MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Psychiatr Serv' source. Fri, 02 Dec 2011 23:13:54 +0100 http://www.medworm.com/index.php?rid=5283040&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1238%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283040 Mon, 03 Oct 2011 04:00:00 +0100 5283040 http://www.medworm.com/index.php?rid=5283039&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1237-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283039 Mon, 03 Oct 2011 04:00:00 +0100 5283039 http://www.medworm.com/index.php?rid=5283038&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1237%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283038 Mon, 03 Oct 2011 04:00:00 +0100 5283038 http://www.medworm.com/index.php?rid=5283037&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1235-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283037 Mon, 03 Oct 2011 04:00:00 +0100 5283037 http://www.medworm.com/index.php?rid=5283036&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1235%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283036 Mon, 03 Oct 2011 04:00:00 +0100 5283036 http://www.medworm.com/index.php?rid=5283035&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1234-b%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283035 Mon, 03 Oct 2011 04:00:00 +0100 5283035 http://www.medworm.com/index.php?rid=5283034&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1234-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283034 Mon, 03 Oct 2011 04:00:00 +0100 5283034 http://www.medworm.com/index.php?rid=5283033&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1234%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283033 Mon, 03 Oct 2011 04:00:00 +0100 5283033 http://www.medworm.com/index.php?rid=5283032&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1233-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283032 Mon, 03 Oct 2011 04:00:00 +0100 5283032 http://www.medworm.com/index.php?rid=5283031&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1233%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283031 Mon, 03 Oct 2011 04:00:00 +0100 5283031 http://www.medworm.com/index.php?rid=5283030&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1230%3Frss%3D1 Conclusions: Further study is needed to determine factors that affect the decision to seek mental health or substance abuse treatment among residents of rural communities. (Psychiatric Services 62:1230–1232, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283030 Mon, 03 Oct 2011 04:00:00 +0100 5283030 http://www.medworm.com/index.php?rid=5283029&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1225%3Frss%3D1 Conclusions: Because bereaved caregivers with prolonged grief disorder underutilize mental health services, connecting them with services while the patient is still alive may be beneficial. (Psychiatric Services 62:1225–1229, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283029 Mon, 03 Oct 2011 04:00:00 +0100 5283029 http://www.medworm.com/index.php?rid=5283028&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1222%3Frss%3D1 Conclusions: Religious faith is a correlate of improvement among chronically homeless adults and may influence clinical and psychosocial outcomes. (Psychiatric Services 62:1222–1224, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283028 Mon, 03 Oct 2011 04:00:00 +0100 5283028 http://www.medworm.com/index.php?rid=5283027&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1218%3Frss%3D1 Conclusions: Training in shared decision making was highly accepted by patients and changed attitudes toward participation in decision making. There were some hints that it might generate beneficial long-term effects. (Psychiatric Services 62:1218–1221, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283027 Mon, 03 Oct 2011 04:00:00 +0100 5283027 http://www.medworm.com/index.php?rid=5283026&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1215%3Frss%3D1 In this Open Forum a psychiatric health care consumer recounts his experience with his state's requirement to hold case management meetings outside of the clinic. Over time, the author found that meeting elsewhere amounted to being put on public display, and he felt embarrassed and powerless to change the situation. Requiring people with psychiatric disorders to meet outside a clinical setting may violate the Health Insurance Portability and Accountability Act and human rights. This New Hampshire state policy needs to be changed because it undermines treatment and reinforces the stigma that many consumers already feel because of their disability. (Psychiatric Services 62:1215–1217, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283026 Mon, 03 Oct 2011 04:00:00 +0100 5283026 http://www.medworm.com/index.php?rid=5283025&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1207%3Frss%3D1 Conclusions: Important patient and facility characteristics were associated with initiating different psychotropic agents among elderly dementia patients. In addition, the rate of use and the factors predictive of use varied across the study years. (Psychiatric Services 62:1207–1214, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283025 Mon, 03 Oct 2011 04:00:00 +0100 5283025 http://www.medworm.com/index.php?rid=5283024&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1201%3Frss%3D1 Conclusions: Clinicians may not adequately address trauma during treatment of severe mental illness. Future research is required to examine more effective methods to screen and treat trauma among individuals with severe mental illnesses. (Psychiatric Services 62:1201–1206, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283024 Mon, 03 Oct 2011 04:00:00 +0100 5283024 http://www.medworm.com/index.php?rid=5283023&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1194%3Frss%3D1 Conclusions: Continuing care that included both primary care and specialty care management to support ongoing monitoring, self-care, and treatment as needed was important for long-term recovery of patients with substance use disorders. (Psychiatric Services 62:1194–1200, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283023 Mon, 03 Oct 2011 04:00:00 +0100 5283023 http://www.medworm.com/index.php?rid=5283022&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1187%3Frss%3D1 Conclusions: This is the first study to report an association between foreign birth and symptoms of schizophrenia and psychosis among homeless persons. These findings are consistent with the increased risk of schizophrenia and psychosis observed among immigrants to European countries. (Psychiatric Services 62:1187–1193, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283022 Mon, 03 Oct 2011 04:00:00 +0100 5283022 http://www.medworm.com/index.php?rid=5283021&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1180%3Frss%3D1 Conclusions: Asians with lifetime mood disorders underutilized mental health services even after adjustment was made for socioeconomic variables and years of residency in the United States. Future studies of culture-specific attitudes, correlates, and barriers to mental health service utilization are warranted. (Psychiatric Services 62:1180–1186, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283021 Mon, 03 Oct 2011 04:00:00 +0100 5283021 http://www.medworm.com/index.php?rid=5283020&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1167%3Frss%3D1 Conclusions: Despite differences in sociodemographic characteristics and comorbidities, when measurement-based care was used, members of different minority groups had similar outcomes when treated with one antidepressant or a combination of two antidepressants. Black participants had the highest attrition rate, an important issue to address in clinical care. (Psychiatric Services 62:1167–1179, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283020 Mon, 03 Oct 2011 04:00:00 +0100 5283020 http://www.medworm.com/index.php?rid=5283019&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1159%3Frss%3D1 