Psychiatric services最新文献

Impact of State Medical Licensure Exemptions and Telehealth Registries on College Students' Access to Psychiatric Care. 国家医疗执照豁免和远程医疗登记对大学生获得精神病学护理的影响。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI: 10.1176/appi.ps.20240225

Rachel C Conrad, Amanda Koire, Lekshmi Radhakrishnan, Andrew Charroux, Savannah Klingler, Nicole M Benson, J Wesley Boyd

{"title":"Impact of State Medical Licensure Exemptions and Telehealth Registries on College Students' Access to Psychiatric Care.","authors":"Rachel C Conrad, Amanda Koire, Lekshmi Radhakrishnan, Andrew Charroux, Savannah Klingler, Nicole M Benson, J Wesley Boyd","doi":"10.1176/appi.ps.20240225","DOIUrl":"10.1176/appi.ps.20240225","url":null,"abstract":"Objective: This study examined the impact of state medical licensure exemptions and telehealth registries on college students' access to psychiatric care.Methods: The authors attempted to contact 901 psychiatrists who advertised online on Psychology Today by using a simulated patient, described as a student attending college in a state with a medical licensure exemption or telehealth registry.Results: Contact was established with 282 (31%) psychiatrists across 10 states. Of the 143 contacted psychiatrists who were accepting new patients, seven (5%) were aware of state medical licensure exemptions, 43 (30%) were willing to establish care with students attending college in another state regardless of state laws, 42 (29%) were willing to learn about licensure exemptions, and 51 (36%) were unwilling to care for students in another state even when permitted by law.Conclusions: Given psychiatrists' lack of awareness of licensure exemptions and telehealth registries, interstate access to and continuity of care may be limited.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"602-605"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256460","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

What Psychiatric Services Stands For. 精神科服务代表什么？

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-04-30 DOI: 10.1176/appi.ps.20250186

Lisa B Dixon, Howard H Goldman, Deidre M Anglin, Daniel M Blonigen, Samuel J Dotson, Shalini Lal, David S Mandell, Christina Mangurian, Octavio N Martinez, Hunter L McQuistion, Mark Olfson, David W Oslin, Delbert Robinson, David Roe, Rebecca C Rossom, Jason Schiffman, Ruth Shim, Helene Speyer

引用次数: 0

Challenges to and Solutions for Implementing Medications for Opioid Use Disorder in Community Mental Health Centers. 社区精神卫生中心实施阿片类药物使用障碍的挑战和解决方案。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-03-27 DOI: 10.1176/appi.ps.20240475

Sarah B Hunter, Allison J Ober, Barbara Levitan, Jonathan H Cantor

{"title":"Challenges to and Solutions for Implementing Medications for Opioid Use Disorder in Community Mental Health Centers.","authors":"Sarah B Hunter, Allison J Ober, Barbara Levitan, Jonathan H Cantor","doi":"10.1176/appi.ps.20240475","DOIUrl":"10.1176/appi.ps.20240475","url":null,"abstract":"Objective: The purpose of this study was to identify implementation challenges to and solutions for integrating medications for opioid use disorder (MOUD) into community mental health centers (CMHCs).Methods: Between February and July 2024, 17 semistructured interviews were conducted with CMHC program leaders. Participants described the impetus for MOUD provision or reasons for not implementing MOUD, as well as key implementation challenges and strategies to address them.Results: Participants included staff from 10 CMHCs that provided MOUD and seven that did not. MOUD clinic staff noted that community need and leadership advocacy impelled them to offer MOUD, despite facing challenges. Reasons from non-MOUD clinic staff for not providing MOUD included a perceived lack of opioid use disorder among clients, concerns about treating people with opioid use disorder, and the need for appropriate staff and training. Implementation challenges identified by participants from MOUD clinics concerned the complexity or lack of reimbursement for MOUD-related services, lack of staff training and support, workflow misalignment, client nonadherence to MOUD, and medication costs. Several strategies were described to address these challenges, including streamlining workflows and pathways to treatment, increasing staff training and support, and leveraging telehealth.Conclusions: Identifying implementation strategies that assist CMHCs in overcoming barriers to integrating MOUD can increase access in settings where people with co-occurring mental and opioid use disorders regularly receive care. This article provides illustrative examples of successful strategies used to address challenges faced by CMHCs and recommendations to increase MOUD uptake.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"571-580"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721235","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

Poverty. 贫困。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-03-06 DOI: 10.1176/appi.ps.20250028

