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Psychiatric Services: a Journal of the American Psychiatric Association

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https://www.readbyqxmd.com/read/27903145/changes-in-coding-of-suicide-attempts-or-self-harm-with-transition-from-icd-9-to-icd-10
#1
Christine Stewart, Phillip M Crawford, Gregory E Simon
No abstract text is available yet for this article.
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903144/parent-burden-in-accessing-outpatient-psychiatric-services-for-adolescent-depression-in-a-large-state-system
#2
Kaitlin P Gallo, S Serene Olin, Amy Storfer-Isser, Briannon C O'Connor, Emma D Whitmyre, Kimberly E Hoagwood, Sarah McCue Horwitz
OBJECTIVE: This study examined barriers facing parents who seek outpatient psychiatric care in a large state system for adolescents with depression. METHODS: A total of 264 outpatient facilities licensed to treat youths in New York were contacted by using a mystery shopper methodology. Callers tracked the number of call attempts, in-person appointments, and other steps required prior to seeing a psychiatrist. RESULTS: Fewer than two-thirds of parents made a psychiatry, therapy, or intake appointment...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903143/incarcerated-women-s-experiences-and-beliefs-about-psychotropic-medication-an-empirical-study
#3
Kia J Bentley, Rachel C Casey
OBJECTIVE: Research has consistently shown that incarcerated women experience mental illness at disproportionate rates and heavily use psychiatric medication. This study examined factors related to incarcerated women's experiences and beliefs about psychotropic medications. METHODS: The researchers conducted a survey with 274 women incarcerated at a medium-security correctional institution in a Mid-Atlantic state. A 35-item questionnaire was created that solicited data on, among other things, experiences with and perceptions of psychotropic medication use and locus of control...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903142/systematic-literature-review-of-general-health-care-interventions-within-programs-of-assertive-community-treatment
#4
Erik R Vanderlip, Benjamin F Henwood, Debra R Hrouda, Piper S Meyer, Maria Monroe-DeVita, Lynette M Studer, April J Schweikhard, Lorna L Moser
OBJECTIVE: Assertive community treatment (ACT) is one of the few evidence-based practices for adults with severe mental illness. Interest has slowly waned for ACT implementation. Yet ACT remains an appealing services platform to achieve the triple aim of health care reform (improved health outcomes, reduced cost, and improved satisfaction) through integration of primary care and behavioral health services. This review highlights the evidence for ACT to improve general medical outcomes, reduce treatment costs, and increase access to treatment...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903141/does-the-second-amendment-protect-the-gun-rights-of-persons-with-mental-illness
#5
Paul S Appelbaum
Under federal law, persons who have been involuntarily hospitalized for psychiatric reasons are permanently barred from gun possession. That policy was challenged in 2012 by a Michigan man who had been committed 25 years earlier and who was blocked in 2011 from buying a gun. Considering his claim, the Sixth Circuit held that people with mental illness are not categorically excluded from Second Amendment protection and that an irreversible lifetime ban was unconstitutional. Although many mental health organizations and practitioners favor gun restrictions, they oppose discriminatory treatment of persons with mental illness, creating ambivalence about the decision, which presages greater involvement of mental health professionals in decisions regarding gun rights restoration...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903140/can-we-pay-for-performance-in-behavioral-health-care
#6
Rebecca E Stewart, Ishara Lareef, Trevor R Hadley, David S Mandell
Pay for performance (P4P) has become a popular strategy to reward quality and cost-efficiency in behavioral health care and other health care disciplines. This column presents the results of a literature review of P4P in behavioral health care. Fifteen empirical studies evaluating the outcomes of behavioral health services provided in a P4P system were identified. The limited data suggest that P4P can achieve its desired effect. More research is needed on outcomes, performance, and unintended consequences.