Conclusions: The study demonstrated the predictive power and limitations of using administrative claims data for identifying patients with depression in the Medicare population. Using Medicare claims to identify patients with depression may lead to underestimation of depression prevalence and may compromise researchers' ability to examine issues related to quality, costs, and utilization. (Psychiatric Services 62:1159–1166, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283019 Mon, 03 Oct 2011 04:00:00 +0100 5283019 http://www.medworm.com/index.php?rid=5283018&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1152%3Frss%3D1 Conclusions: Patients with bipolar disorder have an increased illness burden from many psychiatric and general medical conditions. Knowledge of the most prevalent comorbid conditions and methods for their prevention, early diagnosis, and treatment are critical in improving the prognosis of patients with bipolar disorder. (Psychiatric Services 62:1152–1158, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283018 Mon, 03 Oct 2011 04:00:00 +0100 5283018 http://www.medworm.com/index.php?rid=5283017&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1146%3Frss%3D1 Conclusions: Within a mental health community-based population, most incoming clients with serious mental illness reported three or more physical symptoms. The number of reported physical symptoms was a significant predictor of mental health service use and cost over the episode of care, even after analyses controlled for confounders such as gender, age, and diagnosis. (Psychiatric Services 62:1146–1151, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283017 Mon, 03 Oct 2011 04:00:00 +0100 5283017 http://www.medworm.com/index.php?rid=5283016&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1138%3Frss%3D1 Conclusions: Efforts to lower hospital admission risk among individuals with schizophrenia should focus on history of early onset, recent inpatient admission, severe positive symptoms, poor social function, high global illness severity, and comorbid substance use disorders and on selection of an appropriate antipsychotic medication. (Psychiatric Services 62:1138–1145, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283016 Mon, 03 Oct 2011 04:00:00 +0100 5283016 http://www.medworm.com/index.php?rid=5283015&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1131%3Frss%3D1 Conclusions: Uninsurance rates among nonelderly adults with frequent mental distress were disproportionately high. The results of this analysis can be used as baseline data to assess whether implementation of the Affordable Care Act is accompanied by changes in health care access, utilization, and self-reported measures of health, particularly among those with mental illness. (Psychiatric Services 62:1131–1137, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283015 Mon, 03 Oct 2011 04:00:00 +0100 5283015 http://www.medworm.com/index.php?rid=5283014&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1127%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283014 Mon, 03 Oct 2011 04:00:00 +0100 5283014 http://www.medworm.com/index.php?rid=5283013&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1124%3Frss%3D1 This column describes a series of interventions to decrease antipsychotic polypharmacy in the New York State Office of Mental Health (NYSOMH) network of psychiatric hospitals. Phase 1 consisted of implementation of the Psychiatric Services Clinical Knowledge Enhancement System (PSYCKES), a Web-based application supporting clinical decision making and quality improvement, and a policy requiring approval by NYSOMH's medical director to prescribe more than two antipsychotics per patient. In phase 2 hospital leaders received feedback from the office of the medical director identifying specific patients on polypharmacy. In phase 3, access to PSYCKES continued, but the prior-approval policy and feedback were discontinued. Polypharmacy decreased significantly during phase 1, from 16.9 to 9.7 inpa... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283013 Mon, 03 Oct 2011 04:00:00 +0100 5283013 http://www.medworm.com/index.php?rid=5283012&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1121%3Frss%3D1 Skyrocketing inmate populations have put considerable pressure on prison mental health services. In California, prison populations have exceeded 200% of capacity, and litigation to rectify constitutionally inadequate care has been under way for more than two decades. After the failure of other remedies, a federal court ordered the state to reduce its inmate population to 137.5% of capacity in two years. The U.S. Supreme Court upheld the order, although it signaled that California could obtain more time to comply. Other states now are on notice that the justices will not permit grossly inadequate treatment conditions to continue indefinitely. (Psychiatric Services 62:1121–1123, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283012 Mon, 03 Oct 2011 04:00:00 +0100 5283012 http://www.medworm.com/index.php?rid=5283011&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1119%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283011 Mon, 03 Oct 2011 04:00:00 +0100 5283011 http://www.medworm.com/index.php?rid=5283010&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F10%2F1117%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5283010 Mon, 03 Oct 2011 04:00:00 +0100 5283010 http://www.medworm.com/index.php?rid=5181425&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1108%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181425 Wed, 31 Aug 2011 23:00:00 +0100 5181425 http://www.medworm.com/index.php?rid=5181424&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1107%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181424 Wed, 31 Aug 2011 23:00:00 +0100 5181424 http://www.medworm.com/index.php?rid=5181423&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1106-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181423 Wed, 31 Aug 2011 23:00:00 +0100 5181423 http://www.medworm.com/index.php?rid=5181422&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1106%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181422 Wed, 31 Aug 2011 23:00:00 +0100 5181422 http://www.medworm.com/index.php?rid=5181421&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1101%3Frss%3D1 Conclusions: Sleep problems were highly prevalent among Medicaid patients with serious mental illness and were associated with greater inpatient and emergency mental health service use. More careful monitoring and management of sleep problems in this patient population could address a common clinical need and might help to reduce costly service use. (Psychiatric Services 62:1101–1105, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181421 Wed, 31 Aug 2011 23:00:00 +0100 5181421 http://www.medworm.com/index.php?rid=5181420&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1098%3Frss%3D1 Conclusions: Many adults younger than 65 with schizophrenia who were newly admitted to nursing homes lacked clinical indications for skilled nursing care. In contrast, higher rates of medical conditions among nonelderly adults with depression underscored the need for integrated psychiatric and medical care in nursing homes. (Psychiatric Services 62:1098–1100, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181420 Wed, 31 Aug 2011 23:00:00 +0100 5181420 http://www.medworm.com/index.php?rid=5181419&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1094%3Frss%3D1 Conclusions: The proposed service use algorithms successfully identified high-need individuals with serious mental illness at risk for gaps in services. (Psychiatric Services 62:1094–1097, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181419 Wed, 31 Aug 2011 23:00:00 +0100 5181419 http://www.medworm.com/index.php?rid=5181418&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1090%3Frss%3D1 