Administration and Policy in Mental Health and Mental Health Services Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Impact of the Pandemic was Minor Compared to Systemic Decrease in Fidelity of Assertive Community Treatment Services- A Provincial Study in Ontario, Canada
AbstractAssertive Community Treatment (ACT) model is the gold standard in community psychiatry serving people with severe mental illness. With its outreach-based design, the pandemic has profoundly affected the operations and functioning of ACT. The Dartmouth ACT Scale (DACTS) provides a standardized comprehensive and quantitative way to evaluate ACT quality. Results could inform nature of impact and identify areas for improvement. Current online survey used DACTS during the pandemic in April-May 2021. Clinical and administrative leadership of the 80 ACT teams in Ontario, Canada cross-sectionally rated ACT quality one-year...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 16, 2024 Category: Psychiatry Source Type: research

The Promise and Challenges of Practice-Oriented Research: A Commentary on the Special Issue
AbstractAt the centre of POR is the concept of collaboration between patients, therapists, agencies, and third-party payers. For this commentary, I review the articles of the special issue with attention to both the opportunities and challenges offered by practice-oriented research (POR).  I also reviewed some previous research on practice-research networks and how that research might inform POR. The use of routine outcome monitoring (ROM), artificial intelligence (AI), and program evaluation (PE) models show promise for advancing POR. However, each comes with its challenges. The us e of ROM to improve patient outcomes ha...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 10, 2024 Category: Psychiatry Source Type: research

Motives of Therapists for Using Routine Outcome Monitoring (ROM) and How it is Used by Them in Clinical Practice: Two Qualitative Studies
In conclusion, it is crucial that training and education be provided to therapists on how to use progress feedback effectively. Having regular discussions about progress feedback during peer consultations could also facilitate its integration into clinical practice. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 8, 2024 Category: Psychiatry Source Type: research

Implementing Measurement-Based Care in a Youth Partial Hospital Setting: Leveraging Feedback for Sustainability
AbstractThis paper describes the successful implementation of Measurement-Based Care (MBC) within a Partial Hospitalization Program (PHP) for children and adolescents. Measurement-based care (MBC), the practice of using patient-reported measures routinely to inform decision-making, is associated with improved clinical outcomes for behavioral health patients (Jong et al., Clinical Psychology Review 85, 2021; Fortney& Sladek, 2015). MBC holds great promise in partial hospital programs (PHP) to improve outcomes, yet implementation strategies are as complex as the setting itself. This paper provides a case study example of...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 4, 2024 Category: Psychiatry Source Type: research

Practice-Oriented Research: An Introduction to New Developments and Future Directions
AbstractAimed at understanding and improving psychological therapies as they are conducted in clinical routine, practice-oriented research (POR) is now a well-established approach to the scientific foundations of mental health care services. Resting on the accumulation of a wide range of practice-based evidence related to treatment outcome and process, as well as factors associated with the participants of psychotherapy and its context, POR is ripe for new developments – regarding what to investigate and how to investigate it. This paper is the introduction of a series devoted to recent advances and future directions of ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 3, 2024 Category: Psychiatry Source Type: research

Therapist-Level Moderators of Patient-Therapist Match Effectiveness in Community Psychotherapy
AbstractBased on patient-reported outcomes data analyzed at the provider level, there is evidence that psychotherapists can possess effectiveness strengths and weaknesses when treating patients with different presenting concerns. These within-therapist differences hold promise for personalizing care by prospectively matching patients to therapists ’ historical effectiveness strengths. In a double-masked randomized controlled trial (RCT; NCT02990000), such matching outperformed pragmatically determined usual case assignment—which leaves personalized, measurement-based matching to chance—in naturalistic outpatient psyc...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 2, 2024 Category: Psychiatry Source Type: research

Expanding Access to Home-Based Behavioral Health Services for Children in Foster Care
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 2, 2024 Category: Psychiatry Source Type: research

Measuring Alliance and Symptom Severity in Psychotherapy Transcripts Using Bert Topic Modeling
AbstractWe aim to use topic modeling, an approach for discovering clusters of related words ( “topics”), to predict symptom severity and therapeutic alliance in psychotherapy transcripts, while also identifying the most important topics and overarching themes for prediction. We analyzed 552 psychotherapy transcripts from 124 patients. Using BERTopic (Grootendorst,2022), we extracted 250 topics each for patient and therapist speech. These topics were used to predict symptom severity and alliance with various competing machine-learning methods. Sensitivity analyses were calculated for a model based on 50 topics, LDA-bas...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 29, 2024 Category: Psychiatry Source Type: research

