Bradley D. Stein

@BradleyDStein on Twitter

Director, Opioid Policy, Tools, and Information Center (OPTIC); Senior Physician Policy Researcher

Pittsburgh Office

Education

Ph.D. in health policy, Pardee RAND Graduate School; M.D., University of Pittsburgh; M.P.H. in health services administration, University of Pittsburgh; B.A. in government, Georgetown University

One Page Bio

Media Resources

This researcher is available for interviews.

To arrange an interview, contact the RAND Office of Media Relations at (310) 451-6913, or email media@rand.org.

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Overview

Bradley Stein (he/him) is director of the NIH-funded RAND-USC Schaeffer Opioid Policy Center and a senior physician policy researcher at the RAND Corporation. A health services and policy researcher and practicing child and adolescent psychiatrist, Dr. Stein's research focuses on better understanding and improving care for individuals with mental health and substance use disorders in community settings. Dr. Stein has worked extensively in recent years examining the effects of state policies and community characteristics on outcomes related to the opioid crisis, including treatment, prevention, and harm reduction. He has also worked in the area of school mental health, developing, evaluating, implementing, and disseminating a school-based intervention for students exposed to trauma and violence as well as a school-based suicide intervention program's implementation. In addition, he has examined the mental health and substance abuse care of a broad range of Medicaid enrollees, including individuals with depression, children with ADHD, children with autism, children receiving psychotropic medications, and individuals with opioid use disorder and other substance use disorders. He previously served as the senior director of Research, Evaluation, and Outcomes at Community Care Behavioral Health, a large nonprofit managed behavioral health organization. Dr. Stein received his M.D. and M.P.H. from the University of Pittsburgh and his Ph.D. in health policy from Pardee RAND Graduate School.

Research Focus

Recent Projects

Opioid use disorder medication-assisted treatment policy
Examining the impact of state policies regarding the treatment of autism on the families of children with autism spectrum disorders
Enabling schools to better meet the needs of children exposed to traumatic events

Honors & Awards

RAND Bronze Medal Award, 2016, RAND Corporation
Sidney Berman Award for School-Based Study and Intervention for Learning Disorders and Mental, Health, 2013, American Academy of Child and Adolescent Psychiatry
Norbert and Charlotte Rieger Service Program Award for Excellence, American Academy of Child and Adolescent Psychiatry

Recent Media Appearances

Interviews: Addiction Professional; Associated Press; CGTN America; Detroit Free Press; KCBS-AM; KPCC-FM; Los Angeles Times; MedicalResearch.com; Mental Health Weekly Digest; Pain Medicine News; Pittsburgh Business Times; Reuters Health; Santa Monica Mirror; WBUR; WNBC.com

Video Interviews: CCTV

Commentary

Opioids

Where Science Says to Spend Any U.S. Opioid Settlement Money
A global settlement with pharmaceutical companies has started to appear more and more likely. Even with billions of dollars, the settlement resources won't be unlimited. To avoid mistakes made in the tobacco master settlement agreement, any opioid funds must be carefully allocated.
Dec 19, 2019
Pittsburgh Post-Gazette
Opioids

(Grey's) Anatomy of an Opioid Crisis
More than 130 Americans die every day after overdosing on opioids. So when one of the most popular shows on TV made opioid misuse a major plotline, RAND experts paid attention to how it presented this public health crisis. The show mirrored reality pretty closely, for the narrow slice of the opioid crisis it addressed.
Apr 8, 2019
Scientific American
Substance Use Disorder Treatment

In Opioid Policy, One Size Does Not Fit All
To solve America's opioid crisis, policymakers will need to view the epidemic as an "ecosystem," where policies that target only one part of the problem can have unintended consequences.
Oct 12, 2018
The Hill
Electronic Medical Records

A 'Learning System' in Behavioral Health Can Help in Sharing Best Practices, Innovations
Leveraging technological advances to make better use of the best available data could help rein in healthcare costs and improve both quality and safety. This makes sense whether the healthcare being delivered is physical or behavioral.
May 30, 2017
Modern Healthcare
Health Information Technology Interoperability

Toward a Learning Behavioral Health Care System
New technologies for capturing and sharing data have begun to transform the way providers practice medicine in the United States. Expanding these technologies to behavioral health care could enhance the delivery of services and improve outcomes for millions of Americans.
Dec 20, 2016
Inside Sources

