Psychiatric Services

Publication date: 01 January 2018

Publication date: 15 August 2017

Objective:Mental health courts (MHCs) were developed to address the overrepresentation of adults with mental illnesses in the U.S. criminal justice system through diversion into community-based treatment. Research on MHCs has proliferated in recent years, ...

Publication date: 15 September 2017

Objective:This study estimated the expected cost-effectiveness and population impact of outpatient interventions to reduce suicide risk among patients presenting to general hospital emergency departments (EDs), compared with usual care. Several such ...

Publication date: 01 September 2017

Objective:Prevalence estimates of child psychiatric disorders with severe impairment vary widely, and there is a critical need for precise estimates to inform clinical practice and policy in the United States. This study presents a systematic review and ...

Publication date: 15 September 2017

Objective:Patient nonadherence to psychopharmacological treatment is a significant barrier to effective treatment. The therapeutic relationship is known to be a critical component of effective psychological treatment, but it has received limited study. A ...

Publication date: 15 September 2017

Objective:This study examined mammogram screening rates among women with severe mental illness by using a socioecological framework. Because it has been shown that people with severe mental illness receive less preventive health care overall, the analysis ...

Publication date: 15 September 2017

Objective:This study evaluated whether emergency department (ED) patient presentations for problems related to mental and substance use disorders could be validly monitored by a syndromic surveillance system that uses chief complaints to identify mental ...

Publication date: 01 September 2017

Objective:The study evaluated the association between physician follow-up within 30 days after hospital discharge and psychiatric readmission within the subsequent 180 days.Methods:Among inpatients with schizophrenia who were discharged between 2007 and ...

Publication date: 01 September 2017

Objective:The Veterans Health Administration (VHA) has recently implemented video-to-home (V2H) telehealth as part of a strategy to improve access to mental health treatment. Implementation research of this modality is needed, given that V2H telehealth ...

Publication date: 15 September 2017

Objective:This study examined the association between neighborhood characteristics, stigma related to mental illness reported by local community members, and measures of perceived stigma and community participation among individuals with psychiatric ...

Publication date: 01 November 2017

Objective:Although the negative consequences associated with first-episode psychosis (FEP) have been well investigated, relatively less is known about positive changes that people may experience after FEP. Existing literature is disparate and in need of ...

Publication date: 02 October 2017

Major policy efforts are being aimed at combating the epidemic of opioid addiction and overdose deaths. In response to the epidemic, the medical community and policy makers have attempted to intervene; to date, these varied approaches have done little to ...

Publication date: 01 December 2017

Over 30 years ago, the U.S. Supreme Court held that indigent defendants raising psychiatric issues are entitled to the assistance of a mental health expert. However, the exact dimensions of that assistance, and whether the expert must be assigned ...

Publication date: 01 January 2018

Efficient response to health care needs when clinical resources are limited is a critical issue in health care delivery. Technologies such as telemedicine hold promise to support adaptive service delivery models to address these issues. The authors ...

Publication date: 01 January 2018

Improving access to psychotherapies in psychosis requires workforce expansion in resource-challenged systems. The GOALS feasibility randomized controlled trial assessed training and implementation of an evidence-based intervention by frontline workers, ...

Publication date: 01 December 2017

Approximately 40% of patients with schizophrenia either do not respond to the prescribed antipsychotic drug or cannot tolerate it because of side effects, resulting in poor disease control and negative health and economic outcomes. Identifying the root ...

Publication date: 16 October 2017

Objective:This study tested whether a mood tracking and alert (MTA) mobile application (app) improved mental health care delivery in a high-risk obstetric population.Methods:Pregnant women with depressive symptomatology at <32 weeks gestation were ...

Publication date: 02 October 2017

Objective:The study examined the immediate effect of crisis interventions on the emotional state of acutely suicidal soldiers and clinician decision making.Methods:Soldiers (N=97) presenting to a military emergency department or behavioral health clinic ...

Publication date: 16 October 2017

Objective:There has been increasing interest within psychiatry in the concept of multimorbidity because psychiatric patients typically present with multiple concurrent disorders, these disorders mutually exacerbate one another, and their interaction ...

Publication date: 02 October 2017

Objective:This study examined whether a telephone-delivered collaborative care intervention (SUpporting Seniors Receiving Treatment And INtervention [SUSTAIN]) improved access to mental health services similarly among older adults in rural areas and those ...