Psychiatric services最新文献_第5页

Behavioral Health Care Use After Initiation of Emergency Dispatches During Veterans Crisis Line Contacts. 退伍军人危机专线联系期间启动紧急派遣后的行为健康护理使用情况。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-21 DOI: 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":"https://doi.org/10.1176/appi.ps.20240352","url":null,"abstract":"Objective: 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.Methods: 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.Results: 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.Conclusions: Efforts to link dispatch recipients who had not previously used VA behavioral health care to VA care are needed.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240352"},"PeriodicalIF":3.3,"publicationDate":"2025-02-21","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}

引用次数: 0

Outcomes of Flexible Assertive Community Treatment Versus Assertive Community Treatment or Intensive Case Management. 灵活的自主社区治疗与自主社区治疗或强化个案管理的结果。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-21 DOI: 10.1176/appi.ps.20240163

Martin Rotenberg, Ling Zhuang, Raquel Williams, Diane Versace, Michelle DeSanti, Dan Harren, Alex Raben, Farooq Naeem, Frances Abela-Dimech, Paul Kurdyak, Farhat Farrokhi, George Foussias

{"title":"Outcomes of Flexible Assertive Community Treatment Versus Assertive Community Treatment or Intensive Case Management.","authors":"Martin Rotenberg, Ling Zhuang, Raquel Williams, Diane Versace, Michelle DeSanti, Dan Harren, Alex Raben, Farooq Naeem, Frances Abela-Dimech, Paul Kurdyak, Farhat Farrokhi, George Foussias","doi":"10.1176/appi.ps.20240163","DOIUrl":"https://doi.org/10.1176/appi.ps.20240163","url":null,"abstract":"Objective: In the context of increased uptake of flexible assertive community treatment (FACT)-despite a dearth of evidence on its outcomes-the authors aimed to compare the effectiveness of FACT with that of assertive community treatment (ACT) or intensive case management (ICM) for community-dwelling people experiencing serious mental illness.Methods: This quasi-experimental study, using propensity score matching to minimize confounding factors, examined outcomes of acute psychiatric service use among individuals who received FACT (vs. ACT or ICM) at a large Canadian mental health hospital. Data from a period of transition to FACT and an implementation period were analyzed.Results: The matched cohort consisted of 237 FACT and 237 ACT or ICM service users. During the transition period, no significant differences between the two groups were observed in emergency department (ED) visits, hospital admissions, or inpatient days. During the period of full FACT implementation, the FACT group had a significant increase in ED visits, compared with the group that received ACT or ICM (incidence rate ratio=1.65, 95% CI=1.02-2.67), but no significant differences were observed between the two groups in the rate of hospital admissions or inpatient days.Conclusions: To the authors' knowledge, this study is the first of its kind in Canada. Its findings suggest generally comparable outcomes of FACT (vs. ACT or ICM) in acute mental health services use. Although the rate of ED service use increased in the FACT group after implementation, inpatient service use did not increase. The higher rate of ED service use in the FACT group warrants further study.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240163"},"PeriodicalIF":3.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468867","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

Employment Status Following Peer Specialist Certification: Results of a 3-Year Multistate Survey.

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-13 DOI: 10.1176/appi.ps.20240166

Laysha Ostrow, Judith A Cook, Morgan Pelot, Kila Robinett, Mark S Salzer, Jane K Burke-Miller

{"title":"Employment Status Following Peer Specialist Certification: Results of a 3-Year Multistate Survey.","authors":"Laysha Ostrow, Judith A Cook, Morgan Pelot, Kila Robinett, Mark S Salzer, Jane K Burke-Miller","doi":"10.1176/appi.ps.20240166","DOIUrl":"https://doi.org/10.1176/appi.ps.20240166","url":null,"abstract":"Objective: A cohort of certified peer specialists (CPSs) was surveyed to investigate factors affecting postcertification employment and retention.Methods: Survey data were collected in 2020, 2021, and 2022 from 591 CPSs in four states (North Carolina, Oregon, Pennsylvania, and Texas). The data were analyzed via percentages, means, and multilevel regression models.Results: Postcertification employment remained high: 76% (N=448 of 591) in 2020, 73% (N=329 of 448) in 2021, and 77% (N=279 of 364) in 2022. However, the proportion working in peer support positions declined significantly-from 73% (N=325 of 448) in 2020 to 63% (N=175 of 279) in 2022-despite the significantly higher job satisfaction, greater access to job benefits, and longer average job tenure reported by those working in peer support versus nonpeer jobs.Conclusions: Although the individuals who completed certification appeared to remain employed, a significant proportion appeared to leave peer support for other work. These trends should be monitored to evaluate investments in peer certification and service capacity.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240166"},"PeriodicalIF":3.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410224","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

