Phillip M Hughes, Derek C Phillips, Robert E McGrath, Kathleen C Thomas
Six states (NM, LA, IL, IA, ID, CO) grant prescriptive authority to qualified psychologists, and research has shown that these policies are associated with a reduction in suicides. In this study, we assess the cost-effectiveness of these policies in reducing suicide rates. This study used a Markov Model with a time horizon of 20 years to estimate the incremental net monetary benefit (INMB) of the policy from the societal perspective with a simulated cohort of 100,000 people. Transition probabilities and utilities were collected from the literature, and costs were assessed using a mixed macro-micro costing approach. Using this approach, we found that the 20-year INMB for the policy was estimated to be $12.81 million ($USD) per quality-adjusted life year (QALY). The probability of cost-effectiveness was greater than 50% at a willingness-to-pay threshold as low as $10,000 per QALY. The probability of cost-effectiveness was only modestly associated with the implementation costs of the policy, but was sensitive to the estimated effect of the policy intervention. The models estimated in this study support prescriptive authority for psychologists as a cost-effective strategy for reducing state-level suicide rates. A considerable amount of research is needed to understand the impact of this policy with finer granularity.
{"title":"Examining Psychologist Prescriptive Authority as a Cost-Effective Strategy for Reducing Suicide Rates.","authors":"Phillip M Hughes, Derek C Phillips, Robert E McGrath, Kathleen C Thomas","doi":"10.1037/pro0000519","DOIUrl":"10.1037/pro0000519","url":null,"abstract":"<p><p>Six states (NM, LA, IL, IA, ID, CO) grant prescriptive authority to qualified psychologists, and research has shown that these policies are associated with a reduction in suicides. In this study, we assess the cost-effectiveness of these policies in reducing suicide rates. This study used a Markov Model with a time horizon of 20 years to estimate the incremental net monetary benefit (INMB) of the policy from the societal perspective with a simulated cohort of 100,000 people. Transition probabilities and utilities were collected from the literature, and costs were assessed using a mixed macro-micro costing approach. Using this approach, we found that the 20-year INMB for the policy was estimated to be $12.81 million ($USD) per quality-adjusted life year (QALY). The probability of cost-effectiveness was greater than 50% at a willingness-to-pay threshold as low as $10,000 per QALY. The probability of cost-effectiveness was only modestly associated with the implementation costs of the policy, but was sensitive to the estimated effect of the policy intervention. The models estimated in this study support prescriptive authority for psychologists as a cost-effective strategy for reducing state-level suicide rates. A considerable amount of research is needed to understand the impact of this policy with finer granularity.</p>","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating the effectiveness of a brief online positive identity intervention for transgender people.","authors":"Zakary A. Clements, E. Riggle, S. Rostosky","doi":"10.1037/pro0000520","DOIUrl":"https://doi.org/10.1037/pro0000520","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48810908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Craig Gordon, Alexandra Gasbarro, V. Wendell, Sarah F. Fischer, Rebecca D. Hardin, Joanna Marino
{"title":"Assessing exposure and response prevention readiness for clients with obsessive compulsive disorder and co-occurring conditions: A decision-making model and case example.","authors":"Craig Gordon, Alexandra Gasbarro, V. Wendell, Sarah F. Fischer, Rebecca D. Hardin, Joanna Marino","doi":"10.1037/pro0000516","DOIUrl":"https://doi.org/10.1037/pro0000516","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47180226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knowledge translation and the untapped resource: Exploring the value of a community of practice for mental performance consultants.","authors":"Cassandra M. Seguin, Diane M. Culver, Erin Kraft","doi":"10.1037/pro0000514","DOIUrl":"https://doi.org/10.1037/pro0000514","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46653446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. A. Baker, Linda J. Baum, J. P. Francis, R. Shura, A. Ord
{"title":"Assessment of test bias on the MMPI-2-RF higher order and restructured clinical scales as a function of gender and race.","authors":"C. A. Baker, Linda J. Baum, J. P. Francis, R. Shura, A. Ord","doi":"10.1037/pro0000517","DOIUrl":"https://doi.org/10.1037/pro0000517","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44529585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01Epub Date: 2023-02-23DOI: 10.1037/pro0000496
Alexandra L Silverman, Jennifer M Boggs, Jeremy W Eberle, Megan Baldwin, Henry C Behan, Anna Baglione, Valerie Paolino, Ángel F Vela de la Garza Evia, Medhi Boukhechba, Laura Barnes, Daniel H Funk, Bethany A Teachman
This study evaluated the effectiveness of different recruitment messages for encouraging enrollment in a digital mental health intervention (DMHI) for anxiety among 1,600 anxious patients in a large healthcare system. Patients were randomly assigned to receive a standard message, or one of five messages designed to encourage enrollment: Three messages offered varying financial incentives, one message offered coaching, and one message provided consumer testimonials. Patients could then click a link in the message to visit the DMHI website, enroll, and start the first session. We examined the effects of message features and message length (short vs. long) on rates of site clicks, enrollment, and starting the first session. We also tested whether demographic and clinical factors derived from patients' electronic health records were associated with rates of enrollment and starting the first session to understand the characteristics of patients most likely to use DMHIs in this setting. Across messages, 19.4% of patients clicked a link to visit the DMHI website, but none of the messages were significantly associated with rates of site clicks, enrollment, or starting the first session. Females (vs. males) had a greater probability of enrollment. No other demographic or clinical variables were significantly associated with enrollment or starting the first session. Findings provide guidance for resource allocation decisions in larger scale DMHI implementations in healthcare settings.
