Psychiatric services最新文献_第8页

Lessons From Implementing Research-Supported Practices to Address Psychiatric Illnesses in Two Countries. 在两个国家实施研究支持实践以解决精神疾病的经验教训。

IF 3.2 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.1176/appi.ps.20240409

William C Torrey

引用次数: 0

A Religious Variation of Obsessive-Compulsive Disorder. 强迫症的宗教变体。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2024-12-19 DOI: 10.1176/appi.ps.20240511

Joshua Gonzales

引用次数: 0

Medical Mistrust and Willingness to Use Mental Health Services Among a Cohort of Black Adults. 在一群黑人成年人中，医疗不信任和使用心理健康服务的意愿

IF 3.2 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2025-01-17 DOI: 10.1176/appi.ps.20240016

Aderonke Bamgbose Pederson, Claire McLaughlin, Devan Hawkins, Felipe A Jain, Deidre M Anglin, Albert Yeung, Alexander C Tsai

{"title":"Medical Mistrust and Willingness to Use Mental Health Services Among a Cohort of Black Adults.","authors":"Aderonke Bamgbose Pederson, Claire McLaughlin, Devan Hawkins, Felipe A Jain, Deidre M Anglin, Albert Yeung, Alexander C Tsai","doi":"10.1176/appi.ps.20240016","DOIUrl":"10.1176/appi.ps.20240016","url":null,"abstract":"Objective: Black adults experience depression that is more severe than that of their White counterparts, yet they are less likely to receive treatment from a mental health professional. This study aimed to examine the relationships between medical mistrust or trust and the willingness to seek mental health care.Methods: The authors conducted an online cross-sectional survey of 1,043 Black adults in the United States. The primary variables of interest were medical mistrust (measured via the 12-item Group-Based Medical Mistrust Scale; GBMMS) and a single item, derived from the General Help-Seeking Questionnaire, that assessed willingness to seek mental health care. The authors hypothesized that mistrust would have a negative correlation with willingness to seek help from a mental health professional. To estimate the association between level of mistrust and willingness to seek care, gamma regression models were fitted with a log link, and the analyses were adjusted for age, ethnic identity or origin, education, insurance status, personal income, citizenship status, and length of time in the United States.Results: At low levels of medical mistrust (GBMMS scores ≤3), an increase in mistrust was significantly associated with an increase in the probability of seeking mental health care (rate ratio [RR]=1.55, p<0.001). At high levels of medical mistrust (GBMMS scores >3), an increase in mistrust was associated with a decrease in care seeking (RR=0.74, p<0.001). Similar patterns were observed for medical trust.Conclusions: At low levels of medical mistrust among Black adults, each unit increase in mistrust was counterintuitively associated with an increase in willingness to seek care from a mental health professional.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"318-325"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009546","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

Social Media Use Among Emerging Adults With Psychosis: Oversights and Opportunities. 新出现的成年精神病患者使用社交媒体：疏忽和机会。

IF 3.2 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2025-02-21 DOI: 10.1176/appi.ps.20240313

Ivy R Tran, Christi L Trask, Aubrey M Moe

引用次数: 0

Trust and Mistrust of Mental Health Services Among Black Adults. 黑人成年人对心理健康服务的信任与不信任

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-04-01 DOI: 10.1176/appi.ps.25076006

Curtis N Adams, Ann L Hackman

引用次数: 0

Postcertification Wages Among Certified Peer Specialists Working in Peer Support and Other Occupations. 在同伴支持和其他职业中工作的认证同伴专家的认证后工资。

IF 3.2 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2024-12-19 DOI: 10.1176/appi.ps.20240195

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

{"title":"Postcertification Wages Among Certified Peer Specialists Working in Peer Support and Other Occupations.","authors":"Laysha Ostrow, Judith A Cook, Morgan Pelot, Mark S Salzer, Jane K Burke-Miller","doi":"10.1176/appi.ps.20240195","DOIUrl":"10.1176/appi.ps.20240195","url":null,"abstract":"Objective: Although certification can raise the status of peer support work, certified peer specialists (CPSs) may continue to face financial hardship that affects their employment choices. This study aimed to explore how wages and financial well-being changed for CPSs over a 3-year postcertification period.Methods: This study examined wages, job characteristics, and financial well-being for a cohort of 448 employed CPSs working in peer support (PS) or other, nonpeer (NP) jobs during the study period. Self-report survey data were collected on current jobs, hours worked, and job tenure. Financial well-being was assessed by using the Consumer Financial Protection Bureau's Financial Well-Being Scale. Differences in job characteristics over time were described by using chi-square and t tests, and mixed-effects logistic regression models were used to model job attributes and financial well-being.Results: Hourly wages for both PS and NP jobs increased significantly between 2020 and 2022, with smaller increases for PS than for NP positions. Individuals with PS jobs were significantly more likely to have longer job tenures than those with NP jobs. Higher hourly wages were associated with a greater likelihood of longer job tenure. Financial well-being did not improve significantly over time.Conclusions: The larger wage increases and shorter tenures characteristic of NP jobs, relative to PS positions, suggest that workers may have switched from PS jobs to other jobs to improve their financial and career mobility opportunities. CPSs are part of a trend in the general U.S. adult population of declining financial well-being, despite increased wages.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"350-357"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854783","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

