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. Sat, 20 Mar 2010 16:38:49 +0100 http://www.medworm.com/index.php?rid=3318290&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F330-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318290 Mon, 01 Mar 2010 14:00:52 +0100 3318290 http://www.medworm.com/index.php?rid=3318289&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F330%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318289 Mon, 01 Mar 2010 14:00:52 +0100 3318289 http://www.medworm.com/index.php?rid=3318288&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F328%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318288 Mon, 01 Mar 2010 14:00:52 +0100 3318288 http://www.medworm.com/index.php?rid=3318287&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F327%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318287 Mon, 01 Mar 2010 14:00:52 +0100 3318287 http://www.medworm.com/index.php?rid=3318286&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F326%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318286 Mon, 01 Mar 2010 14:00:52 +0100 3318286 http://www.medworm.com/index.php?rid=3318285&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F325-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318285 Mon, 01 Mar 2010 14:00:52 +0100 3318285 http://www.medworm.com/index.php?rid=3318284&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F325%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318284 Mon, 01 Mar 2010 14:00:52 +0100 3318284 http://www.medworm.com/index.php?rid=3318283&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F321%3Frss%3D1 CONCLUSIONS: Fostering hope and positive self-concept should be central components of recovery-oriented services and interventions. Modifying these dimensions may have a positive impact on functional outcome. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318283 Mon, 01 Mar 2010 14:00:52 +0100 3318283 http://www.medworm.com/index.php?rid=3318282&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F317%3Frss%3D1 CONCLUSIONS: The findings provide evidence that the multidisciplinary schizophrenia care program can improve the psychosocial functioning of patients and their families and social support of caregivers. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318282 Mon, 01 Mar 2010 14:00:52 +0100 3318282 http://www.medworm.com/index.php?rid=3318281&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F314%3Frss%3D1 CONCLUSIONS: The correlation between subjective life satisfaction and objective living conditions of Nigerian patients with schizophrenia was poor. Efforts to enhance their quality of life should focus on improving work opportunities and transportation options. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318281 Mon, 01 Mar 2010 14:00:52 +0100 3318281 http://www.medworm.com/index.php?rid=3318280&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F313%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318280 Mon, 01 Mar 2010 14:00:52 +0100 3318280 http://www.medworm.com/index.php?rid=3318279&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F309%3Frss%3D1 CONCLUSIONS: The competence level of the interpreters was not conducive to optimal care. The lack of formally trained interpreters in South Africa's public health services could lead to misdiagnosis and could compromise interventions. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318279 Mon, 01 Mar 2010 14:00:52 +0100 3318279 http://www.medworm.com/index.php?rid=3318278&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F306%3Frss%3D1 Although theatrical activities are used in a variety of therapeutic settings, little attention has been paid to the ways that theater can enhance the recovery process and community integration for people living with psychiatric disabilities. Community-based theater involving people with psychiatric disabilities offers unique opportunities for personal growth, social connection, and advocacy efforts. This Open Forum posits that theater has the power to both facilitate individual recovery and improve the social conditions of people living with mental illness. Critical elements of theatrical activities that relate to processes of recovery and community integration are examined. Implications for future research and program development are discussed. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318278 Mon, 01 Mar 2010 14:00:52 +0100 3318278 http://www.medworm.com/index.php?rid=3318277&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F300%3Frss%3D1 CONCLUSIONS: A smoke-free policy is possible within psychiatric inpatient settings, but a number of core interlinking features are important for success and ongoing sustainability. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318277 Mon, 01 Mar 2010 14:00:52 +0100 3318277 http://www.medworm.com/index.php?rid=3318276&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F293%3Frss%3D1 CONCLUSIONS: The most consistently highly rated consensus domain was therapeutic interventions. Domains and components of care related to recovery principles were also viewed as important across stakeholder groups. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318276 Mon, 01 Mar 2010 14:00:52 +0100 3318276 http://www.medworm.com/index.php?rid=3318275&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F286%3Frss%3D1 CONCLUSIONS: Satisfaction with treatment among involuntary patients was associated with perceptions of coercion during admission and treatment, rather than with the documented extent of coercive measures. Interventions to reduce patients' perceived coercion might increase overall treatment satisfaction. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318275 Mon, 01 Mar 2010 14:00:52 +0100 3318275 http://www.medworm.com/index.php?rid=3318274&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F280%3Frss%3D1 CONCLUSIONS: The main health policy objective during the study period was increased access to mental health treatment. Both access and treatment intensity increased. The study was inconclusive about whether incentives related to CAMHS performance measurement caused treatment intensity to increase, specifically after the 2002 hospital ownership reform. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318274 Mon, 01 Mar 2010 14:00:52 +0100 3318274 http://www.medworm.com/index.php?rid=3318273&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F272%3Frss%3D1 CONCLUSIONS: In this nationwide register-based study, excess mortality among persons with schizophrenia was clearly observed. Regional differences in mortality were evident, indicating a need for further research to understand the mortality gap and why it might vary regionally. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318273 Mon, 01 Mar 2010 14:00:52 +0100 3318273 http://www.medworm.com/index.php?rid=3318272&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F264%3Frss%3D1 CONCLUSIONS: Although there is near-universal access to free mental health care in France, study findings suggest that the quality and adequacy of subsequent care are not guaranteed. Multidisciplinary and collaborative solutions are needed to improve the management of mental health care for homeless patients. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318272 Mon, 01 Mar 2010 14:00:52 +0100 3318272 http://www.medworm.com/index.php?rid=3318271&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F258%3Frss%3D1 CONCLUSIONS: The results suggest that universal access facilitates optimal practitioner contacts during the acute treatment phase of depression. However, despite universal access, the findings revealed that some inequities persist. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318271 Mon, 01 Mar 2010 14:00:52 +0100 3318271 http://www.medworm.com/index.php?rid=3318270&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F250%3Frss%3D1 CONCLUSIONS: General practitioners should pay considerable attention to patients whose need for care is unmet. Furthermore, findings support the implementation of patient empowerment in mental health care in order to contribute to easily accessible and patient-centered care. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318270 Mon, 01 Mar 2010 14:00:52 +0100 3318270 http://www.medworm.com/index.php?rid=3318269&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F241%3Frss%3D1 CONCLUSIONS: Adolescents and their mothers reported distinct service use patterns with particular implications for policy makers and health service providers. High rates of unmet needs, particularly among Arab-Israeli adolescents, need to be addressed. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318269 Mon, 01 Mar 2010 14:00:52 +0100 3318269 http://www.medworm.com/index.php?rid=3318268&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F235%3Frss%3D1 CONCLUSIONS: The study highlights the inadequacy of current community mental health services in providing for the needs of people with severe mental illness. In South Africa, as in many other middle-income countries, there is an urgent need to develop community-based care. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318268 Mon, 01 Mar 2010 14:00:52 +0100 3318268 http://www.medworm.com/index.php?rid=3318267&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F229%3Frss%3D1 This article synthesizes the views of participants in two roundtables that were convened in Nairobi (March 2007) and London (July 2008) to identify key challenges to the prioritization of mental health in Africa and possible solutions. Participants included leading development experts and policy makers from head and country offices of international donors, national directors of mental health for several African countries, key mental health and public health professionals, epidemiologists, and an international nongovernmental organization. The challenges they identified to mainstreaming mental health include lack of understanding of the contribution of mental disorders to morbidity and mortality, competition for limited resources within health reform efforts, poor distribution of interventi... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318267 Mon, 01 Mar 2010 14:00:52 +0100 3318267 http://www.medworm.com/index.php?rid=3318266&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F225%3Frss%3D1 Links between health institutions in countries with high incomes and those with incomes in the low-middle range are becoming more common, and benefits from these links are increasingly recognized. One such link is between Kings College Hospital and THET (Tropical Health and Education Trust) and their partners in Somaliland. The mental health part of the link consists of public service providers, educational institutions, and local nongovernmental organizations in Somaliland with mental health volunteers from the United Kingdom, led by the Institute of Psychiatry. The authors describe how careful planning has permitted the collaboration to evolve to allow mental health services to become embedded into activities that strengthen the Somaliland health sector. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318266 Mon, 01 Mar 2010 14:00:52 +0100 3318266 http://www.medworm.com/index.php?rid=3318265&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F222%3Frss%3D1 Long-established Medico-Social Expert Commissions (MSECs) play a pivotal role in the Russian mental health system. They act as gatekeepers to pensions, rehabilitation, and employment services. This column describes their role in encouraging or impeding the social inclusion of people with mental illness, drawing on findings of a three-year project in Sverdlovsk Oblast. In Russia the emphasis remains on medical aspects of treatment, without adequate consideration of social and occupational rehabilitation. Links with local employment services are weak. To promote social inclusion, steps must be taken to encourage and facilitate cooperation and collaboration between the MSECs, employment services, and medical services. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318265 Mon, 01 Mar 2010 14:00:52 +0100 3318265 http://www.medworm.com/index.php?rid=3318264&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F218%3Frss%3D1 This new column provides an overview of mental health reforms in Latin America and the Caribbean. Progress has been particularly visible in countries that have implemented policies with strong political support (Brazil, Chile, and Belize, among others). However, lessons may be learned from the collective experience of a region that has faced multiple obstacles to reform. Available resources are still insufficient and inequitably distributed, reform implementation is not complete in most countries, and high levels of unmet need exist. Countries face new challenges related to growing psychosocial problems affecting children and adolescents and increasing violence, which require new responses from mental health services. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318264 Mon, 01 Mar 2010 14:00:52 +0100 3318264 http://www.medworm.com/index.php?rid=3318263&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F217%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318263 Mon, 01 Mar 2010 14:00:52 +0100 3318263 http://www.medworm.com/index.php?rid=3318262&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F3%2F215%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3318262 Mon, 01 Mar 2010 14:00:52 +0100 3318262 http://www.medworm.com/index.php?rid=3227521&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F211%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227521 Mon, 01 Feb 2010 13:01:21 +0100 3227521 http://www.medworm.com/index.php?rid=3227520&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F210%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227520 Mon, 01 Feb 2010 13:01:21 +0100 3227520 http://www.medworm.com/index.php?rid=3227519&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F209%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227519 Mon, 01 Feb 2010 13:01:21 +0100 3227519 http://www.medworm.com/index.php?rid=3227518&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F208%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227518 Mon, 01 Feb 2010 13:01:21 +0100 3227518 http://www.medworm.com/index.php?rid=3227517&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F207%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227517 Mon, 01 Feb 2010 13:01:21 +0100 3227517 http://www.medworm.com/index.php?rid=3227516&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F206-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227516 Mon, 01 Feb 2010 13:01:21 +0100 3227516 http://www.medworm.com/index.php?rid=3227515&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F206%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227515 Mon, 01 Feb 2010 13:01:21 +0100 3227515 http://www.medworm.com/index.php?rid=3227514&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F205%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227514 Mon, 01 Feb 2010 13:01:21 +0100 3227514 http://www.medworm.com/index.php?rid=3227513&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F204%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227513 Mon, 01 Feb 2010 13:01:21 +0100 3227513 http://www.medworm.com/index.php?rid=3227512&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F200%3Frss%3D1 CONCLUSIONS: Predictors of decertification in bipolar disorder require further research to guide future efforts to improve inpatient treatment outcomes. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227512 Mon, 01 Feb 2010 13:01:21 +0100 3227512 http://www.medworm.com/index.php?rid=3227511&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F196%3Frss%3D1 CONCLUSIONS: Clinicians working with the underserved, understudied population of deaf and hard-of-hearing psychiatric inpatients should be aware of the cultural and linguistic differences in assessment and treatment and make efforts to modify their approach. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227511 Mon, 01 Feb 2010 13:01:21 +0100 3227511 http://www.medworm.com/index.php?rid=3227510&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F193%3Frss%3D1 CONCLUSIONS: Early use of medication can reduce the incidence of seclusion and restraint among high-risk patients early in their hospitalization. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227510 Mon, 01 Feb 2010 13:01:21 +0100 3227510 http://www.medworm.com/index.php?rid=3227509&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F189%3Frss%3D1 CONCLUSIONS: This prospective investigation confirms previous cross-sectional studies. The association between longer duration of untreated psychosis and nonadherence warrants further research because it could be interpreted as further evidence of the importance of early intervention. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227509 Mon, 01 Feb 2010 13:01:21 +0100 3227509 http://www.medworm.com/index.php?rid=3227508&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F184%3Frss%3D1 CONCLUSIONS: The DDPAT identified multiple deficiencies in the physician workforce with respect to dual diagnosis and addictions care in Indiana. The DDPAT may be useful for characterizing similar trends in other states. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227508 Mon, 01 Feb 2010 13:01:21 +0100 3227508 http://www.medworm.com/index.php?rid=3227507&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F180%3Frss%3D1 This Open Forum illuminates shortcomings with the basis for determining degree of oversight of health services research and quality improvement activities. Using a federally regulated definition of research rather than a direct appraisal of risk to patients can misallocate effort from activities with higher risk for patients to those with lower risk. The case of the Johns Hopkins multicenter study of central line safety checklists in intensive care units is cited. Definitions of research promulgated by the Office of Human Research Protection are reviewed, and an alternative model based on patient risk is proposed. Suggestions for how quality improvement work fits into the larger paradigm of research are made. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227507 Mon, 01 Feb 2010 13:01:21 +0100 3227507 http://www.medworm.com/index.php?rid=3227506&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F173%3Frss%3D1 CONCLUSIONS: Psychiatrists may not recognize the pervasiveness of racial inequality in psychiatric care, and they may attribute racially biased thinking to others but not to themselves. Interventions to eliminate racial-ethnic disparities should focus on revealing and modifying unconscious biases. Lack of physician interest may be one barrier to such interventions. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227506 Mon, 01 Feb 2010 13:01:21 +0100 3227506 http://www.medworm.com/index.php?rid=3227505&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F164%3Frss%3D1 CONCLUSIONS: Results are consistent with U.S. clinical trials for other psychiatric disorders, which have reported similar outcomes for ratings of primary symptoms. Baseline psychotic symptoms are likely a significant contributor when African Americans with bipolar disorder are slow to recover. These results may be less generalizable to uninsured patients. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227505 Mon, 01 Feb 2010 13:01:21 +0100 3227505 http://www.medworm.com/index.php?rid=3227504&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F160%3Frss%3D1 CONCLUSIONS: The DFD is a valid measure for estimating treatment outcomes that reflects the course of symptom change over time. When multiple assessments were conducted between the pre- and posttest periods, DFDs incorporated additional data yet remained easily interpreted. The DFD should be considered for reporting outcomes in depression research. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227504 Mon, 01 Feb 2010 13:01:21 +0100 3227504 http://www.medworm.com/index.php?rid=3227503&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F151%3Frss%3D1 CONCLUSIONS: Commonly used screening methods identified patients with psychiatric disorders; about four years later, those not initially in treatment were likely to have enduring symptoms and to use emergency psychiatric services. Screening should be followed up by clinical diagnostic assessment in the context of available mental health treatment. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227503 Mon, 01 Feb 2010 13:01:21 +0100 3227503 http://www.medworm.com/index.php?rid=3227502&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F144%3Frss%3D1 CONCLUSIONS: Collaborative care significantly improved clinical symptoms and functional status of depressed patients with coexisting chronic general medical conditions receiving treatment for depression in primary care practices in Puerto Rico. These findings highlight the promise of the collaborative care model for strengthening the relationship between mental health and primary care services in Puerto Rico. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227502 Mon, 01 Feb 2010 13:01:21 +0100 3227502 http://www.medworm.com/index.php?rid=3227501&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F137%3Frss%3D1 CONCLUSIONS: Outpatient commitment in New York State affects many lives; therefore, it is reassuring that negative consequences were not observed. Rather, people's lives seem modestly improved by outpatient commitment. However, because outpatient commitment included treatment and other enhancements, these findings should be interpreted in terms of the overall impact of outpatient commitment, not of legal coercion per se. As such, the results do not support the expansion of coercion in psychiatric treatment. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227501 Mon, 01 Feb 2010 13:01:21 +0100 3227501 http://www.medworm.com/index.php?rid=3227500&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F130%3Frss%3D1 CONCLUSIONS: Although second-generation antipsychotics were frequently used for off-label indications, most of the usage was evidence based among elderly nursing home residents. However, the high level of non-evidence-based use combined with recent safety and efficacy data suggests an urgent need to address the evidence base for this vulnerable population. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227500 Mon, 01 Feb 2010 13:01:21 +0100 3227500 http://www.medworm.com/index.php?rid=3227499&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F123%3Frss%3D1 CONCLUSIONS: The number of children receiving second-generation antipsychotics doubled in this Medicaid population between 2001 and 2005, and a large proportion of the treatments were not supported by evidence from clinical studies. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227499 Mon, 01 Feb 2010 13:01:21 +0100 3227499 http://www.medworm.com/index.php?rid=3227498&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F121%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227498 Mon, 01 Feb 2010 13:01:21 +0100 3227498 http://www.medworm.com/index.php?rid=3227497&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F118%3Frss%3D1 This study examined medication use among Medicare beneficiaries and dually eligible beneficiaries before and after the implementation of Medicare Part D on January 1, 2006. Nationally representative 2004–2006 data from the Medical Expenditure Panel Survey were used. Two large classes of psychotropic medications (antidepressant and antipsychotic medications) and two large classes of nonpsychotropic medications (lipid-lowering and antihypertensive agents) were examined to determine whether changes in prescription patterns occurred as a result of the implementation of Part D. There was no strong evidence that Part D was associated with large changes in access to medications in the four classes of medications examined here. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227497 Mon, 01 Feb 2010 13:01:21 +0100 3227497 http://www.medworm.com/index.php?rid=3227496&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F110%3Frss%3D1 Reaching disadvantaged adults who need mental health care is challenging, partly because of mistrust of institutions, cultural insensitivity, and stigma. Researchers from Western Psychiatric Institute and Clinic and leaders of 11 non-mental health community organizations formed a partnership to improve depression care, especially for elders and individuals from difficult-to-reach racial and ethnic minority groups. The overarching goal is to reduce disparities by providing and improving care. This column describes challenges overcome in working with a heterogeneous group of agencies to address issues of mental illness, stigma, inadequate staff training, and privacy—challenges that influenced the direction of research and ensuing projects. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227496 Mon, 01 Feb 2010 13:01:21 +0100 3227496 http://www.medworm.com/index.php?rid=3227495&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F109%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227495 Mon, 01 Feb 2010 13:01:21 +0100 3227495 http://www.medworm.com/index.php?rid=3227494&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F2%2F107%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3227494 Mon, 01 Feb 2010 13:01:20 +0100 3227494 http://www.medworm.com/index.php?rid=3133475&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F102-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133475 Thu, 31 Dec 2009 13:01:28 +0100 3133475 http://www.medworm.com/index.php?rid=3133474&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F102%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133474 Thu, 31 Dec 2009 13:01:28 +0100 3133474 http://www.medworm.com/index.php?rid=3133473&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F99-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133473 Thu, 31 Dec 2009 13:01:28 +0100 3133473 http://www.medworm.com/index.php?rid=3133472&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F99%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133472 Thu, 31 Dec 2009 13:01:28 +0100 3133472 http://www.medworm.com/index.php?rid=3133471&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F98%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133471 Thu, 31 Dec 2009 13:01:28 +0100 3133471 http://www.medworm.com/index.php?rid=3133470&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F97%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133470 Thu, 31 Dec 2009 13:01:28 +0100 3133470 http://www.medworm.com/index.php?rid=3133469&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F96-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133469 Thu, 31 Dec 2009 13:01:28 +0100 3133469 http://www.medworm.com/index.php?rid=3133468&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F96%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133468 Thu, 31 Dec 2009 13:01:28 +0100 3133468 http://www.medworm.com/index.php?rid=3133467&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F95-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133467 Thu, 31 Dec 2009 13:01:28 +0100 3133467 http://www.medworm.com/index.php?rid=3133466&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F95%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133466 Thu, 31 Dec 2009 13:01:28 +0100 3133466 http://www.medworm.com/index.php?rid=3133465&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F90%3Frss%3D1 CONCLUSIONS: Despite national emphasis on HIV testing, rates of testing were lower for HIV than for HCV in programs serving veterans with substance use disorders and at risk of both illnesses. System-level quality improvement initiatives may be effective at increasing rates of infectious disease screening. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133465 Thu, 31 Dec 2009 13:01:28 +0100 3133465 http://www.medworm.com/index.php?rid=3133464&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F86%3Frss%3D1 CONCLUSIONS: The integrated and standard products had distinct utilization patterns in this large MBHO. In particular, greater use of certain outpatient services was observed in the integrated plan. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133464 Thu, 31 Dec 2009 13:01:28 +0100 3133464 http://www.medworm.com/index.php?rid=3133463&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F81%3Frss%3D1 CONCLUSIONS: Routine care for antidepressant management falls short of guideline recommendations, especially in primary care. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133463 Thu, 31 Dec 2009 13:01:28 +0100 3133463 http://www.medworm.com/index.php?rid=3133462&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F78%3Frss%3D1 CONCLUSIONS: Depression appears to increase short-term risk of hospitalization for geriatric home care patients immediately after starting home care. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133462 Thu, 31 Dec 2009 13:01:28 +0100 3133462 http://www.medworm.com/index.php?rid=3133461&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F74%3Frss%3D1 CONCLUSIONS: Nursing home staff should be trained to deliver disaster-related mental health intervention and in procedures for making referrals for follow-up evaluation and formal intervention. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133461 Thu, 31 Dec 2009 13:01:28 +0100 3133461 http://www.medworm.com/index.php?rid=3133460&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F70%3Frss%3D1 One of the greatest challenges of restoring the New Orleans health care infrastructure since the post-Katrina disaster has been shortages of health care providers. Many providers had prolonged displacements or did not return to their practices, depleting the city of valuable resources. This Open Forum chronicles the displacement of Louisiana State University's Department of Psychiatry and discusses barriers to returning health care providers to their communities expeditiously. Predisaster planning and policy changes are proposed to facilitate a quicker return and decrease the attrition of health care providers after future disasters. A community's predisaster plans should include a mechanism to allow funds to follow patients instead of hospitals, to provide bridge funding that pays local h... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133460 Thu, 31 Dec 2009 13:01:28 +0100 3133460 http://www.medworm.com/index.php?rid=3133459&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F64%3Frss%3D1 CONCLUSIONS: Signal detection analysis of community needs assessment surveys can identify community subgroups most likely to screen positive for mental health problems after a disaster or terrorist attack. This information can help target screening and outreach efforts to community segments that have the highest need for services. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133459 Thu, 31 Dec 2009 13:01:28 +0100 3133459 http://www.medworm.com/index.php?rid=3133458&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F58%3Frss%3D1 CONCLUSIONS: Greater availability of mental health specialty services, particularly PTSD services, may be needed to ensure that veterans receive minimally adequate treatment after a PTSD diagnosis. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133458 Thu, 31 Dec 2009 13:01:28 +0100 3133458 http://www.medworm.com/index.php?rid=3133457&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F50%3Frss%3D1 CONCLUSIONS: The findings suggest that a range of issues beyond the presence of common mental disorders need to be considered in understanding the factors that contribute to a sense of need for mental health treatment. Postdeployment screening programs should consider systematically assessing self-perceived need for mental health treatment. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133457 Thu, 31 Dec 2009 13:01:28 +0100 3133457 http://www.medworm.com/index.php?rid=3133456&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F45%3Frss%3D1 CONCLUSIONS: The findings presented here call for better communication among local public health and mental health providers and jails and better integration of primary care and behavioral health care among community mental health providers. Also, research should be accelerated on evidence-based interventions designed to divert persons with severe mental illness from the criminal justice system and facilitate community reentry for persons with severe mental illness who are released from jails and prisons. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133456 Thu, 31 Dec 2009 13:01:28 +0100 3133456 http://www.medworm.com/index.php?rid=3133455&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F38%3Frss%3D1 CONCLUSIONS: Financial incentives to improve quality performance may promote accountability in monitoring diabetes and cardiovascular risk assessment within mental health programs. Integrated care strategies (co-location) might be needed to promote management of high-risk behaviors among patients with serious mental illness. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133455 Thu, 31 Dec 2009 13:01:28 +0100 3133455 http://www.medworm.com/index.php?rid=3133454&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F32%3Frss%3D1 CONCLUSIONS: Assessment of physical illness is relatively common among mental health clinicians but was lacking in one-third of the cases in this study, until raised by patients. Because frequency of assessment differed by clinician discipline and patient ethnicity, innovations in patient assessment and clinician education are needed to address disparities in management of physical illness among individuals with mental illness. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133454 Thu, 31 Dec 2009 13:01:27 +0100 3133454 http://www.medworm.com/index.php?rid=3133453&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F25%3Frss%3D1 CONCLUSIONS: The acute ward played an important role for patients with suicidal behavior. Care providers and clinicians should focus on staff training and supervision with regard to assessment and management of suicidal patients. Collaboration with referring physicians and aftercare providers is also important to help patients gain constructive coping strategies and break patterns of suicidal behavior and readmission. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133453 Thu, 31 Dec 2009 13:01:27 +0100 3133453 http://www.medworm.com/index.php?rid=3133452&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F17%3Frss%3D1 CONCLUSIONS: The mental health service needs of suicidal adolescents, especially those from ethnic minority groups and lower-income families, too frequently remain unmet. Larger racial-ethnic disparities were found in use of inpatient and outpatient mental health services than in use of school-based services. Mental health services offered within school settings can reach suicidal adolescents who need services but may experience barriers to standard types of care. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133452 Thu, 31 Dec 2009 13:01:27 +0100 3133452 http://www.medworm.com/index.php?rid=3133451&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F11%3Frss%3D1 CONCLUSIONS: Release of specific risk and benefit information by the FDA was associated with changes in prescribing but not in outpatient follow-up. These results suggest that the FDA plays an important role in communicating information to the public and providers. Yet, although public health safety warnings were associated with changes in some practice patterns, not all recommendations conveyed in warnings were followed. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133451 Thu, 31 Dec 2009 13:01:27 +0100 3133451 http://www.medworm.com/index.php?rid=3133450&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F9%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133450 Thu, 31 Dec 2009 13:01:27 +0100 3133450 http://www.medworm.com/index.php?rid=3133449&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F6%3Frss%3D1 Self-help groups, which are also referred to as mutual aid groups, are widely recognized as an important component of a comprehensive public mental health system that promotes recovery. Nonetheless, some psychiatrists and other providers have expressed concerns about these consumer-run groups and fear potential liability if they make referrals and something harmful occurs. This column reviews potential liability claims that could be made pertaining to referrals to self-help groups. The authors conclude that the likelihood of success of a plaintiff's claim is small. Recommendations are given for further lowering the likelihood of a successful suit. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133449 Thu, 31 Dec 2009 13:01:27 +0100 3133449 http://www.medworm.com/index.php?rid=3133448&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F5%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133448 Thu, 31 Dec 2009 13:01:27 +0100 3133448 http://www.medworm.com/index.php?rid=3133447&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F61%2F1%2F3%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3133447 Thu, 31 Dec 2009 13:01:27 +0100 3133447 http://www.medworm.com/index.php?rid=3044593&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1699%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044593 Tue, 01 Dec 2009 16:46:22 +0100 3044593 http://www.medworm.com/index.php?rid=3044592&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1698-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044592 Tue, 01 Dec 2009 16:46:22 +0100 3044592 http://www.medworm.com/index.php?rid=3044591&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1698%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044591 Tue, 01 Dec 2009 16:46:22 +0100 3044591 http://www.medworm.com/index.php?rid=3044590&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1697%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044590 Tue, 01 Dec 2009 16:46:22 +0100 3044590 http://www.medworm.com/index.php?rid=3044589&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1696-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044589 Tue, 01 Dec 2009 16:46:22 +0100 3044589 http://www.medworm.com/index.php?rid=3044588&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1696%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044588 Tue, 01 Dec 2009 16:46:22 +0100 3044588 http://www.medworm.com/index.php?rid=3044587&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1695-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044587 Tue, 01 Dec 2009 16:46:22 +0100 3044587 http://www.medworm.com/index.php?rid=3044586&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1695%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044586 Tue, 01 Dec 2009 16:46:22 +0100 3044586 http://www.medworm.com/index.php?rid=3044585&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1694-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044585 Tue, 01 Dec 2009 16:46:22 +0100 3044585 http://www.medworm.com/index.php?rid=3044584&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1694%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044584 Tue, 01 Dec 2009 16:46:22 +0100 3044584 http://www.medworm.com/index.php?rid=3044583&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1693-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044583 Tue, 01 Dec 2009 16:46:22 +0100 3044583 http://www.medworm.com/index.php?rid=3044582&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1693%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044582 Tue, 01 Dec 2009 16:46:22 +0100 3044582 http://www.medworm.com/index.php?rid=3044581&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1692-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044581 Tue, 01 Dec 2009 16:46:22 +0100 3044581 http://www.medworm.com/index.php?rid=3044580&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1692%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044580 Tue, 01 Dec 2009 16:46:22 +0100 3044580 http://www.medworm.com/index.php?rid=3044579&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1691%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044579 Tue, 01 Dec 2009 16:46:22 +0100 3044579 http://www.medworm.com/index.php?rid=3044578&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1690%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044578 Tue, 01 Dec 2009 16:46:22 +0100 3044578 http://www.medworm.com/index.php?rid=3044577&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1686%3Frss%3D1 CONCLUSIONS: The study indicates that this population has a high rate of metabolic risk of cardiovascular disease and that treatment will require addressing barriers to screening. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044577 Tue, 01 Dec 2009 16:46:22 +0100 3044577 http://www.medworm.com/index.php?rid=3044576&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1683%3Frss%3D1 CONCLUSIONS: Psychosis and unemployment seem to have an independent effect on the number of hospitalizations. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044576 Tue, 01 Dec 2009 16:46:22 +0100 3044576 http://www.medworm.com/index.php?rid=3044575&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1680%3Frss%3D1 CONCLUSIONS: Attention should be given to younger male patients treated for personality disorders, because they are at higher risk of treatment dropout. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044575 Tue, 01 Dec 2009 16:46:22 +0100 3044575 http://www.medworm.com/index.php?rid=3044574&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1676%3Frss%3D1 CONCLUSIONS: Although this middle-aged sample with substantial medical need reported having access to care, receipt of preventive care was low and unaddressed health concerns were reported. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044574 Tue, 01 Dec 2009 16:46:22 +0100 3044574 http://www.medworm.com/index.php?rid=3044573&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1672%3Frss%3D1 CONCLUSIONS: Variability in the adoption of evidence-based practices, poor attention to information systems, and inconsistent fiscal policies threaten states' efforts to improve the quality of children's mental health services. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044573 Tue, 01 Dec 2009 16:46:22 +0100 3044573 http://www.medworm.com/index.php?rid=3044572&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1664%3Frss%3D1 It is well documented that African Americans receive a disproportionate share of their mental health care in the emergency room. Yet this disparate and undesirable pattern of service use has been inadequately examined and remains poorly understood. The disparity is often attributed to lack of access to outpatient care and to the low quality of available services, but these explanations represent untested hypotheses. This Open Forum reviews available data to illustrate how African Americans and white Americans are differentially affected by a broad range of social and community processes and trends, including characteristics of mental health systems and communities and changing societal conditions, and describes how these differences can lead to African Americans' disproportionate use of ps... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044572 Tue, 01 Dec 2009 16:46:22 +0100 3044572 http://www.medworm.com/index.php?rid=3044571&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1656%3Frss%3D1 CONCLUSIONS: Marked sociocultural differences between immigrants and the host society and the understanding of these differences by mental health professionals may influence rates and patterns of psychiatric hospitalization more than the immigration experience itself. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044571 Tue, 01 Dec 2009 16:46:22 +0100 3044571 http://www.medworm.com/index.php?rid=3044570&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1649%3Frss%3D1 CONCLUSIONS: No evidence was found that the option of direct self-referral to specialty mental health care increased help seeking or led to overuse of care, although the generalizability of findings to other settings is unknown. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044570 Tue, 01 Dec 2009 16:46:22 +0100 3044570 http://www.medworm.com/index.php?rid=3044569&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1642%3Frss%3D1 CONCLUSIONS: The data confirmed that older persons with schizophrenia had a lower level of community integration than their age peers in the community and that the model for community integration can identify potentially ameliorable clinical and social variables that may be targets for intervention research. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044569 Tue, 01 Dec 2009 16:46:22 +0100 3044569 http://www.medworm.com/index.php?rid=3044568&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1637%3Frss%3D1 CONCLUSIONS: The findings imply that specialists are challenged when dealing with clients with criminal justice issues and use several approaches to overcome these challenges. Current specialist training may be deficient in preparing staff to effectively serve people with criminal justice issues. Further research should assess the efficacy of the approaches outlined in this article to give more guidance to specialists working with clients with criminal justice issues. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044568 Tue, 01 Dec 2009 16:46:22 +0100 3044568 http://www.medworm.com/index.php?rid=3044567&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1629%3Frss%3D1 CONCLUSIONS: The results suggest that the program was effective at improving illness management and functional outcomes for persons with serious mental illness who were receiving supportive housing services. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044567 Tue, 01 Dec 2009 16:46:22 +0100 3044567 http://www.medworm.com/index.php?rid=3044566&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1618%3Frss%3D1 CONCLUSIONS: Our results suggest that failure to perceive need continues to be the major reason that individuals with alcohol use disorders do not receive treatment. On the other hand, among those who perceived a need, a majority received treatment. It is likely that high levels of unmet need for treatment services for alcohol use disorders will persist as long as perceived need is low. Efforts are needed to increase levels of perceived need among those with alcohol use disorders. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044566 Tue, 01 Dec 2009 16:46:22 +0100 3044566 http://www.medworm.com/index.php?rid=3044565&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1612%3Frss%3D1 CONCLUSIONS: Patients with PTSD and depression had greater utilization of specialty mental health treatments and antidepressant medications and higher mental health care costs in the previous 12 months than depressed patients without PTSD. As military personnel return from Iraq, both VA and non-VA health care providers need to plan for an increase in outpatient mental health services and costs, particularly among depressed veterans who also have PTSD. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044565 Tue, 01 Dec 2009 16:46:22 +0100 3044565 http://www.medworm.com/index.php?rid=3044564&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1604%3Frss%3D1 CONCLUSIONS: Persons with major depressive disorder who switched or augmented antidepressant therapy within 12 months of treatment initiation had higher resource costs and productivity losses than those who did not. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044564 Tue, 01 Dec 2009 16:46:22 +0100 3044564 http://www.medworm.com/index.php?rid=3044563&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1603%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044563 Tue, 01 Dec 2009 16:46:22 +0100 3044563 http://www.medworm.com/index.php?rid=3044562&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1595%3Frss%3D1 CONCLUSIONS: Examination of pharmacy claims from Medicaid beneficiaries in New York State indicated that prescribing practices deemed clinically questionable by pharmacology experts are common. Aggregated pharmacy claims data can identify such practices, and reviews of these data can be a core component of efforts to improve prescribing practices. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044562 Tue, 01 Dec 2009 16:46:22 +0100 3044562 http://www.medworm.com/index.php?rid=3044561&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1589%3Frss%3D1 CONCLUSIONS: Experiences in California suggest that implementation of the 2008 federal parity law should include monitoring health plan performance related to access and quality, in addition to monitoring coverage and costs; examining the breadth of diagnoses covered by health plans; and mounting a campaign to educate consumers about their insurance benefits. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044561 Tue, 01 Dec 2009 16:46:22 +0100 3044561 http://www.medworm.com/index.php?rid=3044560&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1587%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044560 Tue, 01 Dec 2009 16:46:22 +0100 3044560 http://www.medworm.com/index.php?rid=3044559&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1586%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044559 Tue, 01 Dec 2009 16:46:22 +0100 3044559 http://www.medworm.com/index.php?rid=3044558&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1582%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044558 Tue, 01 Dec 2009 16:46:22 +0100 3044558 http://www.medworm.com/index.php?rid=3044557&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1581%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044557 Tue, 01 Dec 2009 16:46:22 +0100 3044557 http://www.medworm.com/index.php?rid=3044556&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F12%2F1573%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=3044556 Tue, 01 Dec 2009 16:46:22 +0100 3044556 http://www.medworm.com/index.php?rid=2943609&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1566%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943609 Fri, 30 Oct 2009 12:01:28 +0100 2943609 http://www.medworm.com/index.php?rid=2943608&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1565%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943608 Fri, 30 Oct 2009 12:01:28 +0100 2943608 http://www.medworm.com/index.php?rid=2943607&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1564%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943607 Fri, 30 Oct 2009 12:01:28 +0100 2943607 http://www.medworm.com/index.php?rid=2943606&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1563%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943606 Fri, 30 Oct 2009 12:01:28 +0100 2943606 http://www.medworm.com/index.php?rid=2943605&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1562-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943605 Fri, 30 Oct 2009 12:01:28 +0100 2943605 http://www.medworm.com/index.php?rid=2943604&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1562%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943604 Fri, 30 Oct 2009 12:01:28 +0100 2943604 http://www.medworm.com/index.php?rid=2943603&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1561%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943603 Fri, 30 Oct 2009 12:01:28 +0100 2943603 http://www.medworm.com/index.php?rid=2943602&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1560%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943602 Fri, 30 Oct 2009 12:01:28 +0100 2943602 http://www.medworm.com/index.php?rid=2943601&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1559-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943601 Fri, 30 Oct 2009 12:01:28 +0100 2943601 