Psychiatric services最新文献

A Lived Experience Perspective in Suicide Prevention Research. 自杀预防研究中的生活经验视角。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-17 DOI: 10.1176/appi.ps.20240364

Emily A Kumpf

引用次数: 0

State Policy Strategies for the Workforce Emergency in Behavioral Health. 行为健康领域劳动力紧急状况的州政策战略。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-17 DOI: 10.1176/appi.ps.20230617

Michael A Hoge,Aleece Kelly,Manuel Paris,Jason M Lang

引用次数: 0

Employment Experiences and Employability of People in China Living With Schizophrenia: A Qualitative Study. 中国精神分裂症患者的就业经历和就业能力：定性研究。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-17 DOI: 10.1176/appi.ps.20240052

Yilu Li,Dan Qiu,Jiaxin Zhu,Feihong Gao,Shuiyuan Xiao

{"title":"Employment Experiences and Employability of People in China Living With Schizophrenia: A Qualitative Study.","authors":"Yilu Li,Dan Qiu,Jiaxin Zhu,Feihong Gao,Shuiyuan Xiao","doi":"10.1176/appi.ps.20240052","DOIUrl":"https://doi.org/10.1176/appi.ps.20240052","url":null,"abstract":"OBJECTIVEEmployment support for people living with schizophrenia in China currently focuses only on patient-level factors. The authors' aim was to assess the employment experiences of this population and to identify factors related to their employability.METHODSIn-depth interviews were conducted with 24 purposively selected respondents. A thematic analysis was performed.RESULTSA framework for examining the employment experiences and factors affecting employability of people living with schizophrenia was developed. Employability varied by individual characteristics, personal circumstances, and external factors. Individual-level characteristics, such as health and well-being, work skills and experience, educational attainment, personal social network, gender, and age, influenced individuals' work motivation and performance. Personal circumstances, such as family socioeconomic status and caregiving responsibilities, affected whether individuals decided to seek employment. External factors, such as labor market conditions, macroeconomic context, stigma and discrimination, mental health services, and policy factors, determined how likely individuals were to be employed and the types of jobs they were likely to obtain.CONCLUSIONSA multifaceted combination of factors was found to influence employability among people living with schizophrenia. This research provided a thematic framework to structure effective employment support for people in China living with schizophrenia.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251587","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

Recovery Coach Program Implementation Across an Integrated Health System. 在综合医疗系统中实施康复教练计划。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-17 DOI: 10.1176/appi.ps.20230526

Martha T Kane,Elizabeth A Powell,Aleta D Carroll,Jordanna L Monteiro,Windia Rodriguez,Eddie Casado,Trina E Chang,Sarah E Wakeman

引用次数: 0

ADHD Assessment and Treatment Services in a Sample of U.S. Colleges and Universities. 美国高校抽样调查中的多动症评估与治疗服务》（ADHD Assessment and Treatment Services in a Sample of U.S. Colleges and Universities）。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-11 DOI: 10.1176/appi.ps.20240085

James Aluri,Arman Terzian,Ramin Mojtabai,Amelia Arria

{"title":"ADHD Assessment and Treatment Services in a Sample of U.S. Colleges and Universities.","authors":"James Aluri,Arman Terzian,Ramin Mojtabai,Amelia Arria","doi":"10.1176/appi.ps.20240085","DOIUrl":"https://doi.org/10.1176/appi.ps.20240085","url":null,"abstract":"OBJECTIVEUp to 2 million college students in the United States have been diagnosed as having attention-deficit hyperactivity disorder (ADHD), a condition associated with negative academic, social, and psychiatric outcomes. The authors investigated the online availability and content of policies governing ADHD services at college clinics.METHODSUsing a stratified sample of 200 colleges and universities, the authors reviewed clinic websites and invited clinical staff to participate in a survey. They weighted percentages to account for oversampling and used regression modeling to examine associations with policy availability.RESULTSOnly 70 institutions (32%, weighted percentage) provided information about ADHD services online. Institutions with <1,000 students had significantly lower odds of providing information online (adjusted odds ratio [AOR]=0.04, 95% CI=0.01-0.26), as did institutions that accepted >67% of applicants (AOR=0.18, 95% CI=0.07-0.48). After merging data from the Web review and survey, the authors noted that 14% (N=11 of 75 institutions with data available for this variable) facilitated neuropsychological assessments on campus, 49% (N=33 of 72) did not allow stimulant medications to be prescribed, 73% (N=43 of 61) did not offer clinical evaluations for ADHD, and 89% (N=32 of 35) required a neuropsychological assessment to receive prescription stimulants.CONCLUSIONSInformation about the assessment and management of ADHD is rarely available online, and ADHD services on U.S. college campuses appear to be limited.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217915","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