Publications

Journal Article
Association of Selected State Policies and Requirements for Buprenorphine Treatment With Per Capita Months of Treatment
State-mandated educational requirements beyond the initial training required to prescribe buprenorphine were associated with increased buprenorphine use over time.
Jun 8, 2023
Journal Article
Trends in Methadone Dispensing for Opioid Use Disorder After Medicare Payment Policy Changes
A new Medicare policy may have improved access to methadone and buprenorphine treatment for Medicare beneficiaries with a diagnosed opioid use disorder (OUD) during the COVID-19 pandemic, but further research is needed to determine its impact.
Jun 2, 2023
Journal Article
Buprenorphine Treatment Episodes During the First Year of COVID: A Retrospective Examination of Treatment Initiation and Retention
Buprenorphine treatment remained stable during the pandemic, however the flow of individuals receiving treatment changed significantly, indicating that policy efforts were successful in maintaining existing patients, but did not extend to new patients.
May 2, 2023
Journal Article
Trends in Geographic Proximity to Substance Use Disorder Treatment
This study aims to assess trends in the number and characteristics of substance use disorder treatment (SUDT) facilities within the county of residence of adults aged 50+ over time.
Apr 18, 2023
Report
Neurodiversity and National Security: How to Tackle National Security Challenges with a Wider Range of Cognitive Talents
This report provides research and analysis for national security managers and employees who seek to better understand neurodivergence and neurodiversity and desire simple steps to achieve neurodiverse inclusivity for national security workplaces.
Mar 27, 2023
Research Brief
Why National Security Needs Neurodiversity: Drawing on a Wider Range of Cognitive Talents to Tackle National Security Challenges
This brief summarizes research and analysis for national security managers and employees who seek to better understand neurodivergence and neurodiversity and desire actionable steps to achieve neurodiverse inclusivity in national security workplaces.
Mar 27, 2023
Report
America's Opioid Ecosystem: How Leveraging System Interactions Can Help Curb Addiction, Overdose, and Other Harms
Patterns and consequences of opioid use are changing dramatically. Researchers provide a nuanced assessment of America's opioid ecosystem, highlighting how leveraging system interactions can reduce addiction, overdose, suffering, and other harms.
Mar 16, 2023
Visualization
The Ecosystem Approach to Opioid Policy
RAND researchers created a tool to help federal, state, and local policymakers better understand issues surrounding opioids as an ecosystem—and explore innovative policy ideas.
Mar 16, 2023
Journal Article
How Much Can You Trust the Results of This Health Policy Evaluation: A Pragmatic Guide for State Policymakers
This Perspective is intended to help policymakers and other stakeholders assess policy evaluation studies, with a focus on health policy studies at the state level.
Mar 15, 2023
Journal Article
Prior Authorization Restrictions on Medications for Opioid Use Disorder: Trends in State Laws from 2005 to 2019
Researchers conducted a review of U.S. regulations and statutes between 2005 and 2019 related to medications for opioid use disorder to identify the frequency and types of prior authorization prohibitions in state laws.
Feb 9, 2023
Journal Article
An Exploratory Analysis of Differential Prescribing of High-Risk Opioids by Insurance Type Among Patients Seen by the Same Clinician
The objective of this paper is to explore how high-risk opioid analgesic prescribing varies by payer type among patients seeing the same prescriber and identify clinician characteristics associated with variable prescribing.
Feb 8, 2023
Journal Article
Discontinuation of Buprenorphine Treatment for Opioid Use Disorder During the Coronavirus Disease-2019 Pandemic: A Multilevel Framework
Researchers examined IQVIA Longitudinal Prescription Claims data and assessed predictors of buprenorphine discontinuation in the early months of the COVID-19 pandemic (April–July 2020) compared with a pre-pandemic period (April–July 2019).
Dec 8, 2022
Journal Article
Buprenorphine Treatment Episode Duration, Dosage, and Concurrent Prescribing of Benzodiazepines and Opioid Analgesics: The Effects of Medicaid Prior Authorization Policies
Researchers used Medicaid claims during the period 2006–2013 to investigate the relationship between buprenorphine prior authorization requirements and changes in treatment in the years following policy implementation.
Dec 8, 2022
Journal Article
Trends in the Concurrent Prescription of Opioids and Gabapentin in the US, 2006 to 2018
Researchers examined 2006 to 2018 US national deidentified pharmacy claims data and analyzed trends in concurrent gabapentin and opioid prescribing, overall and by prescriber, patient, and county characteristics.
Dec 8, 2022
Journal Article
A National Retrospective Study of Antidepressants' Effects on Overdose and Self-Harm Among Adults Treated With Opioid Analgesics
Individuals with a history of depression who received opioid analgesics had a significantly lower risk for overdose and self-harm after they had been taking antidepressants for at least 6 weeks.
Oct 19, 2022
Journal Article
Laws for Expanding Access to Medications for Opioid Use Disorder: A Legal Analysis of 16 States & Washington D.C.
This study reports on the results of a qualitative analysis that identified and categorized state medications for opioid use disorder related statutes and regulations in a stratified random sample of 16 states and Washington D.C.
Oct 7, 2022
Journal Article
Expert Panel Consensus on State-Level Policies to Improve Engagement and Retention in Treatment for Opioid Use Disorder
This qualitative study used the ExpertLens online platform to conduct a 3-round modified Delphi process to examine expert consensus on the effectiveness and the ability to implement state-level OUD treatment policies.
Oct 7, 2022
Journal Article
Changes in Buprenorphine and Methadone Supplies in the US During the COVID-19 Pandemic
This cross-sectional study found that the per capita supply of methadone declined significantly in the second quarter of 2020 and had not returned to 2019 levels as of June 2021. The per capita supply of buprenorphine increased during the same period.
Sep 30, 2022
Tool
Concurrent Policies Simulation Tool
This tool allows users to select from a range of simulation parameters to explore how different models perform and compare models by various performance metrics.
Aug 19, 2022
Journal Article
Methodological Considerations for Estimating Policy Effects in the Context of Co-Occurring Policies
Researchers conducted simulations to assess how concurrently implemented policies affected the evaluation of hypothetical state-level policies.
Jul 15, 2022
Journal Article
State Policies and Buprenorphine Prescribing by Nurse Practitioners and Physician Assistants
This cross-sectional study used pharmacy claims to examine the association of state policies with the odds of receiving buprenorphine treatment from a nurse practitioner or physician assistant versus a physician.
Jun 2, 2022
Journal Article
Beyond State Scope of Practice Laws for Advanced Practitioners: Additional Supervision Requirements for Buprenorphine Prescribing
This study of state laws governing buprenorphine prescribing found that these vary; nurse practitioner and physician assistant supervision should include state non-scope of practice laws.
Mar 31, 2022
Journal Article
Ongoing Disparities in Digital and In-Person Access to Child Psychiatric Services in the United States
Although telehealth holds promise for promoting access to child and adolescent psychiatric services, large disparities in overall access to services persists in rural and low-income communities.
Mar 24, 2022
Journal Article
Subsequent Buprenorphine Treatment Following Emergency Physician Buprenorphine Prescription Fills: A National Assessment 2019 to 2020
This study examined the rates of subsequent buprenorphine treatment for buprenorphine-naïve individuals filling buprenorphine prescriptions from emergency physicians and initiated buprenorphine treatment and how such rates varied before and during the COVID-19 pandemic.
Mar 23, 2022
Journal Article
The Effect of State Policies on Rates of High-Risk Prescribing of an Initial Opioid Analgesic
This study examined how PDMPs, pain clinic laws, and prescribing limit laws have influenced several types of high-risk opioid prescribing, focusing on initial high-risk opioid prescriptions for individuals not routinely taking opioids.
Feb 1, 2022
Journal Article
Patterns in Geographic Distribution of Substance Use Disorder Treatment Facilities in the US and Accepted Forms of Payment From 2010 to 2021
Researchers analyzed data to determine what proportion of the national population had local geographic availability to a licensed SUD treatment facility that accepted Medicare, Medicaid, private insurance, or cash.
2022
Journal Article
Moving Beyond the Classic Difference-In-Differences Model: A Simulation Study Comparing Statistical Methods for Estimating Effectiveness of State-Level Policies
Researchers conducted an extensive simulation study to compare the statistical performance of commonly used methods for evaluating state-level opioid policies, including popular difference-in-differences methods.
Dec 15, 2021
Journal Article
Buprenorphine Prescriber Monthly Patient Caseloads: An Examination of 6-Year Trajectories
We examine buprenorphine-prescribing clinicians' patient caseloads over time and explore prescriber characteristics associated with different caseload trajectories.
Nov 1, 2021
Journal Article
Neonatal Opioid Withdrawal Syndrome Is Associated With Infant Foster Care Entry At The County Level
This study used a decade of data from U.S. counties to examine how rates of neonatal opioid withdrawal syndrome (NOWS) and county-level characteristics were associated with entry in the child welfare system.
Nov 1, 2021
Journal Article
Use of Buprenorphine for Those with Employer-Sponsored Insurance During the Initial Phase of the COVID-19 Pandemic
This study examined changes in the use of buprenorphine to treat opioid use disorder in 2020 during the onset of the COVID-19 pandemic using pharmaceutical claims.
Oct 22, 2021
Journal Article
Population-Based Estimates of Geographic Accessibility of Medication for Opioid Use Disorder by Substance Use Disorder Treatment Facilities from 2014 to 2020
This cross-sectional study of substance use disorder treatment facilities examined the national share of facilities that offer medication treatment for opioid use disorder (MOUD) and population-based measures of geographic accessibility of facilities offering MOUD.
Oct 22, 2021
Journal Article
Trends in Visits to Substance Use Disorder Treatment Facilities in 2020
This study examined weekly changes in the number of substance use disorder treatment facility visits in 2020 compared to 2019, and explored variation in change in weekly visits by COVID-19 incidence and historical fatal drug overdose rate.
Oct 22, 2021
Journal Article
Mental Health Conditions and Substance Use Disorders Among Youth Subsequently Diagnosed With Opioid Use Disorder or Opioid Poisoning
