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Psychiatric Services: a Journal of the American Psychiatric Association

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https://read.qxmd.com/read/30991909/ten-years-after-the-ada-amendment-act-2008-the-relationship-between-ada-employment-discrimination-and-substance-use-disorders
#1
Elie G Aoun, Paul S Appelbaum
OBJECTIVE: Title I of the Americans with Disabilities Act (ADA) provides protection against discrimination on the basis of disability. This article explores how the courts have dealt with provisions limiting these protections for persons with substance use disorders. Specifically, the ADA allows employees with substance use disorders to be held to the same standards as other employees, suggesting that employers may not be required to provide reasonable accommodations. Moreover, employees "currently engaging in the illegal use of drugs" are excluded from ADA coverage...
April 17, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30991908/outcomes-of-psychoeducation-and-a-text-messaging-adherence-intervention-among-individuals-with-hypertension-and-bipolar-disorder
#2
Jennifer B Levin, Martha Sajatovic, Mahboob Rahman, Michelle E Aebi, Curt Tatsuoka, Colin Depp, Clint Cushman, Elaine Johnston, Kristin A Cassidy, Carol Blixen, Logan Eskew, Peter J Klein, Edna Fuentes-Casiano, David J Moore
OBJECTIVE: This study evaluated the feasibility, acceptability, and preliminary efficacy of psychoeducation plus an automated text messaging intervention (Individualized Texting for Adherence Building-Cardiovascular [iTAB-CV]) to improve adherence to antihypertensives and bipolar disorder medication. METHODS: After a psychoeducation program, iTAB-CV was administered for 2 months. In month 1, participants received one educational-motivational and one mood rating text daily...
April 17, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30991907/mental-health-status-need-and-unmet-need-for-mental-health-services-among-u-s-pacific-islanders
#3
Andrew M Subica, Nia Aitaoto, Bruce G Link, Ann Marie Yamada, Benjamin F Henwood, Greer Sullivan
OBJECTIVE: This study examined the mental health status, need for services, and unmet need of community-dwelling Native Hawaiian and other Pacific Islanders (NHPI). METHODS: Survey data were collected from 223 NHPI adults of Samoan or Marshallese heritage. Surveys were translated into Samoan and Marshallese by using back-translation, with feedback from cultural experts. Severity of depression, anxiety, and alcohol use were measured, as were perceived need for and avoidance of, or delay in, seeking mental health services...
April 17, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30966947/mental-health-trends-in-military-pediatrics
#4
Elizabeth Hisle-Gorman, Apryl Susi, Gregory H Gorman
OBJECTIVE: Childhood psychiatric disorders affect current functioning and predispose individuals to more severe adult mental health problems. Provider survey research has suggested that children's mental health problems are increasing; observed changes may be due to increased illness or improved access to care. The authors sought to quantify trends in the prevalence of diagnosed and treated mental health conditions, outpatient treatment, and psychiatric medication prescriptions in a large population of children who were continuously insured...
April 10, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30966946/recommendations-and-challenges-of-the-clinical-services-panel-of-the-phenx-early-psychosis-working-group
#5
Lisa Dixon, Nev Jones, Rachel Loewy, Diana Perkins, Tamara Sale, Wayne Huggins, Carol Hamilton
Coordinated specialty care (CSC) is a promising multielement treatment for the care of individuals experiencing the onset of schizophrenia. The community mental health block grant program has increased federal support for CSC programs. In order to maximize the number of sites capable of science-to-service or service-to-science translation, the National Institute of Mental Health funded a supplement to the PhenX toolkit consisting of measures for early psychosis. The early psychosis working group included translational research and clinical services panels...
April 10, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30966945/embedding-recovery-to-transform-inpatient-mental-health-care-the-333-model
#6
Manaan Kar Ray, Chiara Lombardo, Zahoor Syed, Nitin Patel, Chess Denman, Peter B Jones
OBJECTIVE: The 333 model is a radical redesign of acute mental health care. Time-limited inpatient pathways for assessment (≤3 days), treatment (≤3 weeks), and recovery (≤3 months) replaced traditional geographical-sector wards. By making beds available, 333 aspired to improve access, deliver early treatment, and shorten hospital stays-generating savings through reductions in beds and out-of-area placements (OAPs). This article compares the model's performance against national benchmarking and internal targets...
April 10, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30966944/adoption-by-va-residential-programs-of-two-evidence-based-psychotherapies-for-ptsd-effect-on-patient-outcomes
#7
Joan M Cook, Paula P Schnurr, Vanessa Simiola, Richard Thompson, Rani Hoff, Ilan Harpaz-Rotem
OBJECTIVE: This observational study examined the association between patient outcomes at 39 U.S. Department of Veterans Affairs residential treatment programs for veterans with posttraumatic stress disorder (PTSD) and the degree of adoption of two evidence-based psychotherapies, prolonged exposure and cognitive processing therapy. The hypothesis was that a higher degree of adoption would be associated with better outcomes. METHODS: Providers (N=171) completed a qualitative interview and quantitative survey about their level of adoption of prolonged exposure delivered individually and cognitive processing therapy delivered in individual or group formats...
