Psychiatric services最新文献

{"title":"Use of <i>ICD-10-CM</i> Codes for Adverse Social Determinants of Health Across Health Systems.","authors":"Elyse N Llamocca, Brian K Ahmedani, Elizabeth Lockhart, Arne L Beck, Frances L Lynch, Sonya L Negriff, Rebecca C Rossom, Katherine Sanchez, Stacy A Sterling, Cheryl Stults, Stephen C Waring, Melissa L Harry, Hao Yu, Lawrence T Madziwa, Gregory E Simon","doi":"10.1176/appi.ps.20240148","DOIUrl":"10.1176/appi.ps.20240148","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated <i>ICD-10-CM</i> codes for adverse social determinants of health (SDoH) across 12 U.S. health systems by using data from multiple health care encounter types for diverse patients covered by multiple payers.</p><p><strong>Methods: </strong>The authors described documentation of 11 SDoH <i>ICD-10-CM</i> code categories (e.g., educational problems or social environmental problems) between 2016 and 2021; assessed changes over time by using chi-square tests for trend in proportions; compared documentation in 2021 by gender, age, race-ethnicity, and site with chi-square tests; and compared all patients' mental health outcomes in 2021 with those of patients with documented SDoH <i>ICD-10-CM</i> codes by using exact binomial tests and one-proportion z tests.</p><p><strong>Results: </strong>Documentation of any SDoH <i>ICD-10-CM</i> code significantly increased, from 1.7% of patients in 2016 to 2.7% in 2021, as did that for all SDoH categories except educational problems. Documentation was often more prevalent among female patients and those of other or unknown gender than among male patients and among American Indian or Alaska Native, Black or African American, and Hispanic individuals than among those belonging to other race-ethnicity categories. More educational problems were documented for younger patients, and more social environmental problems were documented for older patients. Psychiatric diagnoses and emergency department visits and hospitalizations related to mental health were more common among patients with documented SDoH codes.</p><p><strong>Conclusions: </strong>SDoH <i>ICD-10-CM</i> code documentation was infrequent and differed by population subgroup. Differences may reflect documentation practices or true SDoH prevalence variation. Standardized SDoH documentation methods are needed in health care settings.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"22-29"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294059","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}

{"title":"Mindfulness-Based Interventions in Schools: Assessing the Evidence Base.","authors":"Tina Marshall, Alden Farrar, Melissa Wilson, Jeffrey Taylor, Preethy George, Sushmita Shoma Ghose, John Cosgrove, Nikhil A Patel","doi":"10.1176/appi.ps.20240027","DOIUrl":"10.1176/appi.ps.20240027","url":null,"abstract":"<p><strong>Objective: </strong>Mindfulness-based interventions are increasingly being used in schools to improve students' mental, emotional, and behavioral development. Although many mindfulness programs exist, the types of programs that are effective for specific age groups remain unclear. In this systematic review, the authors used established rating criteria to describe the level of evidence for school-based mindfulness interventions.</p><p><strong>Methods: </strong>A search of major databases, gray literature, and evidence base registries was conducted to identify studies published between 2008 and 2022 that focused on mindfulness interventions within school settings. The authors rated mindfulness interventions as having high, moderate, or low levels of evidence based on the number and rigor of studies with positive outcomes.</p><p><strong>Results: </strong>Of the 24 interventions identified across 41 studies, three interventions-Learning to BREATHE, Mindfulness in School Project, and mindfulness-based stress reduction (MBSR)-received a rating of high level of evidence. Three interventions-Gaia Program, MindUP, and a blended version of MBSR and mindfulness-based cognitive therapy-received a rating of moderate level of evidence. The interventions rated as having a high level of evidence were conducted with middle or high school students, and interventions with moderate evidence were also conducted with elementary students, demonstrating effectiveness of mindfulness across a range of age groups. Few studies examined outcomes for underserved populations.</p><p><strong>Conclusions: </strong>With greater use and more research, mindfulness interventions have the potential to promote student well-being and prevent mental health conditions.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"49-60"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073696","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}

