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OBJECTIVE Assertive Community Treatment (ACT) is an evidence-based practice for individuals with severe mental illness. Although at least half of all people with severe mental illness are parents, little is known about their experiences as parents and as recipients of mental health interventions like ACT. The purpose of the current study was to examine the(More)
OBJECTIVE Monitoring fidelity of assertive community treatment (ACT) teams is costly. This study investigated the reliability and validity of a less burdensome approach: self-reported assessment. METHODS Phone-administered and self-reported assessments were compared for 16 ACT teams. Team leaders completed a self-report protocol providing information(More)
OBJECTIVES To compare health care use and spending of Medicaid enrollees seen at federally qualified health centers versus non-health center settings in a context of significant growth. METHODS Using fee-for-service Medicaid claims from 13 states in 2009, we compared patients receiving the majority of their primary care in federally qualified health(More)
OBJECTIVE Illness management and recovery (IMR) is an evidence-based, manualized illness self-management program for people with severe mental illness. This study sought to develop a measure of IMR clinician competence and test its reliability and validity. METHODS Two groups of subject matter experts each independently created a clinician-level IMR(More)
OBJECTIVE Illness management and recovery (IMR) is an evidence-based practice that assists consumers in managing their illnesses and pursuing personal recovery goals. Although research has examined factors affecting IMR implementation facilitated by multifaceted, active roll-outs, the current study attempted to elucidate factors affecting IMR implementation(More)
OBJECTIVE This study explores the implementation of illness management and recovery (IMR) across Veterans Affairs Medical Centers (VAMCs). The implementation of illness management programming has been mandated in certain programs within VAMCs. IMR is consistent with the Department of Veteran Affairs (VA) emphasis on recovery-oriented, evidence-based(More)
The high demands and responsibilities of probation work, particularly with juvenile clients, may lead to burnout, which can negatively impact how probation officers work with clients, particularly individuals with behavioral health concerns. Yet, research examining burnout and related outcomes among juvenile probation officers (JPOs) is limited. We surveyed(More)
OBJECTIVE Assertive Community Treatment (ACT) is an evidence-based practice for individuals living with serious mental illnesses. Although studies estimate that at least half of people with serious mental illnesses are parents, little is known about ACT policies and services for parent consumers. METHOD Seventy-three ACT providers from 67 teams completed(More)
OBJECTIVE To compare total annual costs for Medicare beneficiaries receiving primary care in federally funded health centers (HCs) to Medicare beneficiaries in physician offices and outpatient clinics. DATA SOURCES/STUDY SETTINGS Part A and B fee-for-service Medicare claims from 14 geographically diverse states. The sample was restricted to beneficiaries(More)