Yaara Zisman-Ilani, Patricia E Deegan, Julie Kreyenbuhl
{"title":"Integrating Cobenfy Into Clinical Practice.","authors":"Yaara Zisman-Ilani, Patricia E Deegan, Julie Kreyenbuhl","doi":"10.1176/appi.ps.20250013","DOIUrl":"https://doi.org/10.1176/appi.ps.20250013","url":null,"abstract":"<p><p>Cobenfy is an important development in schizophrenia care. Clinically, Cobenfy has effectuated improvements in some symptom domains, with fewer adverse effects in short-term trials and compared with placebo. Conceptually, Cobenfy represents a renewed focus on improving outcomes in a field that has seen relatively limited therapeutic advancements. However, uncertainties regarding Cobenfy remain, leaving prescribers and patients with unanswered questions, particularly how, given the unknowns, Cobenfy should be introduced into clinical practice. In this Open Forum, the authors discuss the potential, promises, and challenges of integrating Cobenfy into clinical practice and propose a path forward, prioritizing choice and person-centered care.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250013"},"PeriodicalIF":3.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126960","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}
John Cosgrove, N Phil Masiakowski, Emma Scott, Tabitha Hoey, Tina Marshall, Sushmita Shoma Ghose, Nikhil A Patel
{"title":"Trauