6 results
Search Results
2. Patient Experiences Completing Patient Reported Outcome Measures in Behavioral Health Within a Health Safety-Net Setting.
- Author
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Kramer, Joanna, Perez, Daisy, Ramseier, Denisa, Morgan, Lily, Wilens, Timothy E., Rao, Vinod, and Yule, Amy M.
- Subjects
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MENTAL health , *SAFETY-net health care providers , *RESEARCH funding , *INTERVIEWING , *QUESTIONNAIRES , *THEMATIC analysis , *ATTENTION , *RESEARCH methodology , *HEALTH outcome assessment , *PATIENT satisfaction , *LITERACY , *PATIENTS' attitudes , *TIME - Abstract
Measurement based care (MBC), a practice that uses patient reported outcome measures (PROMs), is not widely used in behavioral health settings and little is known about the patient experience with MBC in safety-net settings. This study aimed to understand patient experiences completing PROMs on paper when presenting to an outpatient, behavioral health setting within a public safety-net hospital. Semi-structured interviews were conducted with 22 participants in English and Spanish. Participants were 42 years old (SD = 12.7), mostly white (36.4%) and Black (31.8%). Thematic analysis was used to analyze findings. Overall, participants were engaged with PROMs and described them as helpful for themselves and their clinicians. Participants also expressed themes focused on PROMs user-friendliness, including formatting, time to complete measures, and participant characteristics such as attention and literacy. These findings are important to consider to ensure equitable access to MBC when implemented in behavioral health in the health safety-net setting. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Nationwide Evaluation of Quality of Care Indicators for Individuals with Severe Mental Illness and Diabetes Mellitus, Following Israel's Mental Health Reform.
- Author
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Barasche-Berdah, Deborah, Ein-Mor, Eliana, Calderon-Margalit, Ronit, Rose, Adam J, Krieger, Michal, Brammli-Greenberg, Shuli, Ben-Yehuda, Arye, Manor, Orly, Cohen, Arnon D., Bar-Ratson, Edna, Bareket, Ronen, Matz, Eran, and Paltiel, Ora
- Subjects
PSYCHIATRIC epidemiology ,MEDICAL quality control ,OBESITY ,GLYCOSYLATED hemoglobin ,KEY performance indicators (Management) ,CONFIDENCE intervals ,AGE distribution ,DIABETES ,HEALTH outcome assessment ,MEDICAL screening ,PUBLIC health ,HEALTH care reform ,SEVERITY of illness index ,SOCIOECONOMIC factors ,SEX distribution ,CLINICAL medicine ,QUALITY assurance ,DESCRIPTIVE statistics ,RESEARCH funding ,ODDS ratio ,HEALTH equity ,MENTAL health services - Abstract
Diabetes Mellitus (DM) is more common among individuals with severe mental illness (SMI). We aimed to assess quality-of-care-indicators in individuals with SMI following the 2015 Israel's Mental-Health-reform. We analyzed yearly changes in 2015–2019 of quality-of-care-measures and intermediate-DM-outcomes, with adjustment for gender, age-group, and socioeconomic status (SES) and compared individuals with SMI to the general adult population. Adults with SMI had higher prevalences of DM (odds ratio (OR) = 1.64; 95% confidence intervals (CI): 1.61–1.67) and obesity (OR = 2.11; 95% CI: 2.08–2.13), compared to the general population. DM prevalence, DM control, and obesity rates increased over the years in this population. In 2019, HbA1c testing was marginally lower (OR = 0.88; 95% CI: 0.83–0.94) and uncontrolled DM (HbA1c > 9%) slightly more common among patients with SMI (OR = 1.22; 95% CI: 1.14–1.30), control worsened by decreasing SES. After adjustment, uncontrolled DM (adj. OR = 1.02; 95% CI: 0.96–1.09) was not associated with SMI. Cardio-metabolic morbidity among patients with SMI may be related to high prevalences of obesity and DM rather than poor DM control. Effective screening for metabolic diseases in this population and social reforms are required. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. Elucidating Harm Reduction Principles in a Client-Centered Representative Payee Program.
