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Psychiatric Services: a Journal of the American Psychiatric Association

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https://www.readbyqxmd.com/read/28045353/trends-in-the-inclusion-of-mental-health-providers-in-medicare-shared-savings-program-acos
#1
Julia Driessen, Yuting Zhang
OBJECTIVE: The study evaluated the presence of mental health providers in the Medicare Shared Savings Program (MSSP) accountable care organizations. METHODS: On the basis of data for all 105,155 providers participating in the 220 MSSPs in 2012 and 2013, MSSPs were classified by whether they included psychiatrists, psychologists, or clinical social workers. Descriptive statistics were calculated, including the number and type of mental health providers. RESULTS: The inclusion of mental health providers varied substantially over time and across MSSPs...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28045352/antidepressant-prescribing-in-primary-care-to-older-adults-without-major-depression
#2
Donovan T Maust, Jo Anne Sirey, Helen C Kales
OBJECTIVE: The study compared distress levels among two groups of older adults who had been newly prescribed an antidepressant by their primary care physician, those with major depressive disorder (MDD) and those without MDD. METHODS: This analysis used a convenience sample of participants (N=231) who had been newly prescribed an antidepressant in a randomized controlled trial of a program to improve antidepressant adherence and depression outcomes among older adults (≥55)...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28045351/primary-care-mental-health-integration-in-the-va-health-system-associations-between-provider-staffing-and-quality-of-depression-care
#3
Debra S Levine, John F McCarthy, Brittany Cornwell, Laurie Brockmann, Paul N Pfeiffer
OBJECTIVES: The study examined whether staffing of Primary Care-Mental Health Integration (PCMHI) services in the Department of Veterans Affairs (VA) health system is related to quality of depression care. METHODS: Site surveys and administrative data from 349 VA facilities for fiscal year 2013 were used to calculate PCMHI staffing (full-time equivalents) per 10,000 primary care patients and discipline-specific staffing proportions for PCMHI psychologists, social workers, nurses, and psychiatric medication prescribers...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28045350/social-stigma-toward-persons-with-prescription-opioid-use-disorder-associations-with-public-support-for-punitive-and-public-health-oriented-policies
#4
Alene Kennedy-Hendricks, Colleen L Barry, Sarah E Gollust, Margaret E Ensminger, Margaret S Chisolm, Emma E McGinty
OBJECTIVE: Prescription opioid use disorder and overdose have emerged as significant public health challenges in the past 15 years. Little is known about public attitudes toward individuals who have developed a prescription opioid use disorder and whether these attitudes affect support for policy interventions. This study examined social stigma toward individuals with prescription opioid use disorder and tested whether stigma was associated with support for various policy interventions...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28045349/first-presentation-with-psychotic-symptoms-in-a-population-based-sample
#5
Gregory E Simon, Karen J Coleman, Bobbi Jo H Yarborough, Belinda Operskalski, Christine Stewart, Enid M Hunkeler, Frances Lynch, David Carrell, Arne Beck
OBJECTIVE: Increasing evidence supports the effectiveness of comprehensive early intervention at first onset of psychotic symptoms. Implementation of early intervention programs will require population-based data on overall incidence of psychotic symptoms and on care settings of first presentation. METHODS: In five large health care systems, electronic health records data were used to identify all first occurrences of psychosis diagnoses among persons ages 15-59 between January 1, 2007, and December 31, 2013 (N=37,843)...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28045348/the-impact-of-increasing-staff-resources-on-patient-flow-in-a-psychiatric-emergency-service
#6
Lara Chepenik, Edieal Pinker
OBJECTIVE: The study illustrates the use of approaches based on queuing theory to understand bottlenecks in patient flow. A queuing simulation was used to predict the potential benefits of additional clinical personnel on patient flow through a psychiatric emergency service (PES). METHODS: A discrete-event simulation model was calibrated on the basis of two months of data collected in a PES. This model examined the effects of adding between .5 (half-time) and three additional providers to the 8 a...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28045347/depression-treatment-among-elderly-medicare-beneficiaries-with-incident-cases-of-cancer-and-newly-diagnosed-depression
#7
Monira Alwhaibi, Suresh Madhavan, Thomas Bias, Kimberly Kelly, Jamie Walkup, Usha Sambamoorthi
OBJECTIVE: Depression treatment can improve the health outcomes of elderly cancer survivors. There is a paucity of studies on the extent to which depression is treated among elderly cancer survivors. Therefore, this study estimated the rates of depression treatment among elderly cancer survivors and identified the factors affecting depression treatment. METHODS: A retrospective cohort study design was adopted, and data were obtained from the linked Surveillance, Epidemiology and End Results (SEER) and Medicare database...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27974005/carrots-and-sticks-on-opposite-sides-of-the-atlantic-integration-incentives-for-people-with-serious-mental-illness-in-england
#8
Parashar Pravin Ramanuj, Joshua Breslau, Geraldine Strathdee, Brigitta Spaeth-Rublee, Harold Alan Pincus
