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National Mental Health Services Survey (N-MHSS): 2019, Data On Mental Health Treatment Facilities
This report presents findings from the 2019 National Mental Health Services Survey (N-MHSS), an annual census of all known facilities in the United States, both public and private, that provide mental health treatment services to people with mental illness. Planned and directed by the Center for Behavioral Health Statistics and Quality (CBHSQ) of the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services, the N-MHSS is designed to collect data on the location, characteristics, and utilization of organized mental health treatment services for facilities within the scope of the survey throughout the 50 states, the District of Columbia, Puerto Rico, and other jurisdictions. -
Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies
How a community responds to Behavioral Health (BH) emergencies is both a public health issue and social justice issue. Individuals in BH crisis often receive inadequate care in emergency departments (EDs), boarding for hours or days waiting for treatment. These individuals account for a quarter of police shootings and over 2 million jail bookings per year. Explicit and implicit bias magnify these problems for people of color. Growing bipartisan support for reform provides an unprecedented opportunity for meaningful change, but solutions to this complex issue will require comprehensive systemic approaches. As communities grapple with BH emergencies, the question isn’t whether law enforcement (LE) should respond to BH emergencies, but rather when, how, and with what support. This policy paper reviews best practices for law enforcement (LE) crisis response, outlines the components of a comprehensive continuum of crisis care that provides alternatives to LE involvement and ED utilization, and provides strategies for collaboration and alignment towards common goals. Finally, policy considerations regarding legal statutes, financing, data management, and stakeholder engagement are presented in order to assist communities interested in taking steps to build these needed solutions. -
Keeping Race at the Center of School Discipline Practices and Trauma-Informed Care: An Interprofessional Framework
Using an interprofessional perspective, this framework delineates how school social workers, school psychologists, and school counselors can support their schools to integrate interprofessional, trauma-informed, and race-centered practices into a behavioral intervention. Ultimately, this article provides in-interpersonal, practice, and structural recommendations that can help practitioners engage in equitable discipline decision making. -
The Availability of Peer Support and Disparities in Outpatient Mental Health Service Use Among Minority Youth with Serious Mental Illness
Found that having a peer specialist on staff was associated with increases in outpatient service use in both counties, and with reduced disparities in service use among Black and Latinx youth in Los Angeles County. The availability of a peer specialist with racial/ethnic concordance was also associated with greater outpatient service use among Latinx youth in both counties. These results suggest that peer support services are a promising approach to reducing the documented low rate of continued engagement in mental health services among youth -
Identifying Needs Related to Managing Seriously Mentally Ill Individuals in Corrections
Experts identified and prioritized a total of 47 needs across the six subject areas that can inform future research and practice. In assessing the relative importance of each of the six areas, they identified two needs areas as having the highest importance: community-based treatment and reentry coordination and relapse prevention. -
The Interrelationship Between Empathy and Adverse Childhood Experiences and Their Impact on Juvenile Recidivism
Results show youth with higher ACE scores have less empathy at admission and both ACEs and empathy predict recidivism. Most importantly, large gains in empathy are able to dampen the effect of ACEs on recidivism -
Health Risk Behaviors and Resilience Among Low-Income, Black Primary Care Patients
This study describes an intervention with low-income, Black primary care patients and their experience in changing a health risk behavior. Participant themes, including behavioral coping, personal values, accomplishments and strengths, barriers and strategies, and social support, are understood in relationship to health behavior theories -
The Outbreak That Was Always Here: Racial Trauma in the Context of COVID-19 and Implications for Mental Health Providers
The present commentary offers a timely exploration of the racial trauma experienced by Asian, Black, and Latinx communities as it relates to COVID-19. Instances of individual, cultural, and structural racism and implications for mental health are discussed. Evidence-based strategies are identified for mental health professionals in order to support healing and mitigate the risk of further racial traumas. -
Children and the COVID-19 Pandemic
As a result of the COVID-19 pandemic, many school districts have closed for the remainder of the academic year. These closures are unfortunate because, for many students, schools are their only source of trauma-informed care and supports. When schools reopen, they must develop a comprehensive plan to address the potential mental health needs of their students -
COVID-19 Lessons: The Alignment of Palliative Medicine and Trauma-Informed Care
Patients, caregivers, and health-care workers experiencing COVID-19 are at particularly high risk for long-term psychological distress and trauma responses. To mitigate the lasting effects such trauma could have on individuals and communities, a trauma-informed approach to care must be implemented broadly.