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Psychiatric Services: a Journal of the American Psychiatric Association

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https://www.readbyqxmd.com/read/30409100/redirecting-the-mental-health-and-gun-violence-conversation-from-mass-shootings-to-suicide
#1
Jeffrey W Swanson
No abstract text is available yet for this article.
November 9, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30409099/can-the-national-call-to-prevent-gun-violence-reduce-suicides
#2
Rajeev Ramchand, Andrew R Morral
No abstract text is available yet for this article.
November 9, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30394183/increased-rates-of-mental-health-service-utilization-by-u-s-college-students-10-year-population-level-trends-2007-2017
#3
Sarah Ketchen Lipson, Emily G Lattie, Daniel Eisenberg
OBJECTIVE: This study aimed to document population-level trends in mental health service utilization by college students. METHODS: The study drew on 10 years of data from the Healthy Minds Study, an annual Web-based survey, with a sample comprising 155,026 students from 196 campuses. Analyses focused on past-year mental health treatment and lifetime diagnoses of a mental health condition. Changes in symptoms of depression and suicidal ideation and levels of stigma were hypothesized as potential explanatory factors...
November 5, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30394182/extreme-risk-protection-orders-to-reduce-firearm-violence
#4
William Frizzell, Joseph Chien
Many states have adopted risk-based, preemptive gun removal laws to reduce gun violence. In this column, the authors describe the general structure of these laws, consider arguments for and against them, and briefly review the evidence regarding their impact. As psychiatrists in a state that recently implemented such a law, the authors consider the possible impact of the law on their practice and the well-being of their patients and the public, including the possibility that they and other Oregon psychiatrists could be held liable for failing to address the topic of gun seizure with a patient's family...
November 5, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30394181/a-pay-for-performance-initiative-to-reduce-pediatric-psychiatric-inpatient-length-of-stay
#5
Timothy Schmutte, Laurie Van der Heide, Lori Szczygiel, Ann Phelan, Larry Davidson, Robert Plant
This column presents results of a pay-for-performance (P4P) initiative to reduce psychiatric inpatient length of stay for Medicaid-covered youths at eight hospitals in Connecticut in 2008 (N=715), 2009 (N=1,408), and 2010 (N=782). Compared with the 2007 baseline, average length of stay decreased by 25% (from 18.1 to 13.6 days) by the end of the P4P program, with concurrent nonsignificant decreases in 7- and 30-day readmissions. Readmitted youths tended to access postdischarge care sooner and use more community-based services during the first 180 days postdischarge...
November 5, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30373496/who-wants-feedback-effects-of-transformational-leadership-and-leader-member-exchange-on-mental-health-practitioners-attitudes-toward-feedback
#6
Karissa M Fenwick, Kim C Brimhall, Michael Hurlburt, Gregory Aarons
OBJECTIVE: The purpose of this study was to identify the mechanisms through which different aspects of leadership affect mental health practitioners' attitudes toward supervisory feedback. METHODS: Data were collected from 363 practitioners nested in 68 treatment teams in public-sector mental health organizations. A multilevel path analysis was conducted to examine the associations of transformational leadership (supervisor's ability to inspire others to follow a course of action) and leader-member exchange (quality of the supervisor-practitioner relationship) with practitioner attitudes toward feedback...
October 30, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30373495/provider-attitudes-and-experience-with-measurement-based-mental-health-care-in-the-va-implementation-project
#7
David W Oslin, Rani Hoff, Joseph Mignogna, Sandra G Resnick
OBJECTIVE: Measurement-based care using patient-reported outcome measures has been shown to improve treatment outcomes for patients with mental illness. Despite wide availability of validated measures, measurement-based care is seldom used in clinical practice. METHODS: The authors conducted a survey of 230 mental health providers across 47 U.S. Department of Veterans Affairs medical centers. The survey measured provider attitudes and self-reported use of various components of measurement-based care...
October 30, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30373494/adherence-to-recommended-care-guidelines-in-the-treatment-of-preschool-age-medicaid-enrolled-children-with-a-diagnosis-of-adhd
#8
Alex Moran, Nicoleta Serban, Melissa L Danielson, Scott D Grosse, Steven P Cuffe
OBJECTIVE: Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder of childhood. Clinical guidelines recommend behavior therapy as the first-line treatment for preschool-age children with ADHD. This study evaluated longitudinal patterns of services received by Medicaid-enrolled children ages 2 to 5 with ADHD in seven southeastern states (Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, and South Carolina). METHODS: A discrete sequence clustering analysis was used with 2005-2012 Medicaid Analytic eXtract data to profile patient-level utilization for each state, with a focus on receipt of psychological services and medication...
