Psychiatric services最新文献

{"title":"The Scope of <i>Psychiatric Services</i> and Fighting for the Future.","authors":"Lisa B Dixon","doi":"10.1176/appi.ps.7605001","DOIUrl":"10.1176/appi.ps.7605001","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips7605001"},"PeriodicalIF":3.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781098","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}

{"title":"Psychiatrists and Other Physicians Interfacing With ICE: Legal and Ethical Challenges.","authors":"Solomiya Tsymbalyuk","doi":"10.1176/appi.ps.20250114","DOIUrl":"10.1176/appi.ps.20250114","url":null,"abstract":"<p><p>Given the recent expansion of the U.S. Immigration and Customs Enforcement's (ICE's) jurisdiction to include previously protected areas, including hospitals, physicians are now more likely to encounter ICE officers. However, guidance from lawmakers, institutions, and professional societies on how to navigate these encounters is limited and, at times, contradictory. This column focuses on an interaction between ICE and psychiatry in an emergency setting to explore some challenges that individual physicians, particularly psychiatrists, may face when attempting to practice within legal constraints and ethical guidelines, highlighting the need for more robust guidance.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20250114"},"PeriodicalIF":3.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754315","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}

{"title":"Scaling Up Evidence-Based Supported Employment in the United States.","authors":"Franco Mascayano, Sarah Swanson, Ana C Florence, Sapana R Patel, Doron Amsalem, Leah G Pope, Justin Metcalfe, Robert E Drake","doi":"10.1176/appi.ps.20240083","DOIUrl":"10.1176/appi.ps.20240083","url":null,"abstract":"<p><p>Implementing evidence-based practices has become a standard policy in U.S. behavioral health care. However, current penetration remains inadequate, and longitudinal studies of scaling up these practices are rare. This article examined the steady, 3-decade growth of individual placement and support (IPS), the evidence-based model of employment services for people with psychiatric disabilities. The number of IPS programs in the United States has increased to >1,000. Nevertheless, coverage remains limited, and challenges to further growth are substantial. Facilitators of IPS growth over the past few decades include client demand, scientific evidence, initial financial support from foundations, subsequent federal agency support, state leadership in behavioral health and vocational rehabilitation, standardized training and quality assurance methods, an international learning community, and the collection of national data to establish benchmarks. Challenges to further expansion of IPS include the complexity of multiple partial funding sources; the increasing use of information technology for training, implementation, and quality assurance; extension to new populations and settings; outreach to historically marginalized groups (e.g., young adults not engaged in the mental health system); employer partnerships; and adaptations related to cultural, workforce, and workplace changes. Developing reliable research methods to assess and compare scaling-up strategies is also critical.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240083"},"PeriodicalIF":3.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754318","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}

{"title":"An Evaluation Pilot Study of Amplify, a headspace-Inspired Early Intervention Clinic.","authors":"Deborah A Cohen, Vanessa V Klodnick, Laura Stevens Merola, Cory Morris, Kaleigh R Emerson, Stephen M Strakowski","doi":"10.1176/appi.ps.20240274","DOIUrl":"10.1176/appi.ps.20240274","url":null,"abstract":"<p><strong>Objective: </strong>The United States is experiencing a mental health crisis among youths and young adults. Most serious mental health conditions emerge during the transition to adulthood, and unmet mental health needs continue to rise among young adults. Following Australia's success with headspace, several countries are implementing integrated youth mental health programs, which warrant evaluation in the United States. The purpose of this study was to detail the service engagement, acceptability, and preliminary outcomes of the Amplify integrated youth mental health clinic during its first year of operation.</p><p><strong>Methods: </strong>The University of Texas at Austin Dell Medical School implemented Amplify in a community college setting. Participants completed online standardized self-report measures at enrollment and 60 and 180 days later. Staff recorded service delivery in an electronic health record. Data were analyzed for Amplify's first year of operation (January 1-December 31, 2023).</p><p><strong>Results: </strong>During year 1, Amplify employed a program director, licensed clinical program manager, therapist, supported employment and education specialist, community navigator, part-time psychiatrist, and receptionist. Amplify delivered 1,308 services to 74 youths, 60 of whom consented to participate in the study. Most participated in two types of services. Mean±SD use per participant was 18±18 service units (i.e., sessions). Service satisfaction was high at 60 and 180 days. Mental distress significantly decreased from enrollment to 60 and to 180 days.</p><p><strong>Conclusions: </strong>More research on Amplify is needed to further operationalize the model and demonstrate its value to U.S. public and private health care systems and payers.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240274"},"PeriodicalIF":3.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754313","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}