Conclusions: CMHCs were sufficiently developed throughout Italy, and continuity of care and service coordination levels were satisfactory; however, adherence to the standards was unrelated to the duration of activity of the CMHCs. (Psychiatric Services 62:1090–1093, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181418 Wed, 31 Aug 2011 23:00:00 +0100 5181418 http://www.medworm.com/index.php?rid=5181417&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1085%3Frss%3D1 Conclusions: Project Liberty was a massive and invaluable resource during the years of rebuilding in New York City in the wake of the attacks. Challenges faced have led to lessons of generalizable import for other mental health responses to large-scale events. (Psychiatric Services 62:1085–1089, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181417 Wed, 31 Aug 2011 23:00:00 +0100 5181417 http://www.medworm.com/index.php?rid=5181416&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1079%3Frss%3D1 Conclusions: Minimally adequate treatment is a useful indicator to monitor quality of care in Italy's regional mental health system. These data should be used at regional and local levels to implement clinical audits, to create benchmark measures, and to define new quality-improvement projects to meet specific DMH needs. (Psychiatric Services 62:1079–1084, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181416 Wed, 31 Aug 2011 23:00:00 +0100 5181416 http://www.medworm.com/index.php?rid=5181415&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1073%3Frss%3D1 Conclusions: Health care costs for bipolar disorder exceeded those for several common chronic illnesses. These data provide further evidence for employers, insurers, and providers to seek innovative models to deliver effective and efficient care to individuals with bipolar illness. (Psychiatric Services 62:1073–1078, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181415 Wed, 31 Aug 2011 23:00:00 +0100 5181415 http://www.medworm.com/index.php?rid=5181414&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1066%3Frss%3D1 Conclusions: This study suggests increased IPS service intensity may lead to better employment outcomes and has implications for service provision and fidelity measurement. (Psychiatric Services 62:1066–1072, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181414 Wed, 31 Aug 2011 23:00:00 +0100 5181414 http://www.medworm.com/index.php?rid=5181413&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1060%3Frss%3D1 Conclusions: Involuntary psychiatric examinations were associated with increased risk of arrest. Thus an involuntary examination was a significant signal that individuals with serious mental illness were at risk for criminal behavior and arrest. (Psychiatric Services 62:1060–1065, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181413 Wed, 31 Aug 2011 23:00:00 +0100 5181413 http://www.medworm.com/index.php?rid=5181412&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1054%3Frss%3D1 Conclusions: An opportunity exists to improve clinical practice and design health care services to better serve certain groups of patients at VHA facilities. Areas of improvement may include rapport building and developing ways to include patients in decisions about their health care. (Psychiatric Services 62:1054–1059, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181412 Wed, 31 Aug 2011 23:00:00 +0100 5181412 http://www.medworm.com/index.php?rid=5181411&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1047%3Frss%3D1 Conclusions: Despite receiving similar training and resources, organizations exhibited substantial variability in enacting change in clinical care systems, as evidenced by both quality indicators and outcomes. Sites that performed better on quality indicators had better outcomes, and the differences were not attributable to patients' characteristics. (Psychiatric Services 62:1047–1053, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181411 Wed, 31 Aug 2011 23:00:00 +0100 5181411 http://www.medworm.com/index.php?rid=5181410&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1041%3Frss%3D1 Conclusions: The findings demonstrate that despite universal health care access, there were variations by population groups. Educational efforts should target patients as well as physicians. (Psychiatric Services 62:1041–1046, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181410 Wed, 31 Aug 2011 23:00:00 +0100 5181410 http://www.medworm.com/index.php?rid=5181409&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1032%3Frss%3D1 Conclusions: Among patients in a sizeable Medicaid cohort for whom a second-generation antipsychotic medication was prescribed, less than half had a clinically recommended dose, and less than two-thirds with a clinically recommended dose were adherent to the medication, confirming that many patients with bipolar disorder do not receive clinically recommended doses of second-generation antipsychotics. (Psychiatric Services 62:1032–1040, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181409 Wed, 31 Aug 2011 23:00:00 +0100 5181409 http://www.medworm.com/index.php?rid=5181408&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1026%3Frss%3D1 Conclusions: Consistent with the existing literature on ethnic disparities in antipsychotic therapy, the study found evidence of persistent disparities in a population that has a significant number of Asians. Further studies should be done to identify possible causes of these disparities and to identify potential interventions that may reduce or eliminate them. (Psychiatric Services 62:1026–1031, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181408 Wed, 31 Aug 2011 23:00:00 +0100 5181408 http://www.medworm.com/index.php?rid=5181407&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1019%3Frss%3D1 Conclusions: Disparities in care for depression and anxiety in primary care continue and are not fully accounted for by less care being provided in settings that nonwhites frequent. Physician bias, resource issues, and patient factors may all play a role in the diagnosis and treatment of depression and anxiety. (Psychiatric Services 62:1019–1025, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181407 Wed, 31 Aug 2011 23:00:00 +0100 5181407 http://www.medworm.com/index.php?rid=5181406&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1013%3Frss%3D1 Conclusions: The results of this study highlight the need for policy makers and health care administrators to develop specific strategies to increase career satisfaction, which in return may help alleviate the shortage of psychiatrists. (Psychiatric Services 62:1013–1018, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181406 Wed, 31 Aug 2011 23:00:00 +0100 5181406 http://www.medworm.com/index.php?rid=5181405&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1007%3Frss%3D1 Conclusions: Experience, education, treatment, or other factors led many clients to curtail their substance use disorders after a first episode of psychosis. Specialized interventions for others need to be developed and tested. (Psychiatric Services 62:1007–1012, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181405 Wed, 31 Aug 2011 23:00:00 +0100 5181405 http://www.medworm.com/index.php?rid=5181404&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1004%3Frss%3D1 State mental health authorities can use public-academic partnerships to create professional roles in which leaders can track trends, identify problems, and carry out quality improvement projects to address key issues. Leaders with positions in both academic institutions and state mental health authorities ensure access to resources, technical expertise, and key relationships to improve quality. The authors describe a public-academic partnership in New Hampshire and a quality improvement program it carried out. The program encourages providers at community mental health centers to adopt prescribing practices that limit the cardiometabolic side effects of antipsychotic medicines. (Psychiatric Services 62:1004–1006, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181404 Wed, 31 Aug 2011 23:00:00 +0100 5181404 http://www.medworm.com/index.php?rid=5181403&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F1001%3Frss%3D1 Diabetes and obesity among patients with serious mental illness are common. Use of second-generation antipsychotics compounds risk, and widely prevalent unhealthy behaviors further contribute to negative outcomes. This column describes Targeted Training in Illness Management, a group-based psychosocial treatment that blends psychoeducation, problem identification, goal setting, and behavioral modeling and reinforcement. The intervention has been adapted to the primary care setting and is targeted at individuals with serious mental illness and diabetes. A key feature of the intervention is the use of peer educators with serious mental illness and diabetes to teach and model self-management. Promising results from a 16-week trial are reported. (Psychiatric Services 62:1001–1003, 2011) ... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181403 Wed, 31 Aug 2011 23:00:00 +0100 5181403 http://www.medworm.com/index.php?rid=5181402&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F999%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181402 Wed, 31 Aug 2011 23:00:00 +0100 5181402 http://www.medworm.com/index.php?rid=5181401&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F9%2F997%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5181401 Wed, 31 Aug 2011 23:00:00 +0100 5181401 http://www.medworm.com/index.php?rid=5085974&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F983-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085974 Sun, 31 Jul 2011 23:00:00 +0100 5085974 http://www.medworm.com/index.php?rid=5085973&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F983%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085973 Sun, 31 Jul 2011 23:00:00 +0100 5085973 http://www.medworm.com/index.php?rid=5085972&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F982%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085972 Sun, 31 Jul 2011 23:00:00 +0100 5085972 http://www.medworm.com/index.php?rid=5085971&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F981%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085971 Sun, 31 Jul 2011 23:00:00 +0100 5085971 http://www.medworm.com/index.php?rid=5085970&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F980%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085970 Sun, 31 Jul 2011 23:00:00 +0100 5085970 http://www.medworm.com/index.php?rid=5085969&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F979-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085969 Sun, 31 Jul 2011 23:00:00 +0100 5085969 http://www.medworm.com/index.php?rid=5085968&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F979%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085968 Sun, 31 Jul 2011 23:00:00 +0100 5085968 http://www.medworm.com/index.php?rid=5085967&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F975%3Frss%3D1 Conclusions: Schools played a key role in providing services, especially for vulnerable populations. Focused attention on youths with an autism spectrum disorder is needed to ensure continuity of care as youths leave high school. (Psychiatric Services 62:975–978, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085967 Sun, 31 Jul 2011 23:00:00 +0100 5085967 http://www.medworm.com/index.php?rid=5085966&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F971%3Frss%3D1 Conclusions: With culturally informed adaptations, ACT can be effective in a Canadian mixed ethnocultural population and a homogeneous Japanese population. (Psychiatric Services 62:971–974, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085966 Sun, 31 Jul 2011 23:00:00 +0100 5085966 http://www.medworm.com/index.php?rid=5085965&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F966%3Frss%3D1 Conclusions: Future studies should further examine the link between increased use of emergency services and diagnostic variability. (Psychiatric Services 62:966–970, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085965 Sun, 31 Jul 2011 23:00:00 +0100 5085965 http://www.medworm.com/index.php?rid=5085964&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F963%3Frss%3D1 Conclusions: Prescription algorithm adherence was not associated with significantly increased length of inpatient stay or delayed time to improvement. (Psychiatric Services 62:963–965, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085964 Sun, 31 Jul 2011 23:00:00 +0100 5085964 http://www.medworm.com/index.php?rid=5085963&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F959%3Frss%3D1 Conclusions: Intimate partner violence is common, and victimization, especially if recurrent, markedly increases the risk for developing several psychiatric disorders. (Psychiatric Services 62:959–962, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085963 Sun, 31 Jul 2011 23:00:00 +0100 5085963 http://www.medworm.com/index.php?rid=5085962&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F954%3Frss%3D1 Conclusions: Findings suggest strong behavioral effects associated with lifetime traumatic and stressful event histories and indicate major psychiatric health care needs among female prison inmates that are likely unmet by existing services. (Psychiatric Services 62:954–958, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085962 Sun, 31 Jul 2011 23:00:00 +0100 5085962 http://www.medworm.com/index.php?rid=5085961&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F950%3Frss%3D1 Conclusions: Job tenure among employed clients of high-fidelity IPS was twice as long as previously reported, and about 40% became steady workers over two years. (Psychiatric Services 62:950–953, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085961 Sun, 31 Jul 2011 23:00:00 +0100 5085961 http://www.medworm.com/index.php?rid=5085960&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F943%3Frss%3D1 Conclusions: Most veterans with new PTSD diagnoses who initiated VA PTSD specialty care did not receive minimally adequate specialty treatment. Future studies should examine factors that lead to premature discontinuation of PTSD treatment and to what extent specialty treatment for PTSD is necessary. (Psychiatric Services 62:943–949, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085960 Sun, 31 Jul 2011 23:00:00 +0100 5085960 http://www.medworm.com/index.php?rid=5085959&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F936%3Frss%3D1 Conclusions: Although limited by small sample size, pilot results suggest culturally tailored, telephone-based CBT has the potential to enhance access to psychotherapy in an underserved Latino population with little access to mental health services. (Psychiatric Services 62:936–942, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085959 Sun, 31 Jul 2011 23:00:00 +0100 5085959 http://www.medworm.com/index.php?rid=5085958&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F929%3Frss%3D1 Conclusions: Administering the PHQ-9 at each visit allowed psychiatrists to determine rates of response and remission among patients, but as anticipated, the rates were lower than those reported in trials of efficacy and effectiveness of psychiatric treatment of depression. (Psychiatric Services 62:929–935, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085958 Sun, 31 Jul 2011 23:00:00 +0100 5085958 http://www.medworm.com/index.php?rid=5085957&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F922%3Frss%3D1 Conclusions: Colocation of medical care was associated with better quality of care for four of nine indicators. Additional strategies, particularly those focused on improving diabetes control and other chronic medical outcomes, might be warranted for patients with serious mental illness. (Psychiatric Services 