Implementation of an Ecological Momentary Assessment (EMA) in Naturalistic Psychotherapy Settings: Qualitative Insights from Patients, Therapists, and Supervisors Perspectives
AbstractEcological momentary assessment (EMA) allows measuring intra-individual processes moment by moment, identifying and modeling, in a naturalistic way, individual levels and changes in different psychological processes. However, active EMA requires a high degree of adherence, as it implies a significant burden for patients. Moreover, there is still no consensus on standardized procedures for implementation. There have been few results in detecting desirable characteristics for the design and implementation of an EMA device. Studies that address these issues from the perspectives of participants in psychotherapeutic pr...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 26, 2024 Category: Psychiatry Source Type: research

Prediction of Disruptive Behavior over Time from Changes in Patients ’ Global Functioning in Acute Psychiatric Care
AbstractDisruptive behavior of patients in acute psychiatric care is a problem for both patients and staff. Preventing a patient ’s impending disruption requires recognizing and understanding early signals. There are indications that a change in a patient’s global functioning may be such a signal. The global functioning of patients is a multidimensional view on their functioning. It captures a patient’s psychological sy mptoms, social skills, symptoms of violence, and activities in daily living. The aim of this study was to gain insight into the predictive value of global functioning on the risk of disruptive behavio...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 23, 2024 Category: Psychiatry Source Type: research

The Impact of Delivery Reform on Health Information Exchange with Behavioral Health Providers: Results from a National Representative Survey of Ambulatory Physicians
This study explores whether delivery reform participation affects behavioral health HIE among ambulatory health providers using pooled 2015 –2019 data from the National Electronic Health Record Survey, a nationally representative survey of ambulatory physicians’ technology use (n = 8,703). The independent variable in this analysis was provider participation in ACO, PCMH, Hybrid ACO-PCMH, or standard care. The dependent variable was HIE with behavioral health providers. Chi square analysis estimated unweighted rates of behavioral health HIE across reform models. Logistic regression estimated the impact of delivery r...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 21, 2024 Category: Psychiatry Source Type: research

Disrupting the Routine: Exciting Innovations in Practice Oriented Research
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 21, 2024 Category: Psychiatry Source Type: research

Barriers to Mental Health care in Canada Identified by Healthcare Providers: A Scoping Review
AbstractThe mental health treatment gap remains wide across the world despite mental illness being a significant cause of disability globally. Both end-user and healthcare provider perspectives are critical to understanding barriers to mental healthcare and developing interventions. However, the views of providers are relatively understudied. In this review, we synthesized findings from current literature regarding providers ’ perspectives on barriers to mental healthcare in Canada. We searched Medline, PsycINFO, Embase, and CINAHL for eligible Canadian studies published since 2000. Analysis and quality assessment were c...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 21, 2024 Category: Psychiatry Source Type: research

Disentangling the Therapist Effect: Clustering Therapists by Using Different Treatment Outcomes
AbstractPrevious studies have shown that therapists ’ performance varies, known as therapist effects, and have indicated that therapists who excel in one treatment outcome may not necessarily be effective in other outcomes. This observational naturalistic study aimed to enhance our understanding of therapist effects and the assessment of therapists ’ performance in different areas. The study included 68 therapists and 5,582 clients from a large mental health facility. Information about their learning activities was available for a subsample of 49 therapists. Separate multilevel analyses were conducted for treatment out...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 21, 2024 Category: Psychiatry Source Type: research

Psychotherapists ’ Experience with In-Session Use of Routine Outcome Monitoring: A Qualitative Meta-analysis
This study aimed to synthesize the findings of existing qualitative studies investigating how clinicians use ROM in their work with clients. A systematic search of qualitative studies on clinicians ’ experience with the use of ROM in mental health services was conducted via PsycInfo, PsycArticles, Medline, Web of Science, and Scopus databases. Qualitative meta-analysis was used to synthesize the finding of the primary studies. Forty-seven studies met the inclusion criteria. The analysis resu lted in 21 meta-categories organized into six clusters, namely (1) obtaining clinically relevant information, (2) adapting treatmen...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 20, 2024 Category: Psychiatry Source Type: research