{"title":"Quality of Psychiatric Care for Immigrants and People With a Non-English Language Preference: A Systematic Scoping Review.","authors":"Sorabh Singhal, Elizabeth Mause, Maria Esteli Garcia, Marie St Pierre, Lisa Ochoa-Frongia, Allison Gail Dempsey","doi":"10.1176/appi.ps.20240227","DOIUrl":"10.1176/appi.ps.20240227","url":null,"abstract":"<p><strong>Objective: </strong>Immigrants and persons with a non-English language preference (NELP) face unique challenges in the mental health care system. This systematic scoping review aimed to evaluate the literature for disparities in psychiatric care delivery, beyond access and utilization barriers, experienced by these two populations.</p><p><strong>Methods: </strong>The authors queried four databases: PubMed, PsycInfo, Web of Science, and CINAHL. Studies published between August 1993 and August 2023 were selected if they had a population that included immigrants to English-language countries or patients with a NELP and a mental illness, had a relevant comparison group, and included outcome measures focused on quality of psychiatric care delivery. Studies focusing solely on care access or utilization, studies without original data, case reports, and commentaries were excluded.</p><p><strong>Results: </strong>The search identified 2,860 studies. Seventeen studies were included for full-text review (Cohen's κ<b>=</b>0.96). Large variability was found in the measures of quality used in the studies. Outcome variables were involuntary treatment rate, symptom management, unmet needs, medication use and monitoring, diagnosis, and psychiatric referral. Immigrants were more likely than nonimmigrants to receive involuntary treatments in all seven pertinent studies. An insufficient number of studies focused on other outcome measures, limiting analyses.</p><p><strong>Conclusions: </strong>Many studies highlighted differences in care, especially with regard to involuntary hospitalization. Outcome measures varied and deviated from established quality metrics. Insufficient data were available to determine whether the identified differences in care represent a care delivery gap. Studies that use standardized measures would assist in evaluating the quality of care received by immigrants and patients with a NELP.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"381-392"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024563","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}

{"title":"The Call to Increase Adoption of Family-Based Interventions in Global Mental Health Programming.","authors":"Ali Giusto, Bernadine Y Waller, Mary Bunn, Florence Jaguga, Palmira Dos Santos, Jennifer Mootz","doi":"10.1176/appi.ps.20240243","DOIUrl":"10.1176/appi.ps.20240243","url":null,"abstract":"<p><p>Family-based intervention approaches hold tremendous promise for improving mental health in scalable and relevant ways that address social determinants of health, yet family-focused prevention and care interventions are underused in global mental health. This article provides a brief overview of the evidence and types of programs. It then outlines five future directions for family-focused global mental health interventions: integrating implementation science into family-focused programs, expanding research on family-focused work to other populations and different modalities, encouraging transdisciplinary learning from other fields, understanding what works for whom and where, and disseminating family interventions grounded in locally derived theoretical frameworks.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"413-416"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024565","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}

{"title":"Lessons From Implementing Research-Supported Practices to Address Psychiatric Illnesses in Two Countries.","authors":"William C Torrey","doi":"10.1176/appi.ps.20240409","DOIUrl":"10.1176/appi.ps.20240409","url":null,"abstract":"<p><p>Across the globe, psychiatric illnesses are common, painful, often disabling, and sometimes deadly. Although well-researched practices exist to address these disorders, most people with psychiatric illnesses do not have access to care that has been demonstrated to be effective. Practical clinical leadership experience and engagement in evidence-based practice (EBP) implementation research in Colombia and the United States have demonstrated that multisite EBP implementation is possible and that effective implementation improves outcomes for people who develop psychiatric illnesses. Implementation requires financial and policy support but is effective only if onsite operational leaders actively overcome practical, sometimes site-specific barriers. Operational leaders have the greatest impact when they focus on changing the flow of work to help clinicians offer the desired EBP in their day-to-day care. Discovery science may bring new solutions in the future, but implementing practices that have already been demonstrated to be effective can relieve patients' suffering now.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"393-397"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024625","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}

{"title":"A Religious Variation of Obsessive-Compulsive Disorder.","authors":"Joshua Gonzales","doi":"10.1176/appi.ps.20240511","DOIUrl":"10.1176/appi.ps.20240511","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"406-407"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855281","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}

{"title":"Medical Mistrust and Willingness to Use Mental Health Services Among a Cohort of Black Adults.","authors":"Aderonke Bamgbose Pederson, Claire McLaughlin, Devan Hawkins, Felipe A Jain, Deidre M Anglin, Albert Yeung, Alexander C Tsai","doi":"10.1176/appi.ps.20240016","DOIUrl":"10.1176/appi.ps.20240016","url":null,"abstract":"<p><strong>Objective: </strong>Black adults experience depression that is more severe than that of their White counterparts, yet they are less likely to receive treatment from a mental health professional. This study aimed to examine the relationships between medical mistrust or trust and the willingness to seek mental health care.</p><p><strong>Methods: </strong>The authors conducted an online cross-sectional survey of 1,043 Black adults in the United States. The primary variables of interest were medical mistrust (measured via the 12-item Group-Based Medical Mistrust Scale; GBMMS) and a single item, derived from the General Help-Seeking Questionnaire, that assessed willingness to seek mental health care. The authors hypothesized that mistrust would have a negative correlation with willingness to seek help from a mental health professional. To estimate the association between level of mistrust and willingness to seek care, gamma regression models were fitted with a log link, and the analyses were adjusted for age, ethnic identity or origin, education, insurance status, personal income, citizenship status, and length of time in the United States.</p><p><strong>Results: </strong>At low levels of medical mistrust (GBMMS scores ≤3), an increase in mistrust was significantly associated with an increase in the probability of seeking mental health care (rate ratio [RR]=1.55, p<0.001). At high levels of medical mistrust (GBMMS scores >3), an increase in mistrust was associated with a decrease in care seeking (RR=0.74, p<0.001). Similar patterns were observed for medical trust.</p><p><strong>Conclusions: </strong>At low levels of medical mistrust among Black adults, each unit increase in mistrust was counterintuitively associated with an increase in willingness to seek care from a mental health professional.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"318-325"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009546","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}

{"title":"Trust and Mistrust of Mental Health Services Among Black Adults.","authors":"Curtis N Adams, Ann L Hackman","doi":"10.1176/appi.ps.25076006","DOIUrl":"https://doi.org/10.1176/appi.ps.25076006","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":"76 4","pages":"315"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754322","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}