Variation in Use of Psychiatric Collaborative Care Model Codes and Episodes of Care for Commercially Insured Individuals

Integrated behavioral health, which incorporates behavioral health services into general medical settings, is an effective approach to improving access to mental health care. The psychiatric collaborative care model (CoCM), a team-based approach involving a primary care provider, behavioral health care manager, and consulting psychiatrist, has strong evidence supporting its effectiveness for treating conditions such as…

Practical Insights Into the Distribution and Comparative Perceived Effectiveness of Peer Support Training Modalities Across Multiple US States

Peer support services have become an increasingly important component of behavioral health care, with growing evidence supporting their effectiveness in helping individuals recover from mental health and substance use challenges. As demand for these services has expanded, particularly following the COVID-19 pandemic, there is increasing need to better understand how Certified Peer Support Specialists (CPSSs)…

Analyzing School-Based Behavioral Health Services Across HRSA-Defined Regions in the United States

The United States is facing a growing youth mental health crisis, with increasing rates of depression, anxiety, and suicidality among children and adolescents. At the same time, shortages of behavioral health providers and other barriers to care limit access to needed services. School-based behavioral health (SBBH) programs have emerged as a promising strategy to improve…

Modality of Behavioral Health Care Delivery in Commercial Claims: Implications for Telehealth Policy

Telepsychiatry has become a critical tool for expanding access to behavioral health care, with utilization increasing substantially during the COVID-19 pandemic alongside federal telehealth policy flexibilities. While some flexibilities have been made permanent, others are set to expire, and the effects on access to care remain unclear. Understanding the extent to which patients receive behavioral…

Continuum of Care for Substance Use Disorders in Pregnancy: Evidence From the National Survey on Drug Use and Health

Substance use during pregnancy remains a major public health concern in the United States, contributing to adverse maternal and infant outcomes, including preterm birth, neonatal abstinence syndrome, and increased maternal mortality. Although universal screening during prenatal care is recommended to identify women with substance use disorders (SUDs) and connect them to treatment, screening and treatment…

Changes in the Proportion of Office-Based Child and Adolescent Physician Visits Addressing Mental Health, 2005–2019

Despite the mental health crisis youth face in the United States, little is known about how children differentially access mental health care from primary care providers and psychiatrists. Using the National Ambulatory Medical Care Survey (NAMCS), researchers explored trends over time from 2005-2019. This article examines demographic and diagnostic differences in treatments for child mental…

Burnout and Job Satisfaction Among US Peer Recovery Support Specialists: Personal Resilience and Satisfaction With Supervisor and Organizational Support as Mediating Mechanisms

Peer Recovery Support Specialists (PRSS) play a crucial role in the behavioral health workforce, assisting individuals in their recovery from substance use and mental health challenges. Despite their essential contributions to the behavioral health field, research on resilience among peers remains limited. This article examines how PRSSs’ personal resilience and their satisfaction with supervisor and…

Characteristics of Substance Use Disorder and Mental Health Disorder Treatment Facilities With Perinatal Programs

As many as 1 in 5 women will experience a behavioral health condition during their perinatal period, yet the availability of services specifically designed and delivered for individuals who experience perinatal mental health and substance use conditions remains unclear. This article uses the National Substance Use and Mental Health Services Survey (NSUMHSS) to explore the…

Job Assessments and the Anticipated Retention of Behavioral Health Clinicians Working in US Health Professional Shortage Areas

A shortage of behavioral health clinicians is limiting access to mental health care across the United States, particularly in areas designated as Mental Health Professional Shortage Areas (mHPSAs). Retaining clinicians in these high-need areas is essential to improving access. This article examines behavioral health clinicians’ assessments of various job and workplace factors associated with their…

Identifying Factors Associated With Variation in Telemental Health Delivery at Federally Qualified Health Centers

During the COVID-19 pandemic, telemental health—including video and phone visits—became essential for delivering mental healthcare as in-person visits declined and demand increased. Regulatory and payment changes at both federal and state levels in the US enabled its rapid expansion, with usage rising from under 1% pre-pandemic to 39% of behavioral health visits between March and…

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