Administration and Policy in Mental Health and Mental Health Services Research
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Future Research on Psychotherapy Practice in Usual Care
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Content Type Journal ArticleDOI 10.1007/s10488-009-0254-7Authors
M. Audrey Burnam, RAND Corporation 1,776 Main Street PO Box 2138 Santa Monica CA 90407-2138 USAKimberly A. Hepner, RAND Corporation 1,776 Main Street PO Box 2138 Santa Monica CA 90407-2138 USAJeanne Miranda, UCLA/NPI Health Services Research Center Department of Psychiatry and Biobehavioral Sciences 10920 Wilshire Boulevard Suite 300 Los Angeles CA 90024 USA
Journal Administration and Policy in Mental Health and Mental Health Services ResearchOnline ISSN 1573-3289Print ISSN 0894-587X (Source: Administration and Policy in Mental Health and Mental He...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 13, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Organisational Systems and Services for Children of Parents with Mental Illness and Their Families: Processes of Change and SustainabilityEmail this article to a colleague.
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Abstract Adult mental illness in the community including depression and anxiety has achieved greater public awareness and visibility
in recent years and this has also resulted in increased recognition about the widespread impact on dependent children. During
the past decade in Australia, policies and specific programs for infants, children and youth in terms of prevention, early
intervention and promotion in relation to children of parents with a mental illness (‘copmi’) have been devised. However,
these have generally been disconnected projects, essentially supported only by non-recurrent funding. In mo...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 12, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
The Content of Substance Abuse and Mental Health Counseling Reported by Patients in a National SurveyEmail this article to a colleague.
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This study examined counseling content reported by a national sample of persons receiving care for alcohol, drug or mental
health (ADM) problems in a year. The sample included 2,722 individuals over 18 who reported past year mental health or substance
abuse care or assessments in a nationally representative survey conducted in 2000–2001. Counseling domains approximating commonly
practiced or evidence-based approaches for depression, anxiety, or substance abuse were assessed. Patient self-report may
be one useful way of tracking whether components of standard therapies are implemented in practice.
Content Type Jour...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 12, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Child and Family Therapy Process: Concordance of Therapist and Observational PerspectivesEmail this article to a colleague.
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The objective of this study is to examine the characteristics of outpatient mental health services delivered in community-based
outpatient clinics, comparing information obtained from two different sources, therapists serving children and families, and
observational coders viewing tapes of the same treatment sessions. Videotaped therapy sessions were rated by therapists and
independent coders regarding goals and strategies pursued during each session. Sixty-three sessions were taped of outpatient
care provided to 18 children and their caregivers by 11 therapists. Children were 4–13 years old and families were re...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
What Predicts Recovery Orientation in County Departments of Mental Health? A Pilot StudyEmail this article to a colleague.
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Abstract In this pilot study we examined the determinants of recovery orientation among employees and influential stakeholders in a
sample of 12 county departments of mental health in California. A two-level hierarchical linear model with random intercepts
was estimated. Analyses show that recovery orientation has a U-shaped relationship with the age of staff/influential stakeholders and is negatively related to the difference between the
desired level of adhocracy and the current level of adhocracy. Recovery orientation is positively related to the education
level of staff/influential stakeholders, satisfyi...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 3, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health OrganizationEmail this article to a colleague.
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Abstract Evidence-based psychotherapies to treat depression are available, yet it remains unknown the extent to which these practices
are used in routine care for depression. Using survey and administrative data, we sought to describe usual care psychotherapy
for depression for adult patients receiving care through a large, managed behavioral health care organization. Data from 420
patients receiving psychotherapy for depression and 159 of their therapists provide evidence that some practitioners are using
evidence-based psychotherapy techniques for depression, but also demonstrate the need for improved tool...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 27, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Risk of Reincarceration Among Prisoners with Co-occurring Severe Mental Illness and Substance Use DisordersEmail this article to a colleague.
