-
The Need to Adapt the Psychiatric Clinical Assessment to the Digital Age: A Practical Approach Psychiatr. Serv. (IF 3.8) Pub Date : 2024-03-13 Marcos A. Moreno, Lisa B. Dixon, Samantha Jankowski, David A. Adler, Jeff Berlant, Mary F. Brunette, Enrico G. Castillo, Matthew L. Edwards, Matthew D. Erlich, Michael B. First, Nicole Kozloff, David Oslin, Sam Siris, Rachel M. Talley
The use of electronic devices and social media is becoming a ubiquitous part of most people’s lives. Although researchers are exploring the sequelae of such use, little attention has been given to the importance of digital media use in routine psychiatric assessments of patients. The nature of technology use is relevant to understanding a patient’s lifestyle and activities, the same way that it is
-
Usability and Feasibility of the Antipsychotic Medication Decision Aid in a Community Program for First-Episode Psychosis Psychiatr. Serv. (IF 3.8) Pub Date : 2024-03-13 Yaara Zisman-Ilani, Morgan Parker, Elizabeth C. Thomas, John Suarez, Irene Hurford, Andrea Bowen, Monica Calkins, Patricia Deegan, Ilana Nossel, Lisa B. Dixon
Objective: Although antipsychotic medications are considered first-line treatment for psychosis, rates of discontinuation and nonadherence are high, and debate persists about their use. This pilot study aimed to explore the usability, feasibility, and potential impact of a shared decision making (SDM) intervention, the Antipsychotic Medication Decision Aid (APM-DA), for decisions about use of antipsychotic
-
Patients’ Suits Against Psychiatrists for Not Preventing the Patients’ Criminal Acts Psychiatr. Serv. (IF 3.8) Pub Date : 2024-03-06 Paul S. Appelbaum
Patients who allege negligent treatment by their psychiatrists can sue to be compensated for the harms they experience. But what if the harms result from a criminal act committed by the patient that the patient claims the psychiatrist should have prevented? A long-standing common law rule bars plaintiffs from being compensated for harms caused by their own wrongdoing. The Supreme Court of Pennsylvania
-
Impact of Implementation Facilitation on the REACH VET Clinical Program for Veterans at Risk for Suicide Psychiatr. Serv. (IF 3.8) Pub Date : 2024-03-06 Sara J. Landes, Bridget B. Matarazzo, Jeffery A. Pitcock, Karen L. Drummond, Brandy N. Smith, JoAnn E. Kirchner, Kaily A. Clark, Georgia R. Gerard, Molly C. Jankovsky, Lisa A. Brenner, Mark A. Reger, Aaron E. Eagan, Rebecca Raciborski, Jacob Painter, James C. Townsend, Susan M. Jegley, Rajinder Sonia Singh, Jodie A. Trafton, John F. McCarthy, Ira R. Katz
Objective: In 2017, the Veterans Health Administration (VHA) implemented a national suicide prevention program, called Recovery Engagement and Coordination for Health–Veterans Enhanced Treatment (REACH VET), that uses a predictive algorithm to identify, attempt to reach, assess, and care for patients at the highest risk for suicide. The authors aimed to evaluate whether facilitation enhanced implementation
-
Helping Practitioners Stop, Drop, and Roll: Suggestions to Help Improve Responses to Intense Clinical Events Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-27 Kelly B. Beck, Heather J. Nuske, Emily M. Becker Haimes, Gwendolyn M. Lawson, David S. Mandell
Community practitioners inconsistently implement evidence-based interventions. Implementation science emphasizes the importance of some practitioner characteristics, such as motivation, but factors such as practitioners’ emotion regulation and cognitive processing receive less attention. Practitioners often operate in stressful environments that differ from those in which they received training. They
-
Patient Flow and Reutilization of Crisis Services Within 30 Days in a Comprehensive Crisis System Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-27 Milos Tomovic, Margaret E. Balfour, Ted Cho, Nishanth Prathap, Gevork Harootunian, Raihana Mehreen, Andrey Ostrovsky, Matthew L. Goldman
Objective: Crisis services are undergoing an unprecedented expansion in the United States, but research is lacking on crisis system design. This study describes how individuals flow through a well-established crisis system and examines factors associated with reutilization of such services. Methods: This cross-sectional study used Medicaid claims to construct episodes describing the flow of individuals
-
Personal Recovery Among People at Risk for Developing Serious Mental Health Problems: A Qualitative Systematic Review Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-27 Gerald Jordan, Stella Bassetto, Joseph DeLuca, Matthew F. Dobbs, Ana Florence, Brooke Allemang, Donal O’Keeffe, Mikaela Basile, Melissa C. Funaro, Larry Davidson, Shelly Ben-David, Jai Shah
