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Psychiatric Services: a Journal of the American Psychiatric Association

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https://www.readbyqxmd.com/read/29983112/legislators-sources-of-behavioral-health-research-and-preferences-for-dissemination-variations-by-political-party
#1
Jonathan Purtle, Elizabeth A Dodson, Katherine Nelson, Zachary F Meisel, Ross C Brownson
OBJECTIVES: This study sought to characterize primary sources of behavioral health research and dissemination preferences of state legislators and assess differences by political party. METHODS: A 2017 cross-sectional survey of state legislators (N=475) assessed where legislators seek, and the most important features of, behavioral health research. Bivariate analyses and multivariate logistic regression were conducted. RESULTS: Advocacy organizations (53%), legislative staff (51%), and state agencies (48%) were identified most frequently as sources of behavioral health research...
July 9, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29983111/barriers-to-service-utilization-and-child-mental-health-treatment-attendance-among-poverty-affected-families
#2
Lindsay A Bornheimer, Mary C Acri, Geetha Gopalan, Mary M McKay
OBJECTIVE: The majority of children who initially engage in mental health treatment in the United States drop out prematurely, a problem further exacerbated among children living in poverty. This study examined the relationships between sociodemographic characteristics, barriers to treatment use, and session attendance. METHODS: Data were obtained from participants (N=225) in the 4R2S field trial. Barriers were measured using the Kazdin Barriers to Treatment Participation Scale...
July 9, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29983110/depression-screening-patterns-predictors-and-trends-among-adults-without-a-depression-diagnosis-in-ambulatory-settings-in-the-united-states
#3
Sandipan Bhattacharjee, Lisa Goldstone, Nina Vadiei, Jeannie K Lee, William J Burke
OBJECTIVE: This study examined national patterns, predictors, and trends in depression screening among adults without a diagnosis of depression in the United States. METHODS: A cross-sectional design utilizing pooled data from the National Ambulatory Medical Care Survey (2005-2015) was used. The study sample consisted of ambulatory care visits to nonpsychiatrists among adults (≥18 years) without a depression diagnosis. Depression screening was the dependent variable...
July 9, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29983109/opioid-prescribing-to-adolescents-in-the-united-states-from-2005-to-2016
#4
Rachel Mosher Henke, Ali Bonakdar Tehrani, Mir M Ali, Ryan Mutter, Maryann Mazer-Amirshahi, Peggy L O'Brien, Tami L Mark
OBJECTIVE: This study assessed trends in days' supply for opioid prescriptions filled by adolescents with commercial insurance and Medicaid. METHODS: IBM MarketScan commercial and Medicaid pharmacy claims data were used to measure days' supply among adolescents (2005-2016) and to determine whether there were differences between patients with commercial insurance or Medicaid coverage. RESULTS: The 2-3 days' supply decreased from 50.5% (2005) to 36...
July 9, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29962310/a-systematic-review-of-the-attributes-and-outcomes-of-peer-work-and-guidelines-for-reporting-studies-of-peer-interventions
#5
Alicia Jean King, Magenta Bender Simmons
A SYSTEMATIC REVIEW OF THE ATTRIBUTES AND OUTCOMES OF PEER WORK.
July 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29962309/factors-that-predict-the-use-of-psychotropics-among-children-and-adolescents-with-ptsd-evidence-from-private-insurance-claims
#6
Rene Soria-Saucedo, Janice Haechung Chung, Heather Walter, Marina Soley-Bori, Lewis E Kazis
OBJECTIVE: This study aimed to determine which characteristics of youths with posttraumatic stress disorder (PTSD) were associated with receiving prescriptions for antidepressants, antipsychotics, or benzodiazepines. METHODS: A 2011-2012 retrospective cohort of children and adolescents with a new episode of PTSD was extracted from medical and pharmacy claims from a nationally representative sample of privately insured persons. Multivariate logistic regression assessed attributes (demographic characteristics, mental and general medical comorbidities, insurance arrangements, specialty type, and geographic location) associated with utilization of antidepressants, antipsychotics, and benzodiazepines...
July 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29962308/trends-in-and-predictors-of-long-term-antipsychotic-polypharmacy-use-among-ohio-medicaid-patients-with-schizophrenia-2008-2014
#7
Cynthia A Fontanella, Danielle L Hiance-Steelesmith, Hossam Guirgis, John V Campo
OBJECTIVE: The study examined trends and patterns in long-term antipsychotic polypharmacy among Ohio Medicaid patients with schizophrenia and predictors of use. METHODS: A study using a retrospective cohort design and Medicaid claims data was conducted for a cohort of 25,062 adults with a schizophrenic disorder receiving antipsychotic medication between 2008 and 2014. Long-term antipsychotic polypharmacy was defined as simultaneous treatment with two or more antipsychotic medications for ≥90 days...