62:922–928, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085957 Sun, 31 Jul 2011 23:00:00 +0100 5085957 http://www.medworm.com/index.php?rid=5085956&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F915%3Frss%3D1 Conclusions: Hierarchically organized board-and-staff-run COSPs combined with CMHA service may be less helpful than CMHA service alone. (Psychiatric Services 62:915–921, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085956 Sun, 31 Jul 2011 23:00:00 +0100 5085956 http://www.medworm.com/index.php?rid=5085955&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F908%3Frss%3D1 Conclusions: The study showed that benzodiazepine use was highly prevalent among patients with schizophrenia in Taiwan and that a substantial proportion of users (62.9%) were long-term users. Because long-term use was associated with longer duration of illness and with use of concomitant psychotropic medications, long-term users may be at higher risk of neurocognitive side effects caused by benzodiazepines and interactions with other psychotropic medications. Therefore, this group should be closely monitored for drug-drug interactions and the benefits and risks of benzodiazepine use. (Psychiatric Services 62:908–914, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085955 Sun, 31 Jul 2011 23:00:00 +0100 5085955 http://www.medworm.com/index.php?rid=5085954&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F900%3Frss%3D1 Conclusions: Patient characteristics and attributes of service providers and pharmacological agents played significant roles in benzodiazepine use patterns. Prescribers can reduce the risk of long-term use by assessing whether pediatric patients have received benzodiazepines from multiple doctors for various medical conditions. (Psychiatric Services 62:900–907, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085954 Sun, 31 Jul 2011 23:00:00 +0100 5085954 http://www.medworm.com/index.php?rid=5085953&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F893%3Frss%3D1 Conclusions: The adolescent model was similar to yet distinct from the adult model, and developmental differences may contribute to the variation. The need for future research to validate an adolescent self-stigma model is discussed. (Psychiatric Services 62:893–899, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085953 Sun, 31 Jul 2011 23:00:00 +0100 5085953 http://www.medworm.com/index.php?rid=5085952&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F888%3Frss%3D1 Conclusions: These findings call into question the validity of a purely voluntaristic model of the use of antipsychotic medication. Its use was part of a long and painful fight with a debilitating disorder, and off-medication periods were essential parts of a learning process. (Psychiatric Services 62:888–892, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085952 Sun, 31 Jul 2011 23:00:00 +0100 5085952 http://www.medworm.com/index.php?rid=5085951&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F882%3Frss%3D1 Conclusions: EIS for young people should provide not only the right type of engagement but also the right amount, recognize the very important role of families in giving both practical and emotional support and in liaising with key workers, and take into account the relatively rapid change in perceptions of personal identity that accompany illness. (Psychiatric Services 62:882–887, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085951 Sun, 31 Jul 2011 23:00:00 +0100 5085951 http://www.medworm.com/index.php?rid=5085950&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F878%3Frss%3D1 Conclusions: Specialty services for individuals experiencing early psychosis should address the difficulty of maintaining health insurance coverage during a period of illness in which continuity of care is critical to recovery. (Psychiatric Services 62:878–881, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085950 Sun, 31 Jul 2011 23:00:00 +0100 5085950 http://www.medworm.com/index.php?rid=5085949&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F871%3Frss%3D1 Conclusions: State policies designed to decrease Medicaid enrollment may have led to increased use of state psychiatric hospitals by former Medicaid enrollees with schizophrenia. (Psychiatric Services 62:871–877, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085949 Sun, 31 Jul 2011 23:00:00 +0100 5085949 http://www.medworm.com/index.php?rid=5085948&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F831%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085948 Sun, 31 Jul 2011 23:00:00 +0100 5085948 http://www.medworm.com/index.php?rid=5085947&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F830%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085947 Sun, 31 Jul 2011 23:00:00 +0100 5085947 http://www.medworm.com/index.php?rid=5085946&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F827%3Frss%3D1 There is a severe shortage and a maldistribution of child and adolescent psychiatrists in the United States. Public-academic collaborations play a major role in attempting to address these conditions. This column describes examples of two types of collaborations: newer programs that emphasize consultation, education, and support to primary care providers and more traditional efforts that provide consultation to general psychiatrists and psychiatric nurse practitioners. In both cases videoconferencing plays a role in reaching difficult-to-serve populations. Residency programs for both child and adolescent psychiatrists and primary care providers should include training in collaborative treatment approaches. (Psychiatric Services 62:827–829, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085946 Sun, 31 Jul 2011 23:00:00 +0100 5085946 http://www.medworm.com/index.php?rid=5085945&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F824%3Frss%3D1 This column describes strategic stigma change (SSC), which comprises five principles and corresponding practices developed as a best practice to erase prejudice and discrimination associated with mental illness and promote affirming behaviors and social inclusion. SSC principles represent more than ten years of insights from the National Consortium on Stigma and Empowerment. The principles, which are centered on consumer contact that is targeted, local, credible, and continuous, were developed to inform the growth of large-scale social marketing campaigns supported by governments and nongovernmental organizations. Future social marketing efforts to address stigma and the need for evidence to determine SSC's penetration and impact are also discussed. (Psychiatric Services 62:824–826, ... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085945 Sun, 31 Jul 2011 23:00:00 +0100 5085945 http://www.medworm.com/index.php?rid=5085944&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F823%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085944 Sun, 31 Jul 2011 23:00:00 +0100 5085944 http://www.medworm.com/index.php?rid=5085943&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F8%2F821%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=5085943 Sun, 31 Jul 2011 23:00:00 +0100 5085943 http://www.medworm.com/index.php?rid=4992463&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F809%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992463 Thu, 30 Jun 2011 23:00:00 +0100 4992463 http://www.medworm.com/index.php?rid=4992462&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F808-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992462 Thu, 30 Jun 2011 23:00:00 +0100 4992462 http://www.medworm.com/index.php?rid=4992461&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F808%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992461 Thu, 30 Jun 2011 23:00:00 +0100 4992461 http://www.medworm.com/index.php?rid=4992460&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F807%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992460 Thu, 30 Jun 2011 23:00:00 +0100 4992460 