Evidence map›Paper›PMID 34799772›Full record

ArticleCommunity mental health journal2022

Staff Perceptions of Barriers and Facilitators to Implementation of Behavioral Health Homes at Community Mental Health Provider Settings.

Cara Nikolajski, Kelly Williams, Patricia Schake, Tracy Carney, Megan Hamm, James Schuster

Abstract read
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In one paragraph

Article in Community mental health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Cara NikolajskiUPMC Center for High-Value Health Care, UPMC Insurance Services Division, 600 Grant Street, 40thFloor, Pittsburgh, PA, 15219, USA. nikolajskice@upmc.edu.
Kelly WilliamsUPMC Center for High-Value Health Care, UPMC Insurance Services Division, 600 Grant Street, 40thFloor, Pittsburgh, PA, 15219, USA.
Patricia SchakeCommunity Care Behavioral Health Organization, 339 Sixth Avenue #1300, Pittsburgh, PA, 15222, USA.
Tracy CarneyCommunity Care Behavioral Health Organization, 339 Sixth Avenue #1300, Pittsburgh, PA, 15222, USA.
Megan HammQualitative, Evaluation And Stakeholder Engagement Research Services, Center for Research On Health Care, University of Pittsburgh, 200 Meyren Ave, Suite 200, Pittsburgh, PA, 15213, USA.
James SchusterUPMC Insurance Services Division, 600 Grant Street, 55th Floor, Pittsburgh, PA, 15219, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals living with a serious mental illness are disproportionately affected by preventable and/or manageable chronic conditions. Integrated care and support for behavioral and physical health within community mental health provider (CMHP) settings, also known as behavioral health homes (BHH), can lead to improvements in care and cost outcomes. This study explored staff perceptions of barriers and facilitators to BHH implementation. We conducted semi-structured interviews with CMHP staff at baseline, 1, and 2 years after the start of implementation. We analyzed interviews to identify major themes. We conducted 65 total interviews with 30 unique staff members. Common barriers included staff turnover, hesitation to change care processes, and acute service user needs. Facilitators included agency-wide culture change, intervention champions, and integration of intervention processes into daily workflows. Despite common barriers, CMHP staff identified several elements related to successful BHH implementation, including the CMHP-wide cultural shift to comprehensively address health/wellness that benefitted service users and staff alike.

Indexed as

Mental HealthPsychiatryHumansBehavioral health homeCommunity mental healthImplementationSerious mental illness

Identifiers

What OpenQuestion holds

Textmetadata
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.