Objective: We sought to establish that refugee youths who receive a multi-tiered approach to services, Project SHIFA, would show high levels of engagement in treatment appropriate to their level of mental health distress, improvements in mental health symptoms, and a decrease in resource hardships. Method: Study participants were 30 Somali and…

Objective: To examine whether there are latent trajectory classes in response to treatment and whether they moderate the effects of medication versus psychotherapy. Method: Data come from a 1-year randomized controlled trial of 267 low-income, young (M = 29 years), minority (44% Black, 50% Latina, 6% White) women with current major depression…

Objective: Despite substantial progress in the development and identification of psychosocial evidence-based treatments (EBTs) in mental health, there is minimal empirical guidance for selecting an optimal "set" of EBTs maximally applicable and generalizable to a chosen service sample. Relevance mapping is a proposed methodology that…

Objective: This study was designed to evaluate the association between marital distress and mental health service utilization in a population-based sample of men and women (N = 1,601). Method: The association between marital distress and mental health care service utilization was evaluated for overall mental health service utilization and for…

Objective: The authors compared symptom change trajectories and treatment outcome categories in children and adolescents receiving routine outpatient mental health services in a public community mental health system and a private managed care organization. Method: Archival longitudinal outcome data from parents completing the Youth Outcome…

Research suggests that Asian Americans underutilize mental health services but an understanding of the multiple factors involved in utilization has not been examined in a nationally representative sample. The current study analyzed data from the National Latino and Asian American Study (NLAAS) and examined 368 individuals with disorders to…

In corrections, where staffing limitations tax an overburdened mental health system, telemental health is an increasingly common mode of mental health service delivery. Although telemental health presents an efficient treatment modality for a spectrum of mental health services, it is imperative to study how this modality influences key elements of…

This study provides support for the hypothesis that a smoking reduction treatment program composed of the nonspecific factors of motivated subjects, structured participating and self-monitoring can yield outcome patterns comparable to those obtained with the more elaborate, theoretically derived stop smoking procedures. (Author)

Diffusion theory posits that information is disseminated throughout a social network by the persuasion of key opinion leaders (KOLs). This study examined the relative and combined influence of peer-identified KOL teachers (n = 12) and mental health providers (n = 21) on classroom teachers' (n = 61) self-reported use of commonly recommended…

This study investigated a new 2-factor construct, termed "cultural congruence", which is related to cultural competence in the delivery of mental health services to ethnic minority clients. Cultural congruence was defined as the distance between the cultural competence characteristics of the health care organization and the clients' perception of…

Results showed that volunteers were less likely to feel that patients should be restricted in their social functioning than were the nonvolunteers. Volunteers' attitudes toward mental illness became more benevolent toward patients over time, and volunteers may have begun to adopt the ideology of the mental health professional. (Author)

It is the thesis of this paper that the amount of technical knowledge available in certain areas of clinical psychology and related fields is now sufficient to permit considerable advances to be made in the decision-making aspects of mental health services. (Author)

Contact frequency and duration "regularities" were considered as they relate to program objectives of educational and personal development. It was found that children seen varying number of times by nonprofessional child aides in a school mental health project did not differ significantly either on initial referral status or outcome measures.…

The inference is drawn from these findings that the aide group possessed more desirable attributes than the control group for the role of nonprofessional mental health worker. (Author)

The results supported the hypothesis that accessibility to the consultant is inversely related to organizational power. (Author)