Psychiatric Services

OBJECTIVE: The authors review and evaluate the literature and guidelines on care for individuals with a co-occurring affective or anxiety disorder and substance use disorder. METHODS: MEDLINE and PsycINFO computerized searches of the English language ...

https://doi.org/10.1176/appi.ps.56.8.913

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Association Between Concurrent Depression and Anxiety and Six-Month Outcome of Addiction Treatment

Publication date: 01 August 2005

Pages927–933

OBJECTIVES: This six-month prospective study of 326 patients with substance use disorders assessed rates of depression and anxiety symptoms among patients entering addiction treatment and examined the effects of concurrent psychiatric symptoms on ...

https://doi.org/10.1176/appi.ps.56.8.927

Factors That Influence Staffing of Outpatient Substance Abuse Treatment Programs

Publication date: 01 August 2005

Pages934–939

OBJECTIVE: This study examined whether and how various organizational and environmental forces influence staffing in outpatient substance abuse treatment programs. METHODS: The authors used data from the 1995 and 2000 waves of the National Drug Abuse ...

https://doi.org/10.1176/appi.ps.56.8.934

The Costs and Outcomes of Treatment for Opioid Dependence Associated With Posttraumatic Stress Disorder

Publication date: 01 August 2005

Pages940–945

OBJECTIVE: This study examined the costs and outcomes of treatment for opiate dependence associated with posttraumatic stress disorder (PTSD). METHODS: Data were collected on the use of opiate treatment over a 12-month period for a cohort of 495 ...

https://doi.org/10.1176/appi.ps.56.8.940

Use of Substance Abuse Services by Young Uninsured American Adults

Publication date: 01 August 2005

Pages946–953

OBJECTIVES: This study examined the prevalence and correlates of substance abuse service use among uninsured young adults aged 18 to 34 years (N=24,282). METHODS: Data were drawn from the 1999 National Household Survey on Drug Abuse. Logistic regression ...

https://doi.org/10.1176/appi.ps.56.8.946

Use of Mental Health Care and Substance Abuse Treatment Among Adults With Co-occurring Disorders

Publication date: 01 August 2005

Pages954–959

OBJECTIVES: This study investigated patterns of use of mental health care and substance abuse treatment for a nationally representative sample of adults with co-occurring mental health problems and a substance use disorder and compared these patterns with ...

https://doi.org/10.1176/appi.ps.56.8.954

Cost-Sharing Requirements and Access to Mental Health Care Among Medicare Enrollees With Schizophrenia

Publication date: 01 August 2005

Pages960–966

OBJECTIVE: This study explored the association between Medicare cost-sharing requirements and the probability of use of various mental health outpatient services among Medicare enrollees with schizophrenia. METHODS: Multivariate logistic regression was ...

https://doi.org/10.1176/appi.ps.56.8.960

Use of a Consumer-Led Intervention to Improve Provider Competencies

Publication date: 01 August 2005

Pages967–975

OBJECTIVE: Client-centered care is a major aim of health care. In mental health, new client-centered treatment approaches that emphasize recovery, rehabilitation, and empowerment can improve outcomes for people with severe and persistent mental illness. ...

https://doi.org/10.1176/appi.ps.56.8.967

A Developmental Model for Rural Telepsychiatry

Publication date: 01 August 2005

Pages976–980

Telepsychiatry represents a promising means to increase access to care for rural American Indian communities. This article describes rural telepsychiatry clinics operated by the American Indian and Alaska Native Programs at the University of Colorado ...

https://doi.org/10.1176/appi.ps.56.8.976

Relationship Between Entry Into Child Welfare and Mental Health Service Use

Publication date: 01 August 2005

Pages981–987

OBJECTIVE: This study examined the relationship between initiation of outpatient mental health service use and level of child welfare involvement. METHODS: Three levels of child welfare involvement were examined: in-home care and no child welfare services ...

https://doi.org/10.1176/appi.ps.56.8.981

Perceived Unmet Need for Mental Health Treatment and Barriers to Care Among Patients With Panic Disorder

Publication date: 01 August 2005

Pages988–994

OBJECTIVE: This study estimated the extent of perceived unmet need for mental health treatment among individuals with panic disorder in primary care settings, investigated the determinants of unmet need, and assessed barriers to care. METHODS: Data were ...

https://doi.org/10.1176/appi.ps.56.8.988

Characteristics of Insured and Noninsured Outpatients With Depression in STAR*D

Publication date: 01 August 2005

Pages995–1004

OBJECTIVE: This study examined data from the first 1,500 patients with major depressive disorder who were entered into the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) and compared baseline characteristics of outpatients on the basis of ...

https://doi.org/10.1176/appi.ps.56.8.995

Pharmacologic Management of Difficult-to-Treat Depression in Clinical Practice

Publication date: 01 August 2005

Pages1005–1011

OBJECTIVE: This article reviews the concept of difficult-to-treat depression and outlines some principles of pharmacologic management. METHODS: The authors conducted a MEDLINE review for the years 1999 to 2004, using the key words refractory, resistant, ...

https://doi.org/10.1176/appi.ps.56.8.1005