Objective: Personal recovery refers to a person’s pursuit of a full, meaningful life despite the potentially debilitating impact of a mental illness. An evidence base describing personal recovery among people at risk for developing a mental illness is lacking, limiting the potential for mental health services to support personal recovery. To address this gap, the authors synthesized the extant research
-
Health-Economic Evaluation of Psychological Interventions for Anxiety Prevention: A Systematic Review Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-27 Patricia Moreno-Peral, Sonia Conejo-Cerón, Ben Wijnen, Joran Lokkerbol, Anna Fernández, Filip Smit, Juan Ángel Bellón
Objective: Although evidence supports the effectiveness of psychological interventions for prevention of anxiety, little is known about their cost-effectiveness. The aim of this study was to conduct a systematic review of health-economic evaluations of psychological interventions for anxiety prevention. Methods: PubMed, PsycInfo, Web of Science, Embase, Cochrane Central Register of Controlled Trials
-
Making Decisions About Calling 988 Versus 911: Understanding End-User Views Before the Launch of 988 Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-27 Leah G. Pope, Ashnee Patel, Amy C. Watson, Michael T. Compton
Objective: The 988 telephone number was implemented in July 2022 as an easily accessible way to reach the National Suicide Prevention Lifeline and has been envisioned as one step in building a more robust crisis care continuum in the United States. This study aimed to describe how various stakeholders anticipated using 988 compared with the most widely known crisis line: 911. Methods: Focus groups
-
Impact of U.S. Federal Loan Repayment Programs on the Behavioral Health Workforce: Scoping Review Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-19 Briana S. Last, Erika L. Crable, Gabriela Kattan Khazanov, Laurel P. Scheinfeld, Emma E. McGinty, Jonathan Purtle
Objective: Federal loan repayment programs (LRPs) are one strategy to address the shortage of behavioral health providers. This scoping review aimed to identify and characterize the federal LRPs’ impact on the U.S. behavioral health workforce. Methods: A scoping review was conducted in accordance with JBI (formerly known as the Joanna Briggs Institute) methodology for scoping reviews. The authors searched
-
Designing Community Services for People With Borderline Personality Disorder to Reduce Hospitalizations Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-19 Simon Graham, Kathryn Gardner, Ivan Sebalo, Valerio Benedetto, Andrew Clegg, Abigail Thornton
Previous evaluations of interventions for borderline personality disorder have focused on psychotherapies. This study (N=42 patients), conducted in Liverpool, United Kingdom, reviewed the effect on out-of-area treatments (OATs) and hospital admissions of establishing a local case management team and a combined day treatment and crisis service for patients who are too dysregulated to access typical
-
A Statewide Evaluation of the Implementation of Evidence-Based Suicide Prevention Guidelines in Juvenile Detention Centers Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-19 Brittany N. Rudd, Jax Witzig, Charlotte N. Goff, Emily N. Potter, Sean E. Snyder, Catalina Ordorica, Nataliya V. Ivankova
This study aimed to explore suicide prevention in juvenile detention centers by conducting a case study of one state. Qualitative data from semistructured interviews were synthesized from 10 juvenile detention centers. Analytical techniques included thematic and content analysis and the integration of quantitative information and qualitative themes to illustrate key differences in suicide prevention
-
An Approach to Enhancing Medication Treatment for Opioid Use Disorder in the HEALing Communities Study Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-13 Jonathan M. Wai, Derek Blevins, Tim Hunt, Louisa Gilbert, Aimee N. C. Campbell, Frances R. Levin, Nabila El-Bassel, Edward Nunes
The HEALing (Helping to End Addiction Long-term) Communities Study (HCS) aims to test the effectiveness of the Communities That HEAL intervention in decreasing opioid overdose deaths in 67 communities across four U.S. states. This intervention enlists a collaborative team of researchers, academic experts, and community coalitions to select and implement interventions from a menu of evidence-based practices
-
A Self-Help Crisis Outreach Effort for At-Risk Primary Care Patients: A Pilot Study of Veterans During the COVID-19 Pandemic Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-13 Jennifer S. Funderburk, Robyn L. Shepardson, Kyle Possemato, Emily M. Johnson, Brandi Roelk, Elizabeth Louer-Thompson, Jessica Martin, Laura O. Wray
