Psychiatric services (Washington, D.C.)最新文献

{"title":"Integrating Mental Health and Social Care in Transitional Housing: Horizon Health and Housing Partnership.","authors":"Ericka Agostini, Nicolas Franck, Guillaume Barbalat","doi":"10.1176/appi.ps.20250517","DOIUrl":"10.1176/appi.ps.20250517","url":null,"abstract":"<p><p>Horizon Health and Housing is an innovative partnership in Lyon, France, that addresses the needs of homeless individuals experiencing mental illness and living in transitional housing centers. This partnership involves close collaboration between social workers and mental health specialists working onsite. Together, these providers deliver coordinated care for homeless people discharged from the local psychiatric hospital, as well as for residents with unmet mental health needs. Since its launch in 2019, the partnership has yielded valuable lessons for improving psychiatric care and has had positive impacts on mental health and social outcomes for individuals in this marginalized population.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"798-801"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147702005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neighborhood Opportunity and Mental Health-Related Hospitalization Rates Among Children and Youths in 12 U.S. States.","authors":"Ankita T Gupta, Matthew Hall, Mert Sekmen, Derek J Williams, Alison R Carroll, Sabrina E Carro, Heather Kreth, David P Johnson, Kelsey A B Gastineau, James W Antoon, Katherine S Spencer, Alison Herndon, Stephanie K Doupnik","doi":"10.1176/appi.ps.20250548","DOIUrl":"10.1176/appi.ps.20250548","url":null,"abstract":"<p><strong>Objective: </strong>Using the Child Opportunity Index (COI) 3.0 and mental health-related hospitalization rates among children and youths, the authors examined whether hospitalization rates were significantly associated with neighborhood conditions.</p><p><strong>Methods: </strong>In this cross-sectional, population-based study, the authors analyzed mental health-related hospitalizations among children and youths (5-24 years) from 12 U.S. states by using data from the 2021 State Inpatient Databases and U.S. Census. The exposure was ZIP code-level COI 3.0, with an outcome of mental health hospitalization incidence rate per 10,000 population. Mental health hospitalizations included a primary psychiatric diagnosis indexed in the <i>DSM-5</i>. Hospitalization rates were estimated overall, by state, and by 10 psychiatric diagnosis categories. Differences across COI quintiles were examined with negative binomial regression models.</p><p><strong>Results: </strong>Among 21,156,318 children and youths, 157,641 were hospitalized for mental health problems, corresponding to an incidence rate of 74.5 per 10,000 population. The hospitalization rate (per 10,000 children and youths) was highest in the very low-COI quintile (incidence rate=76.9, 95% CI=73.4-80.5) and lowest in the very high-COI quintile (incidence rate=67.3, 95% CI=64.8-69.9). Trends were consistent within psychiatric diagnosis categories, except for anxiety disorders, which showed a positive correlation between COI level and hospitalization rates. Hospitalization rates varied significantly among states (ranging from 34 to 135 per 10,000 youths, in Oregon and Kentucky, respectively).</p><p><strong>Conclusions: </strong>Children and youths residing in lower-opportunity neighborhoods had higher mental health-related hospitalization rates, which varied by state and psychiatric diagnosis. Future research to understand the reasons for these variations across COI levels could inform programs to avoid mental health-related hospitalizations.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"745-751"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of a Psychiatric Home Care Program on Mental Health Services Utilization and Costs in Spain.","authors":"Ana María Besoaín-Cornejo, Ignacio Aznar-Lou, Luisa Baladón Higueras, Maria Rubio-Valera","doi":"10.1176/appi.ps.20240578","DOIUrl":"10.1176/appi.ps.20240578","url":null,"abstract":"<p><p>Crisis resolution and home treatment (CRHT) is a home-based alternative to acute psychiatric hospitalization. A retrospective cohort study in Spain measured the impact of CRHT on mental health resource utilization, comparing emergency department (ED) visits, acute admissions, and length of stay. The authors compared three CRHT catchment areas (N=298,935 adults) with three control areas without CRHT (N=157,334 adults). The mean cost of CRHT was compared with that of inpatient hospitalization. Results showed that CRHT models may be associated with a reduction in ED visits and potentially lower mean costs per stay; however, these findings were not statistically significant. Further research is needed to confirm the long-term benefits of CRHT.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"802-806"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Hospitalization Among Adults With Intellectual and Developmental Disability.","authors":"Ellie K Kogan, Hillary Samples, Elizabeth M Stone","doi":"10.1176/appi.ps.20250585","DOIUrl":"10.1176/appi.ps.20250585","url":null,"abstract":"<p><strong>Objective: </strong>The authors examined psychiatric hospitalizations among adults with mental illness, by intellectual and developmental disability (IDD) diagnosis.</p><p><strong>Methods: </strong>MarketScan Multi-State Medicaid Database claims from 2016 to 2023 were used in measuring annual rates of psychiatric hospitalization among adults with mental illness with and without IDD and by IDD diagnosis. The authors made comparisons using generalized estimating equation models.</p><p><strong>Results: </strong>A total of 2,718,432 adults with mental illness were identified in claims from 2016 to 2023; 5.1% (N=137,916) had IDD. Annual rates of psychiatric hospitalization were higher among those with IDD. In adjusted models, adults with IDD had decreased odds of psychiatric hospitalization (adjusted odds ratio=0.80, 95% CI=0.79-0.81, p<0.001). Factors associated with psychiatric hospitalization were consistent across groups.