The New Federalism and state mental health agencies: Roles for psychologists.

As state governments expand and become more influential and as universities constrict employment opportunities for psychologists, psychologists should consider career possibilities in state mental health systems. Four key functions in the state mental health agency are described: administration, training, research, and evaluation. Changes in professional training that are needed to adequately prepare psychologists for these nontraditional career roles are discussed. (12 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emerging perspectives on the role of psychologists in the delivery of health and mental health services in schools.

This introductory article presents an overview of the APA Committee for the Advancement of Professional Practice Working Group on Schools as Health Care Delivery Sites. Additionally, it provides a health care reform context for exploring the emerging role for psychologists in the delivery of health and mental health services to children in the school setting. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rural models for integrating primary care and mental health services

This paper presents findings from a study designed to identify and describe models for integrating primary care and mental health services in rural communities. Data were obtained from telephone interviews with staff at rural primary care sites around the country. Findings are based on the responses of 53 primary care organizations in 22 states. The authors identify four integration models--diversification, linkage, referral and enhancement--which appear to exist in combination, rather than as pure types. The proposed analytic framework outlines aspects of integration that are readily amenable to study.     

Use of self-help materials for anxiety and depression in mental health services: A national survey of psychologists in Norway.

[Correction Notice: An erratum for this article was reported in Vol 42(3) of Professional Psychology: Research and Practice (see record 2011-11548-002). The author's affiliations were listed incorrectly. The correct affiliations are in the correction.] How do psychologists in clinical practice perceive and use self-help materials for clients with anxiety and depression? The use of self-help materials with guidance from a therapist has been suggested as a way of meeting the increasing need for mental health services. The present study investigated factors relevant to the use of self-help materials for the treatment of anxiety and depression among psychologists employed in mental health services. Among 1863 eligible clinical psychologists in Norway, 815 (43.7%) participated in a national survey. A total of 93.5% of the participants had recommended self-help materials to clients, and approximately half (55.1%) had received requests from their clients regarding self-help materials. Self-help materials were recommended as an adjunct and not as an alternative to therapist contact by 73.0% of respondents, by 16.6% for relapse prevention, and by 1.2% to clients on a waiting list. Internet/computer-based programs were recommended by 2.2% of the participants. The practitioner's previous use of self-help materials to enhance his or her therapy skills and knowledge of self-help materials was related to use of self-help materials with clients. Psychologists working in child mental health services recommended self-help less often than those working in adult services. These results have implications for future efforts to disseminate effective self-help materials through increased attention toward self-help interventions in training and clinical practice. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Economics and mental health services.

J. A. Buck and R. Hirschman (see record 1980-26240-001) may have applied the tools of supply and demand analysis somewhat casually. The existence of sizable externalities, poor consumer information, and a maldistribution of services across the nation must be incorporated into the economic models that are applied to the mental health services system. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women's utilization of outpatient psychiatric services: Some emerging priorities for rehabilitation psychologists.

Provides a brief profile of women's utilization of outpatient psychiatric services, based on a 1975 survey conducted by the National Institute of Mental Health, and focusing on population characteristics that have special implications for rehabilitation psychologists, including race, age, marital status, diagnosis, and type of treatment. Findings reveal that more than 60% of adult admissions (aged 18–64 yrs) were female. Black females had the highest admission rate, followed by Black males, White females, and White males. Most female admissions 14 yrs or older, both Black and White, were married, and depression was the leading diagnosis, suggesting that developing effective rehabilitation strategies for women will require special attention to the causes and consequences of depression. Results also indicate that minorities were less likely than Whites to receive individual psychotherapy, and more than 40% of clients diagnosed as having a depressive disorder received drug therapy. Sources of information on mental health of women and minorities are identified, including reviews of the literature, journals, and research centers that deal specifically with the mental health needs of special populations. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Public and private responsibility for mental health services.

Relative to public services, private sector corporate mental health care has significantly increased since the late 1960s. The many tensions encountered in assigning public and private responsibility for mental health services give rise to significant value-laden questions for psychologists. These questions go to the heart of community mental health, deinstitutionalization, mental health policy development and evaluation, and many other areas in which psychologists are playing major roles. The public–private issue should be understood historically, from the twin vantage points of developments in general medicine and in mental health. Among the many public interest and public policy matters psychologists and others concerned with mental health should address are the emergence of corporate chains; the nature, cost, and quality of private sector services; the compatibility of profit motivation and the motivation to provide care; and patient selection issues (e.g., cream-skimming). Public and private cooperation and planning are certainly in order if the public interest is to be served in addressing the nation's mental health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The public's knowledge about psychologists and other mental health professionals.

