Psychiatric Services

Publication date: 01 March 2021

Publication date: 20 October 2020

Objective: This study aimed to explore the effects of COVID-19 and the lockdown measures adopted in England on patients with acute mental illness. Methods: The authors analyzed referrals to the crisis resolution and home treatment (CRHT) team and inpatient ...

Publication date: 10 November 2020

Objective: Coordinated specialty care (CSC) has become the standard of care for first-episode psychosis (FEP). The gap between CSC best practices and the actual care delivered is unknown. This longitudinal study aimed to measure that gap by using a large ...

Publication date: 12 January 2021

Objective: Little is known about provider perspectives on programmatic responses to structural disadvantage and cultural differences within early intervention in psychosis (EIP) services, programs, and models. The primary objective of this study was to ...

Publication date: 20 January 2021

Objective: This study examined the prevalence of chronic pain alone, posttraumatic stress disorder (PTSD) alone, and both chronic pain and PTSD among U.S. Army soldiers during the postdeployment year. Methods: The sample was 576,425 active duty soldiers ...

Publication date: 18 December 2020

Objective: Individuals with intellectual and developmental disabilities disproportionately use emergency psychiatric services compared with their neurotypical peers, suggesting that such individuals and their supports are at increased risk for crisis ...

Publication date: 27 January 2021

Objective: Suicidality is common among participants in clinical trials and health services research, but approaches to suicide risk assessment and mitigation vary widely. Studies involving vulnerable populations with limited access to care raise additional ...

Publication date: 12 January 2021

Objective: Innovative approaches are needed for assessing treatment preferences of individuals with schizophrenia. Conjoint analysis methods may help to identify preferences, but the usability and validity of these methods for individuals with ...

Publication date: 20 January 2021

Objective: Children in the child welfare system are more likely to receive psychotropic medication prescriptions than children in the general population. The authors used prescription- and administrative-level data to quantify variability in prescribing ...

Publication date: 12 January 2021

Psychiatry has a contentious history of coercion in the care of patients with mental illness, and legal frameworks often govern use of coercive interventions, such as involuntary hospitalization, physical restraints, and medication over objection. ...

Publication date: 10 November 2020

Early neural development and maternal health have critical long-term effects on children’s mental health and outcomes later in life. As child mental disorders continue to rise nationwide, a number of states are considering new ways of investing in the ...

Publication date: 05 January 2021

Homelessness among youths is a poorly understood and complex social phenomenon. The authors examined the risk factors for homelessness among transition-age young adults, including the unique mental health concerns that often perpetuate the cycle of ...

Publication date: 03 November 2020

Objective: Evidence-based assessment (EBA) plays a critical role in the delivery of effective treatments. However, little is known about the assessment practices of mental health clinicians who treat youths and the factors that support EBA. The authors ...

Publication date: 19 August 2020

Objective: The study aimed to examine the potential impact of job automation on veterans in the largest U.S. vocational rehabilitation program, the Compensated Work Therapy (CWT) program. Methods: Sixty-two CWT managers were surveyed about common jobs that ...

Publication date: 05 January 2021

Objective: This study examined rates of objective cognitive and functional impairments and associations between cognitive performance and performance-based functional capacity in a well-characterized sample of adults experiencing homelessness. Methods: One ...

Publication date: 20 January 2021

Objective: The author aimed to assess changes in mental health service use, unmet need for mental health care, and barriers to obtaining care among low-income adults after the implementation of the Affordable Care Act in 2014. Methods: Data on 15,968 adults ...

Publication date: 20 January 2021

This Open Forum describes a framework for analyzing factors that influence an individual’s decision to disclose serious mental illness in the competitive workplace. The disclosure decision is multifaceted, organized in dimensions of control, conditions, ...

Publication date: 10 November 2020

Publication date: 10 November 2020

For people experiencing homelessness, COVID-19 underscores existing health and social inequities, introduces additional threats to health and safety, and calls for rapid and creative solutions to reduce risk. This column focuses on the particular ...

Publication date: 29 September 2020

Interpreters improve access to care for patients with limited English proficiency (LEP), but some studies have reported poorer cultural understanding, relationship quality, and patient satisfaction than with language-concordant care. Use of interpreter ...

Publication date: 25 November 2020

State mental health agencies (SMHAs), which provide a variety of services to meet their residents’ mental health needs, typically work within their own state, with little opportunity for cross-state collaboration and information exchange. This column ...

Publication date: 03 September 2020

This retrospective study describes a second-opinion review program for the care of children in Washington State who received Medicaid coverage and who were prescribed five or more psychotropic medications, primarily by mental health specialists. In total, ...