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903139/diversion-of-veterans-with-criminal-justice-involvement-to-treatment-courts-participant-characteristics-and-outcomes
#7
Jack Tsai, Bessie Flatley, Wesley J Kasprow, Sean Clark, Andrea Finlay
OBJECTIVE: This study compared characteristics and outcomes between veterans who participated in veterans treatment courts (VTCs) and veterans involved in criminal justice who participated in other treatment courts (TCs) or who participated in neither VTCs or TCs. METHODS: Data from 22,708 veterans (N=8,083 VTC participants, 680 participants in other TCs [other-TC participants], and 13,945 participants in neither VTCs nor TCs [non-TC participants]) in the Veterans Justice Outreach (VJO) program were analyzed by using multilevel regression models...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903138/partnerships-between-health-care-and-legal-providers-in-the-veterans-health-administration
#8
Jack Tsai, Margaret Middleton, Randye Retkin, Cindy Johnson, Kevin Kenneally, Scott Sherman, Robert A Rosenheck
Medical-legal partnerships (MLPs) represent an innovative service model in which lawyers are integrated into health care teams to address diverse legal problems that affect vulnerable populations. The Veterans Health Administration (VHA) operates the largest safety-net health care system in the country and serves many low-income and disabled veterans who could benefit from MLP services. In this column, the authors describe the development and operations of MLPs at four VHA medical centers that serve veterans who are homeless or who have serious mental illness...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903137/consumer-outcomes-after-implementing-commonground-as-an-approach-to-shared-decision-making
#9
Michelle P Salyers, Sadaaki Fukui, Kelsey A Bonfils, Ruth L Firmin, Lauren Luther, Rick Goscha, Charles A Rapp, Mark C Holter
OBJECTIVE: The authors examined consumer outcomes before and after implementing CommonGround, a computer-based shared decision-making program. METHODS: Consumers with severe mental illness (N=167) were interviewed prior to implementation and 12 and 18 months later to assess changes in active treatment involvement, symptoms, and recovery-related attitudes. Providers also rated consumers on level of treatment involvement. RESULTS: Most consumers used CommonGround at least once (67%), but few used the program regularly...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903136/outcomes-of-a-psychoeducational-intervention-to-reduce-internalized-stigma-among-psychosocial-rehabilitation-clients
#10
Alicia Lucksted, Amy L Drapalski, Clayton H Brown, Camille Wilson, Melanie Charlotte, Audrina Mullane, Li Juan Fang
OBJECTIVE: This community-based randomized controlled trial was carried out to test the Ending Self-Stigma (ESS) psychoeducational intervention, which is designed to help adults with serious mental illnesses reduce internalization of mental illness stigma and its effects. METHODS: A total of 268 adults from five different mental health programs in Maryland took part. After baseline interview, consenting participants were randomly assigned to the nine-week ESS intervention or a minimally enhanced treatment-as-usual control condition...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903135/support-for-relatives-bereaved-by-psychiatric-patient-suicide-national-confidential-inquiry-into-suicide-and-homicide-findings
#11
Alexandra L Pitman, Isabelle M Hunt, Sharon J McDonnell, Louis Appleby, Navneet Kapur
OBJECTIVES: International suicide prevention strategies recommend providing support to families bereaved by suicide. The study objectives were to measure the proportion of cases in which psychiatric professionals contact next of kin after a patient's suicide and to investigate whether specific, potentially stigmatizing patient characteristics influence whether the family is contacted. METHODS: Annual survey data from England and Wales (2003-2012) were used to identify 11,572 suicide cases among psychiatric patients...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842475/evaluation-of-antistigma-interventions-with-sixth-grade-students-a-school-based-field-experiment
#12
Kirstin Painter, Jo C Phelan, Melissa J DuPont-Reyes, Kay F Barkin, Alice P Villatoro, Bruce G Link
OBJECTIVE: School-based interventions for preadolescents provide the opportunity, in a ubiquitous institutional setting, to attack stigmatizing attitudes before they are firmly entrenched, and thus they may reduce mental illness stigma in the overall population. This study evaluated the effectiveness of classroom-based interventions in reducing stigma and increasing understanding of mental illness and positive attitudes toward treatment seeking among sixth-grade students. METHODS: In an ethnically and racially diverse sample (N=721), 40% of participants were Latino, 26% were white, and 24% were African American; the mean age was 11...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842474/a-cross-diagnostic-investigation-of-the-differential-impact-of-discrimination-on-clinical-and-personal-recovery
#13
Winnie W S Mak, Randolph C H Chan, Samuel Y S Wong, Joseph T F Lau, Wai Kwong Tang, Alan K L Tang, Tin Po Chiang, Sammy K W Cheng, Fu Chan, Fanny M Cheung, Jean Woo, Diana T F Lee
OBJECTIVE: Although the negative association between discrimination and recovery has been established, only a few studies have attempted to investigate the underlying mechanism of how perceived discrimination dampens both clinical and personal recovery among people with psychiatric disorders. This study aimed to examine the mediating roles of self-stigma and mental health service engagement in the relationship between perceived discrimination and recovery. METHODS: A total of 374 people (half men and half women; meanĀ±SD age=43...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842473/a-virtual-hope-box-randomized-controlled-trial-of-a-smartphone-app-for-emotional-regulation-and-coping-with-distress