April 10, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30966943/mental-health-treatment-and-unmet-mental-health-care-need-among-pregnant-women-with-major-depressive-episode-in-the-united-states
#8
Maria X Sanmartin, Mir M Ali, Jie Chen, Debra S Dwyer
OBJECTIVE: Perinatal mental health is a major public health issue in the United States. Yet, much is unknown about unmet mental health care need among pregnant women with a major depressive episode and the reasons for unmet need. METHODS: Using a nationally representative data set, the study examined mental health treatment utilization, unmet mental health care need, and the reasons for unmet mental health care needs among pregnant women with a major depressive episode compared with nonpregnant women with a major depressive episode (weighted N=128,000)...
April 10, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30947638/impact-of-a-service-line-management-model-on-behavioral-health-care-in-the-military-health-system
#9
Christopher G Ivany, Kelly W Bickel, Tari Rangel, James Sarver, Joann Dinkel-Holzer, Dennis M Sarmiento, Charles W Hoge
Large health care systems are seeking to reduce variation in care delivery and improve outcomes. This column describes the U.S. Army health care system's transformation to a service line management model and the impact on behavioral health care between 2013 and 2017. An evaluation found a promising association between the service line model and greater use of standard outpatient clinical programs, more frequent engagement of patients with serious conditions, and less use of inpatient services. The observational nature of these preliminary findings does not permit causal inferences; however, the service line model may help health care systems reduce variation between geographically distinct care delivery locations and improve performance...
April 5, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30947637/establishment-of-a-comprehensive-inpatient-suicide-prevention-network-by-using-health-care-failure-mode-and-effect-analysis
#10
Te-Chang Changchien, Yung-Chieh Yen, Ying-Jhu Wang, Yang-Chin Chang, Reng-Sheng Ju, Po-Feng Yen, Yu-Ting Cheng, Mei-Ling Shih, Yu-Hui Huang
Inpatient suicide is a common sentinel event. However, evidence supporting effective inpatient suicide prevention measures is currently lacking. In this project, health care failure mode and effect analysis was used in a general hospital quality improvement process to identify suicide risk and reduce inpatient suicide behavior. Interventions were designed to improve steps in the process with the highest risk of failure, resulting in significantly higher consultation rates and reduction of attempted suicide.
April 5, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30947636/effect-of-mobile-health-on-in-person-service-use-among-people-with-serious-mental-illness
#11
Dror Ben-Zeev, Benjamin Buck, Kevin Hallgren, Robert E Drake
OBJECTIVE: This study examined whether mobile health (mHealth) affects the use of in-person services among people with serious mental illness. METHODS: This randomized comparative effectiveness trial evaluated minutes of service use among 163 participants for 3 months before, during, and after exposure to mHealth or clinic-based care. RESULTS: mHealth and clinic-based care participants used fewer services during the intervention (9% and 14%, respectively) and follow-up (2% and 12%) periods than during the preintervention phase...
April 5, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30947635/risks-to-privacy-with-use-of-social-media-understanding-the-views-of-social-media-users-with-serious-mental-illness
#12
John A Naslund, Kelly A Aschbrenner
OBJECTIVE: Social media may afford new opportunities to enhance mental health services; however, privacy risks have received less attention. This study explored privacy risks of using social media for reasons related to mental health from the perspectives of social media users with serious mental illness. METHODS: Twitter users who self-identified in their profile as having a serious mental illness participated in an online survey inquiring whether they were ever concerned about risks to their privacy when using social media for anything related to their mental illness...
April 5, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30947634/reduction-of-postdischarge-suicidal-behavior-among-adolescents-through-a-telephone-based-intervention
#13
Manivel Rengasamy, Garrett Sparks
OBJECTIVE: Brief telephone follow-up for a patient with suicidal tendencies after he or she has been discharged from an emergency room or hospital has been shown to decrease subsequent suicide attempts. However, despite the high rate of suicidal behavior in adolescents, this intervention has not been examined in this population. As part of a quality improvement intervention, postdischarge telephone contacts were used to attempt to reduce suicidal behavior and inpatient rehospitalizations among adolescents...