Addressing Delayed Hospital Discharges for Patients With Intellectual and Developmental Disabilities and a Mental Illness. 解决智力和发育障碍以及精神疾病患者延迟出院的问题。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-11 DOI: 10.1176/appi.ps.20240177

Avra Selick,Tiziana Volpe,Susan Morris,Yona Lunsky

引用次数: 0

Association Between Neighborhood Context and Psychotropic Polypharmacy Use Among High-Need Children. 高需求儿童的邻里环境与精神药物多药性使用之间的关系。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-11 DOI: 10.1176/appi.ps.20230639

Kathleen C Thomas,Izabela E Annis,Neal A deJong,Robert B Christian,Scott A Davis,Phillip M Hughes,Beth A Prichard,Jason R Prichard,Pamela S Allen,Joshua S Gettinger,D'Jenne-Amal N Morris,Kerri B Eaker

{"title":"Association Between Neighborhood Context and Psychotropic Polypharmacy Use Among High-Need Children.","authors":"Kathleen C Thomas,Izabela E Annis,Neal A deJong,Robert B Christian,Scott A Davis,Phillip M Hughes,Beth A Prichard,Jason R Prichard,Pamela S Allen,Joshua S Gettinger,D'Jenne-Amal N Morris,Kerri B Eaker","doi":"10.1176/appi.ps.20230639","DOIUrl":"https://doi.org/10.1176/appi.ps.20230639","url":null,"abstract":"OBJECTIVEThe authors explored whether neighborhood context is associated with psychotropic polypharmacy and psychotherapy among a cohort of children with high needs for psychiatric and general medical care.METHODSElectronic health record data from a large health care system were used in a cross-sectional design to examine psychotropic polypharmacy and psychotherapy in 2015-2019 among children ages 2-17 years (N=4,017) with geocoded addresses. Inclusion criteria were a diagnosis of a mental health condition, an intellectual and developmental disability, or a complex medical condition and one or more clinical encounters annually over the study period. Polypharmacy was defined as two or more psychotropic drug class prescriptions concurrently for ≥60 days. Psychotherapy was defined as receipt of any psychotherapy or adaptive behavior treatment. Neighborhood context (health, environment, education, and wealth) was measured with the Child Opportunity Index. Multilevel generalized linear mixed models with random intercept for census tracts were used to assess the associations between individual and neighborhood characteristics and psychotropic polypharmacy and psychotherapy.RESULTSModerate (vs. low) child opportunity was associated with higher odds of polypharmacy (adjusted OR [AOR]=1.79, 95% CI=1.19-2.67). High (vs. low) child opportunity was associated with higher odds of psychotherapy (AOR=2.15, 95% CI=1.43-3.21). Black (vs. White) race (AOR=0.51, 95% CI=0.37-0.71) and Hispanic ethnicity (AOR=0.44, 95% CI=0.26-0.73) were associated with lower odds of polypharmacy.CONCLUSIONSAmong high-need children, neighborhood Child Opportunity Index, race, and ethnicity were significantly associated with treatment outcomes in analyses adjusted for clinical factors. The findings underscore concerns about structural disparities and systemic racism and raise questions about access.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227046","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

High Out-of-Pocket Cost Burden of Mental Health Care for Adult Outpatients in the United States. 美国成人门诊患者心理健康护理的高额自付费用负担。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-11 DOI: 10.1176/appi.ps.20240136

Y Nina Gao,Mark Olfson

引用次数: 0

Influenza and COVID-19 Vaccine Uptake Among Individuals With Versus Without Diagnosed Psychiatric Disorders. 有无确诊精神障碍患者的流感和 COVID-19 疫苗接种率。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-11 DOI: 10.1176/appi.ps.20230638

