Psychiatric Services

Publication date: 01 February 2018

Publication date: 02 October 2017

Despite the high burden and poor rates of treatment associated with mental illness and substance use disorders, public support for allocating resources to improving treatment for these disorders is low. A growing body of research suggests that effective ...

Publication date: 15 September 2017

Objective: This study examined the prevalence of cigarette smoking and the quantity of cigarettes consumed by individuals with schizophrenia and bipolar disorder and those without a psychiatric disorder in the period 1999–2016. Method: A total of 1,938 ...

Publication date: 15 September 2017

Objective: This study assessed the prevalence of and factors associated with congregation-based programming in support of people with mental illness. Methods: To estimate the proportion of congregations that provide mental health programming, this study ...

Publication date: 16 October 2017

Objective: This study evaluated a videoconference-based psychiatric emergency consultation program (telepsychiatry) at geographically dispersed emergency department (ED) sites that are part of the network of care of an academic children’s hospital system. ...

Publication date: 02 October 2017

Objective: The aim was to quantify caregiver distress among informal caregivers of individuals with schizophrenia or schizoaffective disorder and identify its correlates. Methods: From December 2014 through April 2015, ads posted with mental health advocates ...

Publication date: 16 October 2017

Objective: Patients with schizophrenia have a high prevalence of diabetes, but data on diabetes care quality for these patients are limited. This nationwide study compared the quality of diabetes care among individuals with and without schizophrenia and ...

Publication date: 16 October 2017

Objective: This study examined services used by young children with autism spectrum disorder (ASD) and factors associated with use. Methods: A retrospective observational study was conducted with baseline data for toddlers (under age three) and preschoolers (...

Publication date: 16 October 2017

Objective: Community Partners in Care (CPIC) was a group-randomized study of two approaches to implementing expanded collaborative depression care: Community Engagement and Planning (CEP), a coalition approach, and Resources for Services (RS), a technical ...

Publication date: 16 October 2017

Objective: Although reducing adverse events and medical errors has become a central focus of the U.S. health care system over the past two decades both within and outside the Veterans Health Administration (VHA) hospital systems, patients treated in ...

Publication date: 01 November 2017

Objective: Despite a limited empirical literature, parental mental illness is often cited as a major risk factor for violence against children. However, mental illness that is adequately treated would not be expected to lead to increased violence risk. ...

Publication date: 15 November 2017

Objective: The Mental Health Parity and Addiction Equity Act (MHPAEA) was intended to eliminate differences in insurance coverage for mental health and substance use disorder services and medical-surgical care. No studies have examined mental health ...

Publication date: 16 October 2017

Although clozapine has demonstrated unique efficacy for the treatment of seriously ill patients with refractory psychosis, its real-world use presents challenges to clinicians in a variety of settings, leading to its underutilization in the United States. ...

Publication date: 01 November 2017

Evaluation of public programs in mental health and in other fields is often blocked when “reasons not to” are cited. These include “HIPAA,” “IRB,” “not my job,” “it’s already evidence based,” “we know what’s right,” “we don’t know enough,” “we don’t have ...

Publication date: 15 December 2017

The United States and Switzerland are among the world’s wealthiest countries. Both are highly innovative and entrepreneurial, ranking high in global competitiveness and innovation and with similar liberal economies. This column highlights features of the ...

Publication date: 15 December 2017

Preliminary evidence from observational and cohort studies suggests that replacement of paper- and phone-based medication prescriptions with electronic prescribing systems in ambulatory settings is associated with decreased medication errors. However, ...

Publication date: 15 December 2017

Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the ...

Publication date: 15 November 2017

Objective: This brief report explores the impact of health reform for people with mental illness. Methods: The Health Reform Monitoring Survey was used to examine health insurance, access to care, and employment for 1,550 people with mental health conditions ...

Publication date: 01 November 2017

Objective: Clinical guidelines suggest that benzodiazepines (BZDs) and non-BZD hypnotics (NBHs) be used on a short-term basis. The authors examined trends in long-term BZD and NBH use from 1999 to 2014. Methods: Data included 82,091 respondents in the 1999–...

Publication date: 01 November 2017

Objective: This study examined the implementation of crisis intervention teams by law enforcement agencies in Colorado. Methods: Rates of Special Weapons and Tactics (SWAT) use, arrests, use of force, and injuries were assessed during 6,353 incidents ...

Publication date: 01 November 2017

Objective: This study described psychotropic prescription patterns among adults referred to a psychiatric outpatient clinic for individuals with intellectual disability and determined demographic, clinical, and organization-level predictors of receipt of ...