Journals Administration and Policy in M...

Administration and Policy in Mental Health
Jessica Barber, Sandra G Resnick
Burnout is a syndrome characterized by mental and emotional fatigue or exhaustion, depersonalization, and a lessened sense of personal accomplishment and efficacy. Burnout leads to negative consequences for mental health clinicians and for mental health care organizations. Measurement-based care (MBC) is a clinical process in which clinicians and clients use patient-generated data, also called treatment feedback, to collaboratively monitor mental health care and to inform goal-setting and treatment planning...
February 20, 2024: Administration and Policy in Mental Health
Kellie O'Dare, Arlesia Mathis, Rima Tawk, Leah Atwell, Deloria Jackson
A growing body of evidence demonstrates potential adverse mental health outcomes associated with exposure to occupational trauma among first responders. In response, policymakers nationwide are eager to work on these issues as evidenced by the number of states covering or considering laws for mental health conditions for first responders. Yet, little information exists to facilitate understanding of the impact of mental health-related policies in the United States on this important population. This study aims to identify and synthesize relevant state-level policies and related research on first responder mental health in the United States...
February 18, 2024: Administration and Policy in Mental Health
Jorge Valdiviezo-Oña, Alejandro Unda-López, Adrián Montesano, Chris Evans, Clara Paz
Psychotherapists' attitudes and expectations towards routine outcome monitoring can impact the likelihood of its fruitful implementation. While existing studies have predominantly focused on Europe and North America, research in Latin America remains limited. The aim of this study is to explore therapists' expected benefits and difficulties prior to implementing a routine outcome monitoring system in a university psychotherapy service in Ecuador. An exploratory and descriptive cross-sectional qualitative study was carried out with 20 participants aged 21 to 47...
February 14, 2024: Administration and Policy in Mental Health
Brigid R Marriott, Jack H Andrews, Evelyn Cho, Siena K Tugendrajch, Kristin M Hawley
Many training initiatives are underway to increase implementation of evidence-based practice (EBPs) in mental healthcare. However, little is known about what types of trainings and supports yield the highest reach and engagement. Supported by a tax-funded, countywide initiative to improve access to quality care for youths, the current mixed methods study evaluates mental health (MH) provider reach, or registering for the training initiative, and engagement, or participation in training activities, for several EBP training and implementation supports...
February 13, 2024: Administration and Policy in Mental Health
Phillip M Hughes, Genevieve Graaf, Kristin H Gigli, Neal A deJong, Robert E McGrath, Kathleen C Thomas
To examine the association between psychologist and nurse practitioner scope-of-practice (SoP) regulations and pediatric mental health service access. A nationally representative sample of children with mental health needs was identified using 5 years of National Survey of Children's Health (2016-2020). Utilization was measured in two ways: (1) unmet mental health care needs and (2) receipt of mental health medication. Expanded SoP for psychologists and nurse practitioners was measured based on the child's state of residence and the year of the survey...
February 13, 2024: Administration and Policy in Mental Health
Anna D Bartuska, Emma L Eaton, Precious Akinrimisi, Rachel Kim, Dan M Cheron, Alayna L Park
This study explored predictors of community-based providers' adherence to MATCH, a modular cognitive behavioral therapy for children and adolescents. Provider-reported adherence to MATCH was measured using three increasingly strict criteria: (1) session content (whether the session covered MATCH content consistent with the client's target problem), (2) session content and sequencing (whether the session covered MATCH content in the expected sequence for the client's target problem), and (3) session content, sequencing, and participant (whether the session covered MATCH content in the expected sequence and with the expected participant(s) for the client's target problem)...
February 9, 2024: Administration and Policy in Mental Health
Amanda Jensen-Doss, Elizabeth Casline, Grace S Woodard, Dominique A Phillips, Elizabeth Lane, Tessa Palafu, Catherine Waye, Vanessa Ramirez, Daniel M Cheron, Kelsie Okamura
Measurement-based care (MBC) is an underutilized evidence-based practice, and current implementation efforts demonstrate limited success in increasing MBC use. A better understanding of MBC implementation determinants is needed to improve these efforts, particularly from studies examining the full range of MBC practices and that span multiple samples of diverse providers using different MBC systems. This study addressed these limitations by conducting a multi-site survey examining MBC predictors and use in youth treatment...