Lessons Learned From Using an Academic-Community Partnership to Evaluate a DEI Initiative in Public Mental Health Services.

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-13 DOI: 10.1176/appi.ps.20240124

Deja L Young, Caitlin Edwards, Francesca Pratt, Tanner Hickman, Morgan Titus, Susanna Hathaway, Luann J Gray, Kendal Holtrop

引用次数: 0

Impact of State Medical Licensure Exemptions and Telehealth Registries on College Students' Access to Psychiatric Care.

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-06 DOI: 10.1176/appi.ps.20240225

Rachel C Conrad, Amanda Koire, Lekshmi Radhakrishnan, Andrew Charroux, Savannah Klingler, Nicole M Benson, J Wesley Boyd

{"title":"Impact of State Medical Licensure Exemptions and Telehealth Registries on College Students' Access to Psychiatric Care.","authors":"Rachel C Conrad, Amanda Koire, Lekshmi Radhakrishnan, Andrew Charroux, Savannah Klingler, Nicole M Benson, J Wesley Boyd","doi":"10.1176/appi.ps.20240225","DOIUrl":"https://doi.org/10.1176/appi.ps.20240225","url":null,"abstract":"Objective: This study examined the impact of state medical licensure exemptions and telehealth registries on college students' access to psychiatric care.Methods: The authors attempted to contact 901 psychiatrists who advertised online on Psychology Today by using a simulated patient, described as a student attending college in a state with a medical licensure exemption or telehealth registry.Results: Contact was established with 282 (31%) psychiatrists across 10 states. Of the 143 contacted psychiatrists who were accepting new patients, seven (5%) were aware of state medical licensure exemptions, 43 (30%) were willing to establish care with students attending college in another state regardless of state laws, 42 (29%) were willing to learn about licensure exemptions, and 51 (36%) were unwilling to care for students in another state even when permitted by law.Conclusions: Given psychiatrists' lack of awareness of licensure exemptions and telehealth registries, interstate access to and continuity of care may be limited.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240225"},"PeriodicalIF":3.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256460","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 Duration of Untreated Psychosis: Strengthening the Case for Early Detection Campaigns.

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-06 DOI: 10.1176/appi.ps.20240061

Ashley Weiss, Serena Chaudhry, Wasef Atiya, Sydney Long, Robert Roy, Ramin Mojtabai

{"title":"Reducing Duration of Untreated Psychosis: Strengthening the Case for Early Detection Campaigns.","authors":"Ashley Weiss, Serena Chaudhry, Wasef Atiya, Sydney Long, Robert Roy, Ramin Mojtabai","doi":"10.1176/appi.ps.20240061","DOIUrl":"https://doi.org/10.1176/appi.ps.20240061","url":null,"abstract":"Objective: The Clear Answers to Louisiana Mental Health (CALM) campaign's objective is to reduce the duration of untreated psychosis (DUP) of patients experiencing first-episode psychosis in the New Orleans community.Methods: CALM used mass transit and digital marketing and local community engagement strategies to reduce DUP in referrals to the Early Psychosis Intervention Clinic-New Orleans. DUP measures were collected for clinic referrals pre- and post-CALM launch (N=116). Analytics from marketing strategies were used to evaluate campaign success.Results: In the first 12 months of CALM, the mean DUP from onset of psychotic symptoms to clinic entry decreased from a median of 6.6 (interquartile range [IQR]=2.5-14.9) to 2.1 (IQR=1.1-10.7) months. Time from onset of psychotic symptoms to first antipsychotic treatment decreased from a median of 2.0 (IQR=0.5-8.6) to 0.2 (IQR=0.0-0.7) months.Conclusions: The CALM campaign produced promising results for reducing DUP in referrals to a coordinated specialty care program.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"0"},"PeriodicalIF":3.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256497","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

Prevalence of On-Campus Student Mental Health Services at U.S. Colleges and Universities: A Web-Based Analysis.

