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Journal of Behavioral Health Services & Research

Amanda Sharp, M Scott Young, Kathleen A Moore
Substance use and bullying during adolescence are two prevalent problem behaviors associated with a broad array of adverse developmental outcomes. This study conducted a secondary analysis of high school data from Hillsborough County's 2014 Florida Youth Substance Abuse Survey to examine the relationship between substance use, criminal activity, bullying, and other deviant behaviors. Results indicated that past-month alcohol and marijuana use were associated with driving under the influence of marijuana or alcohol, riding with a driver under the influence of marijuana or alcohol, carrying a hand gun, gambling, selling illegal drugs, and the perpetration of bullying...
February 15, 2019: Journal of Behavioral Health Services & Research
Debra L Brucker, Veronica Helms
Using newly available U.S. Department of Housing and Urban Development (HUD) administrative data linked with National Health Interview Survey (NHIS) data, this study estimates the prevalence of serious psychological distress (SPD) among non-elderly HUD-assisted adults and examines differences in health, health behaviors, and health care utilization for this population. The linked data estimate that 13% of HUD-assisted adults experience SPD. Controlling for individual characteristics and HUD program type, assisted housing residents who had SPD experienced higher rates of self-reported fair or poor health, chronic disease, and cigarette smoking than HUD-assisted adults without SPD...
January 25, 2019: Journal of Behavioral Health Services & Research
Nikki R Wooten, Jordan A Brittingham, Nahid S Sumi, Ronald O Pitner, Kendall D Moore
Medical claims were analyzed from 2810 military children who visited a civilian emergency department (ED) or hospital from 2000 to 2014 with behavioral health as the primary diagnosis and TRICARE as the primary/secondary payer. Visit prevalence was estimated annually and categorized: 2000-2002 (pre-deployment), 2003-2008 (first post-deployment), 2009-2014 (second post-deployment). Age was categorized: preschoolers (0-4 years), school-aged (5-11 years), adolescents (12-17 years). During Afghanistan and Iraq wars, 2562 military children received 4607 behavioral health visits...
January 9, 2019: Journal of Behavioral Health Services & Research
Oliver G Johnston, Jeffrey D Burke
Millions of children across the USA have unmet mental health needs. When these include the disruptive behavior disorders (DBDs)-oppositional defiant disorder (ODD), conduct disorder (CD), and attention-deficit/hyperactivity disorder (ADHD)-this can mean significant long-term consequences. Since children rarely seek treatment themselves, parents are central to the help-seeking process. This paper reviews research on the rates of problem recognition and help-seeking for DBDs, and on perceptual barriers that might hinder service engagement...
January 3, 2019: Journal of Behavioral Health Services & Research
Laurel A Brabson, Amy D Herschell, David J Kolko, Stanley J Mrozowski
Staff turnover is problematic for behavioral health agencies implementing evidence-based practices (EBPs), which are costly and time-consuming. The current study examined the association between EBP training methods and turnover and explored predictors of turnover for different types of staff. Participants (100 clinicians, 50 supervisors, 50 administrators) were randomized to one of three training conditions for an EBP. Results indicated low annual rates of turnover for clinicians, supervisors, and administrators...
January 3, 2019: Journal of Behavioral Health Services & Research
Joanna C Moullin, Laurie A Moore, Douglas K Novins, Gregory A Aarons
The objective of this paper was to compare attitudes towards evidence-based practice (EBP) of substance use disorder treatment (SUDT) center employees' serving American Indian and Alaskan Native (AIAN) populations to those serving non-AIAN populations. Survey data on the openness and divergence subscales of the Evidence-Based Practice Attitude Scale (EBPAS) were collected and analyzed. Independent samples T tests were performed to compare the two samples. For all comparisons, except the divergence subscale between counselors, the SUDT employees serving AIANs had significantly lower mean openness scores and higher mean divergence scores than those serving non-AIANs...
