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Psychiatric Services: a Journal of the American Psychiatric Association

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https://www.readbyqxmd.com/read/29759058/impact-of-medical-homes-on-expenditures-and-utilization-for-beneficiaries-with-behavioral-health-conditions
#1
Melissa A Romaire, Vincent Keyes, William J Parish, Konny Kim
OBJECTIVE: Individuals with behavioral health conditions may benefit from enhanced care management provided by a patient-centered medical home (PCMH). In late 2011 and early 2012 Medicare began participating in PCMH initiatives in eight states through the Multi-Payer Advanced Primary Care Practice (MAPCP) demonstration. This study examined how the initiatives addressed the needs of patients with behavioral health conditions and the impacts of the demonstration on expenditures and utilization for this population...
May 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29759057/comparing-costs-of-traditional-and-specialty-probation-for-people-with-serious-mental-illness
#2
Jennifer L Skeem, Lina Montoya, Sarah M Manchak
OBJECTIVE: Specialty mental health probation reduces the likelihood of rearrest for people with mental illness, who are overrepresented in the justice system. This study tested whether specialty probation was associated with lower costs than traditional probation during the two years after placement in probation. METHODS: A longitudinal, matched study compared costs of behavioral health care and criminal justice contacts among 359 probationers with mental illness at prototypic specialty or traditional agencies...
May 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29759056/housing-and-employment-outcomes-for-mental-health-self-direction-participants
#3
Bevin Croft, Nilüfer İsvan, Susan L Parish, Kevin J Mahoney
OBJECTIVE: In self-direction, participants control individual budgets, allocating service dollars according to needs and preferences within program parameters to meet self-defined recovery goals. Mental health self-direction is associated with enhanced wellness and recovery outcomes at lower or similar cost than traditional service arrangements. This study compared outcomes of housing independence and employment between individuals who participated in self-direction and those who did not...
May 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29759055/results-of-a-coordinated-specialty-care-program-for-early-psychosis-and-predictors-of-outcomes
#4
Ilana Nossel, Melanie M Wall, Jennifer Scodes, Leslie A Marino, Sacha Zilkha, Iruma Bello, Igor Malinovsky, Rufina Lee, Marleen Radigan, Thomas E Smith, Lloyd Sederer, Gyojeong Gu, Lisa Dixon
OBJECTIVE: This study prospectively evaluated outcomes of OnTrackNY, a statewide coordinated specialty care (CSC) program for treatment of early psychosis in community settings, as well as predictors of outcomes. METHODS: The sample included 325 individuals ages 16-30 with recent-onset nonaffective psychosis who were enrolled in OnTrackNY and who had at least one three-month follow-up. Clinicians provided data at baseline and quarterly up to one year. Domains assessed included demographic and clinical characteristics, social and occupational functioning, medications, suicidality and violence, hospitalization, and time to intervention...
May 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29759054/successfully-navigating-multiple-electronic-health-records-when-using-telepsychiatry-the-nc-step-experience
#5
Sy Atezaz Saeed
Telepsychiatry is a viable option for providing psychiatric care to those who are currently underserved or who lack access to services, but barriers to its widespread utilization remain. Use of different electronic health record systems (EHRs) by various health care systems is one such barrier. Utilization of different EHRs makes it difficult for providers to review patient data and to document clinical encounters. This column describes a Web portal developed by the North Carolina Statewide Telepsychiatry Program that connects participating hospital emergency departments and remote psychiatric providers, allowing them to share secure electronic health information regarding patient encounters across different EHRs...
May 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29734922/public-willingness-to-pay-to-improve-services-for-individuals-with-serious-mental-illness
#6
Elizabeth M Stone, Emma E McGinty
OBJECTIVE: This study measured Americans' willingness to pay an additional $50 in taxes to improve health care and social services for individuals with serious mental illness. METHODS: A nationally representative online survey was conducted with 1,010 respondents. Analysis examined how respondents' demographic characteristics and attitudes toward individuals with serious mental illness correlated with their willingness to pay additional taxes to improve health care and social services for this vulnerable population...