This study examined receipt of services for mental health conditions and non-opioid substance use disorders among privately insured adolescents and young adults (ie, youth) with subsequent clinically diagnosed opioid use disorder or opioid poisoning.
Jul 21, 2021
Journal Article
Concentration of Patient Care Among Buprenorphine-Prescribing Clinicians in the U.S.
Drawing on national retail pharmacy data, researchers identified and categorized clinicians who prescribed buprenorphine for OUD at least once between January 2017 and December 2018.
Jun 10, 2021
Journal Article
Growing Racial/Ethnic Disparities in Buprenorphine Distribution in the United States, 2007–2017
We find ecological evidence consistent with racial/ethnic disparities in buprenorphine distribution. Our finding that initiatives to increase the number of waivered prescribers are insufficient to achieve equitable buprenorphine access.
Jun 1, 2021
Journal Article
Common Themes in Early State Policy Responses to Substance Use Disorder Treatment During COVID-19
States have made significant policy changes to SUD treatment policies during COVID-19, particularly regarding telehealth and facilitation of remote care. Understanding these changes could help policymakers prioritize guidance during the pandemic and for future health crises.
May 27, 2021
Journal Article
Toward a Typology of Office-based Buprenorphine Treatment Laws: Themes from a Review of State Laws
Buprenorphine is a gold standard treatment for opioid use disorder. Some states have passed laws regulating office-based buprenorphine treatment, with requirements beyond those required in federal law. This study identified themes in state laws.
May 26, 2021
Journal Article
Opioid Misuse During Late Adolescence and Its Effects on Risk Behaviors, Social Functioning, Health, and Emerging Adult Roles
We examined the association of opioid misuse from ages 18 to 20 with four domains at age 21–22: risk behaviors and consequences; health; social functioning; and emerging adult roles.
Apr 28, 2021
Journal Article
Patient, Prescriber, and Community Factors Associated with Filled Naloxone Prescriptions Among Patients Receiving Buprenorphine 2017–18
This retrospective analysis examines filled naloxone prescriptions among patients receiving buprenorphine treatment and assesses how rates of filled naloxone prescriptions varies by patient, prescriber, and community characteristics.
Apr 1, 2021
Journal Article
Individual and Community Factors Associated with Naloxone Co-prescribing Among Long-term Opioid Patients: A Retrospective Analysis
This retrospective analysis examines naloxone co-prescribing in the general population and assess how co-prescribing varies by individual and community characteristics.
Feb 19, 2021
Journal Article
Characteristics of US Adults Delaying Dental Care Due to the COVID-19 Pandemic
Coronavirus disease 2019 (COVID-19) has disrupted the delivery of health care services, including dental care. The objective of this study was to quantify and describe US adults who delayed dental care due to the COVID-19 pandemic.
Feb 12, 2021
Journal Article
Impact of State-Level Training Requirements for Medical Providers on Receipt of Preventive Oral Health Services for Young Children Enrolled in Medicaid
Our objective was to test whether training requirements were associated with higher rates of preventive oral health services for Medicaid-enrolled children <6 years.
Feb 11, 2021
Journal Article
Association of Individual and Community Factors With Hepatitis C Infections Among Pregnant People and Newborns
US hepatitis C viral infections among pregnant women grew fastest among White and American Indian/Alaska Native people without a 4-year degree.
2021
Journal Article
Rapid Discontinuation of Chronic, High-Dose Opioid Treatment for Pain: Prevalence and Associated Factors
This study used claims data from over 500,000 chronic high-dose opioid episodes initiated during 2017 and 2018 to examine prevalence of rapid discontinuation and identify associated patient demographics, clinician, and community factors.
2021
Journal Article
Assessment of Filled Buprenorphine Prescriptions for Opioid Use Disorder During the Coronavirus Disease 2019 Pandemic
Retail buprenorphine sales for opioid addiction plateau during COVID-19 pandemic amidst sharp declines in total prescription sales.
Dec 30, 2020
Journal Article
Telehealth Capability Among Substance Use Disorder Treatment Facilities in Counties With High Versus Low COVID-19 Social Distancing
This study aimed to quantify the availability of telehealth services at substance use treatment facilities in the U.S. at the beginning of the COVID-19 pandemic, and determine whether telehealth is available at facilities in counties with the greatest amount of social distancing. Relatively few substance use treatment facilities offered telehealth services at the onset of the COVID-19 pandemic. Policymakers and public health officials should do more to support facilities in offering telehealth services.
Nov 3, 2020
Report
Pitfalls and Potholes: Data Issues to Consider When Analyzing State Opioid Policies, September 14, 2020
This webinar focused on data dimensions that researchers should keep in mind when conducting analyses of state opioid policies and when seeking to draw conclusions from other studies.
Oct 21, 2020
Journal Article
Association of Pregnancy and Insurance Status With Treatment Access for Opioid Use Disorder
In this cross-sectional study with random assignment of clinicians and simulated-patient callers, many women, especially pregnant women, faced barriers to accessing treatment. Given the high out-of-pocket costs and lack of acceptance of insurance among many clinicians, access to affordable opioid use disorder treatment is a significant concern.
Sep 3, 2020
Journal Article
Monthly Patient Volumes of Buprenorphine-Waivered Clinicians in the US
This cross-sectional study examines the number of patients prescribed buprenorphine by waivered-clinicians. Evidence shows waivered-clinicians who are able to prescribe buprenorphine treat fewer patients than their limit allows. With so much unmet demand for OUD treatment, this suggests the need for ongoing efforts to address treatment barriers.
Aug 27, 2020
Journal Article
Variation in the Degree of Concentration of Prescription Opioid Utilization Using Different Measures
A small share of prescription opioid users account for a large percent of total prescription opioid use.
Aug 1, 2020
Journal Article
The State of the Science in Opioid Policy Research
The rigor of study design varies notably across policy categories, highlighting the need for broader adoption of rigorous methods in opioid policy research.
Jul 7, 2020
Journal Article
Do Oral Health Services in Medical Offices Replace Pediatric Dental Visits?
This study failed to find evidence that medical preventive oral health services (POHS) replaced dental visits for young children enrolled in Medicaid and, in fact, offers evidence that increased medical POHS was associated with increased utilization of dental care. Given lower than desired rates of dental visits for this population, delivery of medical POHS should be expanded.
Jun 25, 2020
Journal Article
Consensus Guidelines and State Policies: The Gap Between Principle and Practice at the Intersection of Substance Use and Pregnancy
We review the change over time in state-level policy environments around substance use in pregnancy and contrast the policy response with the principles and guidance from professional societies and federal agencies.
Jun 3, 2020
Infographic
State Policies Related to Substance Use in Pregnancy
This infographic illustrates the evolution from 2000 to 2015 of state policy environments related to substance use in pregnancy. Punitive or potentially punitive policies were more commonly enacted than were policies supporting treatment.
Feb 14, 2020
Journal Article
We Need a Taxonomy of State-Level Opioid Policies
Developing and using a state-level opioid policy can facilitate the design and implementation of more effective state-level policies-an essential tool in addressing the opioid crisis.
Feb 7, 2020
Journal Article
Five-Year Outcomes Among Medicaid-Enrolled Children With In Utero Opioid Exposure
Children with in utero opioid exposure had a predicted probability of being diagnosed with a pediatric complex chronic condition similar to that among children with tobacco exposure and those with neither exposure (20.4%,18.7%, and 20.2%, respectively). Our findings were consistent when we examined a subgroup of opioid-exposed children identified as having neonatal opioid withdrawal symptoms.
Feb 6, 2020
Testimony
Addressing the U.S. Opioid Crisis: Using an Integrated Systems-Based Approach: Addendum
Document submitted January 21, 2020, as an addendum to testimony before the Senate Judiciary Committee Hearing on Opioids on December 17, 2019.
Jan 20, 2020
Journal Article
Growth and Distribution of Buprenorphine-Waivered Providers in the United States, 2007–2017
This study sheds light on the distribution of buprenorphine-waivered prescribers over the past decade. Growth has been rapid in communities affected by the opioid crisis, but slower in rural communities, and those with lower levels of education.
Jan 8, 2020
Journal Article
Impact of a Medicaid Policy on Preventive Oral Health Services for Children with Intellectual Disabilities, Developmental Disabilities, or Both
The authors examined the impact of state policies allowing delivery of POHS in medical offices on receipt of POHS among Medicaid enrollees with IDD.
2020
Journal Article
Multiplying the Impact of Opioid Settlement Funds by Investing in Primary Prevention
In this Perspective, we describe three strategies hospitals can use to multiply the reach of their opioid settlement funding by addressing root causes of opioid use through primary prevention.
2020
Journal Article
Prescribers and Naloxone Pharmacy Claims
Commentary on an article by Truong, Patil, and Rich, on the benefits and dangers of naloxone prescriptions.
2020
Journal Article
State Approaches to Tackling the Opioid Crisis Through the Health Care System
In this paper, policy experts discuss three broad strategies states are taking, through a variety of policy levers, to enhance the quality of and access to treatment for opioid use disorder.
2020
Journal Article
Opioid Litigation and Maternal-Child Health: Investing in the Future
Funds from opioid litigation should be allocated in a way that benefits those most affected and reduces the risk of future harm.
Dec 19, 2019
Testimony
Addressing the U.S. Opioid Crisis: Using an Integrated Systems-Based Approach
Testimony presented before the Senate Judiciary Committee on December 17, 2019.
Dec 17, 2019
Journal Article
An Observational Study of Retail Pharmacy Naloxone Prescriptions: Differences Across Provider Specialties and Patient Populations
This article explores variation in pharmacy-dispensed naloxone by prescriber specialty and patient characteristics.
Dec 6, 2019
Journal Article
Strengths and Weaknesses of Existing Data Sources to Support Research to Address the Opioids Crisis
We conducted a scoping study to identify data sources and linking strategies commonly used in opioid studies, describe data source strengths and limitations, and highlight opportunities to use data to address public health research questions.