Stressful events can exacerbate symptoms of psychiatric disorders among primary care patients, putting them at increased risk for suicide. In a pilot study that ran from August to December of 2020, researchers evaluated the acceptability and implementation of Managing Emotions in Disaster and Crisis (MEDIC), a self-help intervention designed to assist at-risk primary care patients. A total of 108 at-risk
-
From Diversity, Equity, and Inclusion to an Antiracism Strategic Plan: An Academic Department of Psychiatry’s Journey Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-13 Nhi-Ha T. Trinh, Farhabi Talukder, Arun Nagendra, Areeba M. Ali, Anne Emmerich, Louis Chow, Jonathan H. Jenkins, Olivia I. Okereke
The efforts of an academic psychiatry department to embark on an antiracism strategic planning process are outlined, including the establishment of an antiracism task force charged with the development of an antiracism strategic plan. The initial process of the task force is described, recommendations are summarized, and future directions are outlined.
-
Impact of Primary Care–Mental Health Care Integration on Mental Health Care Engagement Across Racial and Ethnic Groups Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-07 Eva N. Woodward, Brittany L. Cornwell, Laura O. Wray, Andrew S. Pomerantz, JoAnn E. Kirchner, John F. McCarthy, Lisa K. Kearney
Objective: Receiving mental health services as part of primary care in the Veterans Health Administration (VHA) might increase engagement in specialty mental health care. The authors reexamined the association between primary care–mental health integration (PCMHI) and continued engagement in specialty mental health care for VHA patients and assessed differences by race and ethnicity. Methods: The study
-
Attention-Deficit Hyperactivity Disorder Stimulant Therapy and Prescription Drug Misuse During Transition to Young Adulthood Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-07 Sean Esteban McCabe, John E. Schulenberg, Timothy E. Wilens, Ty S. Schepis, Kennedy S. Werner, Vita V. McCabe, Philip T. Veliz
Objective: Limited prospective data exist about the impact of stimulant therapy for attention-deficit hyperactivity disorder (ADHD) during adolescence on the risk for later prescription drug misuse (PDM; i.e., of benzodiazepines, opioids, and stimulants). Methods: National longitudinal multicohort panels (baseline cohort years 2005–2017) of U.S. 12th grade students (N=11,066; ages 17 and 18 years)
-
Systematic Review of Financial Interventions for Adults Experiencing Behavioral Health Conditions Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-07 Jack Tsai, Rebecca L. Kinney, Eric B. Elbogen, Jeffrey Gluff
Objective: The authors reviewed the literature on finance-based interventions used to improve clinical and psychosocial outcomes among adults experiencing mental disorders, substance use disorders, or both. Methods: A systematic review of the peer-reviewed literature, published from 1900 to 2022, was conducted. Only studies with participants with a mental disorder or a substance use disorder, a structured
-
Occupational Therapy: A Potential Solution to the Behavioral Health Workforce Shortage Psychiatr. Serv. (IF 3.8) Pub Date : 2024-02-07 Halley Read, Sarah Zagorac, Nuriya Neumann, Ilyse Kramer, Lauren Walker, Elizabeth Thomas
Occupational therapy practitioners (OTPs) are clinically prepared to treat patients with behavioral health conditions. Yet, many state and national policies defining qualified behavioral health providers do not include occupational therapy. In this Open Forum, the authors argue that OTPs should be considered qualified to work as behavioral health professionals, especially given the severe behavioral
-
Sociodemographic Correlates of Mental Health Treatment Seeking Among College Students: A Systematic Review and Meta-Analysis Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-31 Julia Pei, Yagmur Amanvermez, Daniel Vigo, Joseph Puyat, Ronald C. Kessler, Philippe Mortier, Ronny Bruffaerts, Osiris Rankin, Sook Ning Chua, Vania Martínez, Charlene Rapsey, Liviu A. Fodor, Oana A. David, Claudia Garcia, Pim Cuijpers
Objective: College students have high rates of mental health problems and low rates of treatment. Although sociodemographic disparities in student mental health treatment seeking have been reported, findings have not been synthesized and quantified. The extent to which differences in perceived need for treatment contribute to overall disparities remains unclear. Methods: A systematic search of PubMed
-