October 30, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30373493/-our-fires-as-light-exploring-stigma-of-mental-illness-at-the-recovery-center
#9
Christopher Camal, Xinlin Chen
No abstract text is available yet for this article.
October 30, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30353791/mortality-associated-with-opioid-overdose-a-review-of-clinical-characteristics-and-health-services-received-in-the-year-prior-to-death
#10
Christian Rose, Abtin Shahanaghi, Mauricio Romero-Gonzalez, Jorge Yarzebski, Michael Andre, Gregory J DiGirolamo, Alan P Brown, Gerardo Gonzalez
OBJECTIVE: To assess missed opportunities for reducing fatal opioid overdoses, characteristics of decedents by opioid overdose with and without problematic opioid use who received health care services within one year of death were examined. METHODS: Of 157 decedents in the Worcester, Massachusetts, area between 2008 and 2012, 112 had contact with the health care system. Electronic medical records were reviewed for clinical characteristics, health service use, universal precautions, and substance use disorder management...
October 24, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30353790/living-well-an-intervention-to-improve-medical-illness-self-management-among-individuals-with-serious-mental-illness
#11
Anjana Muralidharan, Clayton H Brown, Jason E Peer, Elizabeth A Klingaman, Samantha M Hack, Lan Li, Mary Brighid Walsh, Richard W Goldberg
OBJECTIVE: Many adults with serious mental illness have significant medical illness burden and poor illness self-management. In this study, the authors examined Living Well, a group-based illness self-management intervention for adults with serious mental illness that was cofacilitated by two providers, one of whom has lived experience with co-occurring mental health and medical conditions. METHODS: Adults with serious mental illness (N=242) were randomly assigned to Living Well or an active control condition...
October 24, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30353789/rising-sun-prioritized-outcomes-for-suicide-prevention-in-the-arctic
#12
Pamela Y Collins, Roberto A Delgado, Charlene Apok, Laura Baez, Peter Bjerregaard, Susan Chatwood, Cody Chipp, Allison Crawford, Alex Crosby, Denise Dillard, David Driscoll, Heidi Ericksen, Jack Hicks, Christina V L Larsen, Richard McKeon, Per Jonas Partapuoli, Anthony Phillips, Beverly Pringle, Stacy Rasmus, Sigrún Sigurðardóttir, Anne Silviken, Jon Petter Stoor, Yury Sumarokov, Lisa Wexler
The Arctic Council, a collaborative forum among governments and Arctic communities, has highlighted the problem of suicide and potential solutions. The mental health initiative during the United States chairmanship, Reducing the Incidence of Suicide in Indigenous Groups: Strengths United Through Networks (RISING SUN), used a Delphi methodology complemented by face-to-face stakeholder discussions to identify outcomes to evaluate suicide prevention interventions. RISING SUN underscored that multilevel suicide prevention initiatives require mobilizing resources and enacting policies that promote the capacity for wellness, for example, by reducing adverse childhood experiences, increasing social equity, and mitigating the effects of colonization and poverty...
October 24, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30332928/affirming-gender-identity-of-patients-with-serious-mental-illness
#13
William B Smith, Hilary Goldhammer, Alex S Keuroghlian
Transgender people who experience serious mental illness represent a uniquely vulnerable population. Because of limited research, however, recommendations for treating this population are scarce. In this article, the authors describe the challenge of recognizing gender dysphoria in people with serious mental illness. They then discuss why existing evidence and clinical experience support provision of gender-affirming medical and surgical treatments for transgender people who have serious mental illness and also demonstrate capacity to make informed medical decisions...
October 18, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30332927/lessons-from-rural-peru-in-integrating-mental-health-into-primary-care
#14
Pamela Scorza, Yuri Cutipe, Maria Mendoza, César Arellano, Jerome T Galea, Milton L Wainberg
Peru secured a legislative advance for mental health care with a 2012 law mandating that mental health services be available in primary care. One of the main challenges faced by this reform is implementation in remote regions. This column describes a pilot project in Peru that took place from 2010 to 2014 to develop capacity for including mental health services in primary care in one of the most isolated, high-needs regions of the country. The authors describe use of accompaniment-based training and supervision of clinicians and comprehensive, engaged regional partnerships formed to increase the impact and sustainability of the service expansion...
