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Psychiatric Services

  • Volume 65
  • Number 6
  • June 2014

Taking Issue

This Month's Highlights

Columns

Publication date: 01 June 2014

Pages710–712

After Maryland’s public mental health system shifted toward a Medicaid-based fee-for-service system, the director of the state mental health authority decided to address the issue of quality by expanding a long-standing public-academic partnership with ...

https://doi.org/10.1176/appi.ps.201400067

Publication date: 01 June 2014

Pages713–715

This column describes the Center for Practice Innovations (CPI), which was created in 2007 by the New York State Office of Mental Health and the Department of Psychiatry at Columbia University. CPI uses innovative approaches to build stakeholder ...

https://doi.org/10.1176/appi.ps.201400071

Assessing the Evidence Base Series

Publication date: 01 June 2014

Pages718–726

Intensive outpatient programs (IOPs) have emerged as a critical facet of 21st-century treatment of substance use disorders, serving up to 12% of patients receiving specialty addiction treatment. In this literature review, the authors compared outcomes of ...

https://doi.org/10.1176/appi.ps.201300249

Publication date: 01 June 2014

Pages727–738

Programs to help persons with serious mental illness to strengthen social, cognitive, and coping skills take many forms and can be difficult to compare. In fact, more than 100 randomized controlled trials have examined the effectiveness of these popular ...

https://doi.org/10.1176/appi.ps.201300251

Articles

Publication date: 01 June 2014

Pages739–750

Violent events involving homeless persons often precipitate an anguished examination by the public and the media of the role of severe mental illness in homelessness, violence, and crime—a barrage of public commentary that often produces more heat than ...

https://doi.org/10.1176/appi.ps.201200515

Publication date: 01 June 2014

Pages751–757

Objectives This study examined use of U.S. Department of Veterans Affairs (VA) and non-VA services and predictors of service use among veterans and nonveterans who resided in a low-demand emergency shelter. Methods Equal numbers (N=110) of veterans and ...

https://doi.org/10.1176/appi.ps.201300104

Publication date: 01 June 2014

Pages758–764

Objective Interventions to reduce the duration of untreated psychosis should target institutions and key figures that may interact with individuals who have emerging or untreated psychosis. These individuals may come into contact with criminal justice ...

https://doi.org/10.1176/appi.ps.201300206

Publication date: 01 June 2014

Pages774–780

Objective Psychosis-like experiences may be clinically significant given their demonstrated associations with concurrent psychological distress and the later development of diagnosable psychotic disorders. Prior studies of treatment for psychosis-like ...

https://doi.org/10.1176/appi.ps.201300254

Publication date: 01 June 2014

Pages781–788

Objective The study compared the risk of all-cause hospitalization associated with use of first- versus second-generation antipsychotics among elderly nursing home residents who were eligible for both Medicare and Medicaid. Methods A retrospective cohort ...

https://doi.org/10.1176/appi.ps.201300093

Publication date: 01 June 2014

Pages789–795

Objective The aim of the study was to extend research on the potential benefits of adding ongoing feedback, coaching, and consultation to initial therapist training workshops to ensure fidelity of delivery of evidence-based practices, specifically for the ...

https://doi.org/10.1176/appi.ps.201200177

Publication date: 01 June 2014

Pages796–801

Objectives Previous studies suggest that psychiatrists may be more stressed than other medical specialists and mental health professionals. This study examined differences in stress factors, job resources, psychological distress, and job satisfaction ...

https://doi.org/10.1176/appi.ps.201300200

Publication date: 01 June 2014

Pages802–807

Objective Little is known about the crisis treatment preferences of people with borderline personality disorder. Clinicians may also question service users’ ability to make considered decisions about their treatment when in crisis. Therefore, this ...

https://doi.org/10.1176/appi.ps.201300303

Open Forum

Publication date: 01 June 2014

Pages808–811

After nearly three decades of studies evaluating the legal practice of involuntary outpatient commitment, there is yet little consensus about its effectiveness and only limited implementation. Debate continues over how best to assist adults with serious ...

https://doi.org/10.1176/appi.ps.201300424

Publication date: 01 June 2014

Pages812–815

This Open Forum reviews research findings on outpatient commitment and alternative approaches, such as conditional hospital release and guardianship. Despite the accumulating evidence in favor of these practices, many questions remain about their ...

https://doi.org/10.1176/appi.ps.201400052

Publication date: 01 June 2014

Pages816–817

Involuntary outpatient commitment remains controversial, and two Open Forum essays take up the debate. Authors of one essay argue that we have sufficient evidence for the effectiveness of this approach. Authors of the other highlight remaining questions ...

https://doi.org/10.1176/appi.ps.650602

Brief Reports

Publication date: 01 June 2014

Pages818–821

Objective The study compared delays in seeking general medical care among adults with serious mental illness and a general population sample. Associations of delays with health status and use of emergency department services among individuals with serious ...

https://doi.org/10.1176/appi.ps.201300348

Publication date: 01 June 2014

Pages822–825

Objective Community integration is integral to recovery for individuals with severe mental illness. This study explored the integration of individuals with severe mental illness into mental health and non–mental health communities and associations with ...

https://doi.org/10.1176/appi.ps.201300233

Publication date: 01 June 2014

Pages826–829

Objective This cross-sectional study examined factors associated with unmet need for care from primary care physicians or from psychiatrists among clients enrolled in mental health court support programs in Toronto, Ontario. Methods The sample included ...

https://doi.org/10.1176/appi.ps.201300301

Publication date: 01 June 2014

Pages830–832

Objective Correlates of the sharp increase in Vietnam era veterans diagnosed as having posttraumatic stress disorder (PTSD) in the Veterans Health Administration (VHA) were examined. Methods Analyses compared receipt of a PTSD diagnosis and service-connected ...

https://doi.org/10.1176/appi.ps.201300232

Publication date: 01 June 2014

Pages833–835

Objective Roughly half of veterans who served in Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) have not received services from the Veterans Health Administration (VHA). This study assessed probable posttraumatic stress disorder (PTSD) ...

https://doi.org/10.1176/appi.ps.201300111

Letters

News and Notes

Past Issues

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