http://www.medworm.com/index.php?rid=2943600&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1559%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943600 Fri, 30 Oct 2009 12:01:28 +0100 2943600 http://www.medworm.com/index.php?rid=2943599&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1558%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943599 Fri, 30 Oct 2009 12:01:28 +0100 2943599 http://www.medworm.com/index.php?rid=2943598&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1557-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943598 Fri, 30 Oct 2009 12:01:28 +0100 2943598 http://www.medworm.com/index.php?rid=2943597&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1557%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943597 Fri, 30 Oct 2009 12:01:28 +0100 2943597 http://www.medworm.com/index.php?rid=2943596&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1556%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943596 Fri, 30 Oct 2009 12:01:28 +0100 2943596 http://www.medworm.com/index.php?rid=2943595&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1555-a%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943595 Fri, 30 Oct 2009 12:01:28 +0100 2943595 http://www.medworm.com/index.php?rid=2943594&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1555%3Frss%3D1 (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943594 Fri, 30 Oct 2009 12:01:28 +0100 2943594 http://www.medworm.com/index.php?rid=2943593&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1552%3Frss%3D1 CONCLUSIONS: Correlations between subjective and general health-related quality of life and oral health-related quality of life had not been detected in this group before. In order to improve mental health consumers' total perceived quality of life, oral health problems should be regularly addressed in the course of psychiatric care. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943593 Fri, 30 Oct 2009 12:01:28 +0100 2943593 http://www.medworm.com/index.php?rid=2943592&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1547%3Frss%3D1 CONCLUSIONS: Interventions to prevent burnout among employees should be developed. These include providing feedback about performance, clearly identifying the tasks of the job, and providing support. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943592 Fri, 30 Oct 2009 12:01:28 +0100 2943592 http://www.medworm.com/index.php?rid=2943591&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1543%3Frss%3D1 CONCLUSIONS: The hypothesis that outpatient treatment may help to prevent compulsory admission found some support in this study. More research is needed to understand the mechanisms of the associations so that an intervention study can be developed to test this hypothesis. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943591 Fri, 30 Oct 2009 12:01:27 +0100 2943591 http://www.medworm.com/index.php?rid=2943590&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1540%3Frss%3D1 CONCLUSIONS: A large proportion of the population is eligible for MBCT introduction; however, after introduction, the rate of emergence of candidates would yield a smaller patient pool, which may limit implementation in small population centers. Treatment acceptability is a key variable. These analyses highlight the potential value of epidemiologic data and simulation modeling in planning. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943590 Fri, 30 Oct 2009 12:01:27 +0100 2943590 http://www.medworm.com/index.php?rid=2943589&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1535%3Frss%3D1 CONCLUSIONS: Consumers were found to be active participants in treatment in a variety of ways, but similar to other populations, the relationship between observed patient activation and consumer-reported desire for involvement was not direct. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943589 Fri, 30 Oct 2009 12:01:27 +0100 2943589 http://www.medworm.com/index.php?rid=2943588&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1532%3Frss%3D1 For much of its history the U.S. Centers for Disease Control and Prevention (CDC) considered mental health to be outside of its mission. That assumption persisted even after CDC became a leading public health agency and began to face important mental health issues. This narrative describes how the organizational paradigm indicating that mental health was not mission related was challenged and superseded by a new paradigm recognizing mental health as part of CDC's public health mission. Even after the CDC Mental Health Work Group's establishment in 2000, CDC took eight more years to overcome powerful remnants of the old paradigm that had for so long excluded, minimized, or discouraged attention to mental health. The CDC Mental Health Work Group led the agency's mental health efforts without... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943588 Fri, 30 Oct 2009 12:01:27 +0100 2943588 http://www.medworm.com/index.php?rid=2943587&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1527%3Frss%3D1 CONCLUSIONS: The findings indicate that the nurse practitioner role can potentially initiate safe and effective mental health care and treatment that is as satisfying as that initiated by a physician. Additional, larger-scale research is required to determine the generalizability of these findings. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943587 Fri, 30 Oct 2009 12:01:27 +0100 2943587 http://www.medworm.com/index.php?rid=2943586&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1522%3Frss%3D1 CONCLUSIONS: The study provides the first independent validation of the COVR and evidence of the usefulness of the COVR in predicting harmful behavior in forensic inpatient settings in the United Kingdom. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943586 Fri, 30 Oct 2009 12:01:27 +0100 2943586 http://www.medworm.com/index.php?rid=2943585&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1516%3Frss%3D1 CONCLUSIONS: These findings highlight the need for future investigations of specific social, behavioral, and other factors that underlie higher rates of parole revocation among individuals with co-occurring serious mental illness and substance use disorders. (Source: Psychiatr Serv) Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943585 Fri, 30 Oct 2009 12:01:27 +0100 2943585 http://www.medworm.com/index.php?rid=2943584&cid=s_27161_172_f&fid=27161&url=http%3A%2F%2Fpsychservices.psychiatryonline.org%2Fcgi%2Fcontent%2Fshort%2F60%2F11%2F1510%3Frss%3D1 This article summarizes historical perspectives on U.S. child mental health policies and their interface with education and discusses trends in educational policy relevant to children's mental health, specifically the Individuals With Disabilities Education Act and No Child Left Behind. The traditional approach of mental health research in schools, which focuses on program and intervention development, has become stagnant. New paradigms are needed. These include attending to indigenous school resources, to the organizational context of learning, and to participatory models for constructing environments conducive to mental health promotion and learning. Persistent underfunding and fragmented fiscal support, however, render new approaches meaningless. If progress is to be made, new funding s... Psychiatr Serv journals http://www.medworm.com/rss/comments.php?id=2943584 Fri, 30 Oct 2009 12:01:27 +0100 2943584