Psychiatric Services
- Volume 68
- Number 6
- June 2017
Taking Issue
Articles
Publication date: 17 January 2017
Pages542–548Objective: Many adults who have mental or substance use disorders or both experience insurance-related barriers to care, contributing to low treatment utilization. Expanded insurance under the Affordable Care Act (ACA) could improve coverage and access. ...
https://doi.org/10.1176/appi.ps.201600182Publication date: 17 January 2017
Pages549–558Objective: This study examined rates of psychotropic prescriptions for various on- and off-label uses in 2005 and 2013 in the context of changes in labeled indications. Methods: The National Disease and Therapeutic Index, a survey of nationally ...
https://doi.org/10.1176/appi.ps.201500482Publication date: 01 February 2017
Pages559–565Objective: This study examined effects of patient-level and hospital-level characteristics on length and cost of hospital stays among adult patients with psychotic disorders. Methods: A subsample of 677,684 adult patients with a primary diagnosis of a ...
https://doi.org/10.1176/appi.ps.201600312Publication date: 17 January 2017
Pages566–572Objective: This study examined whether characteristics of Medicaid beneficiaries were associated with receipt of follow-up care after discharge from the emergency department (ED) following a visit for mental or substance use disorders. Methods: Medicaid fee-...
https://doi.org/10.1176/appi.ps.201500529Publication date: 01 February 2017
Pages573–578Objective: Rural African Americans are disproportionately affected by social stressors that place them at risk of developing psychiatric disorders. This study aimed to understand mental health, mental health treatment, and barriers to treatment from the ...
https://doi.org/10.1176/appi.ps.201600208Publication date: 15 February 2017
Pages579–586Objective: Underuse of clozapine and overuse of antipsychotic polypharmacy are both indicators of poor quality of care. This study examined variation in prescribing clozapine and antipsychotic polypharmacy across providers, as well as factors associated ...
https://doi.org/10.1176/appi.ps.201600041Publication date: 01 February 2017
Pages587–595Objective: The study evaluated the effect of California’s Mental Health Services Act (MHSA) on the structure, volume, location, and patient centeredness of Los Angeles County public mental health services. Methods: This prospective mixed-methods study (2006–...
https://doi.org/10.1176/appi.ps.201500390Publication date: 01 February 2017
Pages596–602Objective: Each year in the United States, 1.5–2.5 million individuals require hospitalization for an injury. Multiple mental, substance use, and chronic general medical disorders are endemic among injury survivors with and without traumatic brain injury (...
https://doi.org/10.1176/appi.ps.201600311Publication date: 01 February 2017
Pages603–609Objective: There is extensive evidence for the effectiveness of supported employment among people with severe mental illness. However, less research has been conducted to evaluate the effects of sustained competitive employment on nonvocational outcomes. ...
https://doi.org/10.1176/appi.ps.201600083Publication date: 15 March 2017
Pages610–617Objective: High out-of-pocket expenses for medical treatment have been associated with worse quality of life, decreased treatment adherence, and increased risk of adverse health outcomes. Treatment of depression potentially has high out-of-pocket expenses. ...
https://doi.org/10.1176/appi.ps.201600275Open Forum
Publication date: 01 March 2017
Pages618–620Today, outpatient psychiatric care is commonly referred to as “medication management” and is often delivered in 15- to 20-minute visits by psychiatric care providers who receive little workflow support from technology or medical assistants. This Open ...
https://doi.org/10.1176/appi.ps.201600133Publication date: 17 January 2017
Pages621–623The emergence of evidence-based psychological treatments (EVPTs) is a scientific success story, but unfortunately the application of these empirically supported procedures has been slow to gain ground in treatment-as-usual settings. This Open Forum ...
https://doi.org/10.1176/appi.ps.201600153Integrated Care
Publication date: 15 May 2017
Pages531–534This column describes a qualitative study in which 32 primary care providers (PCPs) reported barriers to and facilitators of using a behavioral health (BH) consultation program. Barriers included program incompatibility with organizational culture, ...
https://doi.org/10.1176/appi.ps.201600479Research, Community, & Services Partnerships
Publication date: 17 April 2017
Pages535–538This column describes an innovative collaboration in Michigan that could serve as a model for meaningful community-university-state partnerships. Recent legislation in Michigan threatened the infant mental health home visiting program, a service for ...
https://doi.org/10.1176/appi.ps.201700047State Mental Health Policy
Publication date: 15 May 2017
Pages539–541The investigators describe a New York State initiative to increase flow through assertive community treatment (ACT) while encouraging transition to less intensive services. This initiative began as ACT approached full capacity and as evidence emerged that ...
https://doi.org/10.1176/appi.ps.201700127Brief Reports
Publication date: 15 February 2017
Pages624–627Objective: A class action lawsuit in New York (Koskinas v. Cuomo) established the right of psychiatric inpatients to receive discharge planning, including arranging outpatient treatment. The attendance rate of the initial outpatient appointment after ...
https://doi.org/10.1176/appi.ps.201600150Publication date: 01 February 2017
Pages628–631Objectives: The study compared health care utilization and costs among homeless veterans randomly assigned to peer mentors or usual care and described contacts with peer mentors. Methods: Homeless patients at four Department of Veterans Affairs clinics were ...
https://doi.org/10.1176/appi.ps.201600290Publication date: 01 March 2017
Pages632–635Objective: This study examined whether a co-occurring substance use disorder contributed to disparities in receipt of Veterans Health Administration (VHA) posttraumatic stress disorder (PTSD) specialty care or psychotherapy. Methods: Logistic regression, ...
https://doi.org/10.1176/appi.ps.201600128Publication date: 01 March 2017
Pages636–639Objective: Utilization of the GI Bill and attendance at higher education institutions among student veterans have significantly increased since passage of the Post-9/11 GI Bill. Campus counseling centers should be prepared to meet the mental health needs ...
https://doi.org/10.1176/appi.ps.201600065Letters
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