Lessons From Low- and Middle-Income Countries: Alleviating the Behavioral Health Workforce Shortage in the United States Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-31 Franz F. Belz, Natan J. Vega Potler, Isaac N. S. Johnson, Rick P. F. Wolthusen
The United States is facing a mental health workforce shortage, exacerbated by the COVID-19 pandemic. Low- and middle-income countries (LMICs) have historically grappled with even greater shortages. Therefore, LMICs have thought creatively about expanding the mental health workforce and the settings in which to deliver evidence-based and equitable mental health care. The authors introduce some mental
-
Adopting a Novel Approach to Prevent and Address Patient Mistreatment of Staff in a Community Mental Health Center Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-31 Jeanne L. Steiner, Nicole Belisle, John D. Cahill, Gabriela Garcia-Vassallo, Avon Johnson, Carrie Lukens, Maria E. Oliva, Kyle Pedersen, Dan Shetler, Karen Wassmer, Kirsten M. Wilkins
Verbal mistreatment of staff by patients is common in health care settings. Experiencing or witnessing mistreatment can have harmful psychological impacts, affecting well-being and clinical practice. As part of an effort to become an antiracist organization, an academic community mental health center based in Connecticut developed an initiative to address verbal mistreatment. Training in the Expect
-
Addressing Mental Health Disability in Unsheltered Homelessness: Outpatient Conservatorship in Los Angeles Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-25 Elizabeth Bromley, Sara Rahmanian Koushkaki, Lisa G. Davis, Stephanie Moon, Jaclyn Resnick, Matthew McCoy, Karla Bennett, Shayan Rab, Connie D. Draxler, La Tina Jackson, Aubree Lovelace, Jonathan Sherin
Objective: The authors sought to describe a pilot program for gravely disabled individuals experiencing unsheltered homelessness in Los Angeles County that illustrates a promising public health framework to address mental health–related disability in homeless populations. Methods: Homeless outreach teams implementing the outpatient conservatorship (OPC) pilot program adopted a population health approach
-
Implementation Feasibility and Hidden Costs of Statewide Scaling of Evidence-Based Therapies for Children and Adolescents Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-25 Kimberly Eaton Hoagwood, Shira Richards-Rachlin, Meaghan Baier, Boris Vilgorin, Sarah McCue Horwitz, Iriane Narcisse, Nadege Diedrich, Andrew Cleek
Objective: State mental health systems are retraining their workforces to deliver services supported by research. Knowledge about evidence-based therapies (EBTs) for child and adolescent disorders is robust, but the feasibility of their statewide scaling has not been examined. The authors reviewed implementation feasibility for 12 commonly used EBTs, defining feasibility for statewide scaling as an
-
Racial-Ethnic Differences in ADHD Diagnosis and Treatment During Adolescence and Early Adulthood Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-19 Sydney M. Adams, Tennisha Riley, Patrick D. Quinn, Richard Meraz, Vivek Karna, Martin Rickert, Brian M. D’Onofrio
Objective: This study examined racial-ethnic differences in attention-deficit hyperactivity disorder (ADHD) diagnosis and treatment during adolescence and early adulthood. Methods: A national health care claims database was used to identify a cohort of 4,216,757 commercially insured youths with at least 1 year of coverage during 2014–2019. Racial-ethnic differences in the prevalence of visits with
-
Trends in Use of Telemedicine for Stimulant Initiation Among Children and Adults Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-19 Haiden A. Huskamp, Lori Uscher-Pines, Pushpa Raja, Sharon-Lise T. Normand, Ateev Mehrotra, Alisa B. Busch
Objective: The authors sought to examine trends in stimulant initiation and follow-up care for attention-deficit hyperactivity disorder (ADHD) via telemedicine. Methods: This retrospective longitudinal study used national, deidentified commercial health insurance outpatient claims among children (ages 2–17 years; N=535,629) and adults (ages 18–64 years; N=2,116,160) from January 2019 through April
-
Creation of a Psychotic Disorders Research Advisory Board as a Shared Resource Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-11 Julie M. McCarthy, Emily E. Carol, Stephen J. Fedele, Mary Grace Shinners, Hadley C. Walia, Julia Yelick, Dost Öngür
Community engagement is important for research, yet many researchers do not routinely seek feedback from people with lived experience. A key barrier to this engagement is that the resources required to create an advisory board may be unavailable to individual investigators, and creating an advisory board for a single study may often be impractical. In this column, the authors describe how to create
