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The Mental Health Workforce: A Primer

Description: This report begins with a working definition of the mental health workforce and a brief discussion of alternative definitions. It then describes three dimensions of the mental health workforce that may influence quality of care, access to care, and costs of care. The report then briefly discusses how these dimensions of the mental health workforce might inform certain policy discussions.
Date: April 16, 2015
Creator: Heisler, Elayne J. & Bagalman, Erin
Partner: UNT Libraries Government Documents Department

The Mental Health Workforce: A Primer

Description: This report begins with a working definition of the mental health workforce and a brief discussion of alternative definitions. It then describes three dimensions of the mental health workforce that may influence quality of care, access to care, and costs of care: (1) licensure requirements and scope of practice for each provider type in the mental health workforce, (2) estimated numbers of each provider type in the mental health workforce, and (3) average annual wages for each provider type in the mental health workforce. The report then briefly discusses how these dimensions of the mental health workforce might inform certain policy discussions.
Date: October 18, 2013
Creator: Heisler, Elayne J. & Bagalman, Erin
Partner: UNT Libraries Government Documents Department

Historical Changes in Elderly Cohorts' Attitudes toward Mental Health Services

Description: Older adults' attitudes toward mental health services have received little research attention. Overall, older adults are thought to hold relatively negative attitudes. In this study, Analysis 1 investigated historical shifts in attitudes toward mental health services among three independent samples of older adults, separated by 14-year and 9-year intervals (1977 sample, N = 90; 1991 sample, N = 101; 2000 sample, N = 99). Analysis 2 compared two samples of older and younger adults, each separated by a 9-year interval (Older Adults: 1991 sample, N = 93; 2000 sample, N = 91 and Younger Adults: 1991 sample, N = 131; 2000 sample, N = 147). Participants completed a questionnaire containing five, internally consistent scales assessing multiple dimensions of mental health attitudes (Openness, Biases, Range of Knowledge, Breadth, Help Seeking Attitudes). Analyses suggested that the 1991 and 2000 samples of older adults had more positive attitudes than did the 1977 sample. However, a sustained trend for more positive attitudes beyond 1991 was not seen. In fact, no differences existed between 1991 and 2000 samples with exception of two. Older and younger adults together had lower Biases and Breadth scores in 2000 than in 1991. Age effects, gender effects, and interactions were also examined. Possible historical influences were discussed along with implications for the delivery of mental health care to future cohorts of older adults.
Date: August 2001
Creator: Currin, James B.
Partner: UNT Libraries

Indian Adolescent Mental Health

Description: This report reviews the mental health needs of Indian adolescents (those of American Indian and Alaska Native descent) and the services available to them. It summarizes the findings of the review, suggests options that Congress might consider, and provides an overview of other special health needs of adolescents (ages 10 to 18).
Date: January 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Toward a Program Evaluation of the Community Mental Health Center Selected Application of the Parsonian Model

Description: The purpose of this study is to test the utility of Talcott Parsons' AGIL Model, i.e., Adaptation, Goal Attainment, Integration, and Latency (Pattern Maintenance) in evaluating the program effectiveness of a community mental health center (CMHC). The model provided a conceptual framework for the selection of appropriate variables. The dependent variable in this study is the overall evaluation of the CMHC as measured through the perception of community leaders. Fourteen hypotheses were constructed to identify and test the relationship among the AGIL criteria and the use of a selected set of independent variables. Data for this study were collected from primary and secondary sources. Secondary data were obtained from the Texas Department of Mental Health and Mental Retardation in Austin and the CMHC center in Eton. Primary data were collected through personal interviews of general community leaders and influential persons in health-related activities in the community. The selected independent variables included the scope of leadership, the attitude towards this community, socio-economic status, knowledge of the CMHC, and the commitment and involvement in the CMHC. Data indicated that Parsons' criteria for evaluating the CMHC's program were comprehensive and related to each other both positively and negatively. Among the selected independent variables, the type of leader was found to be the best predictor of program evaluation of this CMHC. Overall, generalized community leaders were more defensive and favorable to the CMHC's program compared with the specialinterest leaders. The leaders also differed in their emphasis of the AGIL criteria. The generalized community leaders were conservative in emphasizeing the evaluative criteria of adaptation, integration, and pattern maintenance; the special-interest leaders gave more emphasis to the goal attainment function of CMHC. It was concluded that Parsons' AGIL model was useful for evaluating a CMHC. The variant direction of relationship among AGIL criteria indicated differences in ...
Date: August 1986
Creator: Moodley, Bobby
Partner: UNT Libraries

Measuring Change in University Counseling Center Students: Using Symptom Reduction and Satisfaction with Services to Propose a Model for Effective Outcome Research