May 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29734921/on-dignity-and-psychiatry
#7
Meghan Caughey
No abstract text is available yet for this article.
May 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29734920/the-role-of-working-alliance-in-attainment-of-personal-goals-and-improvement-in-quality-of-life-during-psychiatric-rehabilitation
#8
Sarita A Sanches, Jooske T van Busschbach, Harry W C Michon, Jaap van Weeghel, Wilma E Swildens
OBJECTIVE: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used. METHODS: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76)...
May 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29734919/brokering-the-evidence-practice-gap-a-strategy-for-moving-evidence-into-clinical-practice
#9
Lisa S Segre, Stephanie Trusty, Renee Gullickson, Rebecca Chuffo Davila, Michael W O'Hara
Moving novel, evidence-based interventions into broad community use is challenging. This column describes how a midlevel public health administrator acted in the role of broker to link university-based researchers with maternal health clinical staff to successfully implement an innovative, evidence-based maternal depression treatment. Program evaluation assessed adoption, implementation, reach, and effectiveness. In reflecting on this partnership, the broker provided critical elements of access, credibility, and accountability...
May 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29734918/buprenorphine-use-and-spending-for-opioid-use-disorder-treatment-trends-from-2003-to-2015
#10
Andrew W Roberts, Brendan Saloner, Stacie B Dusetzina
OBJECTIVE: This study examined buprenorphine prescription uptake and expenditure trends among privately insured adults from 2003 to 2015 to inform efforts to expand opioid use disorder treatment. METHODS: A study with a repeated cross-sectional design using MarketScan prescription claims data was conducted to describe trends in total and new buprenorphine use and median total, plan, and out-of-pocket expenditures for a 30-day buprenorphine prescription among privately insured adults from 2003 to 2015...
May 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29716449/job-endings-and-work-trajectories-of-persons-receiving-supported-employment-and-cognitive-remediation
#11
Carina Teixeira, Kim T Mueser, E Sally Rogers, Susan R McGurk
OBJECTIVE: This study examined job endings and work trajectories among participants in a study comparing the effects of adding cognitive remediation to supported employment among individuals who had not benefited from supported employment. METHODS: Data were from a controlled trial of 107 persons with serious mental illness enrolled in supported employment but who had not obtained or sustained competitive work. Participants were randomly assigned to enhanced supported employment only (with employment specialists trained to recognize cognitive difficulties and teach coping strategies) or to the Thinking Skills for Work program (enhanced supported employment plus cognitive remediation)...
May 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29716448/the-disabling-effects-of-mental-illness-on-my-education
#12
Patrick W Corrigan
No abstract text is available yet for this article.
May 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29716447/trends-in-results-of-hbips-national-performance-measures-and-association-with-year-of-adoption
#13
Kenneth A Rasinski, Stephen P Schmaltz, Scott C Williams, David W Baker
OBJECTIVE: Multiple studies demonstrate a consistent pattern of improvement on quality measures among health care organizations after they begin collecting and reporting data. This study compared results on psychiatric performance measures among cohorts of hospitals with different characteristics that elected to begin reporting on the measures at various points in time. METHODS: Quarterly reporting of Hospital-Based Inpatient Psychiatric Services (HBIPS) measures to the Joint Commission was used to examine trends in performance among four hospital cohorts that began reporting in 2009 (N=243), 2011 (N=139), 2014 (N=137), or 2015 (N=372)...
May 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29716446/a-systematic-review-of-interventions-to-improve-initiation-of-mental-health-care-among-racial-ethnic-minority-groups
#14
Su Yeon Lee-Tauler, John Eun, Dawn Corbett, Pamela Y Collins
OBJECTIVE: The objective of this systematic review was to identify interventions to improve the initiation of mental health care among racial-ethnic minority groups. METHODS: The authors searched three electronic databases in February 2016 and independently assessed eligibility of 2,065 titles and abstracts on the basis of three criteria: the study design included an intervention, the participants were members of racial-ethnic minority groups and lived in the United States, and the outcome measures included initial access to or attitudes toward mental health care...