Dec 5, 2019
Journal Article
Growth and Distribution of Child Psychiatrists in the United States: 2007–2016
Despite the increased ratio of child psychiatrists per children over the past decade, a shortage remains, particularly in places with lower levels of income and education.
Dec 1, 2019
Journal Article
Association of Punitive and Reporting State Policies Related to Substance Use in Pregnancy With Rates of Neonatal Abstinence Syndrome
State policies that impose punitive action against pregnant women who use illicit substances are associated with higher rates of infants being born with opioid withdrawal.
Nov 15, 2019
Research Brief
Understanding America's Surge in Fentanyl and Other Synthetic Opioids
This brief describes the results of a study about the surge in synthetic opioids in the United States. The authors found that limiting policy responses to existing approaches will likely be insufficient and may condemn many people to early deaths.
Oct 7, 2019
Journal Article
Adolescents with Better Mental Health Have Less Problem Alcohol Use Six Months Later
Addressing mental health in primary care may be important for decreasing alcohol problems in adolescents.
Sep 19, 2019
Journal Article
Who Receives Naloxone from Emergency Medical Services? Characteristics of Calls and Recent Trends
Administration of naloxone by emergency medical services personnel is increasing faster than opioid-related deaths.
Sep 17, 2019
Report
The Future of Fentanyl and Other Synthetic Opioids
Deaths involving synthetic opioids, such as fentanyl, increased from roughly 3,000 in 2013 to more than 30,000 in 2018. This book provides readers with insights intended to improve their understanding of the synthetic opioid problem.
Aug 29, 2019
Journal Article
Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention
A brief primary care intervention can be effective over the long-term for adolescents who report problems from alcohol and marijuana use.
Aug 16, 2019
Report
The Synthetic Opioid Surge in the United States: Insights from Mortality and Seizure Data
The synthetic opioid surge in the United States is a public health emergency. The authors analyze drug overdose mortality and seizure data to better understand the evolution and concentration of the synthetic opioid problem in the United States.
Aug 13, 2019
Journal Article
Improving the Child Welfare System to Respond to the Needs of Substance-Exposed Infants
To realize the gains envisioned by recent legislation, the Administration and Congress should prioritize additional funding to modernize our child welfare system to meet the unique needs of families affected by substance misuse.
Jul 17, 2019
Journal Article
Sexual Minority Disparities in Opioid Misuse, Perceived Heroin Risk and Heroin Access Among a National Sample of US Adults
LGB opioid disparities varied significantly by sexual identity &gender. All LGB subgroups had elevated lifetime pain reliever misuse. Bisexual women uniquely had elevated OUD rates and lifetime injection heroin use.
Jun 12, 2019
Journal Article
Systematic Review: United States Workforce for Autism-Related Child Healthcare Services
The 33 studies reviewed identify multiple workforce-related challenges for families seeking treatment for children with autism spectrum disorder-including lack of primary care providers to serve these children, lack of specialty providers, and sociodemographic and geographic disparities in access to ASD services.
Jun 10, 2019
Journal Article
The Effect of Medicaid Waivers on Ameliorating Racial/Ethnic Disparities Among Children With Autism
Increasing Medicaid waivers to include more services for children with autism spectrum disorder has the potential to ameliorate well-documented black-white disparities in treatment.
May 29, 2019
Journal Article
The Affordable Care Act in The Heart of the Opioid Crisis: Evidence from West Virginia
The growing use of medication treatment for opioid use disorder in the West Virginia Medicaid expansion population provides an opportunity to reduce overdose deaths.
Apr 4, 2019
Research Brief
The Ecology of Neonatal Abstinence Syndrome
Newborns exposed to opioids before birth can experience withdrawal symptoms known as neonatal abstinence syndrome (NAS). From 2009 to 2015, the average NAS rate per 1,000 hospital births across eight states rose from about six to more than 25.
Mar 15, 2019
Tool
Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
This web-based tool aims to inform policymakers about the rates of neonatal abstinence syndrome by county across eight states from 2009 to 2015. This analysis is displayed via maps and interactive charts.
Mar 15, 2019
Journal Article
Changes in Outpatient Services and Medication Use Following a Non-fatal Opioid Overdose in the West Virginia Medicaid Program
Fewer than 10% of West Virginia Medicaid enrollees received medication for opioid use disorder after a non-fatal overdose, making it an opportunity to increase treatment for opioid use disorder and co-occurring mental health conditions.
Mar 12, 2019
Journal Article
Differences in Substance Use Disparities Across Age Groups in a National Cross-Sectional Survey of Lesbian, Gay, and Bisexual Adults
Using national data, we test for age differences in substance use disparities among LGB adults. Contrary to hypothesized decreased minority stress in recent generations, we find that disparities were not systematically smaller in younger age groups.
Feb 12, 2019
Journal Article
Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
This analysis found a significant association among higher long-term unemployment, higher mental health clinician shortage areas, and higher county-level rates of neonatal abstinence syndrome.
Feb 1, 2019
Journal Article
Association Between Opioid Prescribing in Medicare and Pharmaceutical Company Gifts by Physician Specialty
The value of opioid-related gifts given to physicians varies substantially by provider specialty, as does the relationship between payment amounts and prescriber behavior in the following year.
2019
Journal Article
Delivery of Preventive Oral Health Services by Rurality: A Cross-Sectional Analysis
Using a multistate sample of Medicaid claims, we examined a child's odds of receiving preventive oral health services in a medical office by county rurality.
2019
Journal Article
Heterogeneity in Prescription Opioid Pain Reliever Misuse Across Age Groups: 2015–2017 National Survey on Drug Use and Health
Results demonstrating heterogeneity in prescription opioid misuse characteristics across age groups highlight the need for a diverse range of clinical and policy responses.
2019
Journal Article
Association Between Type of Health Insurance and Children's Oral Health, NHANES 2011–2014
Oral health outcomes were similar for children with public and private health insurance. However, children in low- income families and with less educated parents had greater odds of untreated caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status.
Dec 20, 2018
Journal Article
Data Sources and Data-Linking Strategies to Support Research to Address the Opioid Crisis: Final Report
This report highlights key research questions and identifies opportunities to use existing data sources and implement data-linking strategies that can support the HHS five point strategy to combat the opioid crisis.
Oct 16, 2018
Journal Article
Impacts of the Dependent Care Expansion on the Allocation of Mental Health Care
The dependent care expansion increased use of mental health care among a patients with significant mental health needs without lowering quality of care or increasing racial or ethnic disparities in access.
Sep 21, 2018
Journal Article
Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015
While any opioid prescription carries some risk, a subset of prescriptions is particularly risky: identifying potentially inappropriate prescribing (PIP) through state-level online prescription monitoring programs could help reduce PIP.
Aug 23, 2018
Journal Article
Impact of Medicaid Policy on the Oral Health of Publicly Insured Children
State policies that support non-dental primary care providers' application of fluoride varnish treatment were associated with improvements in oral health for young children with public insurance.
Aug 21, 2018
Journal Article
Is Mental Illness a Risk Factor for Hospital Readmission?
Focusing on medication reconciliation or care transition services could help reduce readmission rates for Medicare beneficiaries with mental illness.
Jul 3, 2018
Journal Article
Strengthening College Students' Mental Health Knowledge, Awareness, and Helping Behaviors: The Impact of Active Minds, a Peer Mental Health Organization
Activities through college student peer organizations like Active Minds can improve attitudes toward and perceived knowledge of mental health issues and increase helping behaviors.
Jul 1, 2018
Journal Article
A Population-Based Examination of Trends and Disparities in Medication Treatment for Opioid Use Disorders Among Medicaid Enrollees
The number of Medicaid recipients receiving medication to treat opioid abuse increased sharply in the years after approval of a new drug, but the increase was smaller in poorer counties and areas with larger populations of black and Hispanic residents.
Jun 27, 2018
Journal Article
Unmet Mental Health Treatment Need and Attitudes Toward Online Mental Health Services Among Community College Students
Community college students reported being open to using online mental health services, but utilization was low.
Apr 24, 2018
Journal Article
Using Marijuana, Drinking Alcohol or a Combination of Both: The Association of Marijuana, Alcohol and Sexual Risk Behaviour Among Adolescents
Adolescents were who used both alcohol and marijuana or alcohol alone were more likely than others to report having both two or more sexual partners and condomless sex in the past month.
Mar 22, 2018
Journal Article
High-Risk Prescribing to Medicaid Enrollees Receiving Opioid Analgesics: Individual- and County-Level Factors
Among Medicaid recipients, high-risk prescribing of opioids occurred in 39.4% of episodes. Four characteristics -- older age, rural county of residence, white race, and major depression diagnosis -- were associated with higher rates of all types of high-risk prescribing.
Jan 16, 2018
Report
California Community College Faculty and Staff Help Address Student Mental Health Issues
This report determines the preliminary impact of CalMHSA's prevention and early intervention activities on the knowledge, attitudes, and behaviors of California community college faculty and staff regarding supporting students' mental health needs.
Jan 3, 2018
Journal Article
Care Coordination for Youth With Mental Health Disorders in Primary Care
More frequent contact with the mental health system, educational system, and Child Protective Services after a behavioral health evaluation may inform development of integrated care systems for children.
2018
Journal Article
Effect of Age on Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011 to 2015
Older age was the strongest predictor of undergoing potentially inappropriate prescribing (PIP) among individuals who were prescribed opioids. PIP was also associated with risk of adverse outcomes in both older and younger adults.
2018
Journal Article
Initiation and Engagement as Mechanisms for Change Caused by Collaborative Care in Opioid and Alcohol Use Disorders
