Psychiatric Services
- Volume 73
- Number 5
- May 2022
Taking Issue
Editorial
Articles
Publication date: 13 October 2021
Pages484–491Objective: Addiction treatment via telehealth expanded to unprecedented levels during the COVID-19 pandemic. This study aimed to clarify whether the research evidence on the efficacy of telehealth-delivered substance use disorder treatment and the ...
https://doi.org/10.1176/appi.ps.202100088Variation in Psychotropic Medication Prescription for Adults With Schizophrenia in the United States
Publication date: 30 September 2021
Pages492–500Objective: Variation in prescription of psychotropic medications to patients with schizophrenia spectrum disorders may underlie health inequities. Using a national U.S. Medicaid sample, the authors examined prescription patterns of psychotropic medications ...
https://doi.org/10.1176/appi.ps.202000932Publication date: 02 September 2021
Pages501–509Objective: Cognitive enhancement therapy (CET) is an 18-month comprehensive cognitive remediation intervention designed to improve cognition and functioning among patients with schizophrenia. The current ...
https://doi.org/10.1176/appi.ps.202000552Publication date: 02 September 2021
Pages510–517Objective: This study aimed to evaluate prescribing patterns of antipsychotic medication and factors that predict duration of use among low-income, preschool-age children. Methods: State Medicaid claims from 2012 to 2017 were used to identify antipsychotic ...
https://doi.org/10.1176/appi.ps.202000673Publication date: 30 September 2021
Pages518–525Objective: High-deductible health plans (HDHPs) are increasingly common in the U.S. health insurance market and are intended to reduce the use of low-value services, but evidence suggests that HDHP enrollees also reduce the use of high-value services. This ...
https://doi.org/10.1176/appi.ps.202000914Publication date: 02 September 2021
Pages526–532Objective: Systems of care (SOCs) were developed to increase access to and quality of care for children with emotional and behavioral difficulties and their families through the provision of coordinated, community-based, culturally competent, family-driven ...
https://doi.org/10.1176/appi.ps.202100086Publication date: 30 September 2021
Pages533–538Objective: Individual placement and support (IPS), an evidence-based supported employment practice, is a core service in community mental health in the United States. Several factors promote the growth of IPS, including a network of 24 states participating ...
https://doi.org/10.1176/appi.ps.202100199Special Articles
Publication date: 18 January 2022
Pages539–546This article traces the history of factionalism in policy making and advocacy for persons with serious mental illness from deinstitutionalization to the present. The authors draw on deliberative democratic theory to illustrate how factionalist advocacy ...
https://doi.org/10.1176/appi.ps.202100450Publication date: 15 September 2021
Pages547–554The United States is experiencing an unprecedented opioid crisis, with a record of about 93,000 opioid-involved overdose deaths in 2020, which requires rapid and substantial scaling up of access to effective treatment for opioid use disorder. Only 18% of ...
https://doi.org/10.1176/appi.ps.202000565Publication date: 27 October 2021
Pages555–560Integrated inpatient medical and psychiatric care units (IMPUs) are hospital wards that care for inpatients with both acute general medical and psychiatric disorders. IMPU development has stalled, and wide variation in IMPU designs may reflect the fact ...
https://doi.org/10.1176/appi.ps.202000811Brief Reports
Publication date: 26 August 2021
Pages561–564Objective: This study explored trends in the quantity of inpatient psychiatry beds and in facility characteristics. Methods: Using the National Bureau of Economic Research’s Health Systems and Provider Database, the authors examined changes in the number of ...
https://doi.org/10.1176/appi.ps.202100182Publication date: 09 September 2021
Pages565–569Objective: This program evaluation examined integration of primary care nurse practitioners into assertive community treatment (ACT). Methods: From January to June 2019, primary care nurse practitioners in a postgraduate fellowship program were assigned to ...
https://doi.org/10.1176/appi.ps.202100069Commentary
Open Forum
Publication date: 09 August 2021
Pages577–579Many states authorize involuntary psychiatric care on the basis of grave disability, a legal standard often defined as a person’s inability to provide for basic needs because of mental illness. Mental illness is prevalent in U.S. jails and prisons, and ...
https://doi.org/10.1176/appi.ps.202100129Publication date: 09 September 2021
Pages580–583Individuals with psychiatric disorders often struggle to initiate and engage in treatment. Financial incentives improve treatment engagement, including treatment attendance, medication adherence, and abstinence from substance use. The U.S. Department of ...
https://doi.org/10.1176/appi.ps.202100100Integrated Care
Publication date: 09 September 2021
Pages584–587Initiatives that support and incentivize the integration of behavioral health and general medical care have become a focus of government strategies to achieve the triple aim of improved health, better patient experience, and reduced costs. The authors ...
https://doi.org/10.1176/appi.ps.201900623Publication date: 02 September 2021
Pages588–591Because of significant shortages in the behavioral health workforce, primary care providers (PCPs) have become the de facto mental health providers to address poor access to mental health care. Child psychiatry access programs (CPAPs) could support PCPs ...
https://doi.org/10.1176/appi.ps.202100074Social Determinants of Mental Health
Publication date: 09 August 2021
Pages592–595Climate change is a major global public mental health crisis that is expected to increase the need for mental health services. Psychiatrists and other mental health care providers must address workforce needs through recruitment, training and education, ...
https://doi.org/10.1176/appi.ps.202100227Economic Grand Rounds
Publication date: 09 August 2021
Pages596–598Workers with mental illness may be uniquely affected by the labor market impacts of the pandemic. The authors used data from the National Health Interview Survey (2016–2018) to categorize workers by employment in essential or nonessential industries and ...
https://doi.org/10.1176/appi.ps.202100217