Integrating care pathways between primary and specialist mental health care is seen as integral to improving the health of people with mental illness. Multiple integration initiatives have been implemented, but few have tried to integrate care for people with serious mental illness. This column describes two such initiatives in the United States and in England. The two schemes are compared according to the population they target, payment mechanisms, accountability structures, service delivery, outcomes, and lessons learned...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27974004/barriers-to-integrating-mental-health-services-in-community-based-primary-care-settings-in-mexico-city-a-qualitative-analysis
#9
William Martinez, Jorge Galván, Nayelhi Saavedra, Shoshana Berenzon
OBJECTIVE: Despite the high prevalence of mental disorders in Mexico, minimal mental health services are available and there are large gaps in mental health treatment. Community-based primary care settings are often the first contact between patients and the health system and thus could serve as important settings for assessing and treating mental disorders. However, no formal assessment has been undertaken regarding the feasibility of implementing these services in Mexico. Before tools are developed to undertake such an assessment, a more nuanced understanding of the microprocesses affecting mental health service delivery must be acquired...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27974003/the-mental-health-parity-and-addiction-equity-act-mhpaea-evaluation-study-impact-on-quantitative-treatment-limits
#10
Amber Gayle Thalmayer, Sarah A Friedman, Francisca Azocar, Jessica M Harwood, Susan L Ettner
OBJECTIVE: The Mental Health Parity and Addiction Equity Act (MHPAEA) significantly changed regulations governing behavioral health benefits for large, commercially insured employers. Pre-MHPAEA, many plans covered only a specific number of behavioral health treatment days or visits; post-MHPAEA, such quantitative treatment limits (QTLs) were allowed only if they were "at parity" with medical-surgical limits. This study assessed MHPAEA's effect on the prevalence of behavioral health QTLs...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27974002/psychological-distress-and-rates-of-health-insurance-coverage-and-use-and-affordability-of-mental-health-services-2013-2014
#11
Peter Lee Phalen
OBJECTIVE: The study compared changes in rates of health insurance coverage, utilization and affordability of mental health services, and reported satisfaction with health coverage between 2013 and 2014 for people in moderate and severe psychological distress with people in no or low psychological distress. METHODS: A nationally representative data set restricted to participants ages 26 to 65 (N=35,602) was used. Changes in outcome measures were calculated by using linear regression adjusted for the complex survey design...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27974001/technology-in-mental-health-creating-new-knowledge-and-inventing-the-future-of-services
#12
Dror Ben-Zeev
The mental health services now in place are intrinsically linked with the technology that has been at our disposal for decades of research and practice. Advancements in Web, mobile, sensor, and informatics technology can do more than serve as tools to enhance existing models of care. Novel technologies can help us better understand the very nature of mental illness and revise our fundamental assumptions about the structure, boundaries, and modalities of mental health treatment. Recognizing the unprecedented opportunities new technology offers to improve the outcomes of people with mental illness, Psychiatric Services announces a new column on technology and mental health...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27974000/characteristics-of-hospital-emergency-room-visits-for-mental-and-substance-use-disorders
#13
Toluwalope Ayangbayi, Albert Okunade, Mustafa Karakus, Thierry Nianogo
OBJECTIVE: This study compared characteristics of visits to emergency rooms (ERs) for mental and substance use disorders and for physical health conditions to establish a baseline against which to measure changes after full implementation of the Affordable Care Act (ACA) and parity legislation. METHODS: The retrospective, cross-sectional analysis fit a logistic regression model to pooled data comprising 193,526 observations from National Hospital Ambulatory Medical Care Survey (NHAMCS) data from 2005 to 2011...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27973999/ontrackny-the-development-of-a-coordinated-specialty-care-program-for-individuals-experiencing-early-psychosis
#14
Iruma Bello, Rufina Lee, Igor Malinovsky, Liza Watkins, Ilana Nossel, Thomas Smith, Hong Ngo, Michael Birnbaum, Leslie Marino, Lloyd I Sederer, Marleen Radigan, Gyojeong Gu, Susan Essock, Lisa B Dixon
OnTrackNY is a coordinated specialty care program that delivers early intervention services to youths experiencing a first episode of nonaffective psychosis. Treatment aims to help individuals improve their mental health and achieve personal goals related to work, school, and social relationships. This column describes OnTrackNY's progression from a research project to real-world implementation. The authors describe the treatment model, approach to training and dissemination, and procedures for collecting and sharing data with OnTrackNY teams and provide data on client characteristics and selected outcomes...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27903145/changes-in-coding-of-suicide-attempts-or-self-harm-with-transition-from-icd-9-to-icd-10
#15
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
#16
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
#17
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
#18
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/27903140/can-we-pay-for-performance-in-behavioral-health-care
#19
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
#20
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
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