July 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29962307/predicting-barriers-to-treatment-for-depression-in-a-u-s-national-sample-a-cross-sectional-proof-of-concept-study
#8
Adam M Chekroud, David Foster, Amanda B Zheutlin, Danielle M Gerhard, Brita Roy, Nikolaos Koutsouleris, Abhishek Chandra, Michelle Degli Esposti, Girish Subramanyan, Ralitza Gueorguieva, Martin Paulus, John H Krystal
OBJECTIVE: Even though safe and effective treatments for depression are available, many individuals with a diagnosis of depression do not obtain treatment. This study aimed to develop a tool to identify persons who might not initiate treatment among those who acknowledge a need. METHODS: Data were aggregated from the 2008-2014 U.S. National Survey on Drug Use and Health (N=391,753), including 20,785 adults given a diagnosis of depression by a health care provider in the 12 months before the survey...
July 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29962306/adaptation-in-delivering-integrated-care-the-tension-between-care-and-evidence-based-practice
#9
David Oslin, Lisa Dixon, David A Adler, Helena Winston, Matthew D Erlich, Bruce Levine, Jeffrey Berlant, Beth Goldman, Michael B First, Samuel G Siris
Clinical practice is assumed to be informed and supported by evidence-based clinical research. Nonetheless, clinical practice often deviates from the research evidence base, sometimes leading and sometimes lagging. Two examples from integrated care in mental health care (care for serious mental illness and collaborative mental health care in primary care settings) illustrate the natural space and therefore tension between evidence and implementation that needs to be better understood. Using the tools and perspectives of both examples, the authors present a framework for the connected relationship between practice and research that is founded on measurement and uses iterative adaptation guided by oversight of and feedback from the stakeholders in this process...
July 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29921192/decoding-new-york-state-s-prescription-monitoring-program
#10
Sanya Virani, Elie G Aoun, Nicholas Genova, Navjot Brainch, Camila Albuquerque Gomes, Saeed Ahmed, Brian Hurley, Lama Bazzi
This column describes the Internet System for Tracking Over-Prescribing (I-STOP), New York State's prescription monitoring program, and its compatibility with HIPAA and Part 2 of Volume 42 of the Code of Federal Regulations (CFR). The authors review use of information that is permitted by I-STOP and CFR for health care operations, including disclosure, and present information from the state Bureau of Narcotics Enforcement about appropriate use of the program. Physicians are permitted, for example, to contact other prescribers in I-STOP, even without explicit permission from the patient, an area in which physicians need more training...
June 20, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29921191/mental-illness-and-gun-violence-disrupting-the-narrative
#11
Emma E McGinty
No abstract text is available yet for this article.
June 20, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29921190/a-comparison-of-participants-in-two-community-based-programs-assisted-outpatient-treatment-and-a-mental-health-court
#12
Natalie Bonfine, Christian Ritter, Jennifer L S Teller, Mark R Munetz
OBJECTIVE: Mental health courts and assisted outpatient treatment (AOT) are tools to help people with serious mental illness engage in treatment and avoid or reduce institutionalization. As both programs become increasingly prevalent, questions remain about whether people with severe mental illness who receive AOT have the same characteristics, histories, and service needs as those who participate in mental health courts. If there are differences, each program may require assessments and interventions tailored to the specific characteristics and needs of participants...
June 20, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29921189/use-of-inpatient-behavioral-health-services-by-children-and-adolescents-with-private-insurance-coverage
#13
Judith L Teich, Ryan Mutter, Brent Gibbons, Kay Miller, Sean Lynch, Mir M Ali
OBJECTIVE: This study examined trends in hospitalizations of youths for behavioral health conditions in acute care hospital nonpsychiatric beds, acute care hospital psychiatric and detoxification beds, and specialty psychiatric hospitals. METHODS: Using data on hospitalizations for behavioral health conditions in 2009 (N=21,805) and 2014 (N=27,550) from the MarketScan Commercial Claims and Encounters database, this study examined the percentage of youths (ages two to 18) with one or more hospitalizations, by demographic characteristic and bed type, and the behavioral health diagnoses for which patients were hospitalized...
June 20, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29879874/use-of-academic-detailing-with-audit-and-feedback-to-improve-antipsychotic-pharmacotherapy
#14
Mary F Brunette, Robert O Cotes, Alexander de Nesnera, Gregory McHugo, Nino Dzebisashvili, Haiyi Xie, Stephen J Bartels
OBJECTIVE: Second-generation antipsychotics vary in their propensity to cause serious cardiometabolic side effects. In addition, use of two or more antipsychotics (polypharmacy) may lead to additive side effects and has not been shown to be consistently more effective than monotherapy. This study examined the use of academic detailing with audit and feedback to improve antipsychotic prescribing practices, including antipsychotic polypharmacy and utilization of medication with high or low risk of cardiometabolic side effects ("high risk" or "low risk," respectively)...