#14
Nigel E Bush, Derek J Smolenski, Lauren M Denneson, Holly B Williams, Elissa K Thomas, Steven K Dobscha
OBJECTIVE: The purpose of this study was to assess the impact of the Virtual Hope Box (VHB), a smartphone app to improve stress coping skills, suicidal ideation, and perceived reasons for living among patients at elevated risk of suicide and self-harm. METHODS: The authors conducted a parallel-group randomized controlled trial with two groups of U.S. service veterans in active mental health treatment who had recently expressed suicidal ideation. Between March 2014 and April 2015, 118 patients were enrolled in the study...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842472/how-occupationally-high-achieving-individuals-with-a-diagnosis-of-schizophrenia-manage-their-symptoms
#15
Amy N Cohen, Alison B Hamilton, Elyn R Saks, Dawn L Glover, Shirley M Glynn, John S Brekke, Stephen R Marder
OBJECTIVE: The study objective was to elucidate coping strategies utilized by individuals recovered from schizophrenia. METHODS: This qualitative study enrolled individuals with schizophrenia who had reached a level of recovery defined by their occupational status. Diagnosis of schizophrenia was confirmed with the Structured Clinical Interview for DSM-IV. Current symptoms were objectively rated by a clinician. Surveys gathered information on demographic characteristics, occupation, salary, psychiatric history, treatment, and functioning...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842471/the-use-of-an-interpreter-during-a-forensic-interview-challenges-and-considerations
#16
Ryan Colt Wagoner
The purpose of this Open Forum is to detail the unique considerations present when using an interpreter in a forensic interview, including whether it is appropriate to take the case, the practical aspects of working with an interpreter, and whether the use of standardized instruments is indicated. While working with the interpreter, a forensic psychiatrist can enhance the interview by discussing the purpose of the interview with the interpreter before it takes place, encouraging accurate translation of information, reviewing incorrect or unusual responses to questions, and considering the evaluee's cultural beliefs...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842470/effectiveness-of-collaborative-care-for-depression-in-public-sector-primary-care-clinics-serving-latinos
#17
Isabel T Lagomasino, Megan Dwight-Johnson, Jennifer M Green, Lingqi Tang, Lily Zhang, Naihua Duan, Jeanne Miranda
OBJECTIVE: Quality improvement interventions for depression care have been shown to be effective for improving quality of care and depression outcomes in settings with primarily insured patients. The aim of this study was to determine the impact of a collaborative care intervention for depression that was tailored for low-income Latino patients seen in public-sector clinics. METHODS: A total of 400 depressed patients from three public-sector primary care clinics were enrolled in a randomized controlled trial of a tailored collaborative care intervention versus enhanced usual care...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842469/lost-keys-understanding-service-providers-impressions-of-frequent-visitors-to-psychiatric-emergency-services-in-singapore
#18
Daniel Poremski, Ganesh Kunjithapatham, Doris Koh, Xin Ya Lim, Mark Alexander, Cheng Lee
OBJECTIVE: This study used administrative data to identify characteristics of frequent users of Singapore's largest specialized psychiatric emergency department (ED). Qualitative interviews were conducted to understand staff opinions of frequent visitors. METHODS: Data were from administrative records of all adult visits to the ED (N=16,123 visits of 10,108 individual users) in 2014. Random-effects logistic regressions were used to identify demographic and diagnostic characteristics of frequent visitors...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842468/the-role-of-faith-based-organizations-in-the-depression-care-of-african-americans-and-hispanics-in-los-angeles
#19
Michelle Dalencour, Eunice C Wong, Lingqi Tang, Elizabeth Dixon, Aziza Lucas-Wright, Kenneth Wells, Jeanne Miranda
OBJECTIVE: This study examined use of depression care provided by faith-based organizations (FBOs) by African Americans and Hispanics and factors associated with the receipt of such care, including mental illness severity and use of traditional mental health services. METHODS: The study used baseline data from the Community Partners in Care study, a group-randomized trial comparing a community-partnered approach with a technical-assistance approach to improving depression care in underresourced communities in Los Angeles...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27842467/the-changing-context-of-rural-america-a-call-to-examine-the-impact-of-social-change-on-mental-health-and-mental-health-care
#20
Elizabeth Carpenter-Song, Claire Snell-Rood
Recent social changes and rising social inequality in the rural United States have affected the experience and meaning of mental illness and treatment seeking within rural communities. Rural Americans face serious mental health disparities, including higher rates of suicide and depression compared with residents of urban areas, and substance abuse rates in rural areas now equal those in urban areas. Despite these increased risks, people living in rural areas are less likely than their urban counterparts to seek or receive mental health services...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
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