Psychiatric Services
- Volume 67
- Number 4
- April 2016
This Month’s Highlights
Taking Issue
Articles
Publication date: 16 November 2015
Pages378–383Objective: 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.201400569Publication date: 16 November 2015
Pages384–390Objective: 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.201500006Publication date: 16 November 2015
Pages391–396Objective: 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.201400537Publication date: 14 January 2016
Pages397–404Objective: 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.201500116Publication date: 01 December 2015
Pages405–411Objective: 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.201500065Publication date: 15 December 2015
Pages412–417Objective: 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.201500108Publication date: 16 November 2015
Pages418–424Objective: 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.201400577Publication date: 01 December 2015
Pages425–430Objective: 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.201500081Publication date: 04 January 2016
Pages431–437Objective: 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.201500056Publication date: 16 November 2015
Pages438–443Objective: Identifying patients at risk of poor outcome at an early stage of illness can aid in treatment planning. This study sought to create a best-fit statistical model of known baseline and early-course risk factors to predict time in psychosis during ...
https://doi.org/10.1176/appi.ps.201400558Brief Reports
Publication date: 01 December 2015
Pages448–451Objective: 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.201400586Publication date: 14 January 2016
Pages452–455Objective: 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.201500019Publication date: 16 November 2015
Pages456–459Objective: 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.201500063Publication date: 14 January 2016
Pages460–464Objective: 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.201400579Publication date: 01 December 2015
Pages465–468Objective: 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.201500095Open Forum
Publication date: 04 January 2016
Pages444–447Despite advances in schizophrenia treatment, symptom relapses and rehospitalizations impede recovery for many people and are a principal driver of the high cost of care. Technology-delivered or technology-enhanced treatment may be a cost-effective way to ...
https://doi.org/10.1176/appi.ps.201500257Law & Psychiatry
Publication date: 01 April 2016
Pages366–368The 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.201600050Best Practices
Publication date: 04 January 2016
Pages369–371Clozapine 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.201500493Integrated Care
Publication date: 01 December 2015
Pages372–374This 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