May 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29695226/impact-of-agency-receipt-of-incentives-and-reminders-on-engagement-and-continuity-of-care-for-clients-with-co-occurring-disorders
#15
Margaret T Lee, Andrea Acevedo, Deborah W Garnick, Constance M Horgan, Lee Panas, Grant A Ritter, Kevin M Campbell
OBJECTIVE: This study examined whether having co-occurring substance use and mental disorders influenced treatment engagement or continuity of care and whether offering financial incentives, client-specific electronic reminders, or a combination to treatment agencies improved treatment engagement and continuity of care among clients with co-occurring disorders. METHODS: The study used a randomized cluster design to assign agencies (N=196) providing publicly funded substance use disorder treatment in Washington State to a research arm: incentives only, reminders only, incentives and reminders, and a control condition...
April 26, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29695225/inpatient-volume-and-quality-of-mental-health-care-among-patients-with-unipolar-depression
#16
Line Ryberg Rasmussen, Jan Mainz, Mette Jørgensen, Poul Videbech, Søren Paaske Johnsen
OBJECTIVE: The relationship between inpatient volume and the quality of mental health care remains unclear. This study examined the association between inpatient volume in psychiatric hospital wards and quality of mental health care among patients with depression admitted to wards in Denmark. METHODS: In a nationwide, population-based cohort study, 17,971 patients (N=21,120 admissions) admitted to psychiatric hospital wards between 2011 and 2016 were identified from the Danish Depression Database...
April 26, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29695224/availability-of-outpatient-addiction-treatment-and-use-of-emergency-department-services-among-medicaid-enrollees
#17
Christina M Andrews, Melissa Westlake, Nikki Wooten
OBJECTIVE: The study examined whether the number of outpatient addiction programs accepting Medicaid in South Carolina counties is linked to repeat use of the emergency department for addiction-related conditions. METHODS: The study included the population all adult Medicaid enrollees (N=2,401) in South Carolina with at least one addiction-related emergency service visit in 2012 or 2013. A random-effects logistic regression model was used to examine the association between outpatient addiction treatment availability and repeat use by Medicaid enrollees of emergency services for addiction-related conditions...
April 26, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29695223/what-clinicians-say-about-the-experience-of-working-with-individuals-on-community-treatment-orders
#18
Deborah Corring, Richard L O'Reilly, Christina Sommerdyk, Elizabeth Russell
OBJECTIVE: Community treatment orders (CTOs) refer to a variety of legal schemes that require a person with a serious mental illness to follow a plan of treatment and supervision while living in the community. Use of CTOs has been controversial, and they have been the subject of a considerable amount of quantitative and qualitative research. This article reports the results of a systematic review of qualitative studies focused on understanding the views and experiences of clinicians who work with individuals on CTOs...
April 26, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29656711/the-fierce-urgency-of-now-improving-outcomes-for-justice-involved-people-with-serious-mental-illness-and-substance-misuse
#19
Glenda Wrenn, Brian McGregor, Mark Munetz
People with serious mental illness are more likely to be arrested multiple times for the same crime, spend more time in jail before adjudication, serve longer sentences, and have higher recidivism rates than those without mental illness. Several conceptual foundations, such as the sequential intercept model and the risk-needs-responsivity model, have been developed to help communities address the overrepresentation of people with mental illness in the criminal justice system. The Stepping Up Initiative is a national effort to enlist counties to commit to reduce the number of people with mental illness in their jails...
April 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29656710/contact-with-mental-health-services-prior-to-suicide-a-systematic-review-and-meta-analysis
#20
Fredrik A Walby, Martin Øverlien Myhre, Anine Therese Kildahl
OBJECTIVE: Access to mental health care is regarded as a central suicide prevention strategy. This is the first systematic review and meta-analysis of the prevalence of contact with mental health services preceding suicide. METHODS: A systematic search for articles reporting prevalence of contact with mental health services before suicide was conducted in MEDLINE and PsycINFO, restricted to studies published from January 1, 2000, to January 12, 2017. A random-effects meta-analysis with double arcsine transformations was conducted, with meta-regression used to explore heterogeneity...
April 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
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