The Journal of Behavioral Health Services and ResearchThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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The Reality of Implementing Evidence-Based PracticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: The Journal of Behavioral Health Services and Research - November 10, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Medicare Mental Health Parity: A High Potential Change that is Long OverdueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Secto...
Source: The Journal of Behavioral Health Services and Research - November 4, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Improving Risk Adjustment of Self-Reported Mental Health OutcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - October 28, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Access to Adequate Outpatient Depression Care for Mothers in the USA: A Nationally Representative Population-Based StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - October 17, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Implementing the Essential Elements of a Mental Health Court: The Experiences of a Large Multijurisdictional Suburban CountyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 no...
Source: The Journal of Behavioral Health Services and Research - October 1, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Services and Supports for Individuals with Co-occurring Disorders and Long-Term HomelessnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, strateg...
Source: The Journal of Behavioral Health Services and Research - September 19, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide AttemptersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: The Journal of Behavioral Health Services and Research - September 19, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

An Examination of Emergency Department Pediatric Psychiatric ServicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - September 15, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

The Distribution and Frequency of Seclusion and/or Restraint among Psychiatric InpatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - September 15, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Categorizing Temporal Patterns of Arrest in a Cohort of Adults with Serious Mental IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Analys...
Source: The Journal of Behavioral Health Services and Research - September 3, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Appreciation to ReviewersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: The Journal of Behavioral Health Services and Research - August 18, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Patterns of Functional Impairment and Their Change among Youth Served in Systems of Care: An Application of Latent Transition AnalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: The Journal of Behavioral Health Services and Research - August 18, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Employment Services Utilization and Outcomes among Substance Abusing Offenders Participating in California’s Proposition 36 Drug Treatment InitiativeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: The Journal of Behavioral Health Services and Research - August 18, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Maternal Mental Health and Pediatric Health Care Use Among a National Sample of Medicaid- and SCHIP-Insured ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, indicatin...
Source: The Journal of Behavioral Health Services and Research - August 7, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Improving Practice–Research Connections through Technology Transfer NetworksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - August 5, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Adopting Best Practices: Lessons Learned in the Collaborative Initiative to Help End Chronic Homelessness (CICH)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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: ...
Source: The Journal of Behavioral Health Services and Research - July 31, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Health and Mental Health Care Utilization by Clients of Resources for Homeless Persons in Quebec City and Montreal, Canada: A 5-Year Follow-Up StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 perso...
Source: The Journal of Behavioral Health Services and Research - July 30, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Health Care Homes to Meet the Unique Needs of Persons with Serious Mental IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: The Journal of Behavioral Health Services and Research - July 25, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Development of a Model and Measure of Process-Oriented Quality of Care for Substance Abuse TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 sup...
Source: The Journal of Behavioral Health Services and Research - May 22, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Service System Involvement and Delinquent Offending at System of Care EntryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ri...
Source: The Journal of Behavioral Health Services and Research - May 22, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Comparative Effectiveness Research: Making It Work for Those We ServeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: The Journal of Behavioral Health Services and Research - April 24, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

US Hospitalizations and Costs for Illicit Drug Users with Soft Tissue InfectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - April 21, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Twelve-Month Client Outcomes and Service Use in a Multisite Project for Chronically Homelessness AdultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, menta...
Source: The Journal of Behavioral Health Services and Research - April 7, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Mind and Body Reunited: Improving Care at the Behavioral and Primary Healthcare InterfaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 heal...
Source: The Journal of Behavioral Health Services and Research - April 2, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Collaborative Initiative to Help End Chronic Homelessness: IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. M...
Source: The Journal of Behavioral Health Services and Research - April 1, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Psychometric Properties of the Spanish BASIS-24© Mental Health SurveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - March 28, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Top Manager Effects on Buprenorphine Adoption in Outpatient Substance Abuse Treatment ProgramsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - March 20, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

School Personnel Perspectives on their School’s Implementation of a School-Based Suicide Prevention ProgramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - March 17, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Mental Health and Addiction Policy: What Next?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 w...
Source: The Journal of Behavioral Health Services and Research - March 12, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Longitudinal Predictors of Youth Functional Improvement in a Public Mental Health SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 di...
Source: The Journal of Behavioral Health Services and Research - March 11, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

The Influence of Social Anchorage on the Gender Difference in the Use of Mental Health ServicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 an...
Source: The Journal of Behavioral Health Services and Research - February 28, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Differences in Mental Health Service Sector Utilization among African American and Caucasian Youth Entering Systems of Care ProgramsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 cer...
Source: The Journal of Behavioral Health Services and Research - February 14, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

An Evaluation of an Initiative to Improve Coordination and Service Delivery of Homeless Services NetworksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, a...
Source: The Journal of Behavioral Health Services and Research - January 30, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

A Farewell to a Unique ColleagueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: The Journal of Behavioral Health Services and Research - January 13, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Exploring the Utility of an Estimation Procedure to Reveal Drug Use among Arrestees: Implications for Service DeliveryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - January 8, 2009 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Accessing Specialty Behavioral Health Treatment in Private Health PlansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 mon...
Source: The Journal of Behavioral Health Services and Research - December 23, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Factors Associated with Extended Length of Stay for Patients Presenting to an Urban Psychiatric Emergency Service: A Case-Control StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 c...
Source: The Journal of Behavioral Health Services and Research - December 17, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Substance Use, Mental Illness and Violence: The Co-Occurrence of Problem Behaviors Among Young AdultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 expl...
Source: The Journal of Behavioral Health Services and Research - December 17, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Recovery Orientation in Hospital and Community SettingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 U...
Source: The Journal of Behavioral Health Services and Research - December 17, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Implementation of Evidence-Based Practice and Organizational PerformanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 depen...
Source: The Journal of Behavioral Health Services and Research - December 16, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Introduction to the Special Issue on Addiction Health ServicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 addicti...
Source: The Journal of Behavioral Health Services and Research - December 11, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Program and Client Characteristics as Predictors of the Availability of Social Support Services in Community-Based Substance Abuse Treatment ProgramsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - December 11, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

For Young Women Like Nicole, We Can Do BetterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Article...
Source: The Journal of Behavioral Health Services and Research - December 11, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Longitudinal Effects of LAAM and Methadone Maintenance on Heroin Addict BehaviorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: The Journal of Behavioral Health Services and Research - November 21, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Are Religiosity and Spirituality Useful Constructs in Drug Treatment Research?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 asse...
Source: The Journal of Behavioral Health Services and Research - November 21, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Dedication of Special Issue of JBHS&R in Memory of Douglas LongshoreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 90...
Source: The Journal of Behavioral Health Services and Research - November 18, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Social Support, Activities, and Recovery from Serious Mental Illness: STARS Study FindingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 activiti...
Source: The Journal of Behavioral Health Services and Research - November 16, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Hospitalizations Among Homeless Women: Are There Ethnic and Drug Abuse Disparities?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 exam...
Source: The Journal of Behavioral Health Services and Research - October 16, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

Recent Achievements in Alcohol and Drug Abuse Health Services ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Behav...
Source: The Journal of Behavioral Health Services and Research - October 10, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals

The BMC ACCESS Project: The Development of a Medically Enhanced Safe Haven ShelterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: The Journal of Behavioral Health Services and Research - October 1, 2008 Category: Psychiatry & Psychology Tags: The Journal of Behavioral Health Services and Research Source Type: journals