October 18, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30332926/understanding-the-landscape-of-behavioral-health-pre-service-training-to-inform-evidence-based-intervention-implementation
#15
Emily M Becker-Haimes, Kelsie H Okamura, Constance D Baldwin, Edward Wahesh, Christopher Schmidt, Rinad S Beidas
Reports on the behavioral health workforce highlight the need to enhance evidence-based capacity; evidence-based interventions incorporated into pre-service graduate curricula (coursework and fieldwork) are needed to meet this goal. Improving educational practices across pre-service settings will require understanding of and careful attention to the contextual factors that exert pressure on curricula. The authors believe efforts to change educational practices can be enhanced by application of implementation science principles...
October 18, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30332925/open-dialogue-a-review-of-the-evidence
#16
Abigail M Freeman, Rachel H Tribe, Joshua C H Stott, Stephen Pilling
OBJECTIVE: Emerging evidence for Open Dialogue (OD) has generated considerable interest. Evidence comes from a range of methodologies (case study, qualitative, and naturalistic designs), which have not been synthesized as a whole. The objective of this review was to synthesize this literature. METHODS: A systematic search of the databases PubMed, CINAHL, Scopus, Web of Science and PsycINFO included studies published until January 2018. A total of 1,777 articles were screened...
October 18, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30332924/china-s-reward-policy-for-family-care-of-persons-with-serious-mental-illness
#17
Yu Yu, Wei Zhou, Shuiyuan Xiao
In 2016, the Chinese government instituted a policy that provides a financial subsidy to encourage family involvement in the care of family members with serious mental illness. The policy is designed to prevent violent behaviors of persons with serious mental illness and to promote community safety. The reward, mainly a living allowance for the family, is delivered monthly on the condition of zero crimes or legal offenses committed by the person with mental illness. If executed properly, the policy has the potential to substantially improve the well-being of persons with serious mental illness and their family caregivers...
October 18, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30301449/sociodemographic-characteristics-and-job-satisfaction-of-psychiatrists-in-china-results-from-the-first-nationwide-survey
#18
Feng Jiang, Linlin Hu, Jeffrey Rakofsky, Tingfang Liu, Shichao Wu, Pengyu Zhao, Guangyu Hu, Xia Wan, Huanzhong Liu, Yuanli Liu, Yi-Lang Tang
OBJECTIVE: The aim of the study was to establish a comprehensive understanding of the sociodemographic characteristics of psychiatrists in China and their working environment and job satisfaction. METHODS: As part of a national survey, the authors conducted China's first survey in 32 tertiary psychiatric hospitals, including administration of a structured questionnaire for psychiatrists. Participants also completed the Minnesota Satisfaction Questionnaire (MSQ)...
October 10, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30301448/integrating-predictive-modeling-into-mental-health-care-an-example-in-suicide-prevention
#19
Greg M Reger, Mary Lou McClure, David Ruskin, Sarah P Carter, Mark A Reger
Recent advances in statistical methods and computing power have improved the ability to predict risks associated with mental illness with more efficiency and accuracy. However, integrating statistical prediction into a clinical setting poses new challenges that need creative solutions. A case example explores the challenges and innovations that emerged at a Department of Veterans Affairs hospital while implementing REACH VET (Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment), a suicide prevention program that is based on a predictive model that identifies veterans at statistical risk for suicide...
October 10, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30301447/survey-of-peer-support-specialists-professional-activities-self-rated-skills-job-satisfaction-and-financial-well-being
#20
Adrienne Lapidos, Jennie Jester, Monica Ortquist, Pamela Werner, Mary C Ruffolo, Matthew Smith
As the certified peer support specialist (CPSS) workforce matures, their roles evolve, leading to gaps in knowledge about their activities. This study aimed to address these gaps through a survey on CPSS activities, self-rated skills, job satisfaction, and financial well-being. The project team recruited a community advisory board of CPSSs to lead survey development. A survey link was e-mailed to all known CPSSs in the state of Michigan (N=1,128), yielding 394 respondents (35% response rate), of whom 319 were included in the analysis...
October 10, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
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