http://www.medworm.com/index.php?rid=4992459&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F806-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992459 Thu, 30 Jun 2011 23:00:00 +0100 4992459 http://www.medworm.com/index.php?rid=4992458&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F806%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992458 Thu, 30 Jun 2011 23:00:00 +0100 4992458 http://www.medworm.com/index.php?rid=4992457&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F805-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992457 Thu, 30 Jun 2011 23:00:00 +0100 4992457 http://www.medworm.com/index.php?rid=4992456&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F805%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992456 Thu, 30 Jun 2011 23:00:00 +0100 4992456 http://www.medworm.com/index.php?rid=4992455&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F804%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992455 Thu, 30 Jun 2011 23:00:00 +0100 4992455 http://www.medworm.com/index.php?rid=4992454&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F803%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992454 Thu, 30 Jun 2011 23:00:00 +0100 4992454 http://www.medworm.com/index.php?rid=4992453&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F800%3Frss%3D1 Conclusions: Weight loss programs that address cognitive impairments that may accompany serious mental illness can be effective. (Psychiatric Services 62:800–802, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992453 Thu, 30 Jun 2011 23:00:00 +0100 4992453 http://www.medworm.com/index.php?rid=4992452&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F796%3Frss%3D1 Conclusions: Individuals with psychotic and affective disorders had less access to the full complement of VR services and poorer outcomes. Implications include the need for additional training of VR providers to help them better meet the vocational needs of this population and greater support from mental health providers. (Psychiatric Services 62:796–799, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992452 Thu, 30 Jun 2011 23:00:00 +0100 4992452 http://www.medworm.com/index.php?rid=4992451&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F793%3Frss%3D1 Conclusions: Only more highly educated patients profited from a cognitive-behavioral approach to self-management. Patients with chronic conditions who have less education may derive greater benefits if environmental adversities or lower cognitive abilities are taken into account. (Psychiatric Services 62:793–795, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992451 Thu, 30 Jun 2011 23:00:00 +0100 4992451 http://www.medworm.com/index.php?rid=4992450&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F789%3Frss%3D1 Conclusions: Key clinicians in all regions perceived the guidelines as an important factor in improving the quality of schizophrenia care. QUARTS can be a helpful instrument for service monitoring and development. (Psychiatric Services 62:789–792, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992450 Thu, 30 Jun 2011 23:00:00 +0100 4992450 http://www.medworm.com/index.php?rid=4992449&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F782%3Frss%3D1 This article describes the development of these initiatives and their impact on public psychiatry in four key areas—training of experienced psychiatrists, ensuring retention of psychiatrists in community programs, providing fellowship training, and creating professional identity and pride. Although these programs constitute only initial steps, opportunities for psychiatrists to obtain advanced training in community psychiatry are much greater now than they were ten years ago. These initiatives will enhance the professional identity of community psychiatrists and provide a solid foundation for future development of public service psychiatry in the behavioral health workforce. (Psychiatric Services 62:782–788, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992449 Thu, 30 Jun 2011 23:00:00 +0100 4992449 http://www.medworm.com/index.php?rid=4992448&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F774%3Frss%3D1 Conclusions: Low rates of treatment seeking and high treatment dropout rates for common mental disorders among South Africans are a major concern. Public health efforts to improve treatment of mental disorders should consider the multiple influences on treatment initiation and discontinuation. (Psychiatric Services 62:774–781, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992448 Thu, 30 Jun 2011 23:00:00 +0100 4992448 http://www.medworm.com/index.php?rid=4992447&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F765%3Frss%3D1 Conclusions: Despite successful outreach, many symptomatic participants declined clinical care and subsequently recovered less well. Screening for DSM-IV PTSD criterion A effectively identified survivors at low risk for PTSD. Systematic outreach is costly and might be reserved for exceptionally traumatic events. (Psychiatric Services 62:765–773, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992447 Thu, 30 Jun 2011 23:00:00 +0100 4992447 http://www.medworm.com/index.php?rid=4992446&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F759%3Frss%3D1 Conclusions: The first episode of psychosis is a period of particular risk for homicide and serious violence. Younger age, language and cultural barriers to care, and greater availability of lethal means appear to contribute to an increased risk of homicide and of other serious violent offenses in first-episode psychosis. (Psychiatric Services 62:759–764, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992446 Thu, 30 Jun 2011 23:00:00 +0100 4992446 http://www.medworm.com/index.php?rid=4992445&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F753%3Frss%3D1 Conclusions: Even though numerous systemic barriers were encountered, the findings support existing literature indicating that the learning collaborative is a viable quality improvement approach for enhancing integration of general medical and mental health services between CHCs and CMHCs. Real-world implementation of evidence-based guidelines presents challenges often absent in research. Technical resources and support, a stable workforce with adequate training, and adequate opportunities for collaborator communications are particular challenges for integrating behavioral and general medical services across CHCs and CMHCs. (Psychiatric Services 62:753–758, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992445 Thu, 30 Jun 2011 23:00:00 +0100 4992445 http://www.medworm.com/index.php?rid=4992444&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F747%3Frss%3D1 Conclusions: Patients with schizophrenia who received medication from multiple prescribers frequently changed medications and filled prescriptions too soon. Care coordination, such as with medical homes, may be effective in improving medication use in this vulnerable population. (Psychiatric Services 62:747–752, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992444 Thu, 30 Jun 2011 23:00:00 +0100 4992444 http://www.medworm.com/index.php?rid=4992443&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F740%3Frss%3D1 Conclusions: Men's greater adherence to the toughness norm explained part of the sex difference observed in treatment-seeking preferences, but toughness undermined women's treatment seeking as well. Findings could be used to inform novel public health communications intended to attract both men and women to psychiatric services. (Psychiatric Services 62:740–746, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992443 Thu, 30 Jun 2011 23:00:00 +0100 4992443 http://www.medworm.com/index.php?rid=4992442&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F734%3Frss%3D1 Conclusions: Early identification of the factors influencing caregivers' use of services for children with ADHD may have implications for treatment