Paul J. Margolies's research while affiliated with New York State Psychiatric Institute and other places

... One of the practices that CPI supports is integrated treatment for people with co-occurring mental health and substance use problems. CPI offers an array of training and technical assistance including: basic technical assistance by building awareness and knowledge through newsletters, website, manuals and workbooks, webinars, and eLearning courses; targeted technical assistance including regional face-to-face meetings, on-site training, remote consultation, learning collaboratives, and coaching in the field by implementation specialists designed to increase staff competency; and intensive technical assistance through ongoing consultation, supervision, fidelity monitoring with performance feedback, practice facilitation, and site visits (Covell et al., 2014;Patel et al., 2022). ...

... Unemployment is a significant factor evident among all racial classes in the U.S., which is more pronounced with the COVID-19 pandemic and our aging cancer population. COVID-19 pandemic has an adverse employment change and may have harmful impacts on workers' mental health, with disproportionate effects on racial minorities (19)(20)(21). The unemployed patient population is expanding, and efforts should be directed toward improving cancer care. ...

... In response, implementation science involves research to bridge efficacy and effectiveness to improve the public health impact of interventions [24,25]. The use of implementation science can facilitate the scaling of interventions to organizational, community, and national levels [26][27][28]. Such scale is vital to initiate populationlevel change, like that required for the prevention of SVB. ...

... 60 Training in the use of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Cultural Formulation Interview improves providers' cultural competence, and using medication algorithms has been shown to decrease disparities. 61,62 Improve Communication Improving patient-therapist communication can improve outcomes such as treatment initiation, participation, and continuation. 53 Providers should avoid assumptions and should use interview techniques such as asking open-ended questions to understand the patient's context and symptoms. ...

... In addition, students tend to agree with the statement that the lecturer explains the direction and goals in each online learning and the lecturer actively shows a cooperative attitude during online learning and, the lecturer always accompanies online learning until it is finished. These three-processes are in accordance with online learning standards that educators must apply (Baran et al., 2011;Patel et al., 2018). If compared to the total tendency to disagree around 5% and the tendency to agree 60%, only about 7 students felt they were not really accompanied during the online learning process and around 88 students agreed that they felt guided during the online learning process until the end of the process and in line with previous research (Kilis & Yildirim, 2019;Priyastuti, M. T., 2020). ...

... With changing government leadership, continuing questioning of the importance of this type of support mechanism and uncertain sustainability use of self fidelity assessments wherein program staff are trained to conduct the reviews (Covell et al., 2021;Margolies et al., 2018). The approach is proving to be feasible, with reasonable accuracy. ...

... Second, while the gold standard for programs ratings is to have an objective rater visit a program and complete and assessment, (Bond & Drake, 2019) the TiSET is designed as a self-assessment instrument. While self-assessment might lead to bias under certain conditions (e.g., when licensing depends upon proving model fidelity), there is some emerging evidence that, when supported as part of a quality-improvement process without penalty, self-assessment and independent fidelity ratings do not differ significantly from one another (Covell et al., 2021a, b;Margolies et al., 2017). Further, one study demonstrated a significant positive relationship between self-reported fidelity and outcomes (employment) that was sustained for a year (Margolies et al., 2018). ...

... New York State has one of the largest behavioral healthcare workforces with about 100,000 providers working in over 6000 programs across the state. For the past decade, CPI has incorporated practical approaches in implementation science to increase the knowledge and change the practice of behavioral health providers in NYS, focusing on EBPs for adults diagnosed with serious mental illness (Nossel et al. 2018;Covell et al. 2011Covell et al. , 2014Covell et al. , 2015Covell et al. , 2016Margolies et al. 2015;Dixon and Patel 2020). These practices include supported employment, integrated treatment for people with co-occurring mental health and substance use conditions, assertive community treatment, suicide prevention, early intervention for first episode psychosis, and wellness self-management. ...

... New York State has one of the largest behavioral healthcare workforces with about 100,000 providers working in over 6000 programs across the state. For the past decade, CPI has incorporated practical approaches in implementation science to increase the knowledge and change the practice of behavioral health providers in NYS, focusing on EBPs for adults diagnosed with serious mental illness (Nossel et al. 2018;Covell et al. 2011Covell et al. , 2014Covell et al. , 2015Covell et al. , 2016Margolies et al. 2015;Dixon and Patel 2020). These practices include supported employment, integrated treatment for people with co-occurring mental health and substance use conditions, assertive community treatment, suicide prevention, early intervention for first episode psychosis, and wellness self-management. ...

... 4 While first developed in general health care, learning collaboratives, also called quality improvement collaboratives, have been used frequently in behavioral health by providers of training, technical assistance, and services as a strategy to promote quality improvement and implementation of a range of evidence-based practices (e.g., cognitive behavioral therapy for psychosis, integrated services for co-occurring mental health and substance use disorders, school mental health, supported employment, trauma informed care). [5][6][7][8][9][10][11][12] These collaboratives generally involve bringing together teams from different organizations and using experts to educate and coach them in a quality or implementation project and measure the effects. 13 Sharing of strategies, data, successes, and obstacles among participating teams is central to the approach. ...