Psychiatric services最新文献_第2页

Considerations for Opioid Use Disorder Treatment From Policy Makers' Experiences With COVID-19 Policy Flexibilities. 从决策者使用 COVID-19 政策灵活性的经验看阿片类药物使用障碍治疗的考虑因素。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-11-01 Epub Date: 2024-06-05 DOI: 10.1176/appi.ps.20230260

Lavonia Smith LeBeau, Mackenzie C White, Rachel Mosher Henke, Justeen Hyde, Alexis Sarpong, Risa B Weisberg, Nicholas A Livingston, Norah Mulvaney-Day

{"title":"Considerations for Opioid Use Disorder Treatment From Policy Makers' Experiences With COVID-19 Policy Flexibilities.","authors":"Lavonia Smith LeBeau, Mackenzie C White, Rachel Mosher Henke, Justeen Hyde, Alexis Sarpong, Risa B Weisberg, Nicholas A Livingston, Norah Mulvaney-Day","doi":"10.1176/appi.ps.20230260","DOIUrl":"10.1176/appi.ps.20230260","url":null,"abstract":"Objective: This qualitative study aimed to examine how states implemented COVID-19 public health emergency-related federal policy flexibilities for opioid use disorder treatment from the perspective of state-level behavioral health policy makers. Recommendations are given for applying lessons learned to improve the long-term impact of these flexibilities on opioid use disorder treatment.Methods: Eleven semistructured interviews were conducted with 13 stakeholders from six state governments, and transcripts were qualitatively coded. Data were analyzed by grouping findings according to state-, institution-, and provider-level barriers and facilitators and were then compared to identify overarching themes.Results: Policy makers expressed positive opinions about the opioid use disorder treatment flexibilities and described benefits regarding treatment access, continuity of care, and quality of care. No interviewees reported evidence of increased adverse events associated with the relaxed medication protocols. Challenges to state-level implementation included gaps in the federal flexibilities, competing state policies, facility and provider liability concerns, and persistent systemic stigma.Conclusions: As the federal government considers permanent adoption of COVID-19-related flexibilities regarding opioid use disorder treatment policies, the lessons learned from this study are crucial to consider in order to avoid continuing challenges with policy implementation and to effectively remove opioid use disorder treatment barriers.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248468","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

Reducing Law Enforcement Custody and Transportation During Behavioral Health Crises. 减少行为健康危机期间的执法拘留和交通。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-11-01 DOI: 10.1176/appi.ps.24075016

Marvin S Swartz, Megan Pruette

引用次数: 0

From Rhetoric to Action: Justice, Equity, Diversity, and Inclusion in Coordinated Specialty Care for Early Psychosis. 从言辞到行动：早期精神病协调专科护理中的公正、公平、多样性和包容性。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-11-01 Epub Date: 2024-07-03 DOI: 10.1176/appi.ps.20240041

Shannon Pagdon, Sarah S Shahriar, Samuel Murphy, Christina Bomnae Babusci, Ana T Flores, Ariana J Rivens, Arielle Ered, William R Smith, Nev Jones, Peter L Phalen, Monica E Calkins, Melanie E Bennett

引用次数: 0

Mitigating Racial Bias in Health Care Algorithms: Improving Fairness in Access to Supportive Housing. 减少医疗保健算法中的种族偏见：改善获得支持性住房的公平性。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-11-01 Epub Date: 2024-06-28 DOI: 10.1176/appi.ps.20230359

Krista R Noam, Timothy Schmutte, Christopher Bory, Robert W Plant

引用次数: 0

Coercion During Psychiatric Ambulance Versus Police Transport in Mental Health Crises: A Pre- and Postimplementation Study. 在精神疾病危机中，精神科救护车与警察押送过程中的胁迫行为：实施前和实施后的研究。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-11-01 Epub Date: 2024-05-29 DOI: 10.1176/appi.ps.20230571

Jeroen B Zoeteman, Mathilde A S de Wit, Hans J de Haas, Kate M Borkent, Jaap Peen, Cornelis L Mulder, Jack Dekker

