionately high rates of depression and co-occurring substance abuse problems, it is unclear if women on welfare reap this advantage. This analysis draws on 4 years of data from the Welfare Client Longitudinal Study to examine the mental health benefits of employment among women on welfare (N = 419) and to assess whether drinking problems alter the relationship. Repeated measures analyses suggest that women who enter welfare with a drinking problem may not experience the same decline in depression symptoms following employment. Improving the connections betw... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1806477 Wed, 17 Sep 2008 06:52:05 +0100 1806477 http://www.medworm.com/index.php?rid=1775679&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd8j13888h07834x6%2F Content Type Journal ArticleCategory AcknowledgmentDOI 10.1007/s11414-008-9146-y Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1775679 Fri, 05 Sep 2008 15:24:36 +0100 1775679 http://www.medworm.com/index.php?rid=1769123&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp7g60793482582l0%2F This study examines the patient-level associations between the Health Plan Employer Data and Information Set (HEDIS) substance use disorder (SUD) treatment engagement quality indicator and improvements in clinical outcomes. Administrative and survey data from 2,789 US Department of Veterans Affairs SUD patients were used to estimate the effects of meeting the HEDIS engagement criterion on improvements in Addiction Severity Index Alcohol, Drug, and Legal composite scores. Patients meeting the engagement indicator improved significantly more in all domains than patients who did not engage, and the relationship was stronger for alcohol and legal outcomes for patients seen in outpatient settings. The benefit accrued by those who engaged was statistically significant but clinically modest... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1769123 Thu, 04 Sep 2008 08:39:14 +0100 1769123 http://www.medworm.com/index.php?rid=1769122&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0814864566p6lg58%2F This study empirically tested one component of a comprehensive model of the role of religiosity and spirituality (R/S) in drug treatment that is presented as a companion article in this special issue. Data collected from individuals dependent on heroin receiving narcotic replacement therapy were used to assess the effects of R/S on drug treatment outcomes. Based on their R and S scores, participants were assigned to one of four groups: those whose scores remained consistently high across the 12-month study period were compared to those whose scores were consistently low, increased, or decreased across the same period. Results indicated that at both study completion (12 months after admission) and 6 months after that participants in the consistently high and increasing spiri... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1769122 Thu, 04 Sep 2008 08:39:14 +0100 1769122 http://www.medworm.com/index.php?rid=1764196&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk85157255223621w%2F We examined naturalistic symptomatic and treatment outcomes in patients admitted to a residential crisis treatment program. The 24-item Brief Psychiatric Rating Scale score dropped from moderately ill (40.5 ± SD 8.25 points) on admission to mildly ill at discharge (28.7 ± 11.37 points, t = 10.02, P < 0.0001). Beck’s Depression Inventory also improved greatly, from a significant level of depression of 29.5 ± 11.41 points on admission, to a nearly euthymic level of 10.1 ± 8.60 points at discharge (a difference of 19.4 ± 12.10 points, t = 12.5, P < 0.0001). The current study is limited by the lack of a matched comparison group of hospitalized patients. Nonetheless, community-based crisis stabilization units appear to be cost-effective alter... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1764196 Wed, 03 Sep 2008 08:47:43 +0100 1764196 http://www.medworm.com/index.php?rid=1750386&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0980hm081343667x%2F Content Type Journal ArticleDOI 10.1007/BF02940973Authors Luncheon AddressR. Roy Congressman William, Americana Hotel Bal Harbour Florida Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 Journal Volume Volume 2 Journal Issue Volume 2, Number 2 / December, 1973 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750386 Sun, 31 Aug 2008 13:32:55 +0100 1750386 http://www.medworm.com/index.php?rid=1750387&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyk1w31v08586037g%2F Content Type Journal ArticleDOI 10.1007/BF02940972 Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 Journal Volume Volume 2 Journal Issue Volume 2, Number 2 / December, 1973 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750387 Sun, 31 Aug 2008 13:32:39 +0100 1750387 http://www.medworm.com/index.php?rid=1750388&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp20403wu470hj9g1%2F Content Type Journal ArticleDOI 10.1007/BF02940975Authors Morty Lebedun, Tri-County Community Mental Health Center 2900 Hospital Drive 64116 North Kansas City Missouri Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 Journal Volume Volume 2 Journal Issue Volume 2, Number 2 / December, 1973 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750388 Sun, 31 Aug 2008 13:32:22 +0100 1750388 http://www.medworm.com/index.php?rid=1750390&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7877556h327qp773%2F Content Type Journal ArticleDOI 10.1007/BF02940971Authors Elmer