Psychiatric Services

Publication date: 01 July 2017

Publication date: 17 April 2017

Objective:This study compared health care access, utilization, and functional indicators among adults with and without serious psychological distress (SPD) in the years surrounding implementation of the Patient Protection and Affordable Care Act (ACA)....

Publication date: 15 February 2017

Objectives:Despite high prevalence rates of depression in primary care, depressive symptoms are often undetected by physicians. Screening for depression is now recommended as a part of routine primary care; however, recent estimates of rates and patterns ...

Publication date: 03 April 2017

Objective:Since full implementation of the Affordable Care Act (ACA) in 2014, the number of uninsured individuals in the United States has declined considerably; however, millions still lack health insurance. Although 29% of the remaining uninsured ...

Publication date: 15 February 2017

Objectives:The purpose of this study was to inform suicide prevention efforts by estimating the incidence of suicide among adult Medicaid enrollees and describing clinical profiles and service utilization patterns among decedents.Methods:Death certificate ...

Publication date: 15 February 2017

Objective:Care provision and prescribing practices of physicians treating children with attention-deficit hyperactivity disorder (ADHD) were compared.Methods:A retrospective cohort study was conducted with the 1995–2010 General Electric Centricity ...

Publication date: 01 March 2017

Objective:Although primary care is associated with better outcomes, many individuals with serious mental illness do not receive general medical services. This study examined patient-level factors associated with not having outpatient general medical ...

Publication date: 01 March 2017

Objective:The one-year readmission rates for children and youths hospitalized for a psychiatric condition is estimated at 38%. Studies suggest that these high readmission rates result from a lack of aftercare, but evidence is mixed. This study further ...

Publication date: 15 March 2017

Objective:Whether a diagnosis of a mental disorder contributes to the risk of poorer correctional outcomes is controversial. This study aimed to clarify the extent to which mental and substance use disorders individually and in combination contribute to ...

Publication date: 01 March 2017

Objective:This study sought to compare the prevalence and impacts of mental illness–related stigma among Canadian Armed Forces personnel and Canadian civilians.Methods:Data were from two highly comparable, population-based, cross-sectional surveys of ...

Publication date: 03 April 2017

Objective:Psychiatric advance directives (PADs) provide a legal mechanism for competent adults to document care preferences and authorize a surrogate to make treatment decisions. In a controlled research setting, an evidence-based intervention, the ...

Publication date: 15 March 2017

The 2016 recommendation statement by the U.S. Preventive Services Task Force (USPSTF) endorsed screening for depression in the general adult population. The recommendation was mainly based on studies that compared enhanced depression care that included ...

Publication date: 01 March 2017

The sociocultural identities that people self-assign or accept influence their interpersonal interactions and decision making. Identity-based interventions attempt to influence individuals by associating healthy behaviors with in-group membership. ...

Publication date: 15 June 2017

Physicians increasingly have recognized the importance of asking patients whether they own firearms and suggesting safe means of storage. Florida’s legislature perceived these questions as threats to patients’ rights to keep guns and passed a law ...

Publication date: 15 June 2017

The quality of psychosocial treatment delivery is highly variable in community practice settings, even among well-trained providers. This column discusses the potential to improve patient outcomes by targeting two important quality-of-care indicators ...

Publication date: 15 March 2017

Objectives:This study examined needs related to posttraumatic stress disorder (PTSD), assistance by service dogs, and feasibility of data collection among veterans receiving service dogs.Methods:Questionnaires assessed PTSD-related needs and services ...

Publication date: 15 March 2017

Objective:The study examined how health care utilization patterns among youths with autism spectrum disorder (ASD) change as they transition into the adult health care system.Methods:Data came from the Clinformatics Data Mart Database, a nationally ...

Publication date: 01 March 2017

Objectives:This study aimed to identify challenges and facilitators of sustaining a Housing First intervention at the conclusion of a research demonstration project in Toronto.Methods:This qualitative study included key informant interviews with ...

Publication date: 01 March 2017

Objective:This study examined whether patients who had been nonadherent with outpatient appointments and who were randomly assigned to receive treatment through a telepsychiatry intervention (home-based video teleconferencing) would show improvement in ...

Publication date: 15 March 2017

Objective:Four randomized controlled trials revealed that virtual-reality job interview training (VR-JIT) improved interviewing skills and the odds of obtaining a job offer among trainees with severe mental illness or autism spectrum disorder. This study ...