Psychiatric services最新文献

Empowering Youths and Their Families: Educational Discharge Resources for a Pediatric Psychiatric Emergency Department. 授权青少年和他们的家庭：儿童精神科急诊科的教育出院资源。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-30 DOI: 10.1176/appi.ps.20240601

Sijia Zhang, Christine Novotny, Ekta Patel

引用次数: 0

Medicaid Expansion and County-Level Suicide: Disparities Based on Rurality and Mental Health Provider Shortages. 医疗补助扩张和县级自杀：基于农村和心理健康提供者短缺的差异。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-11 DOI: 10.1176/appi.ps.20240444

Benson S Ku, Maria Dieci, Qingyue Yuan, Benjamin G Druss

{"title":"Medicaid Expansion and County-Level Suicide: Disparities Based on Rurality and Mental Health Provider Shortages.","authors":"Benson S Ku, Maria Dieci, Qingyue Yuan, Benjamin G Druss","doi":"10.1176/appi.ps.20240444","DOIUrl":"10.1176/appi.ps.20240444","url":null,"abstract":"Objective: Prior research has shown that Medicaid expansion is linked with slightly reduced suicide rates at the state level. This study aimed to investigate the association between Medicaid expansion and suicide rates at the county level, as well as disparities based on rurality and areas with a shortage of mental health professionals.Methods: In this cross-sectional study, the authors conducted a difference-in-differences analysis, with regression-adjusted ordinary least squares and fixed effects of county and year, to compare changes in county-level suicide mortality rates among nonelderly adults before and after Medicaid expansion. Whether these changes differed by rurality and by mental health professional availability was also examined.Results: Among 3,068 unique counties included in the analysis, on average, 50.0% of residents were male, 17.1% ages ≥65 years, 34.8% high school graduates, and 76.8% non-Hispanic White. The estimated suicide incidence rate per 100,000 population was 17.2 across all counties from 2007 to 2021. Medicaid expansion was not significantly associated with suicide rates. However, the three-way interaction term indicated a significant decrease in suicide rates after Medicaid expansion in metropolitan counties without mental health professional shortages (adjusted coefficient=-1.32, 95% CI=-2.37 to -0.28, p=0.014).Conclusions: These findings suggest that Medicaid expansion may have a greater impact in areas with more resources and infrastructure to provide mental health care. Further investigation is needed into the mechanisms that drive these differences.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"620-627"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Malpractice: Coming Changes and Their Impact on Psychiatry. 医疗事故：未来的变化及其对精神病学的影响。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-05-28 DOI: 10.1176/appi.ps.20250230

Neil S Kaye, Paul S Appelbaum

引用次数: 0

Transitioning Out of Coordinated Specialty Care: Exploration of Service Users' and Families' Goals and Needs. 从协调的专科护理过渡：服务使用者和家庭目标和需求的探索。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1176/appi.ps.20240199

Elizabeth R Fraser, Karina Silva Garcia, Oladunni Oluwoye

{"title":"Transitioning Out of Coordinated Specialty Care: Exploration of Service Users' and Families' Goals and Needs.","authors":"Elizabeth R Fraser, Karina Silva Garcia, Oladunni Oluwoye","doi":"10.1176/appi.ps.20240199","DOIUrl":"10.1176/appi.ps.20240199","url":null,"abstract":"Objective: This study aimed to describe the goals of service users with first-episode psychosis who enrolled in coordinated specialty care (CSC), along with the goals their family members have for them, and to understand service users' and family members' perceived needs for recovery after discharge from the program.Methods: The authors conducted 32 in-depth interviews in English or Spanish with service users and their family members recruited between September 2021 and December 2022. Transcripts were analyzed to determine the common concerns and expectations of service users and family members.Results: Most service users described wanting financial and social independence from their families of origin, including an education that would allow them to obtain well-paid, stable employment; transportation; and an independent residence. Service users described hoping to replace some of the support they received from CSC with friends they would make in the future; some family members hoped their loved one would be able to develop and sustain romantic relationships. Most family members described not feeling ready to leave CSC at the 2-year mark, whereas service users expressed mixed opinions about their readiness to exit the program.Conclusions: Although service users were excited about the prospect of discharge, they, along with their family members, agreed that ongoing support was needed after CSC. On the basis of the findings, the authors delineate supports that service users and family members believe are necessary for a successful step-down.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"635-641"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Well-Being Model for Young Black Adults: Applying Coproduction Principles and Practices. 年轻黑人成年人的幸福模型：应用合作生产原则和实践。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-05-07 DOI: 10.1176/appi.ps.20240335