Police Presence in Mental Health and Crisis Care. 警察在心理健康和危机护理中的存在。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-04-01 DOI: 10.1176/appi.ps.25076007

Tushar Sood, Saadia Sediqzadah, Lisa B Dixon

引用次数: 0

Learning How to Learn Together: Integrating Lived Experience Into Mental Health Care. 学会如何共同学习：将生活经验融入心理健康护理。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2024-09-23 DOI: 10.1176/appi.ps.20230607

Helene Speyer, John T Lysaker, David Roe

引用次数: 0

Elimination of Behavioral Health Wait Times: Impact on "Avoidable" Medical Visits, Productivity, and Revenues. 消除行为健康等待时间：对“可避免的”医疗访问、生产力和收入的影响。

IF 3.3 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1176/appi.ps.20240287

Jules Rosen, Michelle Hoy, Lucy Cordts, Andrea Laplante, Dustin Baker, Daniel Maeng

{"title":"Elimination of Behavioral Health Wait Times: Impact on \"Avoidable\" Medical Visits, Productivity, and Revenues.","authors":"Jules Rosen, Michelle Hoy, Lucy Cordts, Andrea Laplante, Dustin Baker, Daniel Maeng","doi":"10.1176/appi.ps.20240287","DOIUrl":"10.1176/appi.ps.20240287","url":null,"abstract":"Objective: Delayed access to behavioral health services results in poor outcomes and higher costs. This brief report describes the elimination of a 702-person behavioral health waitlist through phase-based care (PBC), an innovative approach that aligns behavioral health resources with new patients with high-acuity need.Methods: Two PBC clinics, one triage and another high-acuity treatment, were established. Comparisons of pre-post interventions analyzed nonbehavioral health medical encounters, behavioral health productivity, and no-show rates.Results: Of 702 waitlisted persons, 614 attended triage clinics within 3.5 months, with patients needing acute care (37%) entering the treatment clinic within 2 weeks. Following evaluation, the waitlisted patients had 23% fewer medical encounters per month (p<0.001), behavioral health revenues increased 29% (p<0.001), behavioral health visits increased 165% (p<0.001), health evaluations increased 287% (p<0.001), and no-shows decreased 33% (p<0.001).Conclusions: Reallocating resources to new patients and those needing acute care resulted in increased behavioral health evaluations and productivity and reduced nonbehavioral health services without adding staff.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"398-401"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410219","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

Effects of an Organizational Implementation Strategy on Sustainment of Measurement-Based Care in Community Mental Health. 组织实施策略对社区心理卫生测量性护理维持的影响。

IF 3.2 3区医学

Psychiatric services Pub Date : 2025-04-01 Epub Date: 2025-01-30 DOI: 10.1176/appi.ps.20240302

Nathaniel J Williams, Gregory A Aarons, Mark G Ehrhart, Susan Esp, Nallely Vega, Marisa Sklar, Kristine Carandang, Lauren Brookman-Frazee, Steven C Marcus

{"title":"Effects of an Organizational Implementation Strategy on Sustainment of Measurement-Based Care in Community Mental Health.","authors":"Nathaniel J Williams, Gregory A Aarons, Mark G Ehrhart, Susan Esp, Nallely Vega, Marisa Sklar, Kristine Carandang, Lauren Brookman-Frazee, Steven C Marcus","doi":"10.1176/appi.ps.20240302","DOIUrl":"10.1176/appi.ps.20240302","url":null,"abstract":"Objective: Little is known about how to sustain evidence-based interventions with fidelity in community mental health settings. Phase 1 of the Working to Implement and Sustain Digital Outcome Measures (WISDOM) trial showed that an organizational strategy improved the implementation of measurement-based care (MBC) in mental health services for youths 1-12 months after clinician MBC training. The authors report results from phase 2 of the trial, in which the strategy's effects on MBC sustainment 13-26 months after clinician MBC training were examined.Methods: Twenty-one outpatient mental health clinics were randomly assigned to MBC training and technical assistance plus the Leadership and Organizational Change for Implementation (LOCI) strategy (11 clinics) or to training and technical assistance only (10 clinics). In phase 2, the primary outcomes of MBC completion rate, youth symptom improvement, and MBC fidelity were examined for 452 youths who entered treatment 13-26 months after clinician MBC training.Results: No differences were found in MBC completion rate or symptom improvement between the two conditions; however, among the 81 youths who received MBC, fidelity was significantly higher at LOCI sites relative to control sites (24%, SE=11.1 vs. 1%, SE=1.0, respectively; p=0.003).Conclusions: During phase 2, LOCI sites (vs. control sites) sustained superior MBC fidelity when MBC was used; however, superior MBC completion rates and clinical outcomes were not sustained. Sustainment of MBC may require strategies that improve its fit with regulatory and reimbursement environments in addition to strategies that develop clinic infrastructure.","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"358-365"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066979","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