-
Mental Health Priorities in the Arab World: Insights From Jordan Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-11 Dror Ben-Zeev, Anna Larsen, Alexa Beaulieu, Jessy Guler, Ahmad Bawaneh
War, geopolitical instability, and natural disasters have contributed to enormous unmet mental health needs in the Middle East and North Africa. Jordan is a middle-income country that needs internal and international stakeholder engagement and support to effectively provide mental health services to its citizens and to the millions of immigrants and refugees who reside there. This column presents a
-
Supporting Peer Support Workers and Their Supervisors: Cluster-Randomized Trial Evaluating a Systems-Level Intervention Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-11 Louis D. Brown, Denise Vasquez, Jessica Wolf, Jason Robison, Libby Hartigan, Ruth Hollman
Objective: Peer support workers are a substantial and growing part of the mental health workforce. Because little research has investigated how to effectively support and supervise peer support workers, the authors evaluated the efficacy of a training program to strengthen the peer support workforce and the supervision of its workers. Methods: Mental health services sites with peer support workers
-
Role of Early Psychosis Detection in the Relationship Between Personal Income and Duration of Untreated Psychosis Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-11 Shruthi Venkataraman, Hadar Hazan, Fangyong Li, Maria Ferrara, Annie Harper, Jessica Ma, Jai Shah, Christie Musket, Nina Levine, Matcheri S. Keshavan, Vinod Srihari
Objective: Prolonged duration of untreated psychosis (DUP) predicts poor outcomes of first-episode psychosis (FEP) and is often linked to low socioeconomic status (SES). The authors sought to determine whether patients’ personal income, used as a proxy for SES, predicts length of DUP and whether personal income influences the effect of an early psychosis detection campaign—called Mindmap—on DUP reduction
-
Identifying Individuals With Early Psychosis in Jail: Lessons Learned for Coordinated Specialty Care Services Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-11 Michael T. Compton, Jason Tan de Bibiana, Leah G. Pope
Objective: This study sought to establish the feasibility of a two-component intervention embedded within a jail setting that would detect detainees with early psychosis and connect them to coordinated specialty care (CSC) in the community upon release. Methods: The two components of the intervention were a targeted educational campaign for correction officers and a specialized early engagement support
-
Racial Disparities Among Clinical High-Risk and First-Episode Psychosis Multisite Research Participants: A Systematic Review Psychiatr. Serv. (IF 3.8) Pub Date : 2024-01-11 Timothy I. Michaels, Laura Simon-Pearson, John M. Kane, Barbara Cornblatt
Objective: The NIH has mandated equal representation of Black, Indigenous, and people of color (BIPOC) individuals in clinical research, but it is unclear whether such inclusion has been achieved in multisite research studies of individuals at clinical high risk for psychosis or with first-episode psychosis (FEP). An assessment of inclusion rates is important for understanding the social determinants
-
Clinician Attitudes Toward Suicide Prevention Practices and Their Implementation: Findings From the System of Safety Study Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-21 Celine Larkin, Catarina I. Kiefe, Alexandra L. Morena, Mhd B. Rahmoun, Peter Lazar, Ana Vallejo Sefair, Edwin D. Boudreaux
Objective: The authors aimed to assess clinicians’ attitudes toward suicide-related practices and their implementation, across roles and settings, before implementation of the Zero Suicide model in a health care system. Methods: Clinicians (N=5,559) were invited to complete a survey assessing demographic characteristics; confidence and self-reported suicide-related practice; leadership buy-in; and
-
It’s a Start: An Online, On-Demand LGBTQ+ Mental Health Training Session for Providers Nationwide Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-21 Dustin Z. Nowaskie, Stephen B. Werner-Sleva, Amy K. Jacobs
Objective: The purpose of this study was to determine whether an online, on-demand, and publicly accessible mental health training session on care for lesbian, gay, bisexual, transgender, queer, and all sexual-diverse and gender-diverse (LGBTQ+) individuals could improve providers’ preparedness, attitudes, and knowledge regarding care for LGBTQ+ patients. Methods: Between January and June 2022, participating