{"title":"Coercion During Psychiatric Ambulance Versus Police Transport in Mental Health Crises: A Pre- and Postimplementation Study.","authors":"Jeroen B Zoeteman, Mathilde A S de Wit, Hans J de Haas, Kate M Borkent, Jaap Peen, Cornelis L Mulder, Jack Dekker","doi":"10.1176/appi.ps.20230571","DOIUrl":"10.1176/appi.ps.20230571","url":null,"abstract":"Objective: Police officers are often the first responders when individuals experience a mental health crisis and typically remain responsible for transport to a psychiatric emergency department. In 2014, a psychiatric ambulance (PA) was introduced in the city of Amsterdam to take over the transport of individuals in a mental health crisis. The purpose of the PA was to use fewer restrictive measures while guaranteeing safety for both patients and personnel.Methods: A preimplementation-postimplementation design was used to assess the feasibility and utility of a single-vehicle PA service compared with police transport. Data on 498 rides were collected in the 4 months before implementation of the PA (pre-PA cohort) and on 655 rides in the 6 months after implementation (PA cohort).Results: After PA implementation, most patients were transported by the PA (82%), and rides by police vehicle were very rare (1%). Individuals in the PA cohort had a greater transportation delay, compared with those in the pre-PA cohort, but the PA reduced use of coercive measures with no increase in the incidence of patient aggression. Among individuals in the PA cohort, hospitalization was more often voluntary than among those in the pre-PA cohort.Conclusions: Transporting emergency psychiatric patients by a special PA rather than by the police reduced the use of coercive measures during transport, kept the occurrence of aggressive incidents stable, and was associated with fewer coercive hospital admissions.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162528","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

Mental Health Treatment Utilization and Unmet Mental Health Needs Among Black Reproductive-Age Women in the United States. 美国黑人育龄妇女的心理健康治疗利用率和未满足的心理健康需求。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-11-01 Epub Date: 2024-05-29 DOI: 10.1176/appi.ps.20230464

Marcia J Ash, Melvin D Livingston, Jessica M Sales, Briana Woods-Jaeger

{"title":"Mental Health Treatment Utilization and Unmet Mental Health Needs Among Black Reproductive-Age Women in the United States.","authors":"Marcia J Ash, Melvin D Livingston, Jessica M Sales, Briana Woods-Jaeger","doi":"10.1176/appi.ps.20230464","DOIUrl":"10.1176/appi.ps.20230464","url":null,"abstract":"Objective: Black women in the United States experience increased risk for mental disorders and are less likely to have access to appropriate mental health treatment compared with White women. To develop culturally responsive strategies to improve Black women's access to mental health treatment, the authors evaluated social determinants associated with mental health treatment utilization and unmet mental health needs among Black reproductive-age women with serious psychological distress.Methods: The authors performed a secondary analysis of data from the National Survey on Drug Use and Health. Data from 2009 to 2019 were pooled and restricted to Black women ages 18-44 years with serious psychological distress (N=4,171). Logistic regressions were conducted to identify personal and social determinants (e.g., education, employment status, poverty, and insurance status) of mental health treatment utilization, alternative mental health treatment utilization (e.g., spiritual support and self-help), and perceived unmet mental health needs.Results: Education and employment status were significantly associated with all three outcomes. Among the women who reported unmet mental health needs, opposition to treatment and cost were the highest endorsed barriers. Differences were found by pregnancy status, with pregnant women being significantly less likely to endorse cost (p<0.001) and more likely to endorse time and transportation as barriers (p<0.01) to receiving mental health treatment.Conclusions: Strategies to improve mental health outcomes for Black women should focus on reducing cost and transportation barriers and on the development of culturally responsive intervention approaches that address Black women's concerns about mental health treatment.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162534","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

Patient Experiences With Group Teletherapy for the Treatment of Mental Illness: A Qualitative Study. 小组远程疗法治疗精神疾病的患者体验：定性研究。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-29 DOI: 10.1176/appi.ps.20240058