This research sheds light on how collaborative care (CC) may work to increase abstinence in a sample of primary care patients with opioid and alcohol use disorders (OAUD).
2018
Journal Article
Prescribing Patterns of Buprenorphine Waivered Physicians
Most buprenorphine prescribers treat many fewer patients than allowed by the current patient limit. Increasing the limit above 100 would likely improve access only for patients of a few high prescribers.
Dec 1, 2017
Journal Article
Association Between Process Measures and Mortality in Individuals with Opioid Use Disorders
Three possible measures for quality of care may help reduce deaths from opioid addiction by one-third.
Oct 24, 2017
Journal Article
Did the Dependent Coverage Expansion Increase Risky Substance Use Among Young Adults?
This analysis of the dependent coverage expansion under the ACA suggests that historical trends rather than the insurance expansion itself account for increases in substance use among people ages 19-25 since 2010.
Sep 1, 2017
Journal Article
Did the Affordable Care Act's Dependent Coverage Expansion Affect Race/Ethnic Disparities in Health Insurance Coverage?
While the ACA's Dependent Coverage Expansion has increased insurance coverage, it has also widened race/ethnic disparities because it benefits only those young adults whose parents have private coverage.
Aug 1, 2017
Journal Article
Sex Differences in Recent First-Onset Depression in an Epidemiological Sample of Adolescents
Sex differences in the incidence of depression originate during childhood and increase during adolescence.
Jul 14, 2017
Journal Article
Educational Outcomes Associated With School Behavioral Health Interventions: A Review of the Literature
A review of studies on school-based mental health services showed benefits across a range of school outcomes for teens.
Jul 1, 2017
Report
Student Access to Mental Health Information on California College Campuses
Two surveys of California public college students provide insight into the preliminary impact of the California Mental Health Services Authority's activities on college students' receipt of information about mental health issues and support services.
Jun 29, 2017
Journal Article
Mental Health Service Utilization Among Lesbian, Gay, Bisexual, and Questioning or Queer College Students
College students are at high risk for mental health problems, yet many do not receive treatment even when services are available. Treatment needs may be even higher among sexual minority students, but little is known about how these students differ from heterosexual peers in terms of mental health needs and service utilization.
Jun 2, 2017
Journal Article
Impact of the Affordable Care Act's Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far
Under the ACA's dependent coverage expansion, there has been an increase in behavioral health treatment and a decrease in high out-of-pocket expenses and ER visits among young adults.
Mar 14, 2017
Journal Article
Medicaid Waivers Targeting Children with Autism Spectrum Disorder Reduce the Need for Parents to Stop Working
Medicaid waivers are effective policies for addressing the care-related needs of children with autism spectrum disorder.
Mar 13, 2017
Journal Article
SOVA: Design of a Stakeholder Informed Social Media Website for Depressed Adolescents and Their Parents
An online behavioral intervention for depressed adolescents and parents includes two moderated social media websites (one for adolescents, one for parents); both use similar content and both leverage the benefits of social media tools.
2017
Journal Article
Physician Capacity to Treat Opioid Use Disorder with Buprenorphine-Assisted Treatment
Many physicians who prescribe buprenorphine are prescribing below the patient limits historically allowed under U.S. law.
Sep 28, 2016
Journal Article
Smartphone Applications for Mental Health
Reliable quality assessment ratings will help users and developers evaluate and design more effective smartphone applications for mental health.
Aug 24, 2016
Journal Article
Opioid Analgesic and Benzodiazepine Prescribing Among Medicaid-enrollees with Opioid Use Disorders: The Influence of Provider Communities
A substantial number of Medicaid enrollees were able to fill prescriptions for opioid analgesics, benzodiazepines, or both in the year following diagnosis for an opioid use disorder.
Aug 23, 2016
Report
A Preliminary Evaluation of Interactive Video Simulation Training for Campus Law Enforcement in California
This report evaluates the Interactive Video Simulation Training to help campus law enforcement professionals refer and intervene with college students experiencing psychological distress.
Jun 10, 2016
Journal Article
A Learning Behavioral Health Care System: Opportunities to Enhance Research
A learning health system could help address current challenges in delivery of behavioral health care, from lack of care coordination and decision-support tools to disparities in access, quality, and outcomes.
May 9, 2016
Journal Article
Factors Affecting Mental Health Service Utilization Among California Public College and University Students
Significant need for mental health services exists among college students in California, especially where services are not offered on campus.
Apr 21, 2016
Research Brief
Campus Climate Matters: Changing the Mental Health Climate on College Campuses Improves Student Outcomes and Benefits Society
Reports results of a survey to assess the impact of state investments in mental health programs at California public colleges and the return on investment in terms of student use of treatment, graduation rates, and lifetime earnings.
Apr 1, 2016
Report
Evaluation of CalMHSA Student Mental Health Online Resources
Analysis of visitors to CalMHSA-funded student mental health websites shows that visitors at educational institutions comprised the largest audience segment and promotional campaigns likely increased traffic.
Mar 14, 2016
Journal Article
School Personnel Experiences in Notifying Parents About Their Child's Risk for Suicide: Lessons Learned
This qualitative study examined school staff perspectives on parent involvement in the implementation of a district-wide suicide prevention program by analyzing focus group and interview data gathered on the program implementation processes.
Jan 18, 2016
Journal Article
Use of Pooled State Administrative Data for Mental Health Services Research
State mental health authorities routinely devote resources to collect data for state planning and reporting purposes. However, these data are rarely used in cross-state comparisons to inform state or federal policy development.
2016
Research Brief
Policies to Support a Better Treatment for Heroin and Prescription Opioid Abuse: Unlike Methadone, Buprenorphine Can Be Taken at Home, but Greater Access is Key
Increasing the number of physicians who can prescribe buprenorphine for opioid abuse and supporting their ability to treat more patients may be the fastest approach to enhancing capacity for treatment, particularly in less populated counties.
Dec 17, 2015
Report
Payoffs for California College Students and Taxpayers from Investing in Student Mental Health
Reports results of a survey to assess the impact of CalMHSA's investments in mental health programs at California public colleges and estimates the return on investment in terms of student use of treatment, graduation rates, and lifetime earnings.
Dec 10, 2015
Journal Article
Policies Related to Opioid Agonist Therapy for Opioid Use Disorders: The Evolution of State Policies from 2004 to 2013
This study examines the evolution of states' coverage and policies with respect to opioid agonist therapy and present an overview of the Medicaid policy environment from 2004 to 2013.
Nov 18, 2015
Journal Article
Psychological Aspects of the Israeli-Palestinian Conflict: A Systematic Review
A systematic review was conducted to synthesize the empirical research on the Israeli–Palestinian conflict and its psychological consequences.
Nov 6, 2015
Research Brief
California's Statewide Mental Health Prevention and Early Intervention Initiatives Show Promising Early Results, But Sustained Investment Is Needed
Summarizes findings from an evaluation of a set of California initiatives to help reduce mental health stigma and discrimination, prevent suicide, and improve student mental health.
Sep 16, 2015
Journal Article
Psychosocial Treatment of Bipolar Disorder: Clinician Knowledge, Common Approaches, and Barriers to Effective Treatment
Non-physician mental health clinicians were surveyed to understand their knowledge about bipolar disorder, treatment approaches, and perceived barriers to optimal treatment.
Sep 14, 2015
Journal Article
Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders? The Role of Private Offices, Opioid Treatment Programs, and Substance Abuse Treatment Facilities in Urban and Rural Counties
Opioid use disorders are a significant public health problem.
Sep 10, 2015
Report
The Costs of the Israeli-Palestinian Conflict
This study estimates the net costs and benefits if the long-standing conflict between Israelis and Palestinians follows its current trajectory over the next ten years, relative to five other possible trajectories that the conflict could take.
Sep 8, 2015
Journal Article
Parents' Role in Adolescent Depression Care: Primary Care Provider Perspectives
Understand how primary care providers (PCPs) perceive barriers to adolescent depression care to inform strategies to increase treatment engagement.
Jul 14, 2015
Report
Student Mental Health in California's K–12 Schools: School Principal Reports of Common Problems and Activities to Address Them
Reports results of a survey of K-12 principals to take inventory of student mental health and wellness needs and the types of programs schools are most often implementing to help students in California's public schools.
Jul 2, 2015
Journal Article
Medicaid 1915(c) Home- and Community-Based Services Waivers for Children with Autism Spectrum Disorder
This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time.
Jun 23, 2015
Journal Article
Readiness to Implement an Evidence-Based Psychotherapy: Perspectives of Community Mental Health Clinicians and Administrators
Using evidence-based psychotherapies in community mental health clinics could significantly improve patient functioning.
Jun 10, 2015
Journal Article
Growth in Buprenorphine Waivers for Physicians Increased Potential Access to Opioid Agonist Treatment, 2002-11
Policy makers should focus their efforts on further increasing the number and geographical distribution of physicians, particularly in more rural counties, where prescription opioid misuse is rapidly growing.
Jun 10, 2015
Journal Article
Early Marketplace Enrollees Were Older and Used More Medication Than Later Enrollees: Marketplaces Pooled Risk
Little is known about the health status of the 7.3 million Americans who enrolled in insurance plans through the Marketplaces established by the Affordable Care Act in 2014.
May 29, 2015
Journal Article
Implementing a Web-Based Intervention to Train Community Clinicians in an Evidence-Based Psychotherapy: A Pilot Study
The authors conducted a feasibility assessment of online training plus an online learning collaborative to support implementation of an evidence-based psychosocial treatment in a community mental health system.