-
Judicial Threats to Olmstead and the Americans With Disabilities Act Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-13 Jean Goetz Mangan, Andrea L. Dennis
The authors examine the U.S. Supreme Court decision in Olmstead v L.C. ex rel. Zimring and related Supreme Court rulings that could raise questions about the Americans With Disabilities Act’s guarantee of care in integrated settings and about which governmental entity’s interpretation should be respected when deciding whether a state has met its integration obligation. After reviewing statutes, administrative
-
Inclusion of Psychiatric–Mental Health Advanced Practice Nurses in Federal Behavioral Workforce Planning Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-13 Kathleen R. Delaney
Psychiatric–mental health (PMH) advanced practice nurses have the education, certification, and licensure to address the need for providers who can deliver the full scope of mental health services and thereby increase access to mental health care. Although the PMH nurse practitioner (PMHNP) segment of this workforce is rapidly growing, it has scant visibility in workforce planning and the evolving
-
Symptomatic and Functional Outcomes Among Individuals at High Risk for Psychosis Participating in Step-Based Care Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-13 Sarah A. Hamilton, Heather M. Wastler, Aubrey M. Moe, Henry R. Cowan, Nancy B. Lundin, Hossam H. Guirgis, Craig J. Parris, Walter H. Stearns, Margaret E. Manges, Anne C. Holmes, Alexandra M. Blouin, Nicholas J. K. Breitborde
Validated, multicomponent treatments designed to address symptoms and functioning of individuals at clinical high risk for psychosis are currently lacking. The authors report findings of a study with such individuals participating in step-based care—a program designed to provide low-intensity, non–psychosis-specific interventions and advancement to higher-intensity, psychosis-specific interventions
-
Sociodemographic Differences in the Impacts of Video-Enabled Tablets on Psychotherapy Usage Among Veterans Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-13 Kritee Gujral, James Van Campen, Josephine Jacobs, Jeanie Lo, Rachel Kimerling, Daniel M. Blonigen, Todd H. Wagner, Donna M. Zulman
Objective: To examine potential health disparities due to a broad reliance on telehealth during the COVID-19 pandemic, the authors studied the impact of video-enabled tablets provided by the U.S. Department of Veterans Affairs (VA) on psychotherapy usage among rural versus urban, Black versus White, and female versus male veterans. Methods: Psychotherapy usage trends before and after onset of the COVID-19
-
Changes in State Laws Related to Coverage for Substance Use Disorder Treatment Across Insurance Sectors, 2006–2020 Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-05 Megan D. Douglas, Kelsey L. Corallo, Miranda A. Moore, Melissa H. DeWolf, Dawn Tyus, Anne H. Gaglioti
Objective: The authors assessed changes in state insurance laws related to coverage for substance use disorder treatment across public and private insurance sectors from 2006 through 2020 in all 50 U.S. states. Methods: Structured policy surveillance methods, including a coding protocol with duplicate coding and quality controls, were used to track changes in state laws during the 2006–2020 period
-
Predicting Outcomes of Antidepressant Treatment in Community Practice Settings Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-05 Gregory E. Simon, Maricela Cruz, Jennifer M. Boggs, Arne Beck, Susan M. Shortreed, R. Yates Coley
Objective: The authors examined whether machine-learning models could be used to analyze data from electronic health records (EHRs) to predict patients’ responses to antidepressant medications. Methods: EHR data from a Washington State health system identified patients ages ≥13 years who started an antidepressant medication in 2016 in a community practice setting and had a baseline Patient Health Questionnaire–9
-
Digital Mental Health and Its Discontents: Assumptions About Technology That Create Barriers to Equitable Access Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-05 Ellen E. Kozelka, Stephanie C. Acquilano, Monirah Al-Abdulmunem, Sue Guarino, Glyn Elwyn, Robert E. Drake, Elizabeth Carpenter-Song
Despite the potential of digital mental health interventions to aid recovery for people with serious mental illness, access to these digital tools remains a key barrier. In this column, the authors discuss three key assumptions that shape the integration of digital mental health tools into community health settings: clinical context, digital literacy, and financial burden. Clinical contexts have shifted
