Evidence map›Paper›PMID 34244012›Full record

ArticleJournal of substance abuse treatment2021

Managing substance use for clients with serious mental illnesses: Knowledge, attitude, and training challenges among outpatient behavioral health providers in California, Ohio, and New York.

Erin Kelly, Fred J Pasquarella, Lisa Davis, Andrew Hunt, Sae Lee, Scott Fairhurst, Leslie Giambone, Lezlie Murch, Helle Thorning, John S Brekke

Abstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 1 country.

Erin KellyDepartment of Family and Community Medicine, Thomas Jefferson University, United States of America. Electronic address: erin.kelly3@jefferson.edu.
Fred J PasquarellaDidi Hirsch Mental Health Services, Sepulveda Blvd, Culver City, CA, United States of America. Electronic address: FPasquarella@didihirsch.org.
Lisa DavisCenter for Health Services and Society, University of California, Los Angeles, 10920 Wilshire Blvd # 300, Los Angeles, CA 90024, United States of America. Electronic address: lgdavis@mednet.ucla.edu.
Andrew HuntDepartment of Psychiatry, Case Western University Hospitals, 10524 Euclid Ave, Cleveland, OH 44106, United States of America. Electronic address: Andrew.Hunt@uhhospitals.org.
Sae LeeDidi Hirsch Mental Health Services, Sepulveda Blvd, Culver City, CA, United States of America. Electronic address: slee@didihirsch.org.
Scott FairhurstPacific Clinics, 800 South Santa Anita Blvd, Arcadia, CA, United States of America. Electronic address: Sfairhurst@pacificclinics.org.
Leslie GiamboneMental Health America Los Angeles, East 7th Street, Long Beach, CA 90804, United States of America. Electronic address: lgiambone@mhala.org.
Lezlie MurchExodus Recovery, Incorporated, 9808 Venice Boulevard, Los Angeles 90232, United States of America. Electronic address: lmurch@exodusrecovery.com.
Helle ThorningColumbia University, Department of Psychiatry, New York, NY, United States of America. Electronic address: Helle.Thorning@nyspi.columbia.edu.
John S BrekkeSuzanne Dworak-Peck School of Social Work, University of Southern California, Montgomery Ross Fisher Building, Los Angeles, CA 90089, United States of America. Electronic address: brekke@usc.edu.
Didi Hirsch Mental Health Services · USArcadia · USColumbia University · USMental Health America · USPsych Recovery · USThomas Jefferson University · USUniversity of California, Los Angeles · USUniversity of Southern California · USWestern University of Health Sciences · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
NCATS NIH HHS UL1 TR001881
6 · The paper itself

Abstract

purposeIndividuals with serious mental illness have high rates of substance use. The most commonly used substances among this population are alcohol and cannabis, and whether clinical providers delivering mental health services feel adequately prepared to address substance use is unclear. While information about the effects of alcohol are well established, the effects of cannabis are less well known and staff may feel less confident in their abilities to assess its use and may rely on more informal sources to learn about it.

methodsMental health agencies in three states (California, Ohio, and New York) surveyed their staff (n =717) to explore their knowledge, training, and expertise in assessment of substance use generally as well as cannabis and alcohol specifically.

resultsOverall, providers felt more prepared to address their clients' alcohol use than cannabis use. In between-state comparisons, California providers felt significantly less well prepared to assess, discuss, and refer their clients to treatment compared to Ohio and New York providers. Using a series of multi-categorical mediation models, we confirmed that deficits in training for these specific substances largely accounted for between-state differences in assessment, capacity, and treatment.

conclusionsSubstance use training to address the service needs of individuals with co-occurring disorders is insufficient and a significant need exists for systemic changes to workforce training of community mental health providers.

Indexed as

Mental DisordersSubstance-Related DisordersHealth Knowledge, Attitudes, PracticeHumansNew YorkOhioOutpatientsBehavioral health workforce trainingCo-occurring disordersPractice-based research networkSerious mental illnesses

Identifiers

PMID34244012
PMCPMC13104596
OpenAlexW3176652765

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.