May 6, 2015
Journal Article
Practice Guidance for Buprenorphine for the Treatment of Opioid Use Disorders: Results of an Expert Panel Process
The authors developed an updated and expanded set of buprenorphine treatment guidelines; this additional guidance may increase credentialed physicians' comfort with prescribing buprenorphine to patients with opioid use disorders.
Apr 22, 2015
Journal Article
Measuring Performance in Psychiatry: A Call to Action
Many recent public and private strategies aimed at improving the quality and efficiency of the U.S. health care system focus on measuring, reporting on, and providing incentives for improving quality.
Apr 22, 2015
Journal Article
Preventing Secondary Traumatic Stress in Educators
This article describes how secondary traumatic stress (STS) presents, how teachers can be at risk, and how STS can manifest in schools.
Apr 14, 2015
Report
Evaluation of California's Statewide Mental Health Prevention and Early Intervention Programs: Summary of Key Year 2 Findings
This report summarizes key findings from the second year of an evaluation of the California Mental Health Services Authority's statewide prevention and early intervention programs.
Feb 3, 2015
Report
Mental Health Trainings in California's Higher Education System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students
Reports on an evaluation of California mental health trainings offered to staff and students in California's higher education system.
Feb 2, 2015
Report
Mental Health Trainings in California's K-12 System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students
Reports on an evaluation of California mental health trainings offered to staff in California's K-12 system.
Feb 2, 2015
Report
California College and University Collaborations: Facilitators, Challenges, and Impact on Student Mental Health
Reports on an evaluation of student mental health collaboration activities among California higher education systems, community agencies, and county mental health.
Jan 19, 2015
Report
California K–12 School and Community Collaborations: Facilitators, Challenges, and Impact on Student Mental Health
Reports on an evaluation of student mental health collaboration activities among California K-12 school districts, counties, and regions.
Jan 19, 2015
Journal Article
Supply of Buprenorphine Waivered Physicians: The Influence of State Policies
The authors calculated the number of buprenorphine-waivered physicians and used multivariate regression models to predict number of buprenorphine-waivered physicians/100,000 residents as a function of county characteristics, state policies and efforts to promote buprenorphine use.
2015
Journal Article
Determining Engagement in Services for High-Need Individuals with Serious Mental Illness
This study examined whether Medicaid claims and other administrative data could identify high-need individuals with serious mental illness in need of outreach in a large urban setting.
Sep 1, 2014
Report
Recommendations for Sustaining California's Statewide Mental Health Prevention and Early Intervention Programs
Provides preliminary advice about which of the California Mental Health Services Authority's Prevention and Early Intervention activities seem most valuable to sustain or, in some cases, enhance.
Aug 5, 2014
Report
CalMHSA Student Mental Health Campus-Wide Survey: 2013 Summary Report
Report provides the results of a California survey of colleges and universities on mental health experiences and attitudes, perceptions of campus mental health services, and perceptions of overall campus climate toward mental health and well-being.
Jun 3, 2014
Report
California Colleges and Universities Collaborate to Support Student Mental Health
Report evaluates the development, quality, and effectiveness of collaboration activities among California Student Mental Health program partners in higher education.
May 27, 2014
Report
California K–12 Schools and Communities Collaborate to Support Student Mental Health
Report evaluates the development, quality, and effectiveness of collaboration activities among California K-12 Student Mental Health program partners.
May 27, 2014
Journal Article
Evaluation of an Implementation Initiative for Embedding Dialectical Behavior Therapy in Community Settings
We examined the effectiveness of Dialectical Behavior Therapy (DBT) training in community-based agencies.
Apr 1, 2014
Journal Article
School Intervention Related to School and Community Violence
This article describes how schools can circumvent several key barriers to mental health service provision, outcomes that school interventions target, and the role of the family in school-based services.
Apr 1, 2014
Research Brief
What Has the Student Mental Health Initiative Done So Far? Year 1 Findings
This fact sheet summarizes the first-year evaluation of California's Student Mental Health Initiative.
Mar 6, 2014
Journal Article
Clinicians' Utilization of Child Mental Health Telephone Consultation in Primary Care: Findings from Massachusetts
The authors examined utilization of the Massachusetts Child Psychiatry Access Project, a mental health telephone consultation service for primary care, hypothesizing that greater use would be related to severe psychiatric diagnoses and polypharmacy.
Mar 1, 2014
Report
Evaluating the California Mental Health Services Authority's Student Mental Health Initiative: Year 1 Findings
Summarizes first-year findings of an ongoing evaluation of a California program aimed at developing statewide capacities and implementing interventions to improve student mental health.
Feb 11, 2014
Journal Article
Disparities in Quality of Care Among Publicly Insured Adults with Schizophrenia in Four Large U.S. States, 2002–2008
Examines racial/ethnic disparities in quality of schizophrenia care and assess the size of observed disparities across four U.S. states and over time.
2014
Journal Article
Early Intervention for Abused Children in the School Setting
This chapter describes the Cognitive Behavioral Intervention for Trauma in Schools (CBITS) program, how it addresses child abuse specifically, the theoretical rationale for the program, and the evidence supporting its effectiveness.
2014
Journal Article
Effects of Trauma on Students: Early Intervention Through the Cognitive Behavioral Intervention for Trauma in Schools
The current chapter provides an overview of the effect of trauma on students, and describes the development and core components of the Cognitive Behavioral Intervention for Trauma in Schools (CBITS).
2014
Journal Article
Geographic Variation in Receipt of Psychotherapy in Children Receiving Attention-Deficit/Hyperactivity Disorder Medications
In the more than 1500 counties studied, fewer than 25% of children prescribed ADHD drugs received talk therapy in the same year they received medication. The percentage of children who received both drugs and therapy varied across counties and did not always reflect the number of available psychologists.
2014
Journal Article
Reengagement of High-Need Individuals with Serious Mental Illness After Discontinuation of Services
The study determined rates of reengagement in services for individuals with serious mental illness who had discontinued services.
2014
Journal Article
Using Claims Data to Generate Clinical Flags Predicting Short-Term Risk of Continued Psychiatric Hospitalizations
Administrative data can be used to identify individuals at high risk of continued frequent hospitalizations.
2014
Journal Article
A Web-Based Platform to Support an Evidence-Based Mental Health Intervention: Lessons from the CBITS Web Site
Web-based platforms have the potential to support training and implementation of evidence-based interventions for clinicians of varying levels of experience and may facilitate more rapid dissemination.
2014
Journal Article
Primary Care Providers' Initial Treatment Decisions and Antidepressant Prescribing for Adolescent Depression
This study examined the impact of symptom severity and provider characteristics on initial depression treatment decisions in a setting with fewer structural barriers, an integrated behavioral health network.
2014
Journal Article
Psychometric Investigation of a Brief Measure of Outcomes in Children's Mental Health
The current investigation sought to provide reliability and validity evidence for the Child Outcomes Survey (COS).
2014
Journal Article
Facilitators and Barriers Associated with Implementation of Evidence-Based Psychotherapy in Community Settings
Despite widespread use of individual outpatient psychotherapies among community mental health centers (CMHCs), few studies have examined implementation of these psychotherapies.
Dec 1, 2013
Journal Article
Measuring Client Perceptions of Motivational Interviewing: Factor Analysis of the Client Evaluation of Motivational Interviewing Scale
Motivational interviewing (MI) is an intervention approach that has solid evidence of efficacy with substance use disorders.
Mar 1, 2013
Journal Article
Predictors of Adequate Depression Treatment Among Medicaid-enrolled Youth
Determines if Medicaid-enrolled youth with depressive symptoms receive adequate acute treatment, and identifies the characteristics of those receiving inadequate treatment.
2013
Journal Article
Use of a Computerized Medication Shared Decision Making Tool in Community Mental Health Settings: Impact on Psychotropic Medication Adherence
This study examined the impact on psychotropic adherence of a decision support center and computerized tool designed to empower and activate consumers prior to an outpatient medication management visit.
2013
Report
Interventions to Improve Student Mental Health: A Literature Review to Guide Evaluation of California's Mental Health Prevention and Early Intervention Initiative
The authors review data on the prevalence of youth mental health disorders and schools' use of student mental health (SMH) programs and describe schools' role in addressing SMH concerns and outline a conceptual model for guiding program evaluation.
Dec 27, 2012
Journal Article
Medico-legal Risk Associated with Pediatric Mental Health Telephone Consultation Programs
In this survey of six state mental health telephone consultation program directors, we report the annual number of children referred for consultation and the number of lawsuits against consultant clinicians.
Dec 1, 2012
Journal Article
Youth Violence Across Multiple Dimensions: A Study of Violence, Absenteeism, and Suspensions Among Middle School Children
Exposure to violence correlated with absenteeism and suspension. The strength of these relationships depended on mode and role in exposure.
Sep 1, 2012
Journal Article
Impact of a Private Health Insurance Mandate on Public Sector Autism Service Use in Pennsylvania
Many states have implemented regulations (commonly referred to as waivers) to increase access to publicly insured services for autism spectrum disorders (ASD).
Aug 1, 2012
Journal Article
Concurrent Mental Health Therapy Among Medicaid-enrolled Youth Starting Antipsychotic Medications
The authors of this study examined the extent to which youths being prescribed antipsychotic medications were receiving concurrent mental health therapy.
Apr 1, 2012
Journal Article
Mental Health Services for Children of Substance Abusing Parents: Voices from the Community
