Psychiatric services最新文献_第3页

Using Technology to Support Measurement-Based Care: Design and Implementation of the Measurement-Assisted Care Program. 利用技术支持基于测量的护理：测量辅助护理计划的设计与实施。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-23 DOI: 10.1176/appi.ps.20240135

Dana Steidtmann, Katie E Raffel, Joel Green, Edward MacPhee, Sarah Nagle-Yang, Sarah Schwenk, Danielle Cooke, Alejandra C Santisteban, Allison G Dempsey

{"title":"Using Technology to Support Measurement-Based Care: Design and Implementation of the Measurement-Assisted Care Program.","authors":"Dana Steidtmann, Katie E Raffel, Joel Green, Edward MacPhee, Sarah Nagle-Yang, Sarah Schwenk, Danielle Cooke, Alejandra C Santisteban, Allison G Dempsey","doi":"10.1176/appi.ps.20240135","DOIUrl":"https://doi.org/10.1176/appi.ps.20240135","url":null,"abstract":"Objective: The authors aimed to increase measurement-based care in an outpatient academic psychiatry service.Methods: The Measurement-Assisted Care program (MAC) was implemented as a clinical quality-improvement effort that included 4,665 unique patients and 176 clinicians over 12 months. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder scale (GAD-7), PTSD Checklist for DSM-5, and Brief Inventory of Thriving were automatically included in the patient electronic check-in process for new visits; the PHQ-9 and GAD-7 were included for return visits. Patient responses were automatically routed to clinicians' electronic health record inboxes and documentation templates. MAC was rolled out in two phases, and clinicians were surveyed about their use of MAC data 3-6 months after the start of the program.Results: After implementation of MAC, PHQ-9 completion rates increased from 5% to 66% of visits for phase 1 and from 5% to 60% for phase 2. Post-MAC completion rates were higher for telehealth (70%) than for in-person (40%) visits. More than 90% of clinicians reported that MAC was useful with at least one of their three most recent patients, and 51% reported that it was useful with all three of their three most recent patients. Clinician adoption was high, with 78% reporting that they use MAC data to guide care.Conclusions: MAC increased the completion rate of patient-reported outcome measures, especially for telehealth visits. Clinicians reported that they frequently use and discuss MAC data with patients, implying that technology-supported workflows can help systems with high telehealth utilization capture and use patient-reported outcomes.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506778","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

National Trends in and Concentration of Industry Payments to U.S. Psychiatrists, 2015-2021. 2015-2021 年美国精神病医生行业薪酬的全国趋势和集中度。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-23 DOI: 10.1176/appi.ps.20240218

John L Havlik, Lydia Ososanya, Deanna Tang, Syed Wahid, Joseph S Ross, Taeho Greg Rhee

引用次数: 0

The Underuse of Clozapine and Long-Acting Injectable Antipsychotics. 氯氮平和长效注射抗精神病药物使用不足。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-09 DOI: 10.1176/appi.ps.20240110

E Fuller Torrey, Jeffrey Lieberman

引用次数: 0

Second Look at Reported Racial-Ethnic Employment Differences in the Supported Employment Demonstration. 辅助就业示范项目中种族-民族就业差异报告的第二次观察。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-02 DOI: 10.1176/appi.ps.20230612

Justin D Metcalfe, Robert E Drake

{"title":"Second Look at Reported Racial-Ethnic Employment Differences in the Supported Employment Demonstration.","authors":"Justin D Metcalfe, Robert E Drake","doi":"10.1176/appi.ps.20230612","DOIUrl":"https://doi.org/10.1176/appi.ps.20230612","url":null,"abstract":"Objective: The Supported Employment Demonstration (SED) trial, which studied the effects of individual placement and support (IPS) among individuals initially denied Social Security Administration disability benefits for mental illness, reported racial-ethnic differences in IPS' effect on employment. Because of high rates of attrition in the SED, this finding warranted further study. The current reanalysis used a subsample with a directly observed measure of competitive employment and less attrition to try to corroborate the reported racial-ethnic differences.Methods: The authors compared self-reported employment (collected via telephone interviews) with observed employment (reported monthly by multidisciplinary teams) among a representative subsample (N=614) of the SED, stratified by race and ethnicity.Results: The observed competitive employment outcomes showed no significant racial-ethnic differences among those assigned to participate in IPS.Conclusions: Congruent with previous research, reanalysis based on more complete data and more rigorous outcome measurements implied an absence of racial-ethnic differences in IPS' effect on observed employment outcomes.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361947","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

Partnerships Between Faith Communities and the Mental Health Sector: A Scoping Review. 信仰团体与心理健康部门之间的合作关系：范围审查》。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-02 DOI: 10.1176/appi.ps.20240077