-
Approaching Jail Diversion and Prevention of Criminal Legal System Involvement Simultaneously Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-05 Natalie Bonfine, Stacey L. Barrenger, Mark R. Munetz
Despite prolific jail diversion initiatives, people with serious mental illness continue to be overrepresented in the criminal legal system. This continued overrepresentation has led to recent calls to address social determinants of health and criminal risk factors rather than to allocate new resources to diverting people from the criminal legal system. This shift toward prevention by addressing social
-
Understanding Peerness in Recovery-Oriented Mental Health Care Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-05 Patrick W. Corrigan
Emotional and interpersonal support systems are fundamental to recovery-oriented support programs. Peerness represents the quality of shared lived experience that enhances such support programs. Through peerness, providers of formal peer support (FPS) strategically disclose their lived experience to help service recipients reach their goals. FPS disclosure is limited compared with the kind of free
-
Racism, Psychosis, and Ethnicities of Black Americans. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-12-01 Dwight Kemp,Carmen G Black,Jessica Isom
-
Psychotropic Medication Prescribing Across Medical Providers, 2016–2019 Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-29 Phillip M. Hughes, Izabella E. Annis, Robert E. McGrath, Kathleen C. Thomas
Objective: The authors sought to provide updated estimates of the proportion of psychotropic medications prescribed by different medical providers. Methods: This pooled cross-sectional study used data from the Medical Expenditure Panel Survey (2016–2019). Nationally representative estimates of the percentages of all psychotropic medications prescribed by each provider type were calculated, and analyses
-
Assessing Access to Trauma-Informed Outpatient Mental Health Services for Adolescents: A Mystery Shopper Study Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-29 Danielle R. Adams, Nancy Jacquelyn Pérez-Flores, Fatima Mabrouk, Carolyn Minor
Objective: The authors aimed to examine how access to trauma-informed mental health services in safety-net health centers varies by insurance type and race-ethnicity of the care seeker. Methods: In this mystery shopper study, three women (White, Latina, and Black voice actresses) called community mental health centers (CMHCs) and federally qualified health centers (FQHCs) (N=229) in Cook County, Illinois
-
Evidence-Based Supported Employment for Individuals With Obsessive-Compulsive Disorder Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-29 Sapana R. Patel, Rhea La Fleur, Paul J. Margolies, H. Blair Simpson, Lisa B. Dixon, Robert W. Myers, Gary R. Bond, Robert E. Drake
Individuals with obsessive-compulsive disorder (OCD), a chronic and disabling psychiatric disorder, experience high rates of occupational impairment. OCD symptoms commonly affect individuals’ vocational aspirations and result in disability and the need for financial support, problems that are not addressed by current clinical practice guideline recommendations for treating OCD. This Open Forum highlights
-
Disparities in COVID-19–Related Psychological Distress Among Recipients of a State's Public Mental Health Services Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-14 Amy Ehntholt, Ian T. Rodgers, Helen-Maria Lekas, Roberto Lewis-Fernández, Dhanushki Samaranayake, Adrienne Anderson, Linda Capobianco, Dana E. Cohen, Suzanne Feeney, Emily Leckman-Westin, Sonia Marinovic, Riti Pritam, Shuo Chen, Thomas E. Smith, Lisa B. Dixon, Amanda Saake
Objective: The authors examined changes in perceived anxiety, stress, and mental health symptoms (i.e., psychological distress) reported by recipients of New York State public mental health services during the early months of the COVID-19 pandemic, as well as whether these changes varied by demographic characteristics or pandemic-related socioeconomic challenges. Methods: A statewide survey of service
-
Workforce Monitoring: Staffing Patterns in the Public Mental Health Workforce in New York State, 2009-2021. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-14 Miriam C Tepper,Emily Leckman-Westin,Roman Sosiak,Thomas E Smith
-
Virtual Civil Commitment Hearings: Convenience at the Cost of Compromised Communication and Safety Assessments. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-14 Stephanie M Hare,Sandra Benzer,Stephanie R Knight,Pamela Rakhshan Rouhakhtar,Gloria M Reeves,Kathryn McDonald,Jill RachBeisel
