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Psychiatric Services: a Journal of the American Psychiatric Association

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https://www.readbyqxmd.com/read/29334882/federal-parity-and-access-to-behavioral-health-care-in-private-health-plans
#1
Dominic Hodgkin, Constance M Horgan, Maureen T Stewart, Amity E Quinn, Timothy B Creedon, Sharon Reif, Deborah W Garnick
OBJECTIVE: The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) sought to improve access to behavioral health care by regulating health plans' coverage and management of services. Health plans have some discretion in how to achieve compliance with MHPAEA, leaving questions about its likely effects on health plan policies. In this study, the authors' objective was to determine how private health plans' coverage and management of behavioral health treatment changed after the federal parity law's full implementation...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334881/a-proactive-behavioral-health-service-model-to-address-use-of-constant-observation-in-a-general-hospital
#2
Aaron Pinkhasov, Deepan Singh, Sridivya Chavali, Lori Legrand, Rose Calixte
In hospitals, use of constant observation (CO) causes significant economic burden without demonstrated reduction in adverse events. A novel quality improvement (QI) project was developed to reduce use of CO by integrating proactive behavioral health management of all patients requiring CO in a general hospital. Specific nonpharmacologic and pharmacologic interventions used in this project, which included 491 patients, are discussed. Data collected were compared with data from a baseline period before project implementation...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334880/variability-in-clinical-outcomes-for-youths-treated-for-subthreshold-severe-mental-disorders-at-an-early-intervention-service
#3
Shane P Cross, Jan L Scott, Daniel F Hermens, Ian B Hickie
OBJECTIVE: The study assessed the longitudinal clinical and functional outcomes of young people receiving early intervention services for subthreshold manifestations of severe mental disorders at a youth mental health service in Sydney, Australia. METHODS: The six-month, prospective, longitudinal study collected data on clinical outcomes of 243 young people treated for subsyndromal presentations of putative major mental disorders. Reliable change index scores and effect sizes were calculated to compare results at baseline, three months, and six months for measures of symptoms (Brief Psychiatric Rating Scale [BPRS]), psychological distress (Kessler 10 [K10]), and social functioning (Social and Occupational Functioning Assessment Scale [SOFAS])...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334879/the-extent-to-which-psychiatrists-diagnose-and-treat-substance-use-disorders
#4
Tami L Mark, Angélica Meinhofer
No abstract text is available yet for this article.
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334878/the-use-of-standardized-discharge-in-ips-supported-employment-programs
#5
Justin Metcalfe, Robert E Drake, Gary Bond
OBJECTIVE: Some researchers have argued for using standardized discharge rules in individual placement and support (IPS) based on time of unemployment. To evaluate potential adverse outcomes of these rules, the authors examined time to first job over 24 months in a large randomized controlled study. METHODS: This secondary analysis of 2,055 participants in the Mental Health Treatment Study, using bootstrapping and survival analysis, estimated and compared the likelihood of finding a first job in the IPS and control groups during each quarter over 24 months...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334877/utilization-of-mental-health-services-by-children-displaced-by-hurricane-katrina
#6
Troy Quast, Sean Gregory, Eric A Storch
OBJECTIVE: This study examined changes in utilization of mental health services after Hurricane Katrina among children with preexisting conditions who were displaced from their homes in Louisiana disaster counties and resettled in Texas. METHODS: A retrospective analysis was performed on Medicaid claims data for 101,950 children from 2004 to 2006. Pre-post changes in utilization of mental health services by the displaced children and three control groups were compared...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334876/three-nontraditional-approaches-to-improving-the-capacity-accessibility-and-quality-of-mental-health-services-an-overview
#7
Kiran L Grant, Magenta Bender Simmons, Christopher G Davey
To provide evidence for wider use of peer workers and other nonprofessionals, the authors examined three approaches to mental health service provision-peer support worker (PSW) programs, task shifting, and mental health first-aid and community advocacy organizations-summarizing their effectiveness, identifying similarities and differences, and highlighting opportunities for integration. Relevant articles obtained from PubMed, MEDLINE, and Google Scholar searches are discussed. Studies indicate that PSWs can achieve outcomes equal to or better than those achieved by nonpeer mental health professionals...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334875/summary-of-key-issues-raised-in-the-technology-for-early-awareness-of-addiction-and-mental-illness-teaam-i-meeting
