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Psychiatric Services

  • Volume 65
  • Number 10
  • October 2014

Taking Issue

This Month's Highlights

Columns

Publication date: 01 October 2014

Pages1186–1188

The Supreme Court decision in Hall v. Florida may be a sign of a new, more positive attitude by the court toward mental health expertise, according to the Law & Psychiatry column. In siding with the APA and other professional groups, the court ruled that ...

https://doi.org/10.1176/appi.ps.651004

Publication date: 01 October 2014

Pages1189–1191

Little empirical research has directly examined the extent to which early and consistent participation in outpatient services and adherence to prescribed psychotropic medications after a psychiatric hospitalization can help people with serious mental ...

https://doi.org/10.1176/appi.ps.201400247

Articles

Publication date: 01 October 2014

Pages1194–1200

First hospital admissions for psychosis dropped by one-third among young residents of Portland, Maine, following the introduction of an aggressive early intervention program that involves the whole city. Since 2001, the Portland Identification and Early ...

https://doi.org/10.1176/appi.ps.201300336

Publication date: 01 October 2014

Pages1201–1209

As sheltered work for persons with mental illness is defunded, persons with mental illness are increasingly affected by the same forces that shape the broader economy. This study examined employment survey data from 2009 and 2010, a period of slow ...

https://doi.org/10.1176/appi.ps.201300335

Publication date: 01 October 2014

Pages1210–1217

Objectives This study had two aims: to measure the prevalence of long-term prescribing of high doses of antipsychotics and antipsychotic polypharmacy in a large Canadian province and to estimate the relative contributions of patient-, physician-, and ...

https://doi.org/10.1176/appi.ps.201300217

Publication date: 01 October 2014

Pages1218–1225

Objective The relationship of education, psychiatric diagnoses, and use of psychotropic medication has been explored in the United States, but little is known about this relationship in poorer countries, despite the high burden of mental illness in these ...

https://doi.org/10.1176/appi.ps.201300092

Publication date: 01 October 2014

Pages1226–1231

Like the rest of the world, Italy has experienced a surge in use of antidepressants. As this study documents, use of antidepressants in Italy increased fourfold between 2001 and 2011, a period that saw the introduction of SSRIs, the arrival of several new ...

https://doi.org/10.1176/appi.ps.201300510

Publication date: 01 October 2014

Pages1232–1237

Worried about their reputation and career prospects, returning service members with PTSD may avoid seeking treatment. In a randomized controlled trial, the authors examined engagement in treatment and symptoms among veterans with PTSD who received a brief ...

https://doi.org/10.1176/appi.ps.201300433

Publication date: 01 October 2014

Pages1238–1243

Objective Recent military conflicts have generated significantly more demand for treatment of posttraumatic stress disorder (PTSD) as well as concerns about the adverse effects of stigma associated with specialty mental health care. This study examined the ...

https://doi.org/10.1176/appi.ps.201300204

Publication date: 01 October 2014

Pages1244–1248

Objective This study assessed associations between psychotherapy and pharmacotherapy for posttraumatic stress disorder (PTSD) and longitudinal changes in PTSD, depression, and mental health functioning among U.S. veterans diagnosed as having PTSD. Methods ...

https://doi.org/10.1176/appi.ps.201300234

Publication date: 01 October 2014

Pages1249–1255

Objective This study examined factors associated with mental health service utilization among African-American emerging adults, specifically, when services were used (recency) and the types of providers visited (mental health versus non–mental health). ...

https://doi.org/10.1176/appi.ps.201300329

Publication date: 01 October 2014

Pages1256–1262

Objective A culturally focused psychiatric (CFP) consultation service was implemented to increase engagement in mental health care and reduce depressive symptoms among adult Latino primary care patients. The aim of this study was to assess preliminary ...

https://doi.org/10.1176/appi.ps.201300088

Open Forum

Publication date: 01 October 2014

Pages1263–1264

Some have argued that giving schizophrenia another name—“dopamine dysregulation disorder” or “youth onset conative, cognitive and reality distortion”—will erase stigma. “I admire the spirit of these efforts,” writes the author of this month’s Open Forum, “...

https://doi.org/10.1176/appi.ps.201400113

Brief Reports

Publication date: 01 October 2014

Pages1265–1268

Objective The study examined attitudes among Americans about policies to require insurance parity for mental health and substance abuse benefits and to increase government spending on mental health treatment. Methods A Web-based public opinion survey was ...

https://doi.org/10.1176/appi.ps.201300550

Publication date: 01 October 2014

Pages1269–1272

Objective Public attitudes about drug addiction and mental illness were compared. Methods A Web-based national survey (N=709) was conducted to compare attitudes about stigma, discrimination, treatment effectiveness, and policy support in regard to drug ...

https://doi.org/10.1176/appi.ps.201400140

Publication date: 01 October 2014

Pages1273–1276

Objective The authors previously demonstrated an 82.3% reduction in seclusion and restraint use at an inpatient psychiatric facility, largely attributable to changes to the physical environment. This study investigated whether the reduction was sustained ...

https://doi.org/10.1176/appi.ps.201300383

Publication date: 01 October 2014

Pages1277–1280

Objective The authors describe efforts to reduce use of mechanical restraints at a state psychiatric hospital. Methods Data were collected for individuals admitted to the acute adult unit (AAU) (N=2,910) and the community transition unit (CTU) (N=334) over ...

https://doi.org/10.1176/appi.ps.201300247

Publication date: 01 October 2014

Pages1281–1284

Objectives The authors investigated the extent to which clinical diagnoses of externalizing disorders explain higher rates of antipsychotic use by foster care youths. Methods Medicaid claims data from 44 states for 2009 for youths in foster care (N=301,894) ...

https://doi.org/10.1176/appi.ps.201300455

Letters

News and Notes

Past Issues

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No.11
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1 Nov 2024

Vol. 75 | No. 11

No.10
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1 Oct 2024

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No.9
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1 Sep 2024

Vol. 75 | No. 9

No.8
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1 Aug 2024

Vol. 75 | No. 8