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This study examined whether the presence of a comorbid substance use disorder increased the risk of criminal recidivism and
reincarceration in prison inmates with a severe mental illness. Our analyses of more than 61,000 Texas prison inmates showed
that those with a co-occurring psychiatric and substance use disorder exhibited a substantially higher risk of multiple incarcerations
over a 6-year period compared to inmates with psychiatric disorders alone or substance use disorders alone. Further research
is needed to identify the factors associated with criminal recidivism among released prisoners with co-occurring diso...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 22, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Patterns and Predictors of Restrictive Health Care Service Use by Youths with Bipolar DisorderEmail this article to a colleague.
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Abstract Patterns of behavioral health service utilization were examined among youth diagnosed with bipolar disorder (n = 832). Youth were categorized as high, moderate, and low restrictive service users (43, 7, and 50%, respectively). Factors
associated with receiving care in highly restrictive settings included: numerous co-occurring diagnoses and being enrolled
in managed care. Youth with regular outpatient visits were less likely to receive care in highly restrictive settings. This
analysis provides a broad and dramatic picture of the intensity of services needed by most youth with bipolar. Havi...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 8, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Factors Associated with Use of Evidence-Based Practice Strategies in Usual Care Youth PsychotherapyEmail this article to a colleague.
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Abstract The purpose of this study was to gain an understanding of how therapists providing usual care (UC) psychotherapy are using
elements of treatment common to evidence-based practices (EBPs) for children with disruptive behavior disorders (DBPs) and
to identify client and therapist characteristics that may be associated with EBP strategies directed toward children and those
directed to their caregivers. Results indicate that certain child, family, and therapist characteristics are associated with
use of EBP strategies; however, much of the variability in practice was not explained by the variables exami...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 1, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Adolescent Behavioral Risk Screening and Use of Health ServicesEmail this article to a colleague.
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This study assessed whether primary care based computerized screening for substance use, mental health issues and suicidal
thoughts affects subsequent use of medical and behavioral health care services in adolescents. Administrative claims data
were used to determine service use 6 months after a visit where screening could have occurred. Controlling for previous service
use, screened youths were more likely to have post screening use than those not screened. Among the screened patients, medical
service use did not differ by screening result. However, behavioral service use was higher for screened youths who screen...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 24, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Correlates of Past Homelessness in the National Epidemiological Survey on Alcohol and Related ConditionsEmail this article to a colleague.
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This study sought to investigate correlates of past homelessness, especially mental illness and substance abuse, using data
from the National epidemiological survey on alcohol and related conditions (NESARC), a large nationally representative survey
conducted in 2001–2002. Multivariate analyses showed that the factors most strongly related to past homelessness were diagnoses
of behavioral health conditions which showed consistently stronger association than sociodemographic characteristics, measures
of economic well being, or general health indicators. The results presented here confirm in a nationally representative...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 17, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Methodological Challenges of Characterizing Usual Care Psychotherapeutic PracticeEmail this article to a colleague.
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This article identifies methodological challenges of usual care
descriptive research, including, (a) general design considerations, (b) measurement, (c) data analytic, and (d) ethical challenges.
Case examples drawn from studies reported in this special issue are used to illustrate the implications, strengths, and weaknesses
of different methodological decisions. Central themes include achieving an acceptable balance of scientific rigor, feasibility,
and generalizable practice relevance, as well as working collaboratively with practice partners to select and implement study
methods.
Content Type Journal ArticleCate...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 16, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Development of a Patient-Report Measure of Psychotherapy for DepressionEmail this article to a colleague.
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Abstract Despite clear indications of need to improve depression treatment, practical tools that efficiently measure psychotherapy
are not available. We developed a patient-report measure of psychotherapy for depression that assesses Cognitive Behavioral
(CBT), Interpersonal (IPT), and Psychodynamic therapies. 420 patients with depression from a large managed behavioral health
care organization completed the measure. The three subscales measuring CBT, IPT, and Psychodynamic Therapy showed good internal
consistency, appropriate item-total correlations, and were supported by a 3-factor structure. Our results s...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 16, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Development of the Patient Activation Measure for Mental HealthEmail this article to a colleague.