#8
Amit Baumel, Justin Baker, Michael L Birnbaum, Helen Christensen, Munmun De Choudhury, David C Mohr, Fred Muench, Danielle Schlosser, Nick Titov, John M Kane
Technology provides an unparalleled opportunity to remove barriers to earlier identification and engagement in services for mental and addictive disorders by reaching people earlier in the course of illness and providing links to just-in-time, cost-effective interventions. Achieving this opportunity, however, requires stakeholders to challenge underlying assumptions about traditional pathways to mental health care. In this Open Forum, the authors highlight key issues discussed in the Technology for Early Awareness of Addiction and Mental Illness (TEAAM-I) meeting-held October 13-14, 2016, in New York City-that are related to three identified areas in which technology provides important and unique opportunities to advance early identification, increase service engagement, and decrease the duration of untreated mental and addictive disorders...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29334874/a-comparison-of-collaborative-care-outcomes-in-two-health-care-systems-va-clinics-and-federally-qualified-health-centers
#9
Kathleen M Grubbs, John C Fortney, Jeffrey Pyne, Dinesh Mittal, John Ray, Teresa J Hudson
OBJECTIVE: Collaborative care for depression results in symptom reduction when compared with usual care. No studies have systematically compared collaborative care outcomes between veterans treated at Veterans Affairs (VA) clinics and civilians treated at publicly funded federally qualified health centers (FQHCs) after controlling for demographic and clinical characteristics. METHODS: Data from two randomized controlled trials that used a similar collaborative care intervention for depression were combined to conduct post hoc analyses (N=759)...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241440/primary-care-mental-health-integration-in-the-va-shifting-mental-health-services-for-common-mental-illnesses-to-primary-care
#10
Lucinda B Leung, Jean Yoon, José J Escarce, Edward P Post, Kenneth B Wells, Catherine A Sugar, Elizabeth M Yano, Lisa V Rubenstein
OBJECTIVE: Primary care-mental health integration (PC-MHI) aims to increase access to general mental health specialty (MHS) care for primary care patients thereby decreasing referrals to non-primary care-based MHS services. It remains unclear whether new patterns of usage of MHS services reflect good mental health care. This study examined the relationship between primary care clinic engagement in PC-MHI and use of different MHS services. METHODS: This was a retrospective longitudinal cohort study of 66,638 primary care patients with mental illnesses in 29 Southern California Veterans Affairs clinics (2008-2013)...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241439/family-decision-making-and-self-determination-among-consumers-with-schizophrenia-in-china-cross-cultural-implications
#11
Ying Chen, Chow S Lam, Hong Deng, Patrick W Corrigan, Eva Yau
OBJECTIVES: Self-determination is viewed as an important ingredient of successful recovery in psychiatric rehabilitation. The concept of autonomy, a key component of self-determination, may be of less importance in Chinese cultures, whereby an individual's choices may be in conflict with the family's expectations. This study aimed to develop an instrument to measure opinions about self-determination among Chinese consumers and their family members. METHODS: A 27-item questionnaire, the Consumer and Family Decision Making Scale (CFDMS), was constructed to measure consumers' and family members' views of self-determination in various aspects of daily life...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241438/realizing-e-prescribing-s-potential-to-reduce-outpatient-psychiatric-medication-errors
#12
Matthew E Hirschtritt, Steven Chan, Wilson O Ly
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, problems from traditional prescribing also occur with e-prescribing (such as incorrect medication dose and instructions or wrong patient), as do some new problems (a confusing user interface leading to prescribing the wrong medication). The authors present four steps for reducing medication errors in outpatient psychiatric settings: continuing to implement e-prescribing, streamlining user interfaces, improving interoperability among various e-prescribing and retail pharmacy systems, and using education and advocacy to achieve these goals...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241437/the-swiss-mental-health-care-system
#13
Andres R Schneeberger, Bruce J Schwartz
