Content by Keyword: Mental Health/Psychiatric Services

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Basic report
Inpatient Bed Tracking: State Responses to Need

Inpatient Bed Tracking: State Responses to Need for Inpatient Care

Inpatient Bed Tracking: State Responses to Need for Inpatient Care Tami Mark, PhD, Shilpi Misra, BS, Jennifer Howard, PhD, Erin Mallonee, MS, and Sarita L. Karon, PhD RTI International August 2019 Printer Friendly Version in PDF Format (30 pages)
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Inpatient Bed Tracking: State Responses to Need

Inpatient Bed Tracking: State Responses to Need for Inpatient Care

States have begun to collect and post information on bed availability (i.e., create bed registries or bed tracking systems) as a tool for providers, patients, and caregivers to identify open beds more efficiently. In the absence of a bed registry, emergency room staff, patients, or other providers must call multiple hospitals or residential settin
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Basic report
Psychosocial Supports in Medication-Assisted

Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice

Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice Garrett Moran, Ph.D. West Virginia University (formerly Westat) Hannah Knudsen, Ph.D. University of Kentucky Caroline Snyder, M.P.H. Westat July 2019 Printer Friendly Version in PDF Format (63 PDF pages)
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Psychosocial Supports in Medication-Assisted

Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice

ABSTRACT This report was included as Appendix B of "Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions." That report's purpose was to gain a better understanding of the role and range of different models of psychosocial support in medication-assisted treatment for opioid use disorder.
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Basic report
Psychosocial Supports in Medication-Assisted

Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions

Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions Garrett Moran, Ph.D. West Virginia University (formerly Westat) Hannah Knudsen, Ph.D. University of Kentucky Caroline Snyder, M.P.H. Westat July 2019 Printer Friendly Version in PDF Format (47 PDF pages)
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Psychosocial Supports in Medication-Assisted

Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions

The purpose of this report is to gain a better understanding of the role and range of different models of psychosocial support in medication-assisted treatment for opioid use disorder.
  • MATPsych.pdf
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Optimal Utilization of Psychosocial Supports in

Optimal Utilization of Psychosocial Supports in Medication-Assisted Treatment for Opioid Use Disorder Issue Brief

Westat Printer Friendly Version in PDF Format (3 PDF pages)
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Optimal Utilization of Psychosocial Supports in

Optimal Utilization of Psychosocial Supports in Medication-Assisted Treatment for Opioid Use Disorder Issue Brief

As the opioid epidemic has evolved into a national crisis, the need for treatment has increased greatly. Medication-assisted treatment (MAT) is a “whole-patient” approach to the treatment of opioid use disorder (OUD) that combines the use of medications and psychosocial supports, such as therapy, counseling, self-help groups, and case manageme
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Client Survey

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. Client Survey

CLIENT SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY Thank you for completing the Survey of the Delivery of Evidence Based Psychotherapy. Please read the following statement and choose "yes" or "no" below. CONSENT TO PARTICIPATE IN THE SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY I understand that:
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Supervisor Survey

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. Supervisor Survey

SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY: SUPERVISORS Instructions: Please complete this survey based on your observation of the recent therapy sessions with ________________________________(clinician) and ________________________ (client). Note: Not every therapeutic element will be delivered in every therapy session.
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Clinician Survey

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. Clinician Survey

SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY: CLINICIANS Instructions: Please complete this survey based on the recent therapy session you had with ______________________________ on _____________________. Note: Not every therapeutic element will be delivered in every therapy session.
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I. Summary of Site Coordinator Debriefings

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. I. Summary of Site Coordinator Debriefings

Site coordinators provided written feedback at the end of data collection. The following are topic areas of the types of feedback we received: Technological challenges . Some respondents had difficulty using the online survey links, whereas others found the links to be user-friendly. Both staff and consumer respondents at some sites found it ea
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H. Stakeholder Feedback

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. H. Stakeholder Feedback

In January 2015, we held four discussion groups with clinicians and supervisors, clients, site administrators, and health plans and payers to gather feedback on the measure's importance, face validity, usefulness, and feasibility. During this time, we also gathered feedback from site coordinators. Below, we summarize key themes identified across t
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G. Results of Sensitivity and Specificity Analyses

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. G. Results of Sensitivity and Specificity Analyses

To begin to understand the measure's validity, we calculated its sensitivity and specificity. For the purposes of this investigation, sensitivity is defined as the proportion of clinicians identified by clients or the clinicians themselves as high performers in the delivery of evidence-based psychotherapy when compared to supervisor scores. Specif
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F. Approach to Creating a Measure Score

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. F. Approach to Creating a Measure Score

In order for a measure to be useful for performance and accountability purposes, the measure must discriminate performance and there must be a mechanism for scoring it to identify individuals who delivery evidence-based psychotherapy. As an initial approach to developing a measure score, we created standardized factor scores for each of the five f
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E. Inter-Rater Agreement Results

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. E. Inter-Rater Agreement Results

Inter-rater reliability assesses the extent to which clinicians, supervisors, and clients agreed on whether the clinician delivered the survey element . We used the AC1 statistic, a measure of agreement adjusted for chance, to quantify agreement for the overall survey and at the item level.[ 7 ]
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D. Internal Consistency Results

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. D. Internal Consistency Results

According to our KR20 analysis, the internal consistency of four out of five latent constructs is between 0.70 and 0.90 ( Table V.3 ; details shown in Appendix J ), which is in the "good" to "very good" range (Nunnally and Bernstein 1978). The internal consistency of Factor 4, suicide assessment, is between 0.54 and 0.69, which suggests some item
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C. Confirmatory Factor Analysis

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. C. Confirmatory Factor Analysis

To further refine the scales identified in the EFA, we conducted CFAs on the five-factor model separately for the clinician, supervisor, and client samples.
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B. Exploratory Factor Analysis

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. B. Exploratory Factor Analysis

To identify the underlying factor structure of the survey, we fit a series of EFA models with varying numbers of latent factors (5, 6, 7, and 8). We examined the models' statistical fit and how well they corresponded to our theoretical understanding of the underlying constructs of evidence-based psychotherapy for PTSD.
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A. Summary of Survey Administration

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. A. Summary of Survey Administration

Survey mode . Eighty-nine percent of clinicians, 63 percent of supervisors, and 37 percent of clients completed the survey via the web ( Table V.1 ). The mode of survey completion varied by site. For example, in Site B, clients were provided the option of completing the survey immediately following the therapy session using the site's iPads. All

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