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Psychiatric Services

  • Volume 57
  • Number 1
  • January 2006

Taking Issue

This Month's Highlights

Special Report

Columns

Publication date: 01 January 2006

Pages18–20

Dr. Appelbaum reviews the past 25 years of the Law & Psychiatry column, of which he has been the editor since the column's initiation by John Talbott, M.D. The column has included contributions from Dr. Appelbaum as well as from various other mental ...

https://doi.org/10.1176/appi.ps.57.1.18

Publication date: 01 January 2006

Pages21–23

A performance improvement initiative was undertaken at a state psychiatric hospital to reduce antipsychotic polypharmacy. Data from physicians' order forms were used to document the prescribing practices of 14 psychiatrists in November 2001 and in August ...

https://doi.org/10.1176/appi.ps.57.1.21

Publication date: 01 January 2006

Pages24–26

The Internet is not only a vital medium for communication, entertainment, and commerce, but it is also an outlet for illicit drug sales. Although the U.S. Controlled Substances Act regulates access to certain drugs by requiring prescriptions, unique ...

https://doi.org/10.1176/appi.ps.57.1.24

Publication date: 01 January 2006

Pages31–33

A planning and implementation group was created to respond to a severe shortage of public-sector children's inpatient beds in New Orleans. This group identified a large gap in the continuum between the inpatient unit, with its wide range of resources, and ...

https://doi.org/10.1176/appi.ps.57.1.31

Publication date: 01 January 2006

Pages34–36

Management of changes in physiologic and mental status due to alcohol is a core skill utilized in the psychiatric emergency service. Blood alcohol concentrations are commonly approximated by measuring breath alcohol at triage. However, the blood-breath ...

https://doi.org/10.1176/appi.ps.57.1.34

Article

Publication date: 01 January 2006

Pages37–47

This paper is based on a report commissioned by the Subcommittee on Mental Health Interface With General Medicine of the Presidents New Freedom Commission on Mental Health. Although mental and medical conditions are highly interconnected, medical and ...

https://doi.org/10.1176/appi.ps.57.1.37

Publication date: 01 January 2006

Pages48–55

OBJECTIVE: Little is known about the long-term success of quality improvement efforts for the treatment of depression in primary care. This study assessed factors associated with the successful implementation, maintenance, and spread of such efforts. ...

https://doi.org/10.1176/appi.ps.57.1.48

Publication date: 01 January 2006

Pages56–62

OBJECTIVE: Treatment nonadherence has been identified as an understudied, yet frequent, cause of relapse among patients with bipolar disorder. This study evaluated factors related to treatment adherence. METHODS: This study was a cross-sectional analysis ...

https://doi.org/10.1176/appi.ps.57.1.56

Publication date: 01 January 2006

Pages63–69

OBJECTIVES: Few psychotropic medications are approved for use among children younger than 18 years. Yet previous studies have shown an increase in the use of psychotropic medications among school-age children and adolescents. Most previous studies ...

https://doi.org/10.1176/appi.ps.57.1.63

Publication date: 01 January 2006

Pages70–76

OBJECTIVE: When new medications are introduced, a period of diffusion, evaluation, and adoption follows. This study evaluated the influence of patient- and facility-level characteristics on the early use of a new antipsychotic, ziprasidone, among ...

https://doi.org/10.1176/appi.ps.57.1.70

Publication date: 01 January 2006

Pages77–83

OBJECTIVE: This study compared patients with both mental retardation and a psychiatric diagnosis with patients who did not have co-occurring mental retardation who were served in Ontario's tertiary mental health care system in terms of demographic ...

https://doi.org/10.1176/appi.ps.57.1.77

Publication date: 01 January 2006

Pages84–92

OBJECTIVE: This study examined the use of and perceived need for alcohol treatment services among adolescents (aged 12 to 17 years) who received mental health services in the previous year compared with same-aged adolescents who did not receive such ...

https://doi.org/10.1176/appi.ps.57.1.84

Publication date: 01 January 2006

Pages93–99

OBJECTIVE: Use of longitudinal data can help clarify the extent of persistent need for services or persistent problems in gaining access to services. This study examined the level of transient and persistent need and unmet need over time among respondents ...

https://doi.org/10.1176/appi.ps.57.1.93

Publication date: 01 January 2006

Pages100–106

OBJECTIVE: This study assessed the effect of cognitive-behavioral therapy on a range of problems associated with complex trauma in a sample of women with comorbid substance use disorders and posttraumatic stress disorder (PTSD). METHODS: A total of ...

https://doi.org/10.1176/appi.ps.57.1.100

Publication date: 01 January 2006

Pages107–113

OBJECTIVES: This study examined the rates of sexual and physical abuse and suicide attempts among male and female patients and focused on the associations between sexual and physical abuse and recent suicide attempts among men. METHODS: Data were examined ...

https://doi.org/10.1176/appi.ps.57.1.107

Publication date: 01 January 2006

Pages114–119

OBJECTIVE: Mental health problems are often underrecognized and undertreated. Knowledge of the characteristics associated with the pathway to having a need for mental health care by appropriate treatment (met need) can help to correct this deficit. This ...

https://doi.org/10.1176/appi.ps.57.1.114

Open Forum

Publication date: 01 January 2006

Pages120–122

The positive psychology movement studies the sources of human strength and the foundations of the "good life." Like the recovery movement, it focuses on personal fulfillment and well-being more than on mental illness. These movements have followed ...

https://doi.org/10.1176/appi.ps.57.1.120

Brief Report

Publication date: 01 January 2006

Pages123–126

OBJECTIVE: This study investigated whether race was associated with patterns of psychotropic medication use among veterans with bipolar disorder. METHODS: Data were examined for veterans from the mid-Atlantic region with a diagnosis of bipolar disorder in ...

https://doi.org/10.1176/appi.ps.57.1.123

Publication date: 01 January 2006

Pages127–129

OBJECTIVE: The high costs associated with second-generation antipsychotic medications raise concerns that prior-authorization restrictions may be implemented to restrict use. This study assessed patterns of antipsychotic use to identify uses that are ...

https://doi.org/10.1176/appi.ps.57.1.127

Publication date: 01 January 2006

Pages130–132

OBJECTIVE: This study sought to identify relationships between psychiatrists' characteristics and their self-reported adherence to evidence-based recommendations regarding antipsychotic use in the treatment of schizophrenia. METHODS: Surveys were sent to ...

https://doi.org/10.1176/appi.ps.57.1.130

Publication date: 01 January 2006

Pages133–136

OBJECTIVE: Despite recommendations that second-generation antipsychotics be used as first-line treatment for schizophrenia, previous studies have shown that blacks are less likely than whites to receive these newer drugs. This study determined the rate at ...

https://doi.org/10.1176/appi.ps.57.1.133

Frontline Reports

Letters

Book Reviews: Women Speak … Briefly

Book Reviews

News & Notes

Past Issues

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