February 9, 2024: Administration and Policy in Mental Health
Andrew A McAleavey, Kim de Jong, Helene A Nissen-Lie, James F Boswell, Christian Moltu, Wolfgang Lutz
In the past decade, there has been an increase in research related to the routine collection and active use of standardized patient data in psychotherapy. Research has increasingly focused on personalization of care to patients, clinical skills and interventions that modulate treatment outcomes, and implementation strategies, all of which appear to enhance the beneficial effects of ROM and feedback. In this article, we summarize trends and recent advances in the research on this topic and identify several essential directions for the field in the short to medium term...
February 8, 2024: Administration and Policy in Mental Health
Simon E Blackwell
The route for the development, evaluation and dissemination of personalized psychological therapies is complex and challenging. In particular, the large sample sizes needed to provide adequately powered trials of newly-developed personalization approaches means that the traditional treatment development route is extremely inefficient. This paper outlines the promise of adaptive platform trials (APT) embedded within routine practice as a method to streamline development and testing of personalized psychological therapies, and close the gap to implementation in real-world settings...
February 5, 2024: Administration and Policy in Mental Health
Lin Liu, Kristen M Zgoba
Having a mental health (MH) or substance use (SU) issue can make the transition from prison to the community a challenging process. Despite this, few studies have quantified how justice-involved individuals with mental health issues only, substance use only, those with both struggles, and those with neither are uniquely affected. Using a sample of re-entering men who were released from twelve state prisons in the United States, we assessed the effects of having MH and SU issues on their drug use during re-entry...
February 5, 2024: Administration and Policy in Mental Health
Marjolein M W Koementas-de Vos, Bea Tiemens, Fabiana Engelsbel, Kim de Jong, Cilia L M Witteman, M Annet Nugter
Feedback-Informed Group Treatment (FIGT) shows promise for improving outcomes, but results are mixed. The aim was investigating the feasibility, acceptability and effects of renewed FIGT on clinical outcomes and therapy processes. In a quasi-experimental pilot study, 65 patients with anxiety or depressive disorders and 15 therapists of interpersonal psychotherapy or cognitive behavioural therapy groups using renewed FIGT were included. Renewed FIGT contained three additions compared to the previous tool: (1) personalized goals along with the Outcome Questionnaire-45 (OQ-45), (2) therapists' training, coaching and intervision, and (3) instructions to actively use feedback in the group...
January 30, 2024: Administration and Policy in Mental Health
Sasha Zabelski, Mara Hollander, Apryl Alexander
Racial and ethnic minoritized uninsured populations in the United States face the greatest barriers to accessing mental healthcare. Historically, systems of care in the U.S. were set up using inadequate evidence at the federal, state, and local levels, driving inequities in access to quality care for minoritized populations. These inequities are most evident in community-based mental health services, which are partially or fully funded by federal programs and predominantly serve historically minoritized groups...
January 29, 2024: Administration and Policy in Mental Health
Charmaine K Higa-McMillan, Alayna L Park, Eric L Daleiden, Kimberly D Becker, Adam Bernstein, Bruce F Chorpita
This study investigated coded data retrieved from clinical dashboards, which are decision-support tools that include a graphical display of clinical progress and clinical activities. Data were extracted from clinical dashboards representing 256 youth (M age = 11.9) from 128 practitioners who were trained in the Managing and Adapting Practice (MAP) system (Chorpita & Daleiden in BF Chorpita EL Daleiden 2014 Structuring the collaboration of science and service in pursuit of a shared vision. 43(2):323 338...
January 23, 2024: Administration and Policy in Mental Health
Asha Rudrabhatla, Nicole Hendrix, Scott Gillespie, Kathryn Ulven, Andrew Jergel, Elizabeth Greenfield, Karen Guerra, Katherine Pickard
Parent-mediated interventions (PMIs) are considered an evidence-based practice for fostering social communication skills in young autistic children and for promoting parent responsivity and empowerment, yet barriers to caregiver engagement are evident when PMIs are implemented within historically underserved community settings. Issues of caregiver engagement can reflect a lack of fit between PMIs and the needs of diverse families. We used a mixed methods approach to examine barriers to participating in an evidence-based PMI, Project ImPACT (Ingersoll & Dvortcsak, 2019), within an outpatient setting, as well as strategies that clinicians reported using to deliver and adapt Project ImPACT for minoritized families...