December 12, 2018: Journal of Behavioral Health Services & Research
Elise Trott Jaramillo, Cathleen E Willging, Amy E Green, Lara M Gunderson, Danielle L Fettes, Gregory A Aarons
Implementation and sustainment of evidence-based interventions (EBIs) is influenced by outer (e.g., broader environments in which organizations operate) and inner (e.g., organizations, their administrators, and staff) contexts. One important outer-context element that shapes the inner context is funding, which is complex and unpredictable. There is a dearth of knowledge on how funding arrangements affect sustainment of EBIs in human service systems and the organizations delivering them, including child welfare and behavioral health agencies...
December 10, 2018: Journal of Behavioral Health Services & Research
Rhonda J Rosychuk, Amanda S Newton, X Joan Hu
Visits to emergency departments (EDs) for pediatric mental health care have increased over the years. The likelihood of ED re-visit is greatest for older children; however, little is known about age-varying effects on ED visits/re-visits. This study used population-based administrative databases from Alberta, Canada, to investigate the association of predictors on mental health ED visit frequency by age for 27,947 children who presented at least once for mental health care from April 2002 to March 2011. A marginal regression model with age-varying effects for sex, geographic area, and socio-demographic group was fit...
November 30, 2018: Journal of Behavioral Health Services & Research
Zheng Xiao, Marcus A Rodriguez, Caitlin M Fang, Jun Gao, Clive Robins, M Zachary Rosenthal
The primary aim of the present study is to explore whether brief education can change Chinese adolescents' and parents' beliefs about when counselors would breach confidentiality. The two secondary aims are to examine whether the brief education (1) increases adolescents' willingness to share private information with their counselor and (2) decreases parents' expectations of the amount of information their child's counselor would divulge to them. Results showed that adolescents and parents who read a brief passage about the limitations of confidentiality were significantly less likely to believe counselors would breach confidentiality in situations where counselors reported they would not likely breach confidentiality...
November 30, 2018: Journal of Behavioral Health Services & Research
Alexander S Young, Amy N Cohen, Alison B Hamilton, Gerhard Hellemann, Christopher Reist, Fiona Whelan
"Enhancing QUality of Care In Psychosis" (EQUIP) was an eight-site clustered controlled trial of the implementation and effectiveness of patient-reported outcomes to support evidence-based practice and improve care for schizophrenia. Implementation sites chose to improve care for weight. Implementation included monitoring patient-reported outcomes using kiosks, patient and staff education, quality improvement teams, and phone care management. Qualitative and quantitative methods compared implementation and effectiveness between sites for 13 months...
November 21, 2018: Journal of Behavioral Health Services & Research
Marsha Langer Ellison, Sloan Smith Huckabee, Rachel A Stone, Kathryn Sabella, Michelle G Mullen
This study examined careers services provided to young adults with serious mental health conditions. Based on an internet survey and key informant telephone interview of 31 programs nominated for delivering innovative practices for young adults, the state of the field for career services was described. Most programs offered supported education and supported employment along with mental health services. Detailed and written planning was a key feature. Programs emphasized working closely with families, inter-agency collaboration, and use of normative community resources...
October 29, 2018: Journal of Behavioral Health Services & Research
Virginia Kotzias, Charles C Engel, Rajeev Ramchand, Lynsay Ayer, Zachary Predmore, Patricia Ebener, Gretchen L Haas, Janet E Kemp, Elizabeth Karras
Women military veterans are at increased risk of suicide compared to non-veterans, but little is known about the mental health service preferences and needs of women veterans in crisis. This study used qualitative, secondary source key informant interviews to ascertain the experiences of women veterans in crisis from 54 responders working at the Veterans Crisis Line. Responders indicated that women veterans reported different experiences with Veterans Administration (VA) and non-VA care, though drivers of satisfaction or dissatisfaction were similar...