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 health care system in Switzerland, a country with an exclusively private health insurance system, with federally mandated universal health insurance. Residents can choose from about 58 insurance companies. Switzerland regulates these companies and negotiates reimbursement rates...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241436/integrated-primary-care-in-assertive-community-treatment
#14
Benjamin F Henwood, Elizabeth Siantz, Debra R Hrouda, Debbie Innes-Gomberg, Todd P Gilmer
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 authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241435/potential-benefits-of-incorporating-peer-to-peer-interactions-into-digital-interventions-for-psychotic-disorders-a-systematic-review
#15
Bruno Biagianti, Sophia H Quraishi, Danielle A Schlosser
OBJECTIVE: Peer-to-peer interactions and support groups mitigate experiences of social isolation and loneliness often reported by individuals with psychotic disorders. Online peer-to-peer communication can promote broader use of this form of social support. Peer-to-peer interactions occur naturally on social media platforms, but they can negatively affect mental health. Recent digital interventions for persons with psychotic disorders have harnessed the principles of social media to incorporate peer-to-peer communication...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241434/clinical-consensus-recommendations-for-urine-testing-of-adherence-to-antipsychotics-among-people-with-serious-mental-illness
#16
Amy N Cohen, Gretchen Collins, Frederick Charles Nucifora, Roddy Strobel, David B Wait, Alexander S Young
OBJECTIVE: This study developed clinical recommendations for the use of proven urine testing technologies to assess antipsychotic medication adherence among people with serious mental illness. METHODS: Guided by the RAND/UCLA Appropriateness Method, researchers conducted a literature review and semistructured interviews and convened an expert panel to develop clinical consensus recommendations for the use of urine monitoring to assess antipsychotic medication adherence...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241433/long-run-trends-in-antidepressant-use-among-youths-after-the-fda-black-box-warning
#17
Nilay Kafali, Ana Progovac, Sherry Shu-Yeu Hou, Benjamin Lê Cook
OBJECTIVE: In October 2004, the Food and Drug Administration directed pharmaceutical companies to issue a black box warning about the potential link between the use of antidepressants and suicidal ideation among children. This study analyzed long-run trends in antidepressant use among children before and after the black box warning for those with and without severe psychological impairment. METHODS: The analysis used data from the Medical Expenditure Panel Survey for children ages five to 17, covering years 2000-2011 (N=75,819)...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241432/correlates-of-reduced-violent-behavior-among-patients-receiving-intensive-treatment-for-posttraumatic-stress-disorder
#18
Alec Buchanan, Elina Stefanovics, Robert A Rosenheck
OBJECTIVE: Posttraumatic stress disorder (PTSD) has been linked to violent behavior, especially among military personnel returning from service in a war zone. Little is known, however, about whether the extent of violent behavior among persons with PTSD changes in response to intensive treatment or about the predictors and correlates of any such change. METHODS: The study examined data from over 35,000 U.S. military veterans treated in specialized intensive Veterans Health Administration PTSD programs...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241431/the-impact-of-a-peer-navigator-program-in-addressing-the-health-needs-of-latinos-with-serious-mental-illness
#19
Patrick Corrigan, Lindsay Sheehan, Scott Morris, Jon E Larson, Alessandra Torres, Juana Lorena Lara, Deysi Paniagua, John I Mayes, Susan Doing
OBJECTIVE: The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial. METHODS: Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to a treatment-as-usual control group (integrated care without a PN) for one year. Data on service engagement (scheduled and received appointments) were assessed weekly, and self-reports of recovery, empowerment, and quality of life were collected at baseline and at four, eight, and 12 months...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241430/past-year-treatment-utilization-among-individuals-meeting-dsm-5-ptsd-criteria-results-from-a-nationally-representative-sample
#20
Andrew C Hale, Rebecca K Sripada, Kipling M Bohnert
OBJECTIVE: Little is known regarding treatment utilization among individuals meeting DSM-5 criteria for posttraumatic stress disorder (PTSD). METHODS: Data were analyzed from the third wave of the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative sample using DSM-5 criteria. RESULTS: Factors related to increased odds of PTSD treatment utilization for individuals meeting lifetime criteria included some college education versus less than a high school degree (odds ratio [OR]=3...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
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