Gardner Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 Journal Volume Volume 2 Journal Issue Volume 2, Number 2 / December, 1973 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750390 Sun, 31 Aug 2008 13:32:06 +0100 1750390 http://www.medworm.com/index.php?rid=1750389&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff706xl1321h20757%2F Content Type Journal ArticleDOI 10.1007/BF02940974Authors Barry Miller, Bureau of Research and Training-Mental Health Eastern Pennsylvania Psychiatric Institute 19129 Philadelphia PennsylvaniaRichard E. Schultz, Intercommunity Action Inc. Community Mental Health and Mental Retardation Center 19129 Philadelphia Pennsylvania Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 Journal Volume Volume 2 Journal Issue Volume 2, Number 2 / December, 1973 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750389 Sun, 31 Aug 2008 13:32:06 +0100 1750389 http://www.medworm.com/index.php?rid=1750391&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx1787124k4706518%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/BF02940970 Journal The Journal of Behavioral Health Services and ResearchOnline ISSN 1556-3308Print ISSN 1094-3412 Journal Volume Volume 2 Journal Issue Volume 2, Number 2 / December, 1973 (Source: The Journal of Behavioral Health Services and Research) The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750391 Sun, 31 Aug 2008 13:31:51 +0100 1750391 http://www.medworm.com/index.php?rid=1750392&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn34mm1773l575q44%2F Summary  The membership profile was designed to provide a rather detailed view of the membership at a particular point in time. The results of the profile should provide inputs to the governing Board of Directors so that stated member needs might better be met. It should also serve as a guide to the Board for future direction of AMHA. It would be anticipated that such a membership profile would be updated every few years to establish a continuing source of information to the governing Board and members concerning the direction of the Association. Content Type Journal ArticleDOI 10.1007/BF02940976Authors Warren A. Thompson, Missouri Institute of Psychiatry 5400 Arsenal Street 63139 St. Louis MissouriAlbert P. Ameiss, University of Missouri-St. Louis Missouri Institute of ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1750392 Sun, 31 Aug 2008 13:31:35 +0100 1750392 http://www.medworm.com/index.php?rid=1742907&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft723256t6v1h8035%2F Abstract  Transitioning to adulthood is challenging for young people who have a mental illness or substance use disorder, especially those who are transitioning from institutional care. For young people with serious mental illnesses to succeed in the adult world, they need more than treatment.These youth need to be truly integrated into their communities. They need jobs that offer skills, dignity, independence, and peers. They need a responsible and caring older adult who can help them to make better choices, learn from their mistakes, and applaud their successes, no matter how small. Community providers can create these opportunities through their own programs or appropriate community collaborations. Content Type Journal ArticleCategory CommentaryDOI 10.1007/s11414-008-9... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1742907 Thu, 28 Aug 2008 15:37:58 +0100 1742907 http://www.medworm.com/index.php?rid=1742908&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl139551k0h741831%2F Abstract  Since the mid-1990s, research has established a clear picture of the poor real-life outcomes achieved by transition-age youth and young adults who have been diagnosed with a serious mental health disorder. The purpose of this article is to: (1) introduce the reader to the other eight articles in this special issue on Transition to Adulthood Research; (2) illustrate how each is contributing to the research base available to more fully understand these challenges as well as guide the creation of developmentally appropriate and effective services and supports for youth and young adults and their families; and (3) suggest future directions for continuing to advance this field of research and program implementation to improve outcomes though practice and policy improve... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1742908 Tue, 26 Aug 2008 08:34:19 +0100 1742908 http://www.medworm.com/index.php?rid=1714100&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff65434kj76n0p48v%2F Abstract  In the late 1990s, the government of Ontario undertook a province-wide implementation of Assertive Community Treatment (ACT). Capacity grew to 59 teams within 6 years. This paper describes the implementation process, focusing on three phases—start-up, or the enabling phase; feedback, or the reinforcement phase; and response, or the corrective action phase. Key implementation supports include an active oversight committee with representation from both the ministry and the field and the availability of the planning data on ACT performance. Three areas of underperformance were identified: lower than expected team caseloads, drift from the target client group, and significant under-staffing in the teams. Likely causes were suggested, and corrective actions deve... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1714100 Fri, 15 Aug 2008 09:06:49 +0100 1714100 http://www.medworm.com/index.php?rid=1696422&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa248wj76313138u2%2F Abstract  In any given year, only about 10% of the nearly two million adolescents exhibiting substance abuse or dependence in the United States receive substance abuse treatment. Given this state of affairs, it is unlikely that the massive effort and expenditure of resources over the past decade on developing, testing, and disseminating effective treatments for adolescent substance abuse will have an appreciable impact on the prevalence of substance use disorders among the adolescent population. In order to substantially diminish the pervasive gap between levels of need for and utilization of adolescent substance abuse treatment, specialized assertive outreach strategies may be needed. This paper outlines a framework for assertive outreach for adolescents with substance use... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1696422 Sat, 09 Aug 2008 11:55:56 +0100 1696422 http://www.medworm.com/index.php?rid=1693931&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8w8530850785h1u1%2F In this study, 1,715 children were randomly sampled from one of five public service systems. Psychiatric diagnoses were assessed with a structured interview, and standardized measures were used to assess mental health service utilization. Data from a subsample (n = 779) of youth with psychiatric disorders were analyzed. Analyses revealed that comorbidity among children with anxiety disorders was substantially higher than general population estimates. Approximately 26% of children with anxiety had a comorbid mood disorder, and 62% had a disruptive behavior disorder. Among children with anxiety disorders, those who had comorbid conditions were more likely to receive inpatient services than those without comorbidity. Comorbidity, caregiver strain, and service sector were associated ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1693931 Fri, 08 Aug 2008 06:57:42 +0100 1693931 http://www.medworm.com/index.php?rid=1686504&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frpq90551x5j46375%2F Abstract  The utilization of administrative data in substance abuse research has become more widespread than ever. This selective review synthesizes recent extant research from 31 articles to consider what has been learned from using administrative data to conduct longitudinal substance abuse research in four overlapping areas: (1) service access and utilization, (2) underrepresented populations, (3) treatment outcomes, and (4) cost analysis. Despite several notable limitations, administrative data contribute valuable information, particularly in the investigation of service system interactions and outcomes among substance abusers as they unfold and influence each other over the long term. This critical assessment of the advantages and disadvantages of using existing admini... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1686504 Tue, 05 Aug 2008 06:19:12 +0100 1686504 http://www.medworm.com/index.php?rid=1675113&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy838833455805773%2F Abstract  In general, African Americans do not seek mental health treatment from formal sources at the same rates as Caucasians. The present study examined whether culturally relevant factors (i.e., perceived negative peer and family norms about help seeking) influence help-seeking intentions in a late adolescent African-American sample (n = 219) and whether there is a gender difference in the predictive strength between peer and family norms. Participants were primarily female (n = 144). Multiple regressions were implemented to explore the relationship between perceived norms and help-seeking intentions. Analyses revealed that males had higher perceived peer norms, and family norms were a stronger predictor of intentions than peer norms for females. Individually, pe... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1675113 Thu, 31 Jul 2008 08:02:04 +0100 1675113 http://www.medworm.com/index.php?rid=1675112&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F051j211t2k6vh148%2F Abstract  Most substance abuse treatment occurs in outpatient treatment centers, necessitating an understanding of what motivates organizations to adopt new treatment modalities. Tichy’s framework of organizations as being comprised of three intertwined internal systems (technical, cultural, and political) was used to explain treatment organizations’ slow adoption of buprenorphine, a new medication for opiate dependence. Primary data were collected from substance abuse treatment organizations in four of the ten metropolitan areas with the largest number of heroin users. Only about one fifth offered buprenorphine. All three internal systems were important determinants of buprenorphine adoption in our multivariate model. However, the cultural system, measured by attitude ... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1675112 Thu, 31 Jul 2008 08:02:04 +0100 1675112 http://www.medworm.com/index.php?rid=1668662&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx55v886j5w396547%2F Abstract  The diffusion of evidence-based practices (EBPs) to child-serving human service organizations often occurs within the context of a comprehensive system-of-care in which a coordinated network of service providers collaborate to meet the needs of children and adolescents with serious behavioral and emotional disturbances. To the extent that inter-organizational networks influence the choices of organizational decision makers, it is necessary to understand interactions among participating organizations within the system when studying diffusion processes associated with EBP adoption and implementation. The present study analyzes decision making about the adoption and implementation of an EBP within the ecological context of system-of-care collaboration. Findings sugge... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1668662 Tue, 29 Jul 2008 05:44:43 +0100 1668662 http://www.medworm.com/index.php?rid=1657379&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj244560p61550034%2F This article details the process that was undertaken to convert the financing mechanism for publicly funded mental health residential programs in a large urban setting from nonincentivized agreements to performance-based contracts. The initial target for change was improving occupancy rates for residential services targeted to persons with serious and persistent mental illness. Improving occupancy rates enhanced efficiency such that 25 additional cents for every dollar spent on mental health residential services went to direct care. Challenges met in the process of effecting the contracting conversion of this expansive system are addressed. The importance of centralized gatekeeping, stakeholder involvement, and setting modest expectations are emphasized as keys to success. Although t... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1657379 Fri, 25 Jul 2008 06:58:18 +0100 1657379 http://www.medworm.com/index.php?rid=1639420&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7u6rq6j5791627q5%2F This study describes rates of improvement on indicators of transition progress and challenges among young people enrolled in a multisite demonstration of transition support programs. Young people in the study showed increased rates of progress and decreased rates of challenges over four quarters of enrollment. Moderation of these changes by individual characteristics including demographic, historical, and diagnostic variables suggested ways of improving transition support programs and avenues for future research. Content Type Journal ArticleCategory Special IssueDOI 10.1007/s11414-008-9126-2Authors Mason G. Haber, University of North Carolina Charlotte Department of Psychology 9201 University City Boulevard Charlotte NC 28223 USAArun Karpur, Cornell University Employment and Disab... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1639420 Fri, 18 Jul 2008 06:30:35 +0100 1639420 http://www.medworm.com/index.php?rid=1639421&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx152161171266v19%2F Abstract  The purpose of this study was to estimate the relative contributions of trauma, chronic stress burden, depression, anxiety, social support, and social undermining in predicting alcohol and drug abuse, and whether ethnicity moderated these relationships. A multi-ethnic sample of 288 HIV-positive and HIV-negative women was recruited. Multiple group path analysis indicated that greater drug dependence was associated with being HIV+, more depression, and higher chronic burden. Trauma was related only to anxiety. Also, greater alcohol dependence was associated with more depression and more social undermining, and these effects were moderated by ethnicity. African American and Latina women evidenced different relationships between depression, social support and social u... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1639421 Fri, 18 Jul 2008 06:30:34 +0100 1639421 http://www.medworm.com/index.php?rid=1616389&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp0494h1206452xv2%2F This study investigates satisfaction among a nonclinical adolescent sample participating in a school-based alcohol-prevention program. Adolescents self-selected to one of three formats: individual, group, and website. Three hundred nineteen satisfaction measures completed at the time of each participant’s final session were used for analyses. Hierarchical regression analyses examined predictors of consumer satisfaction. In general, greater participation in the program was significantly related to satisfaction. Students who participated in the group and individual formats reported greater satisfaction than students who participated in the website format. Current alcohol users were less satisfied with the session focusing on how experimental use can lead to problem use; lifetime abst... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1616389 Fri, 11 Jul 2008 07:26:32 +0100 1616389 http://www.medworm.com/index.php?rid=1616390&cid=s_35982_36_f&fid=35982&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff1006t2532110024%2F This article examines data for 8,484 transition-aged youth (TAY) in different age groups who received services in 45 federally funded systems of care between 1997 and 2006. Data from the national evaluation of these systems of care were used to compare descriptive and clinical characteristics at intake of TAY aged 14–15, 16–17, and 18 years, and service use and outcomes of TAY aged 14–15 and 16–17 at 6 and 12 months after system of care intake. Few studies have examined outcomes of TAY. The large national evaluation database provides a unique opportunity to examine outcomes for TAY in relation to increases in age. Results revealed differences in severity and type of behavioral and emotional problems, living situations, access to Medicaid, service use, and outcomes a... The Journal of Behavioral Health Services and Research journals http://www.medworm.com/rss/comments.php?id=1616390 Fri, 11 Jul 2008 07:26:31 +0100 1616390