{"title":"Perceived Stigma Toward Cognitive Impairment Among People With Schizophrenia.","authors":"Lauren Gonzales, Alice M Saperstein, Nev Jones, Matthew D Erlich, Alice Medalia","doi":"10.1176/appi.ps.20240106","DOIUrl":"10.1176/appi.ps.20240106","url":null,"abstract":"<p><strong>Objective: </strong>Stigma toward schizophrenia spectrum disorders is pervasive and negatively influences service access and delivery. Cognitive impairment associated with schizophrenia (CIAS) is common, but its association with stigma is unknown. In this study, the authors examined whether individuals with CIAS receiving cognitive remediation treatment report experiencing CIAS-related stigma and sought to establish associations between CIAS-related stigma and recovery-relevant outcomes.</p><p><strong>Methods: </strong>Data from 48 individuals with schizophrenia spectrum diagnoses were drawn from a larger study evaluating cognitive remediation. Participants completed measures of CIAS-related stigma, internalized mental illness stigma, self-perceived cognitive impairment, cognitive performance, and interviewer-rated quality of life.</p><p><strong>Results: </strong>CIAS-related stigma was commonly reported and significantly positively associated with internalized stigma and self-perceived cognitive impairment. CIAS-related stigma was also significantly negatively associated with motivation to engage in goal-directed behavior and daily activities.</p><p><strong>Conclusions: </strong>CIAS-related stigma exists and warrants additional exploration with regard to implications for psychiatric service delivery.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"86-89"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875781","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}

{"title":"Social Media-Based Brief Video Interventions to Support Youths' Mental Health.","authors":"Doron Amsalem","doi":"10.1176/appi.ps.20240093","DOIUrl":"10.1176/appi.ps.20240093","url":null,"abstract":"<p><p>Social media platforms are communication forums with potential benefits and disadvantages for youths' mental health. In this column, the author focuses on two main themes. First, recognizing the need for carefully crafted interventions, the author advocates for the use of crowdsourcing platforms to test and refine social media-based video content. These platforms enable the development of engaging, safe, and stigma-reducing videos tailored to meet the needs of diverse youths. Second, the author proposes the establishment of strategic frameworks designed to empower youths to produce and share these videos effectively, enhancing the positive effect of social media on mental health discourse.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"95-98"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564176","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}

{"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":"10.1176/appi.ps.20240077","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"61-81"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","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}

{"title":"Inequities in Access to Mental Health Services Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees.","authors":"Kevin H Nguyen, Eunhae G Oh, Lan N Ðoàn, Christina T Chu, Rachel A Banawa, Carlos Irwin A Oronce, Courtney C Choy, Sasha Zhou","doi":"10.1176/appi.ps.20230637","DOIUrl":"https://doi.org/10.1176/appi.ps.20230637","url":null,"abstract":"<p><p>Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) people are often aggregated into a monolithic group, but when they are disaggregated into ethnic groups (e.g., Chinese), inequities can be identified. Using a representative sample of adult Medicaid enrollees (N=55,215), the authors assessed inequities in self-reported access to mental or behavioral health services between non-Hispanic AA and NHPI Medicaid enrollees and non-Hispanic White Medicaid enrollees, both by racial group and across 10 disaggregated ethnic groups. AA and NHPI enrollees, by race and all 10 ethnicities, reported significantly worse mental health care access than did White enrollees. The magnitude of disparities also differed between ethnic groups, ranging from -14.6 percentage points for Native Hawaiian enrollees to -43.6 percentage points for Vietnamese enrollees.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20230637"},"PeriodicalIF":3.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854770","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}

{"title":"My Personal Journey to Wholeness Through Peer Wellness.","authors":"Constandina Savvenas","doi":"10.1176/appi.ps.20240490","DOIUrl":"https://doi.org/10.1176/appi.ps.20240490","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240490"},"PeriodicalIF":3.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854773","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}