June 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29879873/medical-records-flag-for-suicide-risk-predictors-and-subsequent-use-of-care-among-veterans-with-substance-use-disorders
#15
Joanna M Berg, Carol A Malte, Mark A Reger, Eric J Hawkins
OBJECTIVE: The U.S. Department of Veterans Affairs (VA) health care system established policies to include patient record flags (PRFs) for high suicide risk in the electronic medical record to alert providers and to increase health care contacts. This study identified predictors of new PRFs and described health care utilization before and after PRF initiation among VA patients with substance use disorders. METHODS: The sample included patients ages ≥18 who received a substance use disorder diagnosis in 2012 (N=474,946)...
June 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29879872/prevalence-time-trends-and-utilization-patterns-of-psychotropic-polypharmacy-among-pediatric-medicaid-beneficiaries-1999-2010
#16
Rene Soria Saucedo, Xinyue Liu, Juan Manuel Hincapie-Castillo, Daniel Zambrano, Regina Bussing, Almut G Winterstein
OBJECTIVES: This study estimated the prevalence, time trends, and state-level variation of same- and multiclass psychotropic polypharmacy among youths in Medicaid fee-for-service plans. METHODS: Using pharmacy records from 29 Medicaid states from 1999 to 2010, the authors constructed ten two-year cohorts of beneficiaries between ages 0 and 17 years who received at least one psychotropic to treat a mental disorder. Polypharmacy was defined as any period in which dispensed days' supply of psychotropics overlapped for more than 45 days...
June 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29852826/death-by-suicide-in-the-first-year-after-irregular-discharge-from-inpatient-hospitalization
#17
Natalie Riblet, John S Richardson, Brian Shiner, Talya R Peltzman, Bradley V Watts, John F McCarthy
OBJECTIVE: Single-site studies indicate irregular hospital discharges are associated with elevated suicide risk. As part of ongoing analytics in the Veterans Affairs (VA) health system, the authors evaluated associations between irregular discharge and suicide over a 15-year period. METHODS: All inpatient discharges and discharge types from 2001 through 2014 were identified using VA administrative data. Mortality and cause-of-death data were drawn from comprehensive VA searches of the Centers for Disease Control and Prevention National Death Index...
June 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29852825/behavioral-health-diagnoses-among-children-and-adolescents-hospitalized-in-the-united-states-observations-and-implications
#18
Natalia N Egorova, Harold Alan Pincus, Eyal Shemesh, Lawrence C Kleinman
OBJECTIVE: The study described rates and characteristics of U.S. children hospitalized with a behavioral (mental or substance use) disorder. METHODS: This cross-sectional analysis of data from the 2012 Kids' Inpatient Database included 483,281 hospitalizations in general and children's hospitals of persons under age 21 with a primary or secondary behavioral diagnosis. RESULTS: The admission rate with any behavioral diagnosis was 5.5 per 1,000 children in the U...
June 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29852824/low-burden-strategies-to-promote-smoking-cessation-treatment-among-patients-with-serious-mental-illness
#19
Li-Shiun Chen, Timothy B Baker, Jeanette M Korpecki, Kelly E Johnson, Jaime P Hook, Ross C Brownson, Laura J Bierut
Patients with serious mental illness have high smoking prevalence and early mortality. Inadequate implementation of evidence-based smoking cessation treatment in community mental health centers (CMHCs) contributes to this disparity. This column describes a study of the effects of quality improvement strategies on treatment and cessation outcomes among patients with serious mental illness at four CMHCs. Two low-burden strategies, decision support and academic detailing with data-driven feedback, were implemented in the CMHCs' clinics from 2014 to 2016...
June 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29852823/effects-of-risk-based-firearm-seizure-laws-in-connecticut-and-indiana-on-suicide-rates-1981-2015
#20
Aaron J Kivisto, Peter Lee Phalen
OBJECTIVE: This study evaluated whether risk-based firearm seizure laws in Connecticut and Indiana affect suicide rates. METHODS: A quasi-experimental design using annual state-level panel data from the 50 states between 1981 and 2015 was used. When analyses controlled for a range of risk factors for population-level suicide rates, the effects of Connecticut and Indiana's firearm seizure laws on firearm and nonfirearm suicide rates were evaluated by using the synthetic-control methodology and difference-in-place placebo tests...
June 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
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