April 5, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30914003/user-engagement-in-mental-health-apps-a-review-of-measurement-reporting-and-validity
#14
Michelle M Ng, Joseph Firth, Mia Minen, John Torous
OBJECTIVE: Despite the potential benefits of mobile mental health apps, real-world results indicate engagement issues because of low uptake and sustained use. This review examined how studies have measured and reported on user engagement indicators (UEIs) for mental health apps. METHODS: A systematic review of multiple databases was performed in July 2018 for studies of mental health apps for depression, bipolar disorder, schizophrenia, and anxiety that reported on UEIs, namely usability, user satisfaction, acceptability, and feasibility...
March 27, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30914002/estimated-staff-time-effort-costs-and-medicaid-revenues-for-coordinated-specialty-care-clinics-serving-clients-with-first-episode-psychosis
#15
Thomas E Smith, Margaret Kurk, Rishi Sawhney, Yuhua Bao, Ilana Nossel, Dana E Cohen, Lisa B Dixon
As coordinated specialty care for first-episode psychosis is implemented nationally, questions arise regarding financial sustainability. To address this, New York State undertook a time study in which 13 coordinated specialty care sites reported all activities provided to 75 randomly selected Medicaid clients with first-episode psychosis over a 2-week period. The average estimated cost was $1,375 per client per month, yet under optimal billing conditions, estimated revenues were only $662 per client per month, or 48% of the costs...
March 27, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30914001/psychiatric-symptoms-and-diagnoses-among-u-s-college-students-a-comparison-by-race-and-ethnicity
#16
Justin A Chen, Courtney Stevens, Sylvia H M Wong, Cindy H Liu
OBJECTIVE: The mental health challenges of college students are a critical public health concern, and they may be exacerbated among racial and ethnic minority groups. Unfortunately, there is a lack of recent large-scale research on this topic. This study provides an update on the mental health experiences of U.S. college students from minority backgrounds. METHODS: This is a retrospective analysis of cross-sectional data from the spring 2015 administration of the American College Health Association-National College Health Assessment (ACHA-NCHA IIB)...
March 27, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30890049/critical-periods-for-increased-mortality-after-discharge-from-inpatient-mental-health-units-opportunities-for-prevention
#17
Ira R Katz, Talya Peltzman, Jenefer M Jedele, John F McCarthy
OBJECTIVE: Studies of patients in the U.S. Department of Veterans Affairs (VA) health system and elsewhere have documented elevated mortality from suicide during a critical period within 30 to 90 days after discharge from inpatient mental health units. To support program planning, VA evaluated whether the elevated mortality during this critical period was specific to suicide or whether there were similar increases in other causes of death. METHODS: Indicators of age, gender, inpatient diagnoses, and suicide attempts and ideation from VA records were combined with indicators of vital status and cause of death from the National Death Index...
March 20, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30890048/the-rise-of-early-psychosis-care-in-california-an-overview-of-community-and-university-based-services
#18
Tara A Niendam, Angela Sardo, Mark Savill, Pooja Patel, Guibo Xing, Rachel L Loewy, Carolyn S Dewa, Joy Melnikow
OBJECTIVE: California's Mental Health Services Act Prevention and Early Intervention funds provide a unique opportunity for counties to initiate programs focused on early intervention in mental health, including early psychosis. To explain the configuration of early psychosis programs and plan for a statewide evaluation, this report provides an overview of California's early psychosis programming, including service composition, funding sources, inclusion criteria, and data collection practices...
March 20, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30890047/impacts-of-a-web-based-course-on-mental-health-clinicians-attitudes-and-communication-behaviors-related-to-use-of-opennotes
#19
Steven K Dobscha, Emily A Kenyon, Maura K Pisciotta, Meike Niederhausen, Susan Woods, Lauren M Denneson
OBJECTIVE: The OpenNotes initiative encourages health care systems to provide patients online access to clinical notes. Some individuals have expressed concerns about use of OpenNotes in mental health care. This study evaluated changes in mental health clinicians' attitudes and communications with patients after participation in a Web-based course designed to reduce potential for unintended consequences and enhance likelihood of positive outcomes of OpenNotes. METHODS: All 251 mental health clinicians (physicians, nurse practitioners, psychologists, and social workers) of a large U...
March 20, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/30841844/self-injurious-behavior-among-adults-with-asd-hospitalizations-length-of-stay-and-costs-of-resources-to-deliver-care
#20
Morgan C Shields, Ilhom Akobirshoev, Robert S Dembo, Monika Mitra
OBJECTIVE: Research on hospitalizations related to self-injurious behavior and ideation among adults with autism spectrum disorder (ASD) is limited. This study compared admissions, average length of stay, and costs of resources to deliver care for such hospitalizations between adults with and without ASD. METHODS: The 2014 Healthcare Cost and Utilization Project National Inpatient Sample was used to compare 5,341 discharge records for adults with ASD and 16,023 records for adults without ASD, matched on age and gender in a 1:3 ratio...
March 7, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
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