retention. (Psychiatric Services 62:734–739, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992442 Thu, 30 Jun 2011 23:00:00 +0100 4992442 http://www.medworm.com/index.php?rid=4992441&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F727%3Frss%3D1 Conclusions: Children's depression visits and visits with an antidepressant prescribed dropped after the advisory, but children with major depressive disorder appeared no less likely to be prescribed antidepressants. (Psychiatric Services 62:727–733, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992441 Thu, 30 Jun 2011 23:00:00 +0100 4992441 http://www.medworm.com/index.php?rid=4992440&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F720%3Frss%3D1 Conclusions: Antidepressant overuse among adults is less common than previously reported. Our results suggest that the actual extent of overuse may be lower than 20%. To improve treatment quality and the efficiency of the U.S. health care system, nationally representative data collection efforts on prescription drug use should aim to include enhanced measures of need in order to further refine future estimates of antidepressant overuse. (Psychiatric Services 62:720–726, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992440 Thu, 30 Jun 2011 23:00:00 +0100 4992440 http://www.medworm.com/index.php?rid=4992439&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F713%3Frss%3D1 Conclusions: A relatively brief, focused intervention for persons with severe mental illness led to a reduction in the risk of homelessness that was evident nine months after the intervention ended. This work suggests that targeted, relatively short interventions applied at critical transition points may enhance the efficacy of long-term supports for persons with severe mental illness who are living in the community. (Psychiatric Services 62:713–719, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992439 Thu, 30 Jun 2011 23:00:00 +0100 4992439 http://www.medworm.com/index.php?rid=4992438&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F710%3Frss%3D1 Research has shown a relationship between income inequality and poor health. This column reports findings from a state-level study of the relationship between income inequality and the prevalence of depression. Estimates of depression prevalence by state, obtained from the Behavioral Risk Factor Surveillance System, were linked with Gini coefficients for U.S. household income, obtained from the Census Bureau. The current prevalence of depression was significantly associated with income inequality—the more unequal, the higher the depression prevalence. The association persisted after adjustment for income per capita, percentage of the population with a college degree, and percentage over age 65 years. (Psychiatric Services 62:710–712, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992438 Thu, 30 Jun 2011 23:00:00 +0100 4992438 http://www.medworm.com/index.php?rid=4992437&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F707%3Frss%3D1 Should a murderer be allowed to inherit the victim's estate? The question dates from biblical times, but most jurisdictions today have statutes in place that bar inheritance by convicted murderers. However, a special problem arises when the killer has a severe mental illness and has been found not guilty by reason of insanity. Should such people, who have not been convicted of a crime, be permitted to collect their inheritance? Jurisdictions vary in their responses, with the rules reflecting a mix of practical and moral considerations influenced by different perspectives about what determines the behavior of persons with mental illness. (Psychiatric Services 62:707–709, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992437 Thu, 30 Jun 2011 23:00:00 +0100 4992437 http://www.medworm.com/index.php?rid=4992436&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F704%3Frss%3D1 This column describes a best practice for dissemination and implementation used by the Johnson & Johnson-Dartmouth Program: a national learning collaborative among community mental health programs on supported employment. In this two-tiered learning collaborative, researchers meet regularly with mental health and vocational rehabilitation leaders in 12 states and the District of Columbia, and state leaders oversee more than 130 individual programs in their respective states. Participants share educational programs, implementation and intervention strategies, practice experiences, outcome data, and research projects. The national learning collaborative facilitates implementation, dissemination, standardization, and sustainability of supported employment. (Psychiatric Services 62:704&nda... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992436 Thu, 30 Jun 2011 23:00:00 +0100 4992436 http://www.medworm.com/index.php?rid=4992435&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F703%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992435 Thu, 30 Jun 2011 23:00:00 +0100 4992435 http://www.medworm.com/index.php?rid=4992434&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F7%2F701%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4992434 Thu, 30 Jun 2011 23:00:00 +0100 4992434 http://www.medworm.com/index.php?rid=4892462&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F687%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892462 Tue, 31 May 2011 23:00:00 +0100 4892462 http://www.medworm.com/index.php?rid=4892461&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F686%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892461 Tue, 31 May 2011 23:00:00 +0100 4892461 http://www.medworm.com/index.php?rid=4892460&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F683%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892460 Tue, 31 May 2011 23:00:00 +0100 4892460 http://www.medworm.com/index.php?rid=4892459&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F682-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892459 Tue, 31 May 2011 23:00:00 +0100 4892459 http://www.medworm.com/index.php?rid=4892458&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F682%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892458 Tue, 31 May 2011 23:00:00 +0100 4892458 http://www.medworm.com/index.php?rid=4892457&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F679%3Frss%3D1 Conclusion: By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being. (Psychiatric Services 62:679–681, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892457 Tue, 31 May 2011 23:00:00 +0100 4892457 http://www.medworm.com/index.php?rid=4892456&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F675%3Frss%3D1 Conclusions: Initiatives that increase knowledge and positive attitudes about mental illness among the general population may improve the extent to which individuals seek help for and disclose a mental illness. (Psychiatric Services 62:675–678, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892456 Tue, 31 May 2011 23:00:00 +0100 4892456 http://www.medworm.com/index.php?rid=4892455&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F670%3Frss%3D1 Conclusions: Phone-based assessment could help agencies monitor faithful implementation of evidence-based practices. (Psychiatric Services 62:670–674, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892455 Tue, 31 May 2011 23:00:00 +0100 4892455 http://www.medworm.com/index.php?rid=4892454&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F666%3Frss%3D1 Conclusions: The addition of online coaching from a peer specialist significantly increased engagement and retention in the program, but further research is needed to evaluate the program's effects on clinical and recovery outcomes. (Psychiatric Services 62:666–669, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892454 Tue, 31 May 2011 23:00:00 +0100 4892454 http://www.medworm.com/index.php?rid=4892453&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F659%3Frss%3D1 Conclusions: Medicaid and