- Author
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Abua, Joseph, Hagert, Zack, Baumann, Sara, Batey, Scott, Creasy, Stephanie, Davis, Dana, Kay, Emma, and Hawk, Mary
- Subjects
HARM reduction ,RESEARCH funding - Abstract
Harm Reduction seeks to mitigate harms associated with health behaviors without the expectation that these behaviors be extinguished completely. Client-Centered Representative Payee (CCRP) is an intervention that modifies the US Social Security Administration's (SSA) Representative Payee policy by incorporating relational harm reduction. We used Human-Centered Design (HCD) methods to elucidate ways that harm reduction principles are present in and integral to CCRP and to create a blueprint for replication. Thirteen individuals familiar with CCRP brainstormed 88 statements, which were parsed, consolidated, and then independently assigned by a subgroup of participants to six principles of harm reduction. After refining the data, 29 statements aligning with harm reduction principles remained. Delineating harm reduction within CCRP, which can empower and establish trust with clients, may help other providers identify how to offer representative payee services that are respectful, compassionate, rooted in harm reduction, and ultimately improve client outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
5. Perceived Educational Needs of Substance Use Peer Support Specialists: A Qualitative Study.
- Author
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Mumba, Mercy Ngosa, Sweeney, Avaleen, Jennings, Claudia, Matthews, Jeremiah, Andrabi, Mudasir, Hall, Jordan, and Benstead, Heidi
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DIVERSITY & inclusion policies ,SUBSTANCE abuse ,SOCIAL support ,COUNSELING ,CONFIDENCE ,EMPLOYEE attitudes ,SUICIDE prevention ,FAMILY support ,PEER counseling ,MENTAL health ,BEHAVIOR ,QUALITATIVE research ,DESCRIPTIVE statistics ,RESEARCH funding ,INFORMATION needs ,THEMATIC analysis ,MIND & body therapies ,HEALTH self-care - Abstract
The opioid crisis is an ever-growing issue nationwide. The role of peer support specialists has received widespread acceptance in the substance use and behavioral health spheres. However, there is a lack of standardization on the training required for peer support specialists to function as competent members of integrated behavioral health teams. We conducted qualitative focus groups with 14 practicing certified peer support specialists to determine their perceived educational needs. Inductive thematic analysis was used to analyze the data and six themes emerged: mental health and suicide prevention training, diversity, equity, and inclusion training, counseling skills training, family systems approach to care training, professionalism training, and taking care of self – mind, soul, and body training. To improve peer support specialists' confidence in their ability to competently perform their jobs, important topics need to be incorporated into their educational training and preparation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
6. Availability and Accessibility of Mental Health Services for Youth: A Descriptive Survey of Safety-Net Health Centers During the COVID-19 Pandemic.
- Author
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Adams, Danielle R.
- Subjects
HEALTH services accessibility ,RESEARCH methodology ,COMMUNITY health services ,COMMUNITY mental health services for teenagers ,SURVEYS ,COMPARATIVE studies ,SAFETY-net health care providers ,DESCRIPTIVE statistics ,RESEARCH funding ,METROPOLITAN areas ,MEDICAID ,COVID-19 pandemic ,OUTPATIENT services in hospitals - Abstract
Community Mental Health Centers (CMHCs) and Federally Qualified Health Centers (FQHCs) are critical access points for families with adolescents needing mental health care, especially those enrolled in Medicaid. However, barriers exist which may reduce their accessibility. This study aims to describe the availability and accessibility of outpatient mental health services for children and adolescents at safety-net health centers in a large metropolitan county. Approximately one year after the COVID-19 pandemic began in the U.S., a comprehensive sample of 117 CMHCs and 117 FQHCs were called and administered a 5-minute survey. Approximately 10% of health centers were closed, and 20% (28.2% of FQHCs and 7.7% of CMHCs) reported not offering outpatient mental health services. Despite CMHCs having 5.4 more clinicians on staff on average, reported wait times were longer at CMHCs than FQHCs. These findings indicate that online directories intended to be a comprehensive and accessible resource, such as the SAMHSA Treatment Locator, are often inaccurate or out-of-date. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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