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Abstract Our objective was to adapt the physical health Patient Activation Measure (PAM) for use among people with mental health conditions
(PAM-MH). Data came from three studies among people with chronic mental health conditions and were combined in Rasch analyses.
The PAM-MH’s psychometric properties equal those of the original 13-item PAM. Test–retest reliability and concurrent validity
were good, and the PAM-MH showed sensitivity to change. The PAM-MH appears to be a reliable and valid measure of patient activation
among individuals with mental health problems. It appears to have potential for use in...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 3, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Factors Influencing Staff Perceptions of the Organizational Environment of ClubhousesEmail this article to a colleague.
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Abstract Environmental aspects of a treatment program can characterize both quality and experience for staff and clubhouse members
alike, thus shaping the treatment environment. The current study examined the interplay of staff recovery attitudes and organizational
characteristics on staff evaluations of the clubhouse environment. Two over-arching questions were explored in this study:
(1) What is the association between staff characteristics, and perceptions of the clubhouse as an organization; and (2) to
what extent is fidelity to the clubhouse model associated with staff attitudes and perceptions? Congrue...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 3, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Staff and Member Perceptions of the Clubhouse EnvironmentEmail this article to a colleague.
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Abstract Several studies have been conducted about Clubhouse operations and the users of Clubhouses (i.e., members); however none have
sought to weigh the importance of both staff and member perceptions of the Clubhouse environment. A measure assessing the
program climate as well as service components was administered to both members and staff across a representative sample of
Clubhouses. In addition, level of program fidelity was included to examine differences between high and low fidelity clubhouses
and ratings of the program environment. Two overarching questions were explored in this study: (1) to what ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 3, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Outcomes of Police Contacts with Persons with Mental Illness: The impact of CITEmail this article to a colleague.
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Abstract The Crisis intervention team model (CIT) is possibly the most well known and widely adopted model to improve police response
to persons with mental illness. A primary goal of CIT programs is to divert individuals with mental illness from the criminal
justice system to mental health services. In this paper we examine the effectiveness of fielding CIT trained and supported
officers for influencing call outcomes using data from patrol officers (n = 112) in four Chicago Police districts. Results from regression analysis indicate that CIT certified officers directed a
greater proportion of pers...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 25, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
State Variation in Out-of-Home Medicaid Mental Health Services for Children and Youth: An Examination of Residential Treatment and Inpatient Hospital ServicesEmail this article to a colleague.
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Abstract This research investigated state variation in the use of out-of-home mental health services among children and youth enrolled
in Medicaid during 2003. Medicaid claims from three states were used to describe the demographic and diagnostic characteristics
of children and youth under age 22 who received mental health services in general hospitals, psychiatric hospitals, psychiatric
residential treatment facilities, and other residential treatment settings and to examine their lengths of stay, repeat stays,
and expenditures. Depending on the state, 6–13% of children and youth with a mental health diag...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 20, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Integrated Employee Assistance Program/Managed Behavioral Health Care Benefits: Relationship with Access and Client CharacteristicsEmail this article to a colleague.
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This study examined service user characteristics and determinants of access for enrollees in integrated EAP/behavioral health
versus standard managed behavioral health care plans. A national managed behavioral health care organization’s claims data
from 2004 were used. Integrated plan service users were more likely to be employees rather than dependents, and to be diagnosed
with adjustment disorder. Logistic regression analyses found greater likelihood in integrated plans of accessing behavioral
health services (OR 1.20, CI 1.17–1.24), and substance abuse services specifically (OR 1.23, CI 1.06–1.43). Results are...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 19, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Distance Matters in Choice of Mental Health Program: Policy Implications for Reducing Racial Disparities in Public Mental Health CareEmail this article to a colleague.
