Browsing by Author "Hunt, Marcia G."

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    Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment
    (Springer, 2017-09) Rollins, Angela L.; Kukla, Marina; Salyers, Michelle P.; McGrew, John H.; Flanagan, Mindy E.; Leslie, Doug L.; Hunt, Marcia G.; Department of Psychology, School of Science
    Successful implementation of evidence-based practices requires valid, yet practical fidelity monitoring. This study compared the costs and acceptability of three fidelity assessment methods: on-site, phone, and expert-scored self-report. Thirty-two randomly selected VA mental health intensive case management teams completed all fidelity assessments using a standardized scale and provided feedback on each. Personnel and travel costs across the three methods were compared for statistical differences. Both phone and expert-scored self-report methods demonstrated significantly lower costs than on-site assessments, even when excluding travel costs. However, participants preferred on-site assessments. Remote fidelity assessments hold promise in monitoring large scale program fidelity with limited resources.
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    Comparison of Assertive Community Treatment Fidelity Assessment Methods: Reliability and Validity
    (Springer, 2016-03) Rollins, Angela L.; McGrew, John H.; Kukla, Marina; McGuire, Alan B.; Flanagan, Mindy E.; Hunt, Marcia G.; Leslie, Doug L.; Collins, Linda A.; Wright-Berryman, Jennifer L.; Hicks, Lia J.; Salyers, Michelle P.; Department of Psychology, School of Science
    Assertive community treatment is known for improving consumer outcomes, but is difficult to implement. On-site fidelity measurement can help ensure model adherence, but is costly in large systems. This study compared reliability and validity of three methods of fidelity assessment (on-site, phone-administered, and expert-scored self-report) using a stratified random sample of 32 mental health intensive case management teams from the Department of Veterans Affairs. Overall, phone, and to a lesser extent, expert-scored self-report fidelity assessments compared favorably to on-site methods in inter-rater reliability and concurrent validity. If used appropriately, these alternative protocols hold promise in monitoring large-scale program fidelity with limited resources.
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    Recovery-oriented Acute Inpatient Mental Health Care: Operationalization and Measurement
    (American Psychological Association, 2021) McGuire, Alan B.; Kukla, Marina; Rollins, Angela L.; Garabrant, Jennifer; Henry, Nancy; Eliacin, Johanne; Myers, Laura J.; Flanagan, Mindy E.; Hunt, Marcia G.; Iwamasa, Gayle Y.; Bauer, Sarah M.; Carter, Jessica L.; Salyers, Michelle P.; Psychology, School of Science
    Objective: The current article describes efforts to develop and test a measure of recovery-oriented inpatient care. Method: The Recovery-oriented Acute INpatient (RAIN) scale was based on prior literature and current Veterans Health Administration (VHA) policy and resources and further revised based on data collection from 34 VHA acute inpatient units. Results: A final scale of 23, behaviorally anchored items demonstrated a four-factor structure including the following factors: inpatient treatment planning, outpatient treatment planning, group programming, and milieu. While several items require additional revision to address psychometric concerns, the scale demonstrated adequate model fit and was consistent with prior literature on recovery-oriented inpatient care. Conclusions and Implementations for Practice: The RAIN scale represents an important tool for future implementation and empirical study of recovery-oriented inpatient care.
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    Recovery-oriented inpatient mental health care and readmission
    (American Psychological Association, 2022) McGuire, Alan B.; Flanagan, Mindy E.; Myers, Laura J.; Kukla, Marina; Rollins, Angela L.; Garabrant, Jennifer; Henry, Nancy; Eliacin, Johanne; Hunt, Marcia G.; Iwamasa, Gayle Y.; Carter, Jessica L.; Salyers, Michelle P.; Psychology, School of Science
    Objective: This article examines the relationship between inpatient mental health units' adherence to recovery-oriented care and 30-day patient readmission. Method: The sample included patients admitted to one of 34 Veterans Health Administration inpatient mental health units. Recovery-oriented care was assessed using interviews and site visits. Patient characteristics and readmission data were derived from administrative data. Findings: Overall recovery orientation was not associated with readmission. Exploratory analyses found higher scores on a subsample of items pertaining to inpatient therapeutic programming were associated with lower patient readmissions. Additionally, patients with more prior service use and substance abuse or personality disorders were more likely to be readmitted. Conclusions and implications for practice: A growing body of literature supports the association between psychotherapeutic services in inpatient units and better patient outcomes. However, further research is needed to examine this association. More work is needed to develop appropriate psychotherapy services for the inpatient setting and support their implementation.