Women’s Behavioral Health: A Public Health Perspective

Preface
Contents
About the Editors
About the Editors
Contributors
Part I: Framing Women’s Behavioral Health
	Chapter 1: Overview and Global Issues in Women’s Behavioral Health
		Introduction
		The Global Burden of Disease
		Sex/Gender Issues
		Women’s Behavioral Health Systems
		Health Equity and Behavioral Health
			Global Responses
			US Responses
		Frames for Practice and Policy in Women’s Behavioral Health
		Implications for Women’s Behavioral Health
		References
	Chapter 2: Epidemiology of Mental Health Disorders in Female Children and Adolescents
		Introduction
		National and Global Epidemiology
		Psychiatric Disorders in Girls and Female Adolescents
			Depressive Disorders
			Disruptive Mood Dysregulation Disorder (DMDD)
			Bipolar Disorder
			Anxiety Disorders
			Post-Traumatic Stress Disorder (PTSD)
			Schizophrenia-Spectrum Disorders
			Eating Disorders
			Autism Spectrum Disorder (ASD)
			Attention-Deficit/Hyperactivity Disorder (ADHD)
			Suicide
		Global Pandemic Impact on Adolescent Mental Health
		Implications for Women’s Behavioral Health
		References
	Chapter 3: Epidemiology of Mental Disorders in Adult Women
		Introduction
		Reproductive Age
		Mood Disorders
			Unipolar Depressive Disorders
			Bipolar Disorder
		Anxiety Disorders
		OCD Spectrum Disorders
		Psychosis Spectrum Disorders
		Post-traumatic Stress Disorder
		Social Determinants of Health, Cultural, and Political Considerations
			Caretaker Role
			Equity in Health Care/Reproductive Health
			Social Media, Age, and Technology
			Social Determinants of Health
		Implications for Women’s Behavioral Health
		References
	Chapter 4: Epidemiology of Mental Health Conditions in Older Adult Women
		Introduction
			Population Impact of Mental Health Conditions
		Disability, Comorbidity and Mortality of Mental Health Conditions
		Epidemiology of Mental Health Conditions Among Older Women
			Mental Health Conditions and Associative Factors in Older Women
		Public Health Ecological Framework for Associative Factors
			Increasing Access to Mental Health Services
		COVID-19 Pandemic and Mental Conditions
		Need for Community-Focused Mental Health Services for Older Adult Women
		Case Studies of Community-Engaged Mental Health Model Programs
		Implications for Women’s Behavioral Health
		References
	Chapter 5: Epidemiology of Substance Use Disorders in Women
		Introduction
		Evolution of Research on Women and SUD
			Major Epidemiological Studies
		Diagnosing and Assessing Alcohol and Drug Use Disorders
			Screening and Assessment Tools
		Disease Etiology
			Bio-psychosocial Perspective
			Genetics and Epigenetics
			Gene-Environment Interaction
			Biological Mechanisms
			Gender Differences
			Environmental Factors
			Disease Progression
		Comorbidities
		Life Course Perspective
			Prevalence by Age
			Adolescent Brain Development
			Social Factors for Adults
			Older Adults
			Cohort Effects
		Prevention
			Prevention Interventions
		Treatment
			Epidemiology of Treatment Receipt
			Gender Differences in Treatment Utilization
			Effective Treatment Strategies
			Disease Progression/Resolution
		Implications for Women’s Behavioral Health
		References
Part II: Selected At-Risk Populations
	Chapter 6: Behavioral Health Disorders and HIV Incidence and Treatment Among Women
		Introduction
		Incidence and Prevalence of HIV Among Women
			Disparities by Sociodemographic Characteristics
			Age
			Race/Ethnicity
			Mode of Transmission
			Gender Identity
			Disparities by Social Determinants of Health (SDOH)
				Economic Stability and Education
				Food Insecurity
				Violence
		Behavioral Health Disorders Among Women
			Mental Disorders and HIV Among Women
				Depression
				Childhood Trauma/Posttraumatic Stress Disorder
			Substance Use Disorders and HIV Among Women
				Injection Drug Use (IDU)
		Effective Treatments to Manage HIV Among Women
			Biomedical Treatments and Interventions
			Evidence-Based Informed (EBI) Behavioral Health Treatments
				Cognitive-Behavioral Interventions (CBI)
				Supportive Interventions
				HIV Risk Reduction Models
				Psychopharmacological Treatments
		Evidence-Based Interventions and Approaches for Population Health
			Challenges to Implementation of EBIs
		Implications for Women’s Behavioral Health
		References
	Chapter 7: Rural Behavioral Health Services
		Introduction
			Defining Rural, Remote, and Frontier Areas
		Prevalence of Rural Behavioral Health Disorders
		Challenges Faced by Women in Rural, Remote, or Frontier Areas
			Framing Women’s Rural Behavioral Health Services
			Availability
			Accessibility
			Affordability
			Acceptability
		Implications for Women’s Behavioral Health
		References
	Chapter 8: Stereotypes, Stigma, and Social/Mass Media in Women’s Behavioral Health
		Introduction
		Understanding the Relationship Between Stigma and Behavioral Health
			Conceptualizing Stigma
			Social Distance, Identity, and Labelling
		Socio-legal Aspects of Stigma
			Anti-discrimination Laws
			Civil Commitment
			Informed Consent and Legal Competence
			Parity
			Other Consequences of Stigma and Discrimination