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Abstract The purpose of this study is to examine the influence of race, geographic distance and quality on the choice of community
mental health programs. The study population was comprised of adult Medicaid recipients who received outpatient treatment
for serious mental illness in FY 2001. A discrete choice model was employed to examine the likelihood of choosing one program
over another. Quality was measured based on follow-up after hospital discharge and continuity of care in outpatient services.
Maps showing the relationship between race and the quality of care were prepared to visually confirm the resul...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 12, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
The Electronic Medical Record: Optimizing Human not Computer CapabilitiesEmail this article to a colleague.
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Abstract The widespread adoption of computerized medical records provides medical administrators and payers the means to promote more
standardized and thorough medical records by insuring clinicians complete mandatory screens, history and physical templates,
and formatted treatment plans. But there is a dearth of evidence that such measures, whether computerized or not, improve
clinical outcomes and reason to suspect that they may impede care. While these measures maximize the computer’s capabilities
they are insensitive to human capabilities. A series of ‘check-offs’, ‘fill-ins’ and ‘drop-downs...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Trends in Characteristics of Children Served by the Children’s Mental Health Initiative: 1994–2007Email this article to a colleague.
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Abstract Data from 14 years of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their
Families Program were used to understand the trends of the emotional and behavioral problems and demographic characteristics
of children entering services. The data for this study were derived from information collected at intake into service in 90
sites who received their initial federal funding between 1993 and 2004. The findings from this study suggest children entering
services later in a site’s funding cycle had lower levels of behavioral problems and children served...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 30, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Antidepressant Adherence After Psychiatric Hospitalization Among VA Patients with DepressionEmail this article to a colleague.
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Abstract Depressed patients discharged from psychiatric hospitalizations face increased risks for adverse outcomes including suicide,
yet antidepressant adherence rates during this high-risk period are unknown. Using Veterans Affairs (VA) data, we assessed
antidepressant adherence and predictors of poor adherence among depressed veterans following psychiatric hospitalization.
We identified VA patients nationwide with depressive disorders who had a psychiatric hospitalization between April 1, 1999
and September 30, 2003, received antidepressant medication, and had an outpatient appointment following discharge...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 18, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Evaluating Project Connect: Improving Juvenile Probationers’ Mental Health and Substance Use Service AccessEmail this article to a colleague.
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Abstract Project Connect is a multilayered county-specific program aimed at linking juvenile probationers to needed mental health and
substance use services. In four NY counties, the intervention included cooperative agreements between probation and mental
health authorities, program materials to facilitate referral, in-service training for probation officers, and systematic screening
for mental health needs. Charts for 583 Baseline youths were reviewed and compared with 594 youths undergoing intake under
Project Connect. Compared to Baseline, under Project Connect, referred youths were 2.7 times as likely t...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Capacity for Delivering Culturally Competent Mental Health Services in New Mexico: Results of a Statewide Agency SurveyEmail this article to a colleague.
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Content Type Journal ArticleCategory ErratumDOI 10.1007/s10488-009-0228-9Authors
Rafael M. Semansky, Pacific Institute for Research and Evaluation Behavioral Health Research Center of the Southwest 612 Encino Place NE Albuquerque NM 87102 USADeborah Altschul, University of New Mexico Department of Psychiatry Albuquerque NM 87131 USADavid Sommerfeld, University of California Department of Psychiatry San Diego CA 92037 USARichard Hough, Pacific Institute for Research and Evaluation Behavioral Health Research Center of the Southwest 612 Encino Place NE Albuquerque NM 87102 USACathleen E. Willging, Pacific Institute for Re...
Source: Administration and Policy in Mental Health and Mental Health Services Research - June 29, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Defining Community Readiness for the Implementation of a System of CareEmail this article to a colleague.
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Abstract Developing systems of care for children with emotional disorders requires changes in the organization and delivery of services.
Using concept mapping, the authors conducted a study to define factors of a community’s readiness to make such changes. Participants
were from 25 of 27 federally-funded, advanced sites, plus a panel of experts. The participants completed three tasks: brainstorming,
rating, and sorting. This process produced eight factors: Leadership, Network of Local Partners, Shared Goals, Collaboration,
Families and Youth as Partners, Accountability, Evaluation, and Plans to Expand Serv...