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-06 DOI: 10.1176/appi.ps.20240479

James Aluri, Arman Terzian, Ramin Mojtabai, Amelia Arria

{"title":"Prevalence of On-Campus Student Mental Health Services at U.S. Colleges and Universities: A Web-Based Analysis.","authors":"James Aluri, Arman Terzian, Ramin Mojtabai, Amelia Arria","doi":"10.1176/appi.ps.20240479","DOIUrl":"https://doi.org/10.1176/appi.ps.20240479","url":null,"abstract":"Objective: The authors sought to quantify the proportion of U.S. postsecondary institutions that offer any on-campus mental health services to their students.Methods: In this cross-sectional study, data about the availability and descriptions of mental health services were gathered from websites of a main sample of 200 postsecondary institutions other than community colleges and a sample of 50 community colleges. Both samples were selected through a stratified sampling process. Descriptive statistics, weighted (main sample) and unweighted percentages, and confidence intervals were calculated.Results: In the main sample, 191 institutions (95%, 95% CI=91%-98%) offered mental health services. Among community colleges, 40 (80%, 95% CI=69%-91%) offered such services. In both the main and community college samples, most institutions (92% and 75%, respectively) used \"counseling\" to describe the services offered.Conclusions: Extrapolation of these results suggests that >1,700 U.S. postsecondary institutions offer mental health services, making campus services a sizeable mental health services sector.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"0"},"PeriodicalIF":3.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256492","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

Changes in Mental Health Services Use Under the ACA in One State: Role of Mental Health Provider Shortages. 一个州在《全民保健法案》下心理健康服务使用的变化：心理健康服务提供者短缺的作用》。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-01 Epub Date: 2024-11-05 DOI: 10.1176/appi.ps.20230628

Lyoung Hee Kim, Dominic Hodgkin, Mary Jo Larson, Michael Doonan

{"title":"Changes in Mental Health Services Use Under the ACA in One State: Role of Mental Health Provider Shortages.","authors":"Lyoung Hee Kim, Dominic Hodgkin, Mary Jo Larson, Michael Doonan","doi":"10.1176/appi.ps.20230628","DOIUrl":"10.1176/appi.ps.20230628","url":null,"abstract":"Objective: This study aimed to examine whether changes in mental health services use under the Patient Protection and Affordable Care Act (ACA) differed in Mental Health Professional Shortage Areas (MHPSAs) versus non-MHPSAs.Methods: Multiple waves of data from the California Health Interview Survey (2011-2018) were analyzed. The sample (N=10,497) was restricted to adults (ages 18-64) who reported experiencing serious psychological distress (SPD) during the past 12 months. MHPSAs were identified by using scores from the Health Resources and Services Administration and were matched to respondents' zip codes. Weighted logistic regression and generalized linear models were used to identify adjusted changes in the rates of four measures of mental health services use (any primary care visit for mental health reasons, any specialty mental health care visit, any prescription psychiatric medication, and total number of outpatient visits for mental health) before and after implementation of the ACA.Results: Rates of uninsured nonelderly adults with SPD in MHPSAs and non-MHPSAs decreased under the ACA. Changes in rates of specialty mental health services use under the ACA were statistically significant only in non-MHPSAs. Changes in mental health services use did not differ significantly between MHPSAs and non-MHPSAs for any of the four measures.Conclusions: Changes in the four measures of mental health use under the ACA did not differ in MHPSAs versus non-MHPSAs. Future research into the ACA's long-term effects should examine systemic and structural barriers to mental health care and to having sufficient numbers of mental health professionals.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"149-156"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576786","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

Quality Measures Over Consensus: Rethinking Best Practices in Psychotherapy.

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-02-01 DOI: 10.1176/appi.ps.20240411

Ezra N S Lockhart

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 : 2025-02-01 Epub 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":" ","pages":"157-162"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786984/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0