Description: Abstract This study proposes a model for meeting increasingly mandated outcome research objectives in a university counseling center setting. It is proposed that counseling centers utilize their existing intake forms, along with an annual satisfaction survey to determine the effectiveness of counseling services. Effectiveness is defined as improvement and measured by the reduction of the symptoms or presenting concerns with which the client initially presented. It also introduces the Relative-Change Index (R-Chi) as an objective way to quantify intra-individual change occurring as a result of therapy. This new mathematical procedure allows for a more meaningful assessment of the client's degree of improvement, relative to their potential for improvement. By re-administering the problem checklist, routinely included as part of the initial paperwork for each client at intake, again post-therapy, it is possible to quantify improvement by measuring the difference in distressing concerns. Additionally, including a subjective, retrospective survey question asking the client to indicate their perceived rate if improvement at follow-up provides construct validity and allows for correlational comparisons with R-Chi. Results suggest that student/client ratings of the degree to which the services they received satisfactorily addressed their presenting concerns were significantly rated to their R-Chi score. This model suggests that the framework guiding client outcome research should include measures of the client's level of distress, improvement in reducing the distress, and satisfaction with services.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: December 1999
Creator: Quick, Cynthia L.
Partner: UNT Libraries

Submission of Mental Health Records to NICS and the HIPAA Privacy Rule

Description: This report provides an overview of prohibiting mental health records under current federal law, and distinguishes those records from other types of mental health information that would not disqualify an individual from purchasing a firearm. This report also provides an overview of National Instant Criminal Background Check System (NICS) and discusses potential issues arising from state and federal medical privacy laws that may impede states' efforts to submit prohibiting mental health records to NICS.
Date: February 20, 2014
Creator: Liu, Edward C.; Bagalman, Erin; Chu, Vivian S. & Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

The acceptance of an inventory of program objectives for a community college mental health technology program within the social and behavioral science structure

Description: The study sought acceptance of an inventory of program objectives for a community college mental health technology program within the social and behavioral science structure. It adapted a set of program objectives, using an inventory from the Southern Regional Education Board, and provided composite list stated in competency or performance levels and a list of academic requirements showing what fundamental areas of competency or performance would be most germane for a mental health technology candidate.
Date: May 1976
Creator: Weber, Marvin Glenn
Partner: UNT Libraries

An Investigation of Crisis Intervention Services

Description: The purpose of the study have been: (1) to provide an explanatory, descriptive, and analytic viewpoint of the functions and structure of crisis intervention centers (2) to provide an intensive investigation of counseling and treatment practices in crisis intervention centers and (3) to relate the experiences that the writer has encountered as a resident counselor at Help House Inc. (twenty-four hour drug and crisis intervention center in Denton, Texas) to sociological, psychological, social psychological and philosophical constructs that deal with or pertain to crisis intervention, particularly in the area of drug use. The study indicates how participatory observation serves as an aid in acquiring insight into sociological areas such as crisis intervention centers. The role of the participatory observer is most important because concepts and theories arise out of actual situations.
Date: December 1976
Creator: Sammons, Daniel G.
Partner: UNT Libraries

The Essence of African Americans’ Decisions to Seek Professional Counseling Services: a Phenomenological Study

Description: Mental health disparity is an emerging national concern with evidence suggesting individuals from non-dominant populations are less likely to seek and persist in mental health services compared to their dominant culture peers. In particular, African Americans may underutilize professional counseling services due to factors such as stigma, healthy cultural mistrust, and cultural values. To date, researchers have paid limited attention to ways to break through barriers to mental health equity. The purpose of this phenomenological study was to explore African Americans’ experiences and decision-making seeking professional counseling services. I addressed the following questions: How do African Americans make meaning of their decision to seek counselor services? What considerations are involved in decision- making with African Americans who decide to seek professional counseling services? Participants included 10 African American women who had attended counseling with a licensed professional counselor (LPC) or LPC Intern in the past three years. I identified six emergent themes through adapted classic phenomenological analysis: feelings prior to attending counseling, coping mechanisms utilized prior to counseling, barriers to treatment, motivation to attend counseling, characteristics of counselor, and post counseling experiences. Participants reported increased personal growth, insight, and desire to recommend counseling to others. Findings inform communities about what counseling is (and is not) as well as different types of support that can be obtained from a professional counselor. Limitations and future research directions are discussed.
Date: August 2015
Creator: Yaites, LaToya D.
Partner: UNT Libraries

Mental Health Services: Effectiveness of Insurance Coverage and Federal Programs for Children Who Have Experienced Trauma Largely Unknown