Source: Administration and Policy in Mental Health and Mental Health Services Research - June 13, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Individualization and Quality Improvement: Two New Scales to Complement Measurement of Program FidelityEmail this article to a colleague.
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Abstract Fidelity scales have been widely used to assess program adherence to the principles of an evidence-based practice, but they
do not measure important aspects of quality of care. Pragmatic scales measuring clinical quality of services are needed to
complement fidelity scales measuring structural aspects of program implementation. As part of the instrumentation developed
for the National Implementing Evidence-Based Practices Project, we piloted a new instrument with two 5-item quality scales,
Individualization (a client-level quality scale) and Quality Improvement (an organizational-level quality scale...
Source: Administration and Policy in Mental Health and Mental Health Services Research - June 5, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Preference in Random Assignment: Implications for the Interpretation of Randomized TrialsEmail this article to a colleague.
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We examined randomized trials for
one prominent psychiatric rehabilitation intervention, supported employment, to gauge how often assignment preference might
have complicated the interpretation of findings. Condition descriptions, and greater early attrition from services-as-usual
comparison conditions, suggest that many study enrollees favored assignment to new rapid-job-placement supported employment,
but no study took this possibility into account. Reviews of trials in other service fields are needed to determine whether
this design problem is widespread.
Content Type Journal ArticleCategory Original PaperDOI 10...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 12, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Do Noncontingent Incentives Increase Survey Response Rates among Mental Health Providers? A Randomized Trial ComparisonEmail this article to a colleague.
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Abstract Surveys can be a useful tool for mental health services research. Unfortunately, clinicians typically show low response rates
to surveys. To determine whether noncontingent incentives would increase responses among clinicians, we compared no incentive
versus four incentives (mood magnet, 1,2, $5) on response to a 7-page self-report survey of mental health assessment and
treatment practices in a sample of 500 clinicians from the 5 largest professional guilds. Noncontingent monetary incentives
significantly increased response rate compared to no incentive across all disciplines. Noncontingent monetary...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Revisiting Practice-Based Research Networks as a Platform for Mental Health Services ResearchEmail this article to a colleague.
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This article proposes an agenda for mental health services research that uses
a variety of PBRN structures and that focuses on what really happens in practice, the effectiveness of practice innovations
in real world care, the challenges of implementing evidence supported interventions, modification of clinician behavior, and
assessment of the effect of mental health policy changes on practice. The challenges of conducting research within PBRNs are
substantial, including difficulties in maintaining positive member relations, securing ongoing funding, sustaining productivity,
overcoming IRB entanglements and achieving b...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 28, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Developing a Clinical Assessment Model Suited to use in an Agency Providing Short-Term Substance use Treatment: Findings from a Delphi Survey of Expert OpinionEmail this article to a colleague.
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Abstract This paper presents findings from a Delphi survey of expert opinion asking participants (n = 18), all recruited from specialist alcohol and other drug treatment services, to identify the minimum level of clinical
assessment information they would be willing to collect during a single treatment opportunity of 60-min in duration. The expert
sample collectively identified 27 assessment items, 7 of which subsequently met the Delphi consensus criteria. All participants
considered the resulting model (7 items) to be clinically appropriate under normal circumstances; however, many stated they
wou...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 24, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Factors Predicting Crisis Counselor Referrals to Other Crisis Counseling, Disaster Relief, and Psychological Services: A Cross-Site Analysis of Post-Katrina ProgramsEmail this article to a colleague.
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We examined determinants
of referrals for disaster relief, additional crisis counseling, and psychological services in 703,000 crisis counseling encounters
3–18 months after Hurricane Katrina. Referrals for disaster relief were predicted by clients’ losses, age (adults rather than
children), and urbanicity. Referrals for additional counseling and psychological services were predicted by urbanicity, losses
and trauma exposure, prior trauma, and preexisting mental health problems. Counseling and psychological referrals declined
over time despite continuing mental health needs. Results confirm large urban–rura...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 21, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Academic/State/Federal Collaborations and the Improvement of Practices in Disaster Mental Health Services and EvaluationEmail this article to a colleague.
