{"title":"Challenges in Classifying Components of a Suicide Prevention Program.","authors":"Joseph H Obegi","doi":"10.1176/appi.ps.20240408","DOIUrl":"https://doi.org/10.1176/appi.ps.20240408","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":"76 5","pages":"529"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995734","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}
Psychiatric servicesPub Date : 2025-05-01Epub Date: 2025-04-02DOI: 10.1176/appi.ps.20250114
Solomiya Tsymbalyuk
{"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":"518-521"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","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}
Matthew E Hirschtritt, Stacy A Sterling, Sujaya Parthasarathy
{"title":"Emergency Department Costs Associated With Coordinated Specialty Care for Early Psychosis.","authors":"Matthew E Hirschtritt, Stacy A Sterling, Sujaya Parthasarathy","doi":"10.1176/appi.ps.20240354","DOIUrl":"https://doi.org/10.1176/appi.ps.20240354","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":"76 5","pages":"528"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043499","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}
Psychiatric servicesPub Date : 2025-05-01Epub Date: 2025-03-06DOI: 10.1176/appi.ps.20230385
Bradley Edward Iott, Tran Thu Doan
{"title":"Provision of Social Care Services by Mental and Behavioral Health Organizations.","authors":"Bradley Edward Iott, Tran Thu Doan","doi":"10.1176/appi.ps.20230385","DOIUrl":"10.1176/appi.ps.20230385","url":null,"abstract":"<p><strong>Objective: </strong>Despite substantial interest in identifying and addressing patients' social needs in health care settings, little is known about the characteristics of mental health organizations associated with providing social care services (SCSs; i.e., services that may help to address patients' social needs). This study aimed to characterize the prevalence of 10 SCSs among mental health organizations in the United States.</p><p><strong>Methods: </strong>Cross-sectional data from the Substance Abuse and Mental Health Services Administration's 2018-2020 National Mental Health Services Survey (2018, N=11,580; 2019, N=12,355; 2020, N=12,109 organizations) were used to characterize SCS provision by mental health organizations. Poisson and logistic regression analyses were used to identify characteristics of mental health organizations that were associated with SCS provision.</p><p><strong>Results: </strong>The proportion of organizations offering SCSs increased between 2018 and 2020. The number and types of SCSs varied by organization type, ownership, primary treatment focus, and whether integrated treatment for co-occurring mental and substance use disorders was offered. For example, U.S. Department of Veterans Affairs Medical Centers offered an average of 5.31 SCSs during the study period, compared with 2.27 offered by partial hospitalization or day treatment organizations. Public agencies offered an average of 3.95 SCSs, compared with 2.26 offered by private for-profits.</p><p><strong>Conclusions: </strong>This study examined the prevalence of SCSs provided by mental health organizations in order to promote research addressing the social needs of patients with mental illness. Extensive variation across organization types suggests that the uneven provision of social care may contribute to inequities in service access, indicating the need for policies and incentives to encourage SCS implementation.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"451-460"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567979","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}
Psychiatric servicesPub Date : 2025-05-01Epub Date: 2025-01-10DOI: 10.1176/appi.ps.20240190
Chad J Valasek, Kris L Nelson, Danielle L Fettes, David H Sommerfeld
{"title":"Emerging Trends in Research on Assisted Outpatient Treatment in the United States: A Narrative Review.","authors":"Chad J Valasek, Kris L Nelson, Danielle L Fettes, David H Sommerfeld","doi":"10.1176/appi.ps.20240190","DOIUrl":"10.1176/appi.ps.20240190","url":null,"abstract":"<p><strong>Objective: </strong>The use of court-ordered mental health treatment through programs such as assisted outpatient treatment (AOT) carries substantial ramifications for the welfare of individuals with serious mental health conditions.</p><p><strong>Methods: </strong>In this review, the authors used a narrative methodology and performed an interpretive synthesis of existing U.S.-based literature (2008-2023) on AOT implementation and outcomes.</p><p><strong>Results: </strong>The search yielded 21 peer-reviewed articles published between 2009 and 2022 that assessed various aspects and outcomes of AOT. Although many of these studies generally supported the use of AOT, most used a limited data set (i.e., AOT program data from New York or Ohio between 1999 and 2007). Much of the latest research on AOT did not include attention to possible mechanisms to explain observed outcomes. The emerging literature suggests that increased outreach and less coercive tactics may lead to better outpatient treatment outcomes. However, more research, especially from the point of view of individuals enrolled in AOT programs, is needed.</p><p><strong>Conclusions: </strong>The authors strongly recommend that research into these interventions be broadened and include more geographic locations. A greater emphasis should be placed on identifying potential disparities, developing a better understanding of AOT-specific mechanisms of change, and continuing efforts to identify and use high-quality comparison groups.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"469-478"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954008","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}
Psychiatric servicesPub Date : 2025-05-01Epub Date: 2025-04-04DOI: 10.1176/appi.ps.7605001
Lisa B Dixon
{"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":"428-429"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","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}
Psychiatric servicesPub Date : 2025-05-01Epub Date: 2025-04-02DOI: 10.1176/appi.ps.20240083
Franco Mascayano, Sarah Swanson, Ana C Florence, Sapana R Patel, Doron Amsalem, Leah G Pope, Justin Metcalfe, Robert E Drake
{"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":"486-496"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","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}
Psychiatric servicesPub Date : 2025-05-01Epub Date: 2025-02-21DOI: 10.1176/appi.ps.20240352
Peter C Britton, Kipling M Bohnert, Lauren M Denneson, Dara Ganoczy, Mark A Ilgen
{"title":"Behavioral Health Care Use After Initiation of Emergency Dispatches During Veterans Crisis Line Contacts.","authors":"Peter C Britton, Kipling M Bohnert, Lauren M Denneson, Dara Ganoczy, Mark A Ilgen","doi":"10.1176/appi.ps.20240352","DOIUrl":"10.1176/appi.ps.20240352","url":null,"abstract":"<p><strong>Objective: </strong>The authors estimated associations between emergency dispatches initiated by Veterans Crisis Line (VCL) responders and use of U.S. Department of Veterans Affairs (VA) behavioral health care in the following month.</p><p><strong>Methods: </strong>The sample included 217,541 veterans with VCL contacts between 2017 and 2019 who could be linked with medical records. Models were weighted by a propensity score and stratified by VA behavioral health care use in the year preceding contact.</p><p><strong>Results: </strong>Of veterans with emergency dispatches, 85.9% (weighted) with and 62.2% without prior use of VA behavioral health care accessed care in the month after dispatch. Dispatch receipt was associated with higher odds of psychiatric hospitalization for veterans with and those without prior VA behavioral health care use and of in-person outpatient behavioral health care use for veterans with prior use.</p><p><strong>Conclusions: </strong>Efforts to link dispatch recipients who had not previously used VA behavioral health care to VA care are needed.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"502-505"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468471","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}