Medicare beneficiaries with alcohol or drug use disorders had higher rates of adverse diabetes outcomes than other groups, whereas beneficiaries with mental disorders had lower rates of diabetes-related complications. (Psychiatric Services 62:659–665, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892453 Tue, 31 May 2011 23:00:00 +0100 4892453 http://www.medworm.com/index.php?rid=4892452&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F650%3Frss%3D1 Conclusions: Use of services began at a very young age and occurred in multiple service sectors. Type of service used was related to insurance and race, underscoring the need for ongoing disparities research. Contrary to findings from administrative data analyses, use of medication alone was infrequent. The low rate of use of combination therapy suggests that clinicians and families need to be educated about the effectiveness of multimodal treatment. (Psychiatric Services 62:650–658, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892452 Tue, 31 May 2011 23:00:00 +0100 4892452 http://www.medworm.com/index.php?rid=4892450&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F646%3Frss%3D1 Conclusions: Continued use of the emergency department despite a connection with outpatient mental health care raises questions about the views of families and providers about the need for emergency services. More research is needed to better understand patterns of care seeking in order to fully inform policy and program development. (Psychiatric Services 62:646–649, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892450 Tue, 31 May 2011 23:00:00 +0100 4892450 http://www.medworm.com/index.php?rid=4892449&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F639%3Frss%3D1 Conclusions: Female adult film performers have significantly worse mental health and higher rates of depression than other California women of similar ages. (Psychiatric Services 62:639–645, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892449 Tue, 31 May 2011 23:00:00 +0100 4892449 http://www.medworm.com/index.php?rid=4892448&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F632%3Frss%3D1 Conclusions: Findings did not support the hypothesis that officers self-selecting into CIT training would have greater baseline empathy and psychological mindedness. Although there may be other justifiable reasons to argue for the importance of volunteering, these two traits did not appear to be greater among officers self-selecting into CIT. (Psychiatric Services 62:632–638, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892448 Tue, 31 May 2011 23:00:00 +0100 4892448 http://www.medworm.com/index.php?rid=4892447&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F626%3Frss%3D1 Conclusions: Incorporating these components into any program in which underserved cultural populations are seen is recommended for improving cultural competence. (Psychiatric Services 62:626–631, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892447 Tue, 31 May 2011 23:00:00 +0100 4892447 http://www.medworm.com/index.php?rid=4892446&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F619%3Frss%3D1 Conclusions: There were significant racial-ethnic differences in depression-related mental health care after delivery. Suboptimal treatment was prevalent among all low-income women in the study. However, racial and ethnic disparities in the initiation and continuation of postpartum depression care were particularly troubling and warrant clinical and policy attention. (Psychiatric Services 62:619–625, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892446 Tue, 31 May 2011 23:00:00 +0100 4892446 http://www.medworm.com/index.php?rid=4892445&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F613%3Frss%3D1 Conclusions: These findings provide the first national evidence of potential treatment disparities for schizophrenia. Further research is needed to definitively identify disparities and to understand their causes and consequences. (Psychiatric Services 62:613–618, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892445 Tue, 31 May 2011 23:00:00 +0100 4892445 http://www.medworm.com/index.php?rid=4892444&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F606%3Frss%3D1 Conclusions: The study supports previous findings and suggests that the IMR program is effective in improving the ability of individuals with schizophrenia to better manage their illness. (Psychiatric Services 62:606–612, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892444 Tue, 31 May 2011 23:00:00 +0100 4892444 http://www.medworm.com/index.php?rid=4892443&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F605%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892443 Tue, 31 May 2011 23:00:00 +0100 4892443 http://www.medworm.com/index.php?rid=4892442&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F598%3Frss%3D1 Conclusions: Receipt of ACT was associated with a reduction in service use disparities for blacks but not for Latinos. Findings suggest that ACT's equity effects differ depending on race-ethnicity. (Psychiatric Services 62:598–604, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892442 Tue, 31 May 2011 23:00:00 +0100 4892442 http://www.medworm.com/index.php?rid=4892441&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F591%3Frss%3D1 Conclusions: This study provides evidence that FTF is effective for enhancing coping and empowerment of families of persons with mental illness, although not for reducing subjective burden. Other benefits for problem solving and reducing distress are suggested but require replication. (Psychiatric Services 62:591–597, 2011) (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892441 Tue, 31 May 2011 23:00:00 +0100 4892441 http://www.medworm.com/index.php?rid=4892440&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F589%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892440 Tue, 31 May 2011 23:00:00 +0100 4892440 http://www.medworm.com/index.php?rid=4892439&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F588%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892439 Tue, 31 May 2011 23:00:00 +0100 4892439 http://www.medworm.com/index.php?rid=4892438&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F587%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892438 Tue, 31 May 2011 23:00:00 +0100 4892438 http://www.medworm.com/index.php?rid=4892437&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F6%2F585%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4892437 Tue, 31 May 2011 23:00:00 +0100 4892437 http://www.medworm.com/index.php?rid=4770957&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F571-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770957 Sat, 30 Apr 2011 23:00:00 +0100 4770957 http://www.medworm.com/index.php?rid=4770956&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F571%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770956 Sat, 30 Apr 2011 23:00:00 +0100 4770956 http://www.medworm.com/index.php?rid=4770955&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F570%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770955 Sat, 30 Apr 2011 23:00:00 +0100 4770955 http://www.medworm.com/index.php?rid=4770954&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F569%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770954 Sat, 30 Apr 2011 23:00:00 +0100 4770954 http://www.medworm.com/index.php?rid=4770953&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F568%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770953 Sat, 30 Apr 2011 23:00:00 +0100 4770953 http://www.medworm.com/index.php?rid=4770952&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F567-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770952 Sat, 30 Apr 2011 23:00:00 +0100 4770952 http://www.medworm.com/index.php?rid=4770951&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F62%2F5%2F567%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=4770951 Sat, 30 Apr 2011 23:00:00 +0100 4770951