		Social Media/Mass Media Relationship with Stereotypes and Stigma
			Online Support Forums
			#Campaigns
			Apps
			Integrated Platforms
			Caveats with the Use of Social Media
		Implications for Women’s Behavioral Health
		References
Part III: Services Delivery
	Chapter 9: Integration of Behavioral Health and Primary Care Services for Women
		Introduction
			Definition of Integrated Behavioral Health
			Screening for Women’s Mental Health and Substance Use Disorders
			Barriers and Facilitators to Access of Mental Health and Substance Use Care
			Barriers and Facilitators to Integrating Mental Health Care
			Unique Barriers and Facilitators to Integration in Perinatal Care Settings
		Approaches to Integration of Women’s Evidence-Based Mental and Substance Use Treatment
			Perinatal Psychiatry Access Programs
				Provider-to-Provider Teleconsultation
				Community Resource Information
				Provider Education
				Patient Consultation
			Collaborative Care Model
			Co-located Integrated Care
			Peer Mentored Care Models
			Community-Based Programs and Providers
		Integration of Women’s Mental Health Treatment: A Global Perspective
		Implications for Women’s Behavioral Health
		References
	Chapter 10: Financing Behavioral Health Services: Influence on Access to and Quality of Behavioral Health Care
		Introduction
		Background
		Financing for Behavioral Health Care
			Financing Behavioral Health Services by Payer
			Medicare Spending and Coverage for Behavioral Health Services
			Medicaid Spending and Coverage for Behavioral Health Services
			Publicly Financed Direct Care Spending
			Private Insurance Financing and Coverage
			Out-of-Pocket Financing
			Financing by Type of Care
			Financing by Condition
		Federal Policy Changes Affecting Behavioral Health Financing
		Health Insurance: Function and Challenges
		The Role of Managed Care in Financing Behavioral Health Services in the USA
			Features of Managed Care
			Payment Models
			Payment Considerations for Quality Improvement
		Financing Behavioral Health Services Outside the USA
		Implications for Women’s Behavioral Health
		References
	Chapter 11: Implementation Science to Promote Equity in Women’s Behavioral Health
		Introduction
		A Historical Lens on Evidence-Based Women’s Behavioral Health Services
			Rise of Evidence-Based Behavioral Health Practices
			The Emergence of Implementation Science in Behavioral Health
			Increasing Health Equity Through Implementation Science
		The Role of Implementation Science in Women’s Behavioral Health
			Mechanisms for Translating Research to Practice
				Novel Implementation Research Designs
				Implementing and Sustaining Recovery for Survivors Healing from Abuse
				Development and Pilot Test of an Adaptable Protocol to Address Postpartum Depression
		Need for Improvement: Women’s Substance Use and Implementation Science
		Implications for Women’s Behavioral Health
		References
	Chapter 12: The Role of Pharmacists in the Intersection of Women’s Health and Mental Health
		Introduction
		Comprehensive Medication and Collaborative Drug Therapy Management
		Pharmacists and Practice Settings (Community and Clinical Pharmacy)
			Federally Qualified Health Centers (FQHCs)
			Community Mental Health Centers (CMHCs)
			Medical Home Model
			Rural Health
			Global Health
			Motivational Interviewing/Shared Decision-Making
		Opioid Use Disorder (OUD) and Medications for Opioid Use Disorder (MOUD) in Pregnancy
			Treatment Guidelines and Access to MOUD
			Treatment Options in the Prenatal/Antenatal Care Setting
			Labor and Delivery: MOUD and Pain Management
			Continuation of Care: Postpartum Use of MOUD
		Mental Health Medications and Women’s Health
			Mood Stabilizers
			Antipsychotics
			Antidepressants
		Women’s Health Checklist: A Role for Pharmacists
			Pregnancy Planning/Contraception Counseling
			Vaccinations
			Laboratory Monitoring
		Implications for Women’s Behavioral Health
		References
	Chapter 13: Behavioral Health Data: Addressing Women’s Needs
		Introduction
		Challenges for Global and U. S. Behavioral Health Systems
		Behavioral Health Services Research Data
			Definitional Data
			Behavioral Health System Data (Administrative)
			Behavioral Health Clinical Data (Patient)
			Public Access-Funded Research
			Academic Behavioral Health Services Resource Data
		Challenges in Reporting Behavioral Health Data
			Understanding Measures and Standards in Data
			Why Standardize Data?
			Temporal Caveats in Using Behavioral Health Data
			A Cross-Cutting Measure for Behavioral Health Equity
		Gender Gaps in Behavioral Health Services Research Data
			Measuring Sex/Gender
			Measuring Elements of Care
		Implications for Women’s Behavioral Health
		References
	Chapter 14: Policymaking Addressing Women and Behavioral Health
		Introduction
		Overview of Policymaking, Women, and Behavioral Health
		Global Influences on Women’s Behavioral Health Policy
		Framing Women’s Behavioral Health as a Public Policy Issue
		Informing Gendered Policy
			An Overview of Mental Health Acts
		“Unfragmenting” Mental Health Systems and Policies
		Implications for Women’s Behavioral Health
		References
Index