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Abstract Academic, state, and federal agencies collaborated over the last 9 years to improve disaster mental health services and evaluation.
This process, which included literature reviews, a number of expert panels, and case studies, is described. The products resulting
from this process have included the development of a systematic cross-site evaluation of the federally funded crisis counseling
program and field guides for interventions aimed at providing services to distressed individuals in the immediate aftermath
of disasters and to individuals needing resilience skills training weeks or months aft...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 21, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Capacity for Delivering Culturally Competent Mental Health Services in New Mexico: Results of a Statewide Agency SurveyEmail this article to a colleague.
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Abstract The Federal government has promoted National Standards for Culturally and Linguistically Appropriate Services (CLAS) to reduce
mental health disparities among Hispanic and Native American populations. In 2005, the State of New Mexico embarked upon a
comprehensive reform of its behavioral health system with an emphasis on improving cultural competency. Using survey methods,
we examine which language access services (i.e., capacity for bilingual care, interpretation, and translated written materials)
and organizational supports (i.e., training, self-assessments of cultural competency, and collection o...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 16, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Innovations in Disaster Mental Health Services and Evaluation: National, State, and Local Responses to Hurricane Katrina (Introduction to the Special Issue)Email this article to a colleague.
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Abstract The severe consequences of Hurricane Katrina on mental health have sparked tremendous interest in improving the quality of
mental health care for disaster victims. In this special issue, we seek to illustrate the breadth of work emerging in this
area. The five empirical examples each reflect innovation, either in the nature of the services being provided or in the evaluation
approach. Most importantly, they portray the variability of post-Katrina mental health programs, which ranged from national
to state to local in scope and from educational to clinical in intensity. As a set, these papers address...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 14, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Cognitive Behavioral Therapy for Postdisaster Distress: A Community Based Treatment Program for Survivors of Hurricane KatrinaEmail this article to a colleague.
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Abstract Many disaster survivors suffer from postdisaster distress regardless of whether or not they meet criteria for specific psychiatric
diagnoses. Cognitive Behavior Therapy for Postdisaster Distress (CBT-PD), a ten-session manualized intervention, was developed
to address a range of cognitive, emotional, and behavioral reactions to disaster. Trained community-based therapists provided
CBT-PD to adult survivors of Hurricane Katrina as part of InCourage, a program sponsored by the Baton Rouge Area Foundation. Participants (n = 88) who were assessed at referral, pretreatment, intermediate treatmen...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 14, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Piloting a New Model of Crisis Counseling: Specialized Crisis Counseling Services in Mississippi After Hurricane KatrinaEmail this article to a colleague.
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Abstract During January–April 2007, Project Recovery, a federally funded crisis counseling program implemented by Mississippi’s Department
of Mental Health, piloted a new model of Specialized Crisis Counseling Services (SCCS) on the Mississippi Gulf Coast. In this
team-based approach, a masters-level counselor trained in a variety of intervention techniques and a resource coordinator
worked together with persons whose needs were relatively intense. Compared to regular program (RCCS) participants over the
same interval (n = 29,522), SCCS participants (n = 281) were more likely to be fe...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 14, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Evaluation of a National Effort to Reach Hurricane Katrina Survivors and Evacuees: The Crisis Counseling Assistance and Training ProgramEmail this article to a colleague.
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Abstract Hurricane Katrina created the largest population of internally displaced persons in the history of the United States. Exceptions
to Federal Emergency Management Agency’s (FEMA’s) usual eligibility requirements allowed states from across the nation to
apply for Crisis Counseling Assistance and Training Program (CCP) grants to provide services to evacuees. Over a 16-month
period, crisis counselors documented 1.2 million individual and group encounters across 19 CCPs. Most encounters (936,000,
80%) occurred in Presidential disaster-declared areas of Louisiana, Mississippi, and Alabama, but many (23...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 14, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Service Characteristics and Counseling Outcomes: Lessons from a Cross-Site Evaluation of Crisis Counseling After Hurricanes Katrina, Rita and WilmaEmail this article to a colleague.