A random sample of New London County, Connecticut, residents received a questionnaire about 9 mental health professions or professionals (MHPs): clergyperson, marriage and family counselor, nonpsychiatric physician, psychiatrist, psychiatric nurse, psychologist, psychotherapist, social worker, and telephone crisis counselor. Respondents defined each MHP and reported their satisfaction with treatment, which MHP they would recommend, their referral source(s), licensure requirements, and fees. A mixed-design ANOVA was computed, with comfortableness as the dependent variable; age, sex, saw an MHP, and education, the between-Ss variables; and the 9 MHPs, the within-Ss variable. A significant MHP effect showed that physicians were perceived as slightly more comfortable than were psychologists (nonsignificant), who, nevertheless, were perceived as exceeding all other trained MHPs in the comfortableness experienced by their clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A survey of psychologists at health maintenance organizations and community mental health centers.

Conducted a national survey of psychologists at health maintenance organizations (HMOs) and a comparison group of psychologists at community mental health centers. Activities and attitudes, and overall staffing patterns are examined. Recommendations are made for increasing the involvement of psychologists at HMOs. (5 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ecological constraints on mental health services.

Proposes 4 principles for community mental health programing that are consistent with an ecological thesis: (1) Assessment methods are focused on the total population rather than on those persons who presently receive a mental health service. (2) Mental health services are designed to reduce a high risk for community service. (3) Professional and research services are created as local community resources. "By initiating the informal coordination of current services, the community mental health program helps to create specific new community services as needed." (4) The program plans for change; this involves mobilizing anticipatory problem-solving resources not only for clients but for professionals as well. A "conception of community mental health work based upon the ecological thesis that adaptive programs change" is presented. (39 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Capitating mental health services

Many employers are contracting mental or behavioral health services separately from other types of health care. Capitation rates are paid for a defined set of benefits. Mental health services are capitated in two ways; both approaches are discussed.     

DRGs and the administration of mental health services.

Contends that if diagnosis-related groups (DRGs) were applied to cover mental health services, there is considerable doubt that they would adequately reimburse for costs. They also may undermine the quality of services and encourage managing for profitability rather than results. It is recommended that other funding patterns be sought and that the organization of mental health services and the treatment technology in use be improved. (44 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Issues in mental health services for children and adolescents

Existing system of psychiatric care for children and adolescents is in need of basic reorganization. The authors propose: 1) reestablishment of the speciality of children's and adolescent psychiatrist, a specialist in children's and adolescent narcology, a psychiatrist of early child's age and a pediatric medical psychologist; 2) carrying out the reform of child mental care equal in rights with general psychiatry; 3) preservation and widening of both specialized inpatient and outpatient clinics in general system of child's mental care; 4) legislative and public rehabilitation of children's psychiatry, which suffered considerably from antipsychiatric campaign; 5) professionally organized systematic elevation of psychohygienic, psychiatric and psychotherapeutic knowledges of allied medical and other specialists as well as of parents and of all population too; 6) integration and interaction of govermental services concerning mental health of children and adolescent; 7) organization of regional psychoprophylaxic interdisciplinary centers for children and adolescent.     

Challenges of providing mental health services in Spanish.

The disparity in mental health services to Spanish-speaking clients is well documented. This study examines the service delivery experiences of Spanish-speaking mental health providers by exploring their perceptions and concerns regarding their competence and training to provide services in Spanish. It also identifies practitioner priorities for improving training experiences specific to bilingual mental health service delivery. Implications for graduate psychology programs are discussed in an effort to promote and enhance necessary competencies regarding bilingual training endeavors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improving mental health services for Latino and Asian immigrant elders.

Given the changing demographics of the aging population in the United States, it is likely that professional psychologists will encounter elderly clients from diverse backgrounds in their practice. Asians and Latinos represent the 2 fastest growing groups of elderly immigrants. This article offers information and practical suggestions to assist clinicians working with elderly Asian and Latino immigrant clients. Specific recommendations for enhancing assessment and treatment efficacy with these populations are also provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cost sharing and the demand for ambulatory mental health services.

Asserts that the results obtained by W. G. Manning et al (see record 1985-28870-001) are premature and should not be interpreted as estimates of the effects of co-insurance on the use of mental health care because the mean dollar expenditure (MDE), an important feature of insurance plans in the Rand Corporation's Health Insurance Study (HIS), was never analyzed. It is argued that the otherwise anomalous pattern of ambulatory mental health expenditures in the HIS can be explained by the MDE effect. (8 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Providers' views of HMO mental health services.

112 health maintenance organization (HMO) mental health providers from 19 HMOs were asked to describe the services provided by their mental health department, give demographic data about providers themselves, and rate the services provided as well as their satisfaction with providers' benefits and compensation. More than half of the Ss reported having a private practice in addition to their position at an HMO. The average full-time person doing direct clinical practice reported seeing about 23 clients per week. Other results suggest differences in satisfaction level varying with salary and patient load. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Managing the violent patient: A guide for psychologists and other mental health professionals.

Being threatened, harassed, attacked, or confronted by a patient with a weapon is becoming more common and is likely to occur at some point in a mental health professional's career. Effective violence management programs can reduce the incidence of violence. Yet, few resources have been provided to assist psychologists and other mental health professionals to deal with aggressive patients. The authors offer strategies for the management of aggressive behavior that can be implemented to empower practitioners to take precautions when necessary in a quick and efficient manner when dealing with violent and potentially violent patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)