{"title":"Youth Emergency Department and Inpatient Psychiatric Recidivism After Treatment in a Community-Based Crisis Program.","authors":"Rebecca Marshall, Amanda Ribbers, Ilana Freeman, Sophia Nguyen, Julie Magers, Lydia Maitland, David Sheridan","doi":"10.1176/appi.ps.20230445","DOIUrl":"https://doi.org/10.1176/appi.ps.20230445","url":null,"abstract":"<p><strong>Objective: </strong>In emergency departments (EDs) nationwide, increasing numbers of youths in psychiatric crisis are \"boarding,\" or awaiting psychiatric care in a nonpsychiatric setting. Community stabilization programs may reduce the prevalence of boarding while supporting behavioral health. This study aimed to evaluate ED and inpatient (IP) psychiatric recidivism of youths receiving Crisis and Transition Services (CATS), a community-based program providing in-home behavioral health crisis services.</p><p><strong>Methods: </strong>This retrospective matched cohort study used 2012-2020 medical claims data and linked program-collected data to compare CATS participants with nonparticipants (2018-2020). In total, 533 youths receiving CATS were matched to a control group (N=1,066) on initial ED visit date, reason for visit, age, and sex. Outcomes included time until first insurance claim for psychiatric or suicide attempt recidivism to an ED, IP admission, or both. Cox proportional hazard models were used to estimate the association between the outcomes of interest and CATS participation or nonparticipation up to 1 year following hospital (ED or IP) discharge.</p><p><strong>Results: </strong>CATS participation was significantly associated with reduced psychiatric recidivism to an ED, IP, or both, compared with nonparticipation, with significantly lower IP return admissions for suicide attempt.</p><p><strong>Conclusions: </strong>Some boarding youths may be safely discharged to intensive community-based behavioral health crisis programs. Although return visits to EDs for suicide attempt did not differ between groups, youths in CATS had significantly lower hazards of IP admissions for suicide attempt. Comparable programs may reduce boarding without adding risk. Future studies should examine which individuals would benefit most from community-based treatment as well as key program components associated with outcomes.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20230445"},"PeriodicalIF":3.3,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814035","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}

{"title":"How Chronic Illness Forged My Path to Healing Others.","authors":"Sue Ram","doi":"10.1176/appi.ps.20240513","DOIUrl":"https://doi.org/10.1176/appi.ps.20240513","url":null,"abstract":"","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240513"},"PeriodicalIF":3.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786336","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}

{"title":"Testing the Impact of a Law Enforcement-Operated Co-responder Program for Youths: A Quasi-Experimental Approach.","authors":"Kristina K Childs, Richard L Elligson, Caitlin M Brady","doi":"10.1176/appi.ps.20240003","DOIUrl":"10.1176/appi.ps.20240003","url":null,"abstract":"<p><strong>Objective: </strong>The authors examined whether use of a co-responder program reduced the likelihood of an involuntary commitment examination as the disposition of a police encounter with youths experiencing a mental health crisis and 1 year after the initial incident.</p><p><strong>Methods: </strong>Using a quasi-experimental design, the authors compared 206 incidents that involved the co-response program with 327 incidents that did not involve the program. Propensity score matching was used to balance groups on demographic and incident characteristics. The dependent variables included the disposition of the incident (deescalation or involuntary commitment examination), whether the youths experienced a later involuntary commitment examination within 1 year of the initial intervention, and time to the subsequent examination. Propensity score-weighted binary logistic regression and time-to-event analysis were used.</p><p><strong>Results: </strong>The co-responder program was associated with a significantly lower likelihood of police officer-initiated involuntary commitment examinations and a lower likelihood of an involuntary commitment examination within 1 year. Eighty percent of the incidents that resulted in a co-response involving a police officer and a mental health professional were deescalated, allowing the youth to remain in the community with a safety plan, whereas 17% of incidents with a police-only response ended with crisis deescalation.</p><p><strong>Conclusions: </strong>These findings provide further support for the implementation of co-responder options that are available to police officers during encounters with children and adolescents experiencing a mental health crisis.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"1213-1219"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470462","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}