Description: A letter report issued by the General Accounting Office with an abstract that begins "Eighty-eight percent of children nationwide have private or public health insurance that, to varying degrees, covers mental health services, including those that may be needed to help children recover from traumatic events, such as natural disasters, school shootings, or family violence. Despite the widespread prevalence of health insurance coverage for children, depending on their type of insurance coverage and where they live, children may face certain limitations in coverage or other barriers that could affect their access to needed services. The 16 percent of children who are enrolled in Medicaid and the State Children's Health Insurance Program public insurance programs generally have coverage for a wide range of mental health benefits, and those enrolled in Medicaid are not subject to day or visit restrictions. Beyond providing insurance that can give children access to mental health services, a range of federal programs can help children who have experienced trauma obtain needed services. GAO identified over 50 programs that can be used by grantees to provide mental health and other needed services to children who have never experienced trauma, although many of these programs have a broader focus and were not designed specifically for this purpose."
Date: August 22, 2002
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Substance Abuse And Mental Health Services Administration: Planning for Program Changes and Future Workforce Needs Is Incomplete

Description: A letter report issued by the General Accounting Office with an abstract that begins "The Substance Abuse and Mental Health Services Administration (SAMHSA) is the lead federal agency responsible for improving the quality and availability of prevention and treatment services for substance abuse and mental illness. The upcoming reauthorization review of SAMHSA will enable the Congress to examine the agency's management of its grant programs and plans for converting its block grants to performance partnership grants, which will hold states more accountable for results. GAO was asked to provide the Congress with information about SAMHSA's (1) strategic planning efforts, (2) efforts to manage its workforce, and (3) partnerships with state and community-based grantees."
Date: June 4, 2004
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Bias in the Diagnosis and Treatment of Gay Males

Description: The purpose of this study was to explore heterosexual bias in the diagnosis and treatment of gay males. Two hundred-fifty (134 males and 116 females) mental health professionals from the Division of Psychotherapy (29) of the American Psychological Association participated in the study. Participants were randomly assigned to one of two case history conditions, which presented a 35-year-old male seeking therapy. Both conditions were equivalent with regards to the presenting problem (i.e., diagnostic symptoms) with the exception of his significant other (i.e., gay vs. non-gay condition). Potential bias was measured through a diagnostic rating Likert scale and a treatment plan questionnaire. Other independent variables that could potentially have an effect on diagnostic ratings were explored, such as gender, year of graduation, and theoretical orientation of the respondents. Results of the statistical analyses failed to confirm evidence of heterosexual bias. Implications for further research and training are discussed.
Date: December 1996
Creator: Adams, Pamela (Pamela Ann)
Partner: UNT Libraries

Institutional approaches to the care of individuals with dementia: report of a national facility survey and the Hebrew Home for the Aged at Riverdale, as a case study: prepared under contract for the (U.S.) Congressional Office of Technology Assessment

Description: This report discusses the provision components, compassionate and cost-effective care to individuals with dementing illnesses, and their families.
Date: January 1986
Creator: Weiner, Audrey S.
Partner: UNT Libraries Government Documents Department

An Evaluation of a Computerized Coping Skills Training Program Developed for Use in a Correctional Setting

Description: This thesis is an evaluation of two coping skills programs and their effects on inmates' mental health status. The original computer coping skills program designed for the general population was modified to address the specific needs of an incarcerated population.This thesis evaluated the differences in the mental health status of the two treatment groups compared with the control group and with each other to assess the effectiveness of the two programs. The results of this study showed substantial improvement in the mental health status for the two treatment groups. There are indications from this study that specialty software designed specifically for inmates may result in lower levels of depression than non-tailored software.
Date: August 1988
Creator: Salerno, Lillian E. (Lillian Elizabeth)
Partner: UNT Libraries

The Effects of Different Confidentiality Conditions on Adolescent Minor Patients' Self-Report of Behavioral and Emotional Problems

Description: The primary purpose of the present study was to determine if information regarding potential parental or legal guardian access to mental health information would deleteriously impact male and female adolescent psychiatric patients' willingness to self-report personal problems and symptoms.
Date: May 1992
Creator: Drake, David Warren
Partner: UNT Libraries