Cheryl Howe

引用次数: 0

Trends in Formulary Restrictions for Long-Acting Injectable Antipsychotic Medications Among Medicare Drug Plans, 2019-2023. 2019-2023年医疗保险药物计划中长效注射抗精神病药物的处方限制趋势

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-01-30 DOI: 10.1176/appi.ps.20230593

Samuel R Bunting, Robert O Cotes, Kathryn Gray, Kristen Chalmers, Thuy D Nguyen

{"title":"Trends in Formulary Restrictions for Long-Acting Injectable Antipsychotic Medications Among Medicare Drug Plans, 2019-2023.","authors":"Samuel R Bunting, Robert O Cotes, Kathryn Gray, Kristen Chalmers, Thuy D Nguyen","doi":"10.1176/appi.ps.20230593","DOIUrl":"10.1176/appi.ps.20230593","url":null,"abstract":"Objective: Long-acting injectable antipsychotics (LAIAPs) enable safe and effective long-term management of chronic psychotic disorders but are underused in clinical practice. The authors examined whether Medicare formulary restrictions (prior authorization [PA] or step therapy) impose barriers to LAIAP uptake.Methods: The authors analyzed formulary restrictions and patient cost-sharing for several LAIAPs and estimated the percentage of plans (N=2,494 were available per year) applying formulary restrictions. Analyses were stratified by Medicare Advantage, dual Medicare-Medicaid eligibility plans, and Part D plan group and weighted by the number of enrollees at the per-year, per-plan level.Results: Application of formulary restrictions for LAIAPs was low (<12% requiring PA [apart from olanzapine] and <4% requiring step therapy) and decreased among nearly all plan types between 2019 and 2023.Conclusions: Formulary restrictions do not appear to present a significant barrier to use of LAIAPs for psychiatric patients with Medicare prescription drug coverage. Additional research is needed to further understand factors influencing LAIAP use.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"606-610"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067252","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 Perceived Value of Pharmacogenetic Testing in Depression Treatment: Mixed-Methods Results From the PRIME Care Study. 药物遗传学检测在抑郁症治疗中的感知价值：来自PRIME护理研究的混合方法结果。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI: 10.1176/appi.ps.20240080

Bonnie M Vest, Laura O Wray, Leland E Hull, Kevin G Lynch, Sara R Chapman, Michael E Thase, Christine Ramsey, Joseph Simonetti, David W Oslin

{"title":"The Perceived Value of Pharmacogenetic Testing in Depression Treatment: Mixed-Methods Results From the PRIME Care Study.","authors":"Bonnie M Vest, Laura O Wray, Leland E Hull, Kevin G Lynch, Sara R Chapman, Michael E Thase, Christine Ramsey, Joseph Simonetti, David W Oslin","doi":"10.1176/appi.ps.20240080","DOIUrl":"10.1176/appi.ps.20240080","url":null,"abstract":"Objective: This mixed-methods study explored providers' perceptions of the value of using pharmacogenetic (PGx) testing in depression treatment after they had used the test during a pragmatic clinical trial.Methods: Data were drawn from baseline and follow-up surveys (mental health and primary care providers; N=217) of and qualitative interviews (N=61) with trial participants. Pre-post changes in agreement with statements about PGx testing's value in depression care were examined with a generalized estimating equations cumulative logit ordinal regression model with two time points and robust standard errors. Interviews were analyzed via rapid qualitative analysis.Results: Analyses showed greater agreement at follow-up with statements about comfort with PGx testing, feeling well informed about PGx testing, and the strength of the evidence base. Mental health providers had stronger levels of agreement compared with primary care providers. Interview data indicated that although providers found value in PGx testing, they also thought that the test was useful only for some patients. Several providers felt that the main value may be in facilitating patient buy-in to trying medication.Conclusions: Overall, this mixed-methods study demonstrated that, after using PGx testing during a clinical trial, primary care and mental health providers have overall positive perceptions of its potential value and utility in depression treatment.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"589-597"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030759","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

Clinical and Programmatic Considerations for Enhancing Developmentally Informed Care in Psychosis Risk Programs for Youths. 在青少年精神病风险项目中加强发展知情护理的临床和规划考虑。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-01-17 DOI: 10.1176/appi.ps.20240002

Leslie E Horton, Tushita Mayanil, Lauren M Bylsma

引用次数: 0

Reducing Duration of Untreated Psychosis: Strengthening the Case for Early Detection Campaigns. 缩短未治疗精神病的持续时间：加强早期发现运动的案例。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI: 10.1176/appi.ps.20240061