{"title":"Minimal Effect of Messaging on Engagement in a Digital Anxiety Intervention.","authors":"Alexandra L Silverman, Jennifer M Boggs, Jeremy W Eberle, Megan Baldwin, Henry C Behan, Anna Baglione, Valerie Paolino, Ángel F Vela de la Garza Evia, Medhi Boukhechba, Laura Barnes, Daniel H Funk, Bethany A Teachman","doi":"10.1037/pro0000496","DOIUrl":"10.1037/pro0000496","url":null,"abstract":"<p><p>This study evaluated the effectiveness of different recruitment messages for encouraging enrollment in a digital mental health intervention (DMHI) for anxiety among 1,600 anxious patients in a large healthcare system. Patients were randomly assigned to receive a standard message, or one of five messages designed to encourage enrollment: Three messages offered varying financial incentives, one message offered coaching, and one message provided consumer testimonials. Patients could then click a link in the message to visit the DMHI website, enroll, and start the first session. We examined the effects of message features and message length (short vs. long) on rates of site clicks, enrollment, and starting the first session. We also tested whether demographic and clinical factors derived from patients' electronic health records were associated with rates of enrollment and starting the first session to understand the characteristics of patients most likely to use DMHIs in this setting. Across messages, 19.4% of patients clicked a link to visit the DMHI website, but none of the messages were significantly associated with rates of site clicks, enrollment, or starting the first session. Females (vs. males) had a greater probability of enrollment. No other demographic or clinical variables were significantly associated with enrollment or starting the first session. Findings provide guidance for resource allocation decisions in larger scale DMHI implementations in healthcare settings.</p>","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“It hasn’t gone away after 30 years.” late-career Australian psychologists’ experience of uncertainty throughout their career.","authors":"Emma Fewings, Elly Quinlan","doi":"10.1037/pro0000511","DOIUrl":"https://doi.org/10.1037/pro0000511","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135526084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preferences regarding psychotherapist characteristics and their predictors: Results of a German online survey.","authors":"Peter Eric Heinze, Florian Weck, Franziska Kühne","doi":"10.1037/pro0000508","DOIUrl":"https://doi.org/10.1037/pro0000508","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135381317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Perceived Helpfulness of Previous Therapy: A Predictor of Premature Termination","authors":"D. Dunn, S. Donato, Danielle Keenan-Miller","doi":"10.1037/pro0000515.supp","DOIUrl":"https://doi.org/10.1037/pro0000515.supp","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42239120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jae A. Puckett, Devon Kimball, W. K. Glozier, Megan Wertz, Terra Dunn, Brenna R. Lash, A. Ralston, Natalie R. Holt, T. Z. Huit, Sage Volk, D. Hope, Richard A. Mocarski, L. DuBois
{"title":"Supplemental Material for Transgender and Gender Diverse Clients’ Experiences in Therapy: Responses to Sociopolitical Events and Helpful and Unhelpful Experiences","authors":"Jae A. Puckett, Devon Kimball, W. K. Glozier, Megan Wertz, Terra Dunn, Brenna R. Lash, A. Ralston, Natalie R. Holt, T. Z. Huit, Sage Volk, D. Hope, Richard A. Mocarski, L. DuBois","doi":"10.1037/pro0000513.supp","DOIUrl":"https://doi.org/10.1037/pro0000513.supp","url":null,"abstract":"","PeriodicalId":48217,"journal":{"name":"Professional Psychology-Research and Practice","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41915137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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