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Abstract The 2005 hurricane season was the worst on record, resulting in disaster declarations and the implementation of federally-funded
crisis counseling programs in five states. As part of a larger cross-site evaluation of these programs, data from 2,850 participant
surveys, 805 provider surveys, and 132,733 encounter logs (submitted from 3 weeks before to 3 weeks after the participant
surveys) were aggregated to the county level (N = 50) and used to test hypotheses regarding factors that influence program performance. County-level outcomes (aggregate
ratings of participants’ perceiv...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 14, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
User and Carer Involvement in Child and Adolescent Mental Health Services: A Norwegian Staff PerspectiveEmail this article to a colleague.
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Abstract It has been suggested that user involvement in heath care leads to improved services. The aim of the study was to explore
attitudes towards user involvement of staff employed in Norwegian Child and Adolescent Mental Health Services (CAMHS). Most
of the investigated mental health service staff expressed the opinion that users should be involved in the planning of their
own treatment and generally have a positive attitude towards user involvement. Skepticism was related to some aspects of involvement
and does not contradict their generally positive attitude towards user involvement.
Content Type Jo...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Development of the Burden of Prior Authorization of Psychotherapeutics (BoPAP) Scale to Assess the Effects of Prior Authorization Among Texas Medicaid ProvidersEmail this article to a colleague.
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This study describes an instrument to measure the perceived effects of prior authorization on quality of care among Texas
Medicaid patients with severe mental illness. A questionnaire was mailed to 1,650 prescribers of psychiatric medications and
226 responses were used for analyses (17.5% response rate). Factor analysis revealed a 3-factor, 25-item instrument (BoPAP
scale). Overall, prescribers reported a moderate burden of PA (BoPAP Mean = 3.90 ± 0.52, possible range = 1–5). They perceived
a high burden (4.49 ± 0.57) on “administrative issues,” a moderate burden (3.93&n...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Access to Primary Care for Homeless Veterans with Serious Mental Illness or Substance Abuse: A Follow-up Evaluation of Co-Located Primary Care and Homeless Social ServicesEmail this article to a colleague.
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Abstract To examine the hypothesis that a demonstration clinic integrating homeless, primary care, and mental health services for homeless
veterans with serious mental illness or substance abuse would improve medical health care access and physical health status.
A quasi-experimental design comparing a ‘usual VA care’ group before the demonstration clinic opened (N = 130) and the ‘integrated care’ group (N = 130). Regression models indicated that the integrated care group was more rapidly enrolled in primary care, received more
prevention services and primary care visits, and fewer...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 12, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Scales to Evaluate Quality of Medication Management: Development and Psychometric PropertiesEmail this article to a colleague.
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Abstract This paper describes the psychometric properties of two fidelity scales created as part of the Substance Abuse and Mental
Health Services Administration (SAMHSA) sponsored medication management toolkit and their metric properties when used in 26
public mental health clinics with 50 prescribers. A 23-item scale, based on chart reviews, was developed to assess whether
prescribers are following good medication practices, in conjunction with a 17-item scale to assess organizational support
for and evaluation of prescriber adherence to recommended medication-related practices. Fundamental gaps in routine...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 27, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Comparison of Assertive Community Treatment Programs in Urban Massachusetts and Rural North CarolinaEmail this article to a colleague.
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Abstract In this pilot study, we compared teams in rural North Carolina (NC) and urban Massachusetts (MA) to examine the how sites
vary the implementation of the Assertive Community Treatment (ACT) model to respond to state and local circumstances. We analysed
and compared data on: client characteristics using the NC-TOPPS and a modified survey in MA; Regional Demographics and; Team
Characteristics. Issues such as driving distances, lack of qualified clinical staff, scarcity of physicians, and more limited
oversight created impediments to fidelity in rural NC, despite higher per patient funding. ACT is now n...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 13, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Predicting Utilization of Evidence-Based Parenting Interventions with Organizational, Service-Provider and Client VariablesEmail this article to a colleague.