January 23, 2024: Administration and Policy in Mental Health
Mila Hall, Lisa M Lappenbusch, Emily Wiegmann, Julian A Rubel
BACKGROUND: Using idiographic network models in psychotherapy has been a growing area of interest. However, little is known about the perceived clinical utility of network models. The present study aims to explore therapists' experiences with network model-based feedback within the context of the TheraNet Project. METHODS: In total, 18 therapists who had received network-based feedback for at least 1 patient at least 2 months prior were invited to retrospective focus groups...
January 23, 2024: Administration and Policy in Mental Health
Biblia S Cha, Judith Borghouts, Elizabeth Eikey, Dana B Mukamel, Stephen M Schueller, Dara H Sorkin, Nicole A Stadnick, Xin Zhao, Kai Zheng, Margaret L Schneider
Peer support specialists ("peers") who have the lived experience of, and are in recovery from, mental health challenges are increasingly being integrated into mental health care as a reimbursable service across the US. This study describes the ways peers were integrated into Help@Hand, a multi-site innovation project that engaged peers throughout efforts to develop and offer digital mental health interventions across counties/cities ("sites") in California. Using a mixed methods design, we collected quantitative data via quarterly online surveys, and qualitative data via semi-annual semi-structured phone interviews with key informants from Help@Hand sites...
January 21, 2024: Administration and Policy in Mental Health
Joanna E Harnett, Matthew J Leach, Randa Karzon, Erica McIntyre
An estimated 42% of Australians who consult complementary medicine (CM) practitioners have a mental health diagnosis. Preparedness of CM practitioners in managing such diagnoses is currently unknown. A cross-sectional survey of 257 CM practitioners who reported caring for people with a mental health diagnosis. Practitioners' mental health literacy, educational needs, and confidence in the assessment, management, and treatment of mental health-including suicide risk-were analysed. Most (59.1%) participants had no formal qualifications in mental health and 44...
January 18, 2024: Administration and Policy in Mental Health
Anna M Langener, Laura F Bringmann, Martien J Kas, Gert Stulp
Social interactions are essential for well-being. Therefore, researchers increasingly attempt to capture an individual's social context to predict well-being, including mood. Different tools are used to measure various aspects of the social context. Digital phenotyping is a commonly used technology to assess a person's social behavior objectively. The experience sampling method (ESM) can capture the subjective perception of specific interactions. Lastly, egocentric networks are often used to measure specific relationship characteristics...
January 10, 2024: Administration and Policy in Mental Health
Aljoscha Rimpler, Björn S Siepe, Carlotta L Rieble, Ricarda K K Proppert, Eiko I Fried
Ecological Momentary Assessment (EMA) is a data collection approach utilizing smartphone applications or wearable devices to gather insights into daily life. EMA has advantages over traditional surveys, such as increasing ecological validity. However, especially prolonged data collection can burden participants by disrupting their everyday activities. Consequently, EMA studies can have comparably high rates of missing data and face problems of compliance. Giving participants access to their data via accessible feedback reports, as seen in citizen science initiatives, may increase participant motivation...
January 10, 2024: Administration and Policy in Mental Health
Matthew Jay Lyons, Daniel J Whitaker, Shannon Self-Brown, Erin A Weeks
Evidence-based practice (EBP) fidelity, understood as the extent to which a program is implemented as the developers intended, is a key implementation variable which likely relates to consumer outcomes. However, studies that track fidelity longitudinally and at large scale are uncommon, and finding reliable predictors of fidelity has proven to be a complex challenge. Further, attitudes toward EBP are a potentially important predictor of fidelity, but results across the literature have been mixed. The purpose of the present study is to use data from the ongoing implementation and dissemination of the SafeCare model to better understand (1) the characteristics of SafeCare implementation fidelity trajectories, and (2) whether individual level factors predict differences in fidelity and fidelity trajectories, especially provider attitudes toward EBP...
January 6, 2024: Administration and Policy in Mental Health
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