Jessica L Sousa, Pushpa Raja, Maya Rabinowitz, Jessica Richard, Andrew Smith, Haiden A Huskamp, Ateev Mehrotra, Alisa B Busch, Lori Uscher-Pines

{"title":"Patient Experiences With Group Teletherapy for the Treatment of Mental Illness: A Qualitative Study.","authors":"Jessica L Sousa, Pushpa Raja, Maya Rabinowitz, Jessica Richard, Andrew Smith, Haiden A Huskamp, Ateev Mehrotra, Alisa B Busch, Lori Uscher-Pines","doi":"10.1176/appi.ps.20240058","DOIUrl":"10.1176/appi.ps.20240058","url":null,"abstract":"Objective: The authors sought to understand patient experiences with group teletherapy to inform improvements in service delivery.Methods: From December 2022 to October 2023, semistructured interviews were conducted with 20 adults with depression or bipolar disorder who had received outpatient group teletherapy in the past 2 years. A rapid thematic analysis was conducted by using a matrix to identify patterns and synthesize data. A logic model from the patients' perspective was developed by extracting common themes related to elements of effective group teletherapy.Results: Telehealth allowed for more empowered engagement in group teletherapy and enabled better access and longitudinal attendance for many patients, compared with in-person group therapy. However, many patients reported a reduced sense of emotional intimacy and connectedness with telehealth, and some reported that technology challenges and distractions contributed to feelings of disconnection. Patients were divided in their modality preferences, but many expressed an interest in receiving at least some of their group therapy sessions by telehealth.Conclusions: Although group teletherapy has the potential to meet patients' needs and preferences, more work is needed to improve the quality of the experience for patients.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522808","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 Power of Hope: Growing Up in the Forensic System. 希望的力量：在法医系统中成长》（The Power of Hope: Growing Up in the Forensic System）。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-29 DOI: 10.1176/appi.ps.20240363

Grant J Everett

引用次数: 0

Cultural Conversations in Therapy: How Often Clients Talk About Their Identities. 治疗中的文化对话：客户谈论其身份的频率。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-29 DOI: 10.1176/appi.ps.20230266

Patty B Kuo, Brendalisse Rudecindo, Joanna M Drinane, Karen Tao, Jake Van Epps, Zac E Imel

{"title":"Cultural Conversations in Therapy: How Often Clients Talk About Their Identities.","authors":"Patty B Kuo, Brendalisse Rudecindo, Joanna M Drinane, Karen Tao, Jake Van Epps, Zac E Imel","doi":"10.1176/appi.ps.20230266","DOIUrl":"https://doi.org/10.1176/appi.ps.20230266","url":null,"abstract":"Objective: The purpose of this study was to examine how often clients report discussing cultural identities during counseling sessions; the extent to which discussion of cultural identities during treatment varies across therapists; whether identifying as BIPOC (Black, Indigenous, and people of color) predicts clients' discussion of cultural identities in sessions; and whether differences in the frequency of cultural conversations (i.e., dialogue that focuses on client cultural identities) across client groups depend on the therapist.Methods: This study examined variation in reports of engagement in cultural conversations during sessions (N=10,731) with 1,997 clients and 72 therapists from a university counseling center. Data were analyzed by using Bayesian multilevel models.Results: Overall, clients reported having cultural conversations in 48.4% of sessions. Cultural conversations were much more likely to occur in sessions with BIPOC clients than with White clients: 66.2% of sessions with BIPOC clients involved conversations about cultural identities, compared with only 39.8% of sessions with White clients. Of note, the magnitude of this difference varied by therapist.Conclusion: Cultural conversations were more likely to occur in treatment with BIPOC clients than with White clients, and the presence of cultural conversations in treatment varied by therapist.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522807","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

Implementing a Grief Support Program in a Black Church to Support the Mental Health Needs of People in Bereavement. 在黑人教堂实施悲伤支持计划，为丧亲之痛者的心理健康需求提供支持。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-23 DOI: 10.1176/appi.ps.20240259

Kimberly T Arnold, David S Mandell, Sidney H Hankerson

引用次数: 0