October 8, 2018: Journal of Behavioral Health Services & Research
Mark Savill, Melissa Gosdin, Pooja Patel, Joy Melnikow, Rachel Loewy, Tara Niendam
Reducing the duration of untreated psychosis (DUP) is a key aim of early psychosis (EP) care. However, substantial variability in how the start and end points of DUP are defined impact its utility in clinical decision-making, and as an outcome measure. In this study, qualitative interviews were conducted with providers to assess how EP services and providers define, operationalize, and measure DUP. Twenty-five providers across 14 clinics were interviewed. Participants emphasized symptom frequency, conviction, distress caused, and impact when determining psychosis onset...
October 8, 2018: Journal of Behavioral Health Services & Research
Andrea Acevedo, Lee Panas, Deborah Garnick, Dolores Acevedo-Garcia, Jennifer Miles, Grant Ritter, Kevin Campbell
The professional degree of co-author Kevin Campbell is incorrect. It should be "DrPH" and not "PhD".
October 8, 2018: Journal of Behavioral Health Services & Research
Layla Parast, Joan S Tucker, Eric R Pedersen, David Klein
Drop-in centers offer a range of services to assist unaccompanied youth experiencing homelessness, but little is known about their perceptions of drop-in centers or use of different services. A random sample of 273 youth experiencing homelessness in the Los Angeles area who had ever used a drop-in center was surveyed. Most youth heard about local drop-in centers from peers (65.1%). They generally reported positive perceptions of the drop-in center environment, staff, and clients; overall, 57.8% were "very" or "extremely" satisfied with the services they had received...
October 5, 2018: Journal of Behavioral Health Services & Research
Linda Rosenberg
October 2018: Journal of Behavioral Health Services & Research
Sarah C Miller-Fellows, Jim Adams, Jill E Korbin, Lawrence P Greksa
Providing effective mental health services requires knowledge about and cultural competence across a wide array of beliefs and practices. This study provides an example of a successful project to improve public mental health service delivery in an Amish community. County boards of mental health in a rural area of Northeast Ohio contacted researchers in 1998 to provide assistance in reaching the Amish community because of a concern that mental health services were not being utilized by the Amish population. Following meetings with community leaders, changes were made to improve the relationships of service providers and public funding agencies with the local Amish community, disseminate information about mental health concerns and services, and improve accessibility to mental health services...
October 2018: Journal of Behavioral Health Services & Research
Megan Conrad, Teri Bolte, Leigh Gaines, Zackery Avery, Linda Bodie
Despite negative effects of tobacco on the human body and the high prevalence of smoking among those who enter treatment for substance use, few residential programs endorse a tobacco-free policy. Conventional wisdom suggests that it is overwhelming to quit more than one substance at a time, and as a result, many clinicians believe that a shift to a tobacco-free treatment environment is unfeasible. However, the most recent scientific literature suggests the opposite: targeting tobacco use during substance use treatment can increase abstinence rates from both smoking and substances of choice...
October 2018: Journal of Behavioral Health Services & Research
Carol Carstens, Richard Massatti
Employment among persons with severe mental illness has been challenging. Supported employment programs have had some success; however, much remains to be understood about client motivations for employment. A labor force participation study was mailed to persons receiving services in a Midwestern state's publicly funded behavioral health system, and a random sample of participants resulted in 964 valid surveys. Analysis showed significant differences between Medicaid coverage program and labor force status, with some programs likely to have higher percentages of employed persons...
October 2018: Journal of Behavioral Health Services & Research
Lorena Porras-Javier, Elizabeth Bromley, Maria Lopez, Tumaini R Coker
Publicly insured children needing referral to mental health (MH) services often do not access or receive services. The objective of this study was to identify gaps in communication and coordination between primary care providers (PCPs) and MH providers during the MH referral and care process for publicly insured children. Thirteen semi-structured interviews were conducted with 10 PCPs and staff from a federally qualified health center (FQHC) and 6 MH providers and staff from two local MH clinics. Interview participants identified multiple gaps in communication throughout the care process and different phases as priorities for improvement...
October 2018: Journal of Behavioral Health Services & Research
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