Lilian G Perez, Cristian Cardenas, Tara Blagg, Eunice C Wong

{"title":"Partnerships Between Faith Communities and the Mental Health Sector: A Scoping Review.","authors":"Lilian G Perez, Cristian Cardenas, Tara Blagg, Eunice C Wong","doi":"10.1176/appi.ps.20240077","DOIUrl":"https://doi.org/10.1176/appi.ps.20240077","url":null,"abstract":"Objective: Faith communities are increasingly providing services to address the mental health needs of their congregations and communities. However, many feel limited in their capacity to address serious illness and experience challenges to collaborating with the mental health sector. To inform the development of faith community-mental health sector partnerships, the authors conducted a scoping review to assess the characteristics and evidence base of partnership approaches to addressing mental health needs.Methods: A search of four databases identified peer-reviewed articles published between 2010 and 2023 on faith community-mental health sector partnerships in the United States.Results: In total, 37 articles representing 32 unique partnerships were reviewed. Most partnerships (N=19) used multicomponent approaches, particularly involving training the faith community (N=18), mental health education for the broader community (N=14), and direct counseling (N=11). Many partnerships (N=14) focused on African American communities. Partnerships that included an evaluation component (N=20) showed promising findings for improving mental health symptoms, mental health literacy, stigma, and referrals, among other outcomes. Several articles reported facilitators (e.g., support from faith leaders and reciprocal relationships and equal power) and barriers (e.g., limited time and funding and differing interests and attitudes) to developing partnerships.Conclusions: The findings highlight how faith communities can be a critical partner in providing services across the continuum of mental health care and reveal the need for more rigorous evaluations of the effectiveness, feasibility, and sustainability of these partnerships. The results also identify strategies that may facilitate the development and strengthening of future faith community-mental health partnerships.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361946","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 Journey Toward Radical Recovery. 彻底康复之旅

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-01 Epub Date: 2024-05-02 DOI: 10.1176/appi.ps.20240086

Tara Miller

引用次数: 0

Defying Convention. 打破常规。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-01 Epub Date: 2024-05-08 DOI: 10.1176/appi.ps.20240168

Liba Blumberger

引用次数: 0

Behavioral Health Support Specialists. 行为健康支持专家。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-01 DOI: 10.1176/appi.ps.24075015

Alison Evans Cuellar

引用次数: 0

Standardizing Fidelity to Evidence-Based Practice in the Early Psychosis Intervention Network. 在早期精神病干预网络中实现循证实践的标准化。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI: 10.1176/appi.ps.20230556

Donald Addington, Tina Marshall, Abram Rosenblatt, Gary R Bond, Howard H Goldman

{"title":"Standardizing Fidelity to Evidence-Based Practice in the Early Psychosis Intervention Network.","authors":"Donald Addington, Tina Marshall, Abram Rosenblatt, Gary R Bond, Howard H Goldman","doi":"10.1176/appi.ps.20230556","DOIUrl":"10.1176/appi.ps.20230556","url":null,"abstract":"Objective: This study investigated variations in the measurement of fidelity to coordinated specialty care (CSC) within the Early Psychosis Intervention Network (EPINET), a learning health system that consists of 101 CSC programs within eight hubs. The study investigated the degree to which five fidelity scales could be mapped onto a standard scale.Methods: The investigators identified six fidelity scales in use by EPINET participants; examined their item content, scoring, and data sources; and mapped five scales onto the First Episode Psychosis Services Fidelity Scale (FEPS-FS), which is the most widely used scale.Results: Mapping five fidelity scales onto the FEPS-FS showed that the percentage of FEPS-FS components successfully mapped ranged from 42% to 81%.Conclusions: Mapping five scales onto one that uses dichotomous scoring identified the degree of variation in measures and reduced the amount and quality of usable fidelity data. Identifying variations in fidelity measurement is a core function of a learning health system.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071937","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

Employment Outcomes of a Distance Learning System for Formerly Incarcerated Veterans With Mental Illness. 针对曾被监禁的精神病退伍军人的远程学习系统的就业成果。

IF 3.3 3区医学

Psychiatric services Pub Date : 2024-10-01 Epub Date: 2024-06-05 DOI: 10.1176/appi.ps.20230408

James P LePage, Scott T Walters, Daisha J Cipher, April M Crawford, Edward L Washington

{"title":"Employment Outcomes of a Distance Learning System for Formerly Incarcerated Veterans With Mental Illness.","authors":"James P LePage, Scott T Walters, Daisha J Cipher, April M Crawford, Edward L Washington","doi":"10.1176/appi.ps.20230408","DOIUrl":"10.1176/appi.ps.20230408","url":null,"abstract":"Objective: People with previous incarceration and a mental disorder, a substance use disorder, or both are less likely to obtain employment than are those without these characteristics. Distance learning and education (DLE) systems are increasingly being integrated into clinical care and provide a pathway to disseminate vocational services. DLE systems can help reach people with barriers to accessing services, including people without transportation, experiencing homelessness, living in rural areas, or who are homebound. This study evaluated the effectiveness of one DLE system, the COMPASS program, in assisting formerly incarcerated veterans with a mental or substance use disorder to obtain employment.Methods: The authors used a randomized controlled trial to compare employment outcomes of 39 U.S. veterans receiving the COMPASS intervention with those of 43 veterans receiving a paper self-study vocational manual. All participants had previous legal convictions and had a mental disorder, a substance use disorder, or both. The COMPASS system provided vocational services through asynchronous (online practice assignments, reading, and videos) and synchronous (video and telephone practice interviews and live chats) methods. No in-person vocational services were provided in the COMPASS intervention.Results: At 6 months, participants assigned to receive the COMPASS intervention were more likely to have found employment, defined as 1 day of competitive employment, compared with those assigned to receive the self-study manual (64% vs. 35%, respectively)-and to have found employment faster.Conclusions: This study's findings provide evidence for the effectiveness of the COMPASS system in providing employment services and suggest that these services may benefit other vulnerable populations.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248482","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