Crystal L Brandow, Hakim Asadi, Alexander Gamble, Margaret Swarbrick

引用次数: 0

A Wellness Model Developed by and for Individuals With Lived Experience. 由有生活经验的个人开发的健康模型。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-05-07 DOI: 10.1176/appi.ps.20240257

Margaret Swarbrick, Lasheema Sanders-Edwards, Rita Cronise

引用次数: 0

Adapting the Project ECHO Model for Providers Treating Trauma-Related Problems: Evaluation and Lessons Learned. 为治疗创伤相关问题的提供者调整项目ECHO模型：评估和经验教训。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-11 DOI: 10.1176/appi.ps.20240101

Kristen P Lindgren, Emily R Dworkin, Sophia Robinson, Laura Merchant, Minu Ranna-Stewart, Rebecca C Hendrickson, Jonathan W Reeves, Michele A Bedard-Gilligan

引用次数: 0

An Employer's View of Recovery. 雇主对复苏的看法。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-11 DOI: 10.1176/appi.ps.20250029

Robert E Drake

引用次数: 0

Experiences With Online Mutual Support Groups for Problematic Drinking. 酗酒问题在线互助小组的经验。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1176/appi.ps.20240551

Jessica L Sousa, Haiden A Huskamp, Ateev Mehrotra, Alisa B Busch, Lori Uscher-Pines

{"title":"Experiences With Online Mutual Support Groups for Problematic Drinking.","authors":"Jessica L Sousa, Haiden A Huskamp, Ateev Mehrotra, Alisa B Busch, Lori Uscher-Pines","doi":"10.1176/appi.ps.20240551","DOIUrl":"10.1176/appi.ps.20240551","url":null,"abstract":"Objective: This study sought to evaluate how the recent increase in use of online meetings has influenced participant experiences with peer-based mutual support groups for problematic drinking.Methods: The authors conducted semistructured interviews in June and July 2024 with 20 adults who participated in online mutual support meetings for problematic drinking. Participants were recruited from a nationwide online research panel. The authors conducted an ideal-type analysis to compare the experiences of individuals who differed in their modality (online vs. in person) preferences and motivations for using online meetings.Results: The authors identified four distinct types of online meeting users, who varied in their perceptions about the advantages of online meetings. Meeting maximizers valued flexibility and convenience and used online meetings to supplement in-person participation. Strategists viewed online meetings as a source of new ideas and urgent support and used a mix of both modalities to capitalize on the perceived distinct advantages of each. Online enthusiasts preferred online meetings because they afforded increased anonymity and control and reduced social pressure. Finally, compliance seekers preferred online meetings for their efficiency in facilitating compliance with legal requirements. Participants of all types reported technological barriers, inconsistent quality, and greater potential for disruptions as disadvantages of online meetings.Conclusions: Online meetings offer distinct advantages for individuals with differing motivations for engaging in peer-based mutual support groups, functioning as a gateway support for some people and as an essential supplement to ongoing in-person support for others.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"656-664"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of On-Campus Student Mental Health Services at U.S. Colleges and Universities: A Web-Based Analysis. 美国大学校园学生心理健康服务的流行：基于网络的分析

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-07-01 Epub Date: 2025-02-06 DOI: 10.1176/appi.ps.20240479

James Aluri, Arman Terzian, Ramin Mojtabai, Amelia Arria

{"title":"Prevalence of On-Campus Student Mental Health Services at U.S. Colleges and Universities: A Web-Based Analysis.","authors":"James Aluri, Arman Terzian, Ramin Mojtabai, Amelia Arria","doi":"10.1176/appi.ps.20240479","DOIUrl":"10.1176/appi.ps.20240479","url":null,"abstract":"Objective: The authors sought to quantify the proportion of U.S. postsecondary institutions that offer any on-campus mental health services to their students.Methods: In this cross-sectional study, data about the availability and descriptions of mental health services were gathered from websites of a main sample of 200 postsecondary institutions other than community colleges and a sample of 50 community colleges. Both samples were selected through a stratified sampling process. Descriptive statistics, weighted (main sample) and unweighted percentages, and confidence intervals were calculated.Results: In the main sample, 191 institutions (95%, 95% CI=91%-98%) offered mental health services. Among community colleges, 40 (80%, 95% CI=69%-91%) offered such services. In both the main and community college samples, most institutions (92% and 75%, respectively) used \"counseling\" to describe the services offered.Conclusions: Extrapolation of these results suggests that >1,700 U.S. postsecondary institutions offer mental health services, making campus services a sizeable mental health services sector.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"675-678"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0