This qualitative study explores how to improve services for children of parents with Substance Use Disorders (SUD) with unmet mental health needs.
Feb 1, 2012
Journal Article
Treatment of Attention-Deficit Hyperactivity Disorder: Patterns of Evolving Care During the First Treatment Episode
This study sought to better understand factors associated with different patterns of treatment among children starting treatment for attention-deficit hyperactivity disorder (ADHD).
Feb 1, 2012
Journal Article
Cognitive Behavioral Intervention for Trauma in Schools
The Cognitive-Behavioral Intervention for Trauma in Schools Program is a targeted intervention for school children who have experienced a traumatic or violent event and have symptoms of posttraumatic stress disorder.
2012
Journal Article
Responding to Students with PTSD in Schools
Students who have experienced a traumatic event are at increased risk for academic, social, and emotional problems as a result of these experiences.
2012
Journal Article
The Impact of Buprenorphine on Treatment of Opioid Dependence in a Medicaid Population: Recent Service Utilization Trends in the Use of Buprenorphine and Methadone
Buprenorphine use has increased in recent years, with the greatest use in rural communities and in office based settings.
2012
Journal Article
Characterizing Patterns of Care Using Administrative Claims Data: ADHD Treatment in Children
Comparative effectiveness research (CER) is concerned with determining which treatment, among known effective treatments, may provide the most benefit to an individual patient.
Dec 1, 2011
Journal Article
Going to Scale: Experiences Implementing a School-Based Trauma Intervention
This article describes implementation experiences "scaling up" the Cognitive Behavioral Intervention for Trauma in Schools (CBITS)—an intervention developed using a community partnered research framework.
Dec 1, 2011
Journal Article
The Role of Teachers in School-Based Suicide Prevention: A Qualitative Study of School Staff Perspectives
This study examined teacher roles in the implementation of a district-wide suicide prevention program through focus groups and interviews with middle school teachers, administrators, and other school personnel.
Dec 1, 2011
Journal Article
Effects on School Outcomes in Low-Income Minority Youth: Preliminary Findings from a Community-Partnered Study of a School-Based Trauma Intervention
Through a collaborative partnership between school staff and researchers, preliminary evidence suggests that receiving a school trauma intervention soon after screening compared to delaying treatment can result in better school grades.
Jun 1, 2011
Research Brief
Helping Children Cope with Violence and Trauma: A School-Based Program That Works
School-based program helps children cope with violence.
May 9, 2011
Journal Article
Use of Outcomes Information in Child Mental Health Treatment: Results from a Pilot Study
This study examined parents and clinicians' use in treatment sessions of routinely collected information on child functioning for children receiving ambulatory mental health treatment.
Dec 1, 2010
Journal Article
Adapting and Testing Telephone-Based Depression Care Management Intervention for Adolescent Mothers
This phase 1 clinical trial combined qualitative and quantitative methods to modify a collaborative care, telephone-based, depression care management intervention for adolescent mothers and to determine the acceptability, feasibility, and initial efficacy of the intervention.
Aug 1, 2010
Journal Article
Predictors of Adequate Depression Treatment Among Medicaid-enrolled Adults
Determine whether Medicaid-enrolled depressed adults receive adequate treatment for depression and to identify the characteristics of those receiving inadequate treatment.
Feb 1, 2010
Research Brief
The Teen Depression Awareness Project: Building an Evidence Base for Improving Teen Depression Care
Presents findings from the Teen Depression Awareness Project, which explored how depression affects teens, the factors that influence teens' readiness to seek treatment for depression, and the barriers that teens and parents face when seeking care.
Jan 15, 2010
Journal Article
Evidence-based Mental Health Programs in Schools: Barriers and Facilitators of Successful Implementation
Schools with greater support from administrative leadership and clinician networks are more successful in implementing evidence-based mental health programs to help students deal with the impact of traumatic events.
2010
Journal Article
School Personnel Perspectives on Their School's Implementation of a School-Based Suicide Prevention Program
This study of a district-wide suicide prevention program found that schools whose implementation focused on at-risk students had better results.
2010
Journal Article
Improving Disaster Mental Health Care in Schools: a Community-Partnered Approach
After events like Hurricane Katrina, school-based counselors need resources to help students with the traumatic experience as well as pre-existing mental health conditions; centralized information to identify services; and support for self-care.
Dec 1, 2009
Journal Article
Substance Abuse Detoxification and Residential Treatment Among Medicaid-enrolled Adults: Rates and Duration of Subsequent Treatment
The relatively low rates of follow-up care and relatively brief duration of treatment for many of those who received such follow-up care are concerning in a population receiving substance abuse detoxification or residential treatment.
Sep 1, 2009
Journal Article
Understanding Community Mental Health Administrators' Perspectives on Dialectical Behavior Therapy Implementation
In this study, key informant interviews were conducted with 13 administrators from nine community-based mental health agencies implementing dialectical behavior therapy in order to assess their perspectives on implementation.
Jul 1, 2009
Research Brief
Making It Easier for School Staff to Help Traumatized Students
Describes Support for Students Exposed to Trauma (SSET), a cognitive-behavioral program intended to be delivered in schools by teachers or school counselors rather than clinical personnel.
Jun 4, 2009
Journal Article
Perceived Barriers to Treatment for Adolescent Depression
Adolescent depression is common, disabling, and is associated with academic, social, behavioral, and health consequences. Teens with depression were significantly more likely to perceive barriers to care compared with nondepressed teens. Parents were less likely to report barriers than their teens; perceived stigma and concern about family member response were among the significant teen barriers. Teen perceived barriers scores were negatively associated with any use of antidepressants, use of antidepressants for at least 1 month and any psychotherapy or antidepressant use at 6 months.
Jun 1, 2009
Journal Article
Views of Mental Health Care Consumers on Public Reporting of Information on Provider Performance
This qualitative study examined consumer preferences regarding the content and use of provider performance data and other provider information to aid in consumers' decision making.
May 1, 2009
Journal Article
Impact of Teen Depression on Academic, Social, and Physical Functioning
This study aimed to determine the impact of teen depression on peer, family, school, and physical functioning and the burden on parents.
2009
Journal Article
Support for Students Exposed to Trauma: A Pilot Study
This study describes preliminary data from a pilot study of a new program, Support for Students Exposed to Trauma, adapted from the Cognitive Behavioral Intervention for Trauma in Schools program.
2009
Journal Article
Violence Exposure and PTSD: The Role of English Language Fluency in Latino Youth
The authors explored the level of violence exposure and trauma symptoms in Latino youth and the relationship of these factors with English language fluency.
2009
Research Brief
Out of the Ivory Tower, Into the Real World: Examples of Street-Smart Community Health Research
Discusses the potential of community-based participatory research (CBPR) to reduce the burden of chronic health problems on poor and minority neighborhoods and describes three successful CBPR programs.
Nov 20, 2008
Journal Article
Perinatal Disorders: Advancing Public Health Opportunities
Depression during childbearing is a major public health concern.
Oct 1, 2008
Journal Article
Providing Evidence-Based Practice to Ethnically Diverse Youths: Examples from the Cognitive Behavioral Intervention for Trauma in Schools (CBITS) Program
Discusses implementing evidence-based treatments for ethnically diverse youths.
2008
Journal Article
School-Based Disaster Mental Health Services: Clinical, Policy, and Community Challenges
The consequences of Hurricane Katrina have far-reaching implications for the mental health system in the Gulf Coast region, with some of the most vulnerable survivors being children and adolescents.
2008
Journal Article
School-based Treatment for Children and Adolescents
This chapter briefly highlights the context for treating child traumatic stress in school settings, reviews the literature supporting treatment approaches in schools, offers a description of techniques used, and identifies empirical support for the reviewed school-based treatment or intervention programs for child traumatic stress.
2008
Research Brief
How Schools Responded to Student Mental Health Needs Following Hurricanes Katrina and Rita
This fact sheet summarizes a study that examined how schools in the U.S. Gulf Coast region perceived the mental health needs of students after Hurricanes Katrina and Rita and how schools responded.
Oct 8, 2007
Journal Article
Active Parental Consent for a School-Based Community Violence Screening: Comparing Distribution Methods
Students are unable to benefit from many school programs designed to address their mental health needs if their parents do not consent to their participation.
2007
Journal Article
Outpatient Mental Health Utilization Among Commercially Insured Individuals: In- and Out-of-Network Care
This study examined the rates and correlates of out-of-network outpatient mental health specialty care.
2007
Journal Article
Predictors of Timely Follow-Up Care Among Medicaid-Enrolled Adults After Psychiatric Hospitalization
Patient sociodemographic, clinical, and service utilization characteristics predicted timely follow-up care.
2007
Journal Article
Schools' Mental Health Responses After Hurricanes Katrina and Rita
Despite efforts to support students affected by the hurricanes, schools were limited in their ability to implement disaster-focused programs.
2007
Journal Article
Who Gets Care? Mental Health Service Use Following a School-Based Suicide Prevention Program
Examine symptomatology and mental health service use following students' contact with a large urban school district's suicide prevention program.
2007
Research Brief
How Schools Can Help Children Recover from Traumatic Experiences
This fact sheet summarizes a program guide, or tool kit, that describes a variety of school-based mental health programs for students exposed to trauma, such as Hurricane Katrina and other natural disasters, and community or personal violence.
Dec 4, 2006
Report
How Schools Can Help Students Recover from Traumatic Experiences: A Tool Kit for Supporting Long-Term Recovery