Ashley Weiss, Serena Chaudhry, Wasef Atiya, Sydney Long, Robert Roy, Ramin Mojtabai

{"title":"Reducing Duration of Untreated Psychosis: Strengthening the Case for Early Detection Campaigns.","authors":"Ashley Weiss, Serena Chaudhry, Wasef Atiya, Sydney Long, Robert Roy, Ramin Mojtabai","doi":"10.1176/appi.ps.20240061","DOIUrl":"10.1176/appi.ps.20240061","url":null,"abstract":"Objective: The Clear Answers to Louisiana Mental Health (CALM) campaign's objective is to reduce the duration of untreated psychosis (DUP) of patients experiencing first-episode psychosis in the New Orleans community.Methods: CALM used mass transit and digital marketing and local community engagement strategies to reduce DUP in referrals to the Early Psychosis Intervention Clinic-New Orleans. DUP measures were collected for clinic referrals pre- and post-CALM launch (N=116). Analytics from marketing strategies were used to evaluate campaign success.Results: In the first 12 months of CALM, the mean DUP from onset of psychotic symptoms to clinic entry decreased from a median of 6.6 (interquartile range [IQR]=2.5-14.9) to 2.1 (IQR=1.1-10.7) months. Time from onset of psychotic symptoms to first antipsychotic treatment decreased from a median of 2.0 (IQR=0.5-8.6) to 0.2 (IQR=0.0-0.7) months.Conclusions: The CALM campaign produced promising results for reducing DUP in referrals to a coordinated specialty care program.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"598-601"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256497","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

Lessons Learned From Using an Academic-Community Partnership to Evaluate a DEI Initiative in Public Mental Health Services. 利用学术社区伙伴关系评估公共精神卫生服务中的DEI倡议的经验教训。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI: 10.1176/appi.ps.20240124

Deja L Young, Caitlin Edwards, Francesca Pratt, Tanner Hickman, Morgan Titus, Susanna Hathaway, Luann J Gray, Kendal Holtrop

引用次数: 0

Referral of Patients to Psychiatric Emergency Departments by Police: A Systematic Review and Meta-Analysis. 警察转介病人到精神科急诊科：系统回顾与元分析。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-03-27 DOI: 10.1176/appi.ps.20240323

Thomas Goldschmidt, Felix Bermpohl, Stefanie Schreiter, Annet H van Bergen, Ralph W Kupka, Meryam Schouler-Ocak, Stefan Gutwinski, Karl Deutscher

{"title":"Referral of Patients to Psychiatric Emergency Departments by Police: A Systematic Review and Meta-Analysis.","authors":"Thomas Goldschmidt, Felix Bermpohl, Stefanie Schreiter, Annet H van Bergen, Ralph W Kupka, Meryam Schouler-Ocak, Stefan Gutwinski, Karl Deutscher","doi":"10.1176/appi.ps.20240323","DOIUrl":"10.1176/appi.ps.20240323","url":null,"abstract":"Objective: A significant number of patients in psychiatric emergency departments (PEDs) are brought in by police. The authors sought to identify the weighted global rate of police referrals to PEDs, to compare the characteristics of police-referred patients with those of patients not referred by police, and to assess possible effects of the COVID-19 pandemic on referral rates.Methods: A systematic review was conducted by searching medical databases according to PRISMA guidelines. Multivariate and pairwise meta-regression analyses were performed.Results: Overall, 1,374 articles were screened, and 34 samples comprising 542,143 patients (61,647 of whom were referred by police) from 28 articles were included. On average, 13.7% of PED admissions were referred by police, a rate that was higher in the United States (22.8%). Compared with patients not referred by police, police-referred patients were significantly more likely to show aggressive behavior (relative risk [RR]=4.73), to be homeless (RR=1.84), and to have a diagnosis of a substance use (RR=1.33) or psychotic (RR=1.45) disorder but were less likely to have depressive (RR=0.31) or adjustment (RR=0.58) disorders. Police-referred patients were also more likely to be admitted to inpatient care (RR=1.35) and involuntarily (RR=4.38). The pandemic had no apparent effect on police-referral rates to PEDs.Conclusions: A substantial proportion of psychiatric patients is referred to PEDs by police. Police-referred patients had characteristics that were similar to those of incarcerated individuals with mental disorders. Early treatment may prevent later incarceration of police-referred PED patients. Interventions to reduce homelessness among psychiatric patients might help reduce police referrals to PEDs.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"581-588"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721240","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