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Abstract Multidisciplinary service providers (N = 611) who underwent training in the Triple P-Positive Parenting Program participated in a structured interview 6 months
following training to determine their level of post-training program use and to identify any facilitators and barriers to
program use. Findings revealed that practitioners who had received training in Group Triple P, received positive client feedback,
had experienced only minor barriers to implementation, and had consulted with other Triple P practitioners following training
were more likely to become high users of the program....
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 13, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
A Typology of Mentally Disordered Users of Resources for Homeless People: Towards Better Planning of Mental Health ServicesEmail this article to a colleague.
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Abstract The aim of this study is to describe distinct typologies among mentally ill users of resources for homeless people, in order
to inform the targeted development of mental health services to address their varied needs. Data came from a survey of clientele
of resources for homeless persons in Montreal and Quebec (N = 757) and this study includes the 369 people from this sample who met DSM-IV criteria for serious mental disorders at any
point in their lifetime. A hierarchical logistic regression analysis was run with mental health service utilization in the
past 12 months (dependent varia...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 13, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Clinic-Level Process of Care for Depression in Primary Care SettingsEmail this article to a colleague.
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Abstract Multi-component models for improving depression care target primary care (PC) clinics, yet few studies document usual clinic-level
care. This case comparison assessed usual processes for depression management at 10 PC clinics. Although general similarities
existed across sites, clinics varied on specific processes, barriers, and adherence to practice guidelines. Screening for
depression conformed to guidelines. Processes for assessment, diagnosis, treatment, and follow-up varied to different degrees
in different clinics. This individuality of usual care should be defined prior to quality improvement...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 5, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Assessing Multiple Outcomes for Women with Co-Occurring Disorders and Trauma in a Multi-Site Trial: A Propensity Score ApproachEmail this article to a colleague.
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Abstract The current study assesses the ability of two promising propensity scoring methods to reduce selection bias in a set of secondary
data from the women with co-occurring disorders and violence study (WCDVS), whose purpose was to evaluate the effect of integrated
treatment for women with mental health, substance use, and trauma issues (N = 2,729). Weighting, the more successful method, is demonstrated in a re-analysis of 6- and 12-month WCDVS outcomes. In addition
to demonstrating propensity score weighting, the current study increases confidence in earlier findings by considering multiple
ti...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 22, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Selecting Measures for Use in Child Mental Health Services: A Scorecard ApproachEmail this article to a colleague.
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This study evaluated the efficiency of three caretaker-report measures of child psychiatric disorders. Data from
211 caregivers were used to assess the CBCL, the OHIO, and the SDQ. A scorecard methodology was implemented to determine the
efficiency of each scale as compared to the DISC-IV. Across measures, the OHIO was optimal for assessing services need while
the CBCL and SDQ provided better disorder-specific assessment. Results may improve clinical practice by providing an empirical
approach to the selection of assessment tools.
Content Type Journal ArticleCategory Original paperDOI 10.1007/s10488-008-0203-xAuthor...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
Child Welfare Recommendations to Improve Mental Health Services for Children who have Experienced Abuse and Neglect: A National PerspectiveEmail this article to a colleague.
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This study uses a key informant approach to understand the nature, extent, and quality of outpatient mental health services
for children in the child welfare system (CWS) in the United States. We interviewed 89 county child welfare administrators
to determine the status of outpatient mental health services and provide recommendations for enhancing care and service delivery.
Developed for this study (Caring for Children in Child Welfare), the interview was incorporated in the second formal data
collection wave (i.e., 18 months after study baseline assessment) of the National Survey of Child and Adolescent Well-Bein...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 7, 2009 Category: Psychiatry Tags: Administration and Policy in Mental Health and Mental Health Services Research Source Type: journals