Ashli Owen-Smith,Christine Stewart,Karen J Coleman,Lee Cromwell,Lee Barton,Gregory Simon

{"title":"Influenza and COVID-19 Vaccine Uptake Among Individuals With Versus Without Diagnosed Psychiatric Disorders.","authors":"Ashli Owen-Smith,Christine Stewart,Karen J Coleman,Lee Cromwell,Lee Barton,Gregory Simon","doi":"10.1176/appi.ps.20230638","DOIUrl":"https://doi.org/10.1176/appi.ps.20230638","url":null,"abstract":"OBJECTIVEThe authors sought to examine influenza and COVID-19 vaccine uptake among individuals diagnosed as having psychiatric disorders compared with those without such diagnoses and to examine variations in vaccine uptake by sociodemographic and clinical characteristics.METHODSThe study was conducted in the Kaiser Permanente Georgia, Washington, and Southern California health care systems. Individuals with psychiatric conditions had at least one diagnosis of any psychiatric disorder during a 12-month study period; individuals in the control group had no psychiatric disorder diagnoses during this period, and the two groups were matched on age and sex. Bivariate analyses were conducted with Pearson chi-square tests; multivariate analyses were used to calculate the odds of receiving an influenza vaccine (N=1,307,202 individuals) or COVID-19 vaccine (N=1,380,894 individuals) and were controlled for selected covariates.RESULTSAfter controlling for relevant confounders, the authors found that having a diagnosis of any psychiatric illness was associated with significantly increased odds of receiving an influenza vaccine (OR=1.18; 95% CI=1.17-1.19, p<0.001), compared with no diagnosis of a psychiatric disorder. Having any psychiatric illness was associated with decreased odds of receiving a COVID-19 vaccine (OR=0.97; 95% CI=0.96-0.98, p<0.001), after the analysis was controlled for the same covariates.CONCLUSIONSThe findings provide evidence that people with mental health conditions were more likely to receive an influenza vaccine but were less likely to receive a COVID-19 vaccine, compared with individuals without such conditions. However, the vaccination rates observed for individuals with and without diagnosed psychiatric conditions were below national benchmarks, suggesting room for improving vaccine uptake in both patient populations.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217912","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

A National Snapshot of Training and Technical Assistance Needs Within the Mental Health Workforce. 全国心理健康工作者的培训和技术援助需求概况。

IF 3.8 3区医学

Psychiatric services Pub Date : 2024-09-11 DOI: 10.1176/appi.ps.20230602

Heather J Gotham,Felicia Benson,Ricardo Canelo,Elizabeth Reisinger Walker,Mia Navarro,Christina N Clayton,Darice Orobitg-Brenes,Ibis Carrión-González,Kathyleen Tomlin,Jonathan R Olson

{"title":"A National Snapshot of Training and Technical Assistance Needs Within the Mental Health Workforce.","authors":"Heather J Gotham,Felicia Benson,Ricardo Canelo,Elizabeth Reisinger Walker,Mia Navarro,Christina N Clayton,Darice Orobitg-Brenes,Ibis Carrión-González,Kathyleen Tomlin,Jonathan R Olson","doi":"10.1176/appi.ps.20230602","DOIUrl":"https://doi.org/10.1176/appi.ps.20230602","url":null,"abstract":"OBJECTIVEThis report summarizes results from a national survey that aimed to assess the training and technical assistance needs of individuals who work in mental health.METHODSA survey was distributed to mental health workers by 10 regional centers of a large, nationwide, federally funded training and technical assistance network during January-October 2021.RESULTSA total of 2,321 individuals from 58 states and territories responded to the survey. The three training and technical assistance needs they indicated most frequently were equitable and culturally responsive services, co-occurring mental and substance use disorders, and mental health awareness and literacy.CONCLUSIONSThe survey findings reflect the continued need to address inequities in mental health services, particularly for communities of color. In addition, a cluster of topics (i.e., mental health awareness and literacy, trauma-informed care, crisis services, grief, and provider well-being) stemmed from the COVID-19 pandemic and its effects on the nation's mental health.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227251","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