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Psychiatric Services

  • Volume 67
  • Number 4
  • April 2016

This Month’s Highlights

Taking Issue

Articles

Publication date: 16 November 2015

Pages378–383

Objective: This study compared recidivism among mental health court (MHC) participants and MHC-eligible defendants in traditional criminal court (TCC) two years after MHC exit or court disposition to investigate longer-term MHC impacts and effects beyond ...

https://doi.org/10.1176/appi.ps.201400569

Publication date: 16 November 2015

Pages384–390

Objective: A core component of mental health courts (MHCs) is the provision of community treatment in order to reduce arrests. However, research on the components of treatment received by MHC participants is rare. This study examined the impact of ...

https://doi.org/10.1176/appi.ps.201500006

Publication date: 16 November 2015

Pages391–396

Objective: The quality of mental health care provided by the U.S. Department of Veterans Affairs (VA) was compared with care provided to a comparable population treated in the private sector. Methods: Two cohorts of individuals with mental disorders (...

https://doi.org/10.1176/appi.ps.201400537

Publication date: 14 January 2016

Pages397–404

Objective: This study examined the distribution of opioid prescribing across providers and patients and the extent to which concentrated distribution predicts opioid misuse. Methods: Using 2013 Oregon Medicaid claims and the National Provider Identifier ...

https://doi.org/10.1176/appi.ps.201500116

Publication date: 01 December 2015

Pages405–411

Objective: Opioid analgesic abuse is a complex and relatively new public health problem, and to date little is known about how the news media frame the issue. Methods: To better understand how this issue has been framed in public discourse, an analysis was ...

https://doi.org/10.1176/appi.ps.201500065

Publication date: 15 December 2015

Pages412–417

Objective: Veterans with mental illness are at serious risk of poor work outcomes and career stagnation. Supported employment (SE) is an evidence-based model of vocational services that assists persons with mental illness to obtain competitive employment. ...

https://doi.org/10.1176/appi.ps.201500108

Publication date: 16 November 2015

Pages418–424

Objective: This study examined how two key process-of-care tasks of the collaborative care model (CCM) predict patient depression outcomes. Methods: Registry data were from a large implementation of the CCM in Washington State and included 5,439 patient-...

https://doi.org/10.1176/appi.ps.201400577

Publication date: 01 December 2015

Pages425–430

Objective: Screening data on obesity and smoking among adult outpatients in state-operated clinics were collected and analyzed by the New York State Office of Mental Health to determine relationships between demographic and clinical risk factors and ...

https://doi.org/10.1176/appi.ps.201500081

Publication date: 04 January 2016

Pages431–437

Objective: Nonadherence to antipsychotic medication is a major health concern. Identification of risk factors associated with nonadherence is a useful initial step toward designing an effective intervention. This study compared the characteristics of ...

https://doi.org/10.1176/appi.ps.201500056

Brief Reports

Publication date: 01 December 2015

Pages448–451

Objective: This study evaluated utilization of mental health and substance use services among enrollees at a large employee health plan following changes to benefit limits after passage in 2008 of federal mental health parity legislation. Methods: This study ...

https://doi.org/10.1176/appi.ps.201400586

Publication date: 14 January 2016

Pages452–455

Objective: Little is known about mental health service use by adults with prior suicidal behavior and current mood or anxiety disorders. This study determined nationally representative prevalence estimates of current mental health service use by these ...

https://doi.org/10.1176/appi.ps.201500019

Publication date: 16 November 2015

Pages456–459

Objective: Practice guidelines emphasize frequent clinical monitoring of patients at high risk for psychosis. No brief instrument assessing attenuated psychotic symptoms has been validated for this purpose. This study examined use of three self-report ...

https://doi.org/10.1176/appi.ps.201500063

Publication date: 14 January 2016

Pages460–464

Objective: This study aimed to examine detoxification-related service utilization in the Veterans Health Administration (VHA). Methods: VHA data for 266,908 patients were used to examine rates and predictors of receiving detoxification, attending post-...

https://doi.org/10.1176/appi.ps.201400579

Publication date: 01 December 2015

Pages465–468

Objective: National Death Index data were examined to describe mortality patterns among older veterans who are homeless. Methods: Homelessness and health care records from the U.S. Department of Veterans Affairs were used to identify old (ages 55–59) and ...

https://doi.org/10.1176/appi.ps.201500095

Open Forum

Law & Psychiatry

Publication date: 01 April 2016

Pages366–368

The Convention on the Rights of Persons with Disabilities, adopted by the United Nations in 2007, aims to protect the rights and dignity of persons with disabilities. However, several of its provisions are susceptible to interpretations that would negate ...

https://doi.org/10.1176/appi.ps.201600050

Best Practices

Publication date: 04 January 2016

Pages369–371

Clozapine remains the only medication approved for treatment-resistant schizophrenia. But underuse is the norm. In 2010, the New York State Office of Mental Health began a multifaceted initiative to promote the evidence-based use of clozapine. From 2009 ...

https://doi.org/10.1176/appi.ps.201500493

Integrated Care

Publication date: 01 December 2015

Pages372–374

This column describes the gradual integration of psychiatrists into mainstream general medical care, from their exile as “alienists” in isolated asylums to their current roles in accountable care organizations. The authors note that a contemporary form of ...

https://doi.org/10.1176/appi.ps.201500400

Personal Accounts

Frontline Reports

Correction

News & Notes

Past Issues

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