Evolution Incidence and Components of U.S. Police Agency Mental Health Services

Description: Postal survey research was conducted between September and November, 1986, to gather information concerning the evolution, existence and extent of mental health services available to police personnel. Questionnaires were mailed to all 366 municipal, county, and state police agencies in the United States that employed 200 or more workers. Usable data were obtained from 76.8% of the agencies surveyed. Of the 281 respondents who returned usable data, 65.1% reported the existence of mental health services available to their police personnel. The majority of respondents (58.6%) perceived their mental health programs as being equally reactive and preventive in orientation. The most frequently reported existing components were outside agency counseling, stress management seminars, and testing of potential police recruits. Over half (54.8%) of the responding police agencies reported having between 10 and 19 components in their respective mental health programs. The implementation dates and evolution of twenty-five (25) components were examined, and specific components of various police agencies were also revealed. The majority of respondents (70.7%) reported their mental health programs were available to sworn and nonsworn personnel and their families. Almost all respondents (98.3%) viewed their programs as being cost effective. Also, most agencies were satisfied with the four treatment resources listed, which included in-house counseling, outside agency counseling, hospital in-patient programs, and alcohol/drug rehabilitation centers. Slightly over half (50.8%) of the respondents stated their service programs were entitled "Employee Assistance Program." Of the 300 staff workers holding mental health degrees, 101 were reported to have doctoral degrees in psychology. The most frequently reported personality theory utilized by staff members was eclecticism (48.5%). The prevailing high interest in police mental health services is discussed as well as possible reasons why some police managers may be apathetic towards the implementation of such services. Ways of educating police managers as to the benefits ...
Date: May 1987
Creator: White, John H. (John Hubert)
Partner: UNT Libraries

A Description of Leisure Counseling Services in Texas Community Mental Health and Mental Retardation Centers

Description: The purpose of this study is to determine the extent of leisure counseling provided in Texas Community Mental Health and Mental Retardation Centers. Data was gathered from responses to a survey sent to Texas Community MHMR Centers. There was a ninety-three per cent response rate. The results indicated leisure counseling was not being provided, although some minor components of leisure counseling were being conducted at individual centers. Recommendations were made for expansion of recreation programs, the institution of counseling sessions dealing with leisure related topics on a regular basis, the use of leisure interests.:assessment instruments, and the development of a systematic recreation information referral system.
Date: December 1976
Creator: Fikes, Charles R.
Partner: UNT Libraries

Dismantling the Psychiatric Ghetto: Evaluating a Blended-Clinic Approach to Supportive Housing in Houston, Texas

Description: Locational decisions based on stigma and low funding have handicapped the efficiency of community based mental healthcare in the United States since 1963. However, the pattern of services in the 21st century American South remains largely unknown. This thesis addresses this gap in knowledge by using a mixed methodology including location allocation, descriptive statistics, and qualitative site visits to explore the geography of community clinics offering both physical and mental health services. The City of Houston has proposed using these facilities to anchor new supportive housing, but introducing more fixed costs to a mismatched system could create more problems than solutions. The findings of this study suggest the presence of an unnecessary concentration of services in the central city and a spatial mismatch between accessible clinics and the poor, sick people in need. Furthermore, this research reveals a new suburban pattern of vulnerability, calling into question long-held assumptions about the vulnerability of the inner city. Building supportive housing around existing community clinics, especially in the central city, may further concentrate vulnerable people thereby contributing to intensifying patterns of service-seeking drift and the continued traumatization of mentally ill homeless persons in Houston.
Date: December 2014
Creator: Lester, Katherine Ann
Partner: UNT Libraries

A Compendium of Social-Behavioral Research Funded by NCER and NCSER: 2002-2013

Description: A compendium of more than 245 projects based on the social-behavioral competencies of preschool, K-12, post-secondary and adult students determined through extensive and varied educational research. The projects include instructional interventions, professional development programs, educational technologies and assessments.
Date: 2016
Creator: Yamaguchi, Ryoko; Hall, Adam; Larson, Meredith; Stapleton, Katina; Doolittle, Emily & Buckley, Jacquelyn
Partner: UNT Libraries Government Documents Department

Lone Star Insanity: Efforts to Treat the Mentally Ill in Texas, 1861-1929

Description: During the mid-nineteenth century, the citizens of Texas were forced to keep their mentally disturbed family members at home which caused stress on the caregivers and the further debilitation of the afflicted. To remedy this situation, mental health experts and Texas politicians began to create a system of healing known as state asylums. The purpose of this study is to determine how Texas mental health care came into being, the research and theories behind the prevention and treatment programs that asylum physicians employed to overcome mental illness, in addition to the victories and shortcomings of the system. Through this work, it will be shown that during the 1850s until the 1920s institutions faced difficulty in achieving success from many adverse conditions including, but not limited to, overcrowding, large geographical conditions, poor health practices, faulty construction, insufficient funding, ineffective prevention and treatment methods, disorganization, cases of patient abuse, incompetent employees, prejudice, and legal improprieties. As a result, by 1930, these asylums were merely places to detain the mentally ill in order to rid them from society. This thesis will also confirm that while both Texas politicians and mental health experts desired to address and overcome mental illness in Texas, they were unable to do so due to arguments, selfishness, corruption, failures, and inaction on the part of both sides. However, this thesis will ultimately reveal it was lack of full support from Texas legislators, deriving from the idea that this system was not one of their top priorities among the state’s concerns, that led to the inability of the Texas mental health care system to properly assist their patients.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: December 2015
Creator: Boyd, Dalton T.
Partner: UNT Libraries