</p><p><strong>Conclusions: </strong>Despite higher rates of psychiatric hospitalization, adults with IDD are less likely to be hospitalized than other adults with the same clinical and demographic characteristics.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"772-775"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Treatment Becomes Fate.","authors":"Michael Elwan","doi":"10.1176/appi.ps.20260292","DOIUrl":"10.1176/appi.ps.20260292","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"784-785"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Billing Codes Fall Short: Unbillable Time in Collaborative Care for Co-occurring Opioid Use and Mental Health Conditions.","authors":"Rebecca L Weir, Lia Pak, Colleen M McCullough, Grace M Hindmarch, Sapna J Mendon-Plasek, Beth Ann Griffin, Katherine E Watkins, Alex R Dopp","doi":"10.1176/appi.ps.20250715","DOIUrl":"10.1176/appi.ps.20250715","url":null,"abstract":"<p><strong>Objective: </strong>Considerable time spent on delivering the collaborative care model (CoCM) for patients with co-occurring opioid use and mental health conditions is not billable under relevant billing codes for Medicare or Medicaid behavioral health integration. In this follow-up study, the authors explored associations between patients' characteristics and the likelihood of receiving unbillable services.</p><p><strong>Methods: </strong>Billable time was estimated by applying billing code rules to documentation of CoCM delivery from a clinical trial (N=381 patients). Multivariate logistic regressions revealed patient characteristics associated with receiving >15 minutes in ≥1 months of unbillable outreach before CoCM engagement or care time that exceeded code maxima.</p><p><strong>Results: </strong>Overall, 43% of the patients received unbillable outreach, and 59% exceeded billable time. Health system, age, stimulant use, and worry about housing were significantly or marginally associated with exceeding billable time; health system also predicted unbillable outreach.</p><p><strong>Conclusions: </strong>Policymakers should consider modifying CoCM billing codes to adequately reimburse efforts to engage and serve this complex patient population.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"767-771"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Blessings and Curses of Medications.","authors":"Sarah M Gunther","doi":"10.1176/appi.ps.20260288","DOIUrl":"10.1176/appi.ps.20260288","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"782-783"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Hospitalization.","authors":"Lisa B Dixon, Howard H Goldman","doi":"10.1176/appi.ps.26077019","DOIUrl":"https://doi.org/10.1176/appi.ps.26077019","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"77 8","pages":"703-704"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Organizational Well-Being Inventory.","authors":"Kristin Scardamalia, Dominique Charlot-Swilley, Kathryn Trainor, Oscar Morgan, Sharon Hoover","doi":"10.1176/appi.ps.20250494","DOIUrl":"10.1176/appi.ps.20250494","url":null,"abstract":"<p><p>Behavioral health care systems are contending with a long-standing workforce well-being crisis characterized by high rates of burnout, turnover, and absenteeism. Intensified by the COVID-19 pandemic, providers have long faced excessive workloads, emotional exhaustion, and limited organizational support. The Organizational Well-Being Inventory (OWBI) is a free continuous quality improvement tool developed to assess organizational practices that influence staff well-being, including work climate, diversity and inclusion, and professional quality of life. The OWBI provides actionable data to promote staff well-being, improve retention, and advance high-value mental health care.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"786-788"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overview of State Legislation and Laws Related to Eating Disorders From 2008 to 2024.","authors":"Shalini Wickramatilake, Lilly Engineer, Alexander D McCourt, S Bryn Austin, Alene Kennedy-Hendricks","doi":"10.1176/appi.ps.20250549","DOIUrl":"10.1176/appi.ps.20250549","url":null,"abstract":"<p><strong>Objective: </strong>Eating disorders affect 9% of the U.S. population and impose substantial health and economic burdens. This study aimed to examine trends in and focus areas of state legislative activity (2008-2024) with respect to eating disorders.</p><p><strong>Methods: </strong>State-level bills and enacted laws were identified by using the Westlaw legislative database and were categorized by type: authorization bills, appropriations bills, resolutions, and enacted laws. A hybrid inductive-deductive coding approach was used to classify policies by issue topic, including awareness, screening and referral, treatment services, and insurance coverage. Frequencies and distributions of legislative activity were summarized quantitatively.</p><p><strong>Results: </strong>A total of 600 unique policies on eating disorders were identified. Awareness-raising initiatives were most common (N=218 policies), followed by screening and referral (N=134), treatment service delivery (N=95), and insurance coverage (N=82). Although legislative activity increased over time, most policies focused on awareness rather than comprehensive prevention, treatment, or recovery programs.</p><p><strong>Conclusions: </strong>State legislative attention to eating disorders is growing, yet policies often remain symbolic. Expansion of legislation to support prevention, early intervention, and treatment services is critical for addressing the detrimental impact of eating disorders on public health.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"733-738"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}