Describes how trauma exposure impacts students' performance and behavior and provides a compendium of programs for schools to support long-term recovery.
Oct 23, 2006
Report
Understanding and Preparing for the Psychological Consequences of Terrorism
Describes the psychological consequences of terrorism and outlinesstrategies for dealing with them.
Feb 10, 2006
Journal Article
Building and Translating Evidence Into Smart Policy: Continuing Research Needs for Informing Post-War Mental Health Policy
How best to address the mental health (MH) needs of individuals directly and indirectly affected by war.
2006
Journal Article
General Medical Costs of Recipients of Behavioral Health Care
Estimate the general medical costs of individuals who received behavioral health care.
2006
Journal Article
In Their Own Words: Lessons Learned from Those Exposed to Anthrax
The authors evaluated perceptions of workers at the US Postal Service Brentwood Processing and Distribution Center and US Senate employees regarding public health responses to the anthrax mailings of October 2001.
2005
Journal Article
Responding to the Needs of the Community: A Stepped-Care Approach to Implementing Trauma-Focused Interventions in Schools
This paper describes the efforts of the Cognitive-Behavioral Intervention for Trauma in Schools (CBITS) program.
2005
Journal Article
Terrorism's Psychologic Effects and Their Implications for Primary Care Policy, Research, and Education
This paper examines PCP roles in helping the nation prepare for, respond to, and recover from the psychologic consequences of CBRN terrorism.
2005
Journal Article
Acceptability of Asking Parents About Their Children's Traumatic Symptoms
Concerns about the ethics of asking children and their families about the children's traumatic experiences have hindered research in this area.
2004
Journal Article
A Bitter Pill to Swallow: Nonadherence with Prophylactic Antibiotics During the Anthrax Attacks and the Role of Private Physicians
To generate recommendations for improving adherence to public health advice during public health crises, the authors conducted semi-structured interviews with employees at the Brentwood Road Postal Facility and on Capitol Hill to identify key themes associated with decisions to adhere to recommended antibiotic prophylaxis during the 2001 anthrax attacks.
2004
Journal Article
Emotional and Behavioral Consequences of Bioterrorism: Planning a Public Health Response
Relatively little attention has been paid to precisely how the public will respond to bioterrorism.
2004
Journal Article
The Emotional and Behavioral Impact of Terrorism on Children: Results from a National Survey
Significant differences in terrorism-related topics discussed and symptoms reported among different sociodemographic groups suggest that the impact of terrorism may be unevenly distributed across society, which has important implications for terrorism preparedness and response policies.
2004
Journal Article
A National Longitudinal Study of the Psychological Consequences of the September 11, 2001 Terrorist Attacks: Reactions, Impairment, and Help-Seeking
This article examines the evolution of psychological and behavioral reactions following the September 2001 terrorist attacks in a nationally representative sample, and describes where people turned for support, information, and counseling.
2004
Research Brief
Role of Doctors Critical in Effective Public Health
The RAND Corporation interviewed a diverse sample of individuals from Capitol Hill and from the Brentwood postal facility with the purpose of understanding in detail how these individuals responded to the advice of public health officials to take antibiotics for at least 60 days.
2004
Research Brief
Will Public Health's Response to Terrorism Be Fair?
A severe public health crisis could require onerous or controversial control measures whose success will depend on the extent to which everyone cooperates.
2004
Journal Article
Will Public Health's Response to Terrorism Be Fair? Racial/Ethnic Variations in Perceived Fairness During a Bioterrorist Event
Public health departments' effectiveness during catastrophic bioterrorism will require trust on the part of diverse communities.
2004
Journal Article
Drug and Alcohol Treatment Among Privately Insured Patients: Rate of Specialty Substance Abuse Treatment and Association with Cost-Sharing
Consideration should be given the potential impact of such changes on the treatment of individuals requiring specialty SA treatment.
2003
Dissertation
Drug and Alcohol Treatment Services Among Privately Insured Individuals in Managed Behavioral Health Care
Examines the effects of various kinds of private insurance for substance abuse.
2003
Journal Article
Growing Up: Emotional Reactions to Violence
Reactions among students to witnessing or experiencing violence, and treatment options: critical incident debriefing, psychotherapy and medications.
2003
Journal Article
Impact of Injury on Posttraumatic Stress in Survivors Seeking Counseling After the 1995 Bombing in Oklahoma City
This study explored the relationship of injury and posttraumatic stress symptoms in victims of the 1995 terrorist bombing in Oklahoma City.
2003
Journal Article
The Mental Health for Immigrants Programs: Program Design and Participatory Research in the Real World
One problem of substantial importance to the Los Angeles Unified School District (LAUSD) is meeting the mental health needs of new immigrant children.
2003
Journal Article
A Mental Health Intervention for Schoolchildren Exposed to Violence: A Randomized Controlled Trial
Sixth-grade students at 2 large middle schools in Los Angeles who reported exposure to violence and had clinical levels of symptoms of PTSD.
2003
Journal Article
Prevalence of Child and Adolescent Exposure to Community Violence
Predictors of community violence exposure, including gender, age, race, socioeconomic status, behavior patterns, and geography, are discussed.
2003
Journal Article
The Role of Schools in Meeting Community Needs During Bioterrorism
Schools will likely play a critical role in helping communities recover from a bioterrorist attack.
2003
Journal Article
A School-Based Mental Health Program for Traumatized Latino Immigrant Children
To pilot-test a school mental health program for Latino immigrant students who have been exposed to community violence.
2003
Journal Article
Suicide Prevention in Schools: Are We Reaching Minority Youths?
This study sought to better understand program participants.
2003
Draft
Understanding and Preparing for the Psychological Consequences of Bioterrorism: Executive Summary
This issue paper describes some of the major challenges that the psychological consequences of a bioterror attack will pose, and proposes specific strategies for dealing effectively with those challenges.
2003
Research Brief
After 9-11: Stress and Coping Across America
Events in recent years have taught us that individuals need not be present at a catastrophic event to experience stress symptoms.
2002
Testimony
After 9/11: Stress and Coping Across America
Testimony submitted to the United States Senate Committee on Health, Education, Labor and Pensions field hearing on "9/11 and NYC Children" June 10, 2002.
2002
Periodical
RAND Review: Vol. 26, No. 2, Summer 2002
Surveys RAND research conducted since Sept. 11, 2001, that examines the dimensions of the terrorist threat and potential responses to it, and issues such as global priorities, oversees deployments, homeland security, and state and local initiatives.
2002
Journal Article
Reactions to the Events of September 11
Average number of daily outpatient visits during 19 days before and after September 11 in different clinical subgroups and geographic locations.
2002
Journal Article
Theoretical Basis and Program Design of a School-Based Mental Health Intervention for Traumatized Immigrant Children: A Collaborate Research Partnership
This article describes a collaborative research model for school-based mental health services that targets children who are recent immigrants with violence-related mental health symptoms.
2002
Journal Article
Violence Exposure, Posttraumatic Stress Disorder, and Depressive Symptoms Among Recent Immigrant Schoolchildren
Recent immigrant children are at risk for violence exposure and related psychological distress from experiences before, during, and after immigration.
2002
Report
ADHD Treatment in a Behavioral Health Care Carve-Out: Medications, Providers, and Service Utilization
Explores the treatment of children with attention deficit hyperactivity disorder by managed behavioral health organizations.
2001
Journal Article
Alcoholism Treatment in Managed Private Sector Plans How Are Carve-Out Arrangements Affecting Costs and Utilization?
Many U.S. employers and health plans have carved out their mental health and substance abuse benefits from a comprehensive health care plan.
2001
Journal Article
Assessment of Child Crime Victims
This chapter focuses on initial mental health assessment of child crime victims, including diagnosis and treatment planning.
2001
Research Brief
Mental Health Care for Youth: Who Gets It? How Much Does It Cost? Who Pays? Where Does the Money Go?
A team of RAND researchers has assembled a current national picture of mental health costs and utilization for children ages 1-17.
2001
Journal Article
A National Survey of Stress Reactions After the September 11, 2001, Terrorist Attacks
People who are not present at a traumatic event may experience stress reactions.
2001
Journal Article
Psychotropic Medication Costs Among Youth with Private Insurance in 1998
Recent studies have documented a substantial increase in the use of psychotropic medications by children and adolescents.
2001
Journal Article
Violence Exposure Among School-Age Children in Foster Care: Relationship to Distress Symptoms
Amount and nature of violence exposure and examine the relationship between violence exposure and distress symptoms among children in foster care.
2001
Journal Article
The Effect of Copayments on Drug and Alcohol Treatment Following Inpatient Detoxification Under Managed Care
These findings indicate that the rate of participation in outpatient treatment after detoxification is high, but room for improvement remains.
2000
Research Brief
Tracking Changes in Behavioral Health Services: How Has Managed Care Changed Care?
RAND studies of managed care plans that had already implemented full parity showed that under comprehensively managed care -- today's dominant arrangement -- unlimited mental health benefits cost not much more than capped benefits.
2000
Journal Article
How Can We Prevent Emotional Disturbances in Youth Exposed to Violence in Schools?
The authors study examined rates of violence exposure and related distress among youth referred to school district mental health services.
1999
Journal Article
Prospective Study of Displaced Children's Symptoms in Wartime Bosnia
This study examines the psychological symptoms of Bosnian children exposed to war and trauma, and detects changes in these symptoms over time.
1999
Report
Substance Abuse Service Utilization under Managed Care: HMOs versus Carve-Out Plans
Evaluates changes in service utilization and costs when managed behavioral healthcare organizations use carve-outs to manage their substance abuse services compared with HMOs.
1999