-
Out-of-Pocket Costs for Long-Acting Injectable and Oral Antipsychotics Among Medicare Patients With Schizophrenia Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-14 Jalpa A. Doshi, Pengxiang Li, Zhi Geng, Sanghyuk Seo, Charmi Patel, Carmela Benson
Objective: The authors sought to describe out-of-pocket (OOP) costs among beneficiaries with schizophrenia differing in Medicare Part D low-income subsidy (LIS) status. Methods: National 100% Medicare claims were used to identify all adult fee-for-service Medicare Part D beneficiaries with schizophrenia who used antipsychotics in 2019 (N=283,813). Proportions of patients by LIS status, OOP costs per
-
Recommended Mental Health Practices for Individuals Interacting With U.S. Police, Court, Jail, Probation, and Parole Systems Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-07 Jennifer E. Johnson, Niloofar Ramezani, Jill Viglione, Maji Hailemariam, Faye S. Taxman
Objective: Tens of millions of individuals with mental health problems interact with the U.S. criminal legal system (including 911, police, jail detention and sentences, courts, and probation and parole) each year. The authors sought to identify recommended mental health practices for criminal legal system–involved individuals and report the percentages of U.S. counties and of the U.S. population living
-
Characteristics of Veterans With Depression Who Use the Veterans Choice Program of the Veterans Health Administration Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-07 Andrew D. Carlo, Ryan A. Sterling, Johnny Mao, Richard P. Fiorella, John C. Fortney, Jürgen Unützer, Edwin S. Wong
Objective: The Veterans Choice Program (VCP) of the Veterans Health Administration (VHA) allowed eligible veterans to use their benefits with participating providers outside the VHA. The authors aimed to identify characteristics of veterans with depression who used or did not use mental health care through the VCP. Methods: In this cross-sectional study, the authors analyzed secondary data from the
-
A Tale of Two Taxes: Implementation of Earmarked Taxes for Behavioral Health Services in California and Washington State Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-07 Jonathan Purtle, Nicole A. Stadnick, Megan Wynecoop, Sarah C. Walker, Eric J. Bruns, Gregory A. Aarons
Objective: The authors sought to characterize perceptions of the impacts, attributes, and support for taxes earmarked for behavioral health services and to compare perceptions of the taxes among professionals in California and Washington, two states differing in earmarked tax designs. Methods: Surveys were completed by 155 public agency and community organization professionals involved in tax implementation
-
Patients’ Perspectives on Medication-Related Suicide Prevention Interventions Delivered in Emergency Settings Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-07 Joseph A. Simonetti, Ryan Holliday, Joseph Mignogna, Suzanne Thomas, Alexandra Smith, Marian Betz, Lisa A. Brenner, George Sayre
Objective: Encouraging patients at risk for suicide to reduce access to potentially lethal medications and drugs is a key component of evidence-based suicide prevention. However, little research has been done to inform interventions for reducing intentional self-harm. Methods: Semistructured interviews were conducted with 28 U.S. veterans who sought emergency care from the Veterans Health Administration
-
The Zero Suicide Model in Addiction Treatment Settings: Recognizing the Need for Feasibility and Implementation Data Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-07 Miranda Arakelian, Brian Barnett, Jeremy Weleff
The Zero Suicide (ZS) model is a promising approach for preventing all suicides across health care settings. ZS provides guidelines for health care systems to implement best practices in suicide prevention. Patients with substance use disorders are at increased risk for suicide, but no known research has investigated how to integrate the ZS model into addiction treatment settings. This Open Forum encourages
-
The Ethics of Informality and Dual Relationships in Peer Support. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-01 Michael John Norton,Philip Archard,Calvin Swords
-
Breaking Down Barriers to Substance Use Disorder Treatment. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-01 Carrie E Fry
-
Breaking Down Barriers to Smoking Cessation for Mental Health Patients in France. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-01 João Mauricio Castaldelli-Maia,Gisèle Apter
-
988 and the Crisis Continuum of Care. Psychiatr. Serv. (IF 3.8) Pub Date : 2023-11-01 Eric Rafla-Yuan,Lisa B Dixon