Abstract:
:Using a random sample of 48 outpatient mental health programs in low-income and racial and ethnic minority communities, this study examined directorial leadership, drug treatment licensure, and implementation of evidence-based protocols and practices to address co-occurring mental health and substance abuse disorders (COD). Understanding of findings was enhanced with focus groups at six clinics. Most programs (81 %) offered COD treatment. Directorial leadership was positively associated with COD treatment (β = 0.253, p = 0.047, 95 % CI 0.003, 0.502) and COD supervision and training (β = 0.358, p = 0.002, 95 % CI 0.142, 0.575). Licensure was negatively associated with COD treatment (β = -0.235, p = 0.041, 95 % CI -0.460, -0.010) and COD supervision and training (β = -0.195, p = 0.049, 95 % CI -0.389, -0.001). Although lack of financial integration may limit the effect of licensing on COD treatment implementation, the response of leaders to regulation, funding, and human resources issues may encourage COD treatment practices. Implications for leadership interventions and policy are discussed in the context of health care reform.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Guerrero EG,Padwa H,Lengnick-Hall R,Kong Y,Perrigo JLdoi
10.1007/s10597-015-9886-0subject
Has Abstractpub_date
2015-07-01 00:00:00pages
554-66issue
5eissn
0010-3853issn
1573-2789journal_volume
51pub_type
杂志文章,多中心研究abstract::Optimizing the transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) is a priority for healthcare systems. The purpose of this systematic review is to: (1) identify and compare models of care that may be used to facilitate the transition from CAMHS to AMHS; and ...
journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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doi:10.1007/BF01411386
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00669-6
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journal_title:Community mental health journal
pub_type: 历史文章,杂志文章
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00450-4
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journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00755677
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00781306
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-013-9664-9
更新日期:2014-07-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1019860428856
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journal_title:Community mental health journal
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Community mental health journal
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pub_type: 杂志文章
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journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF02189439
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-013-9602-x
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-005-2596-2
更新日期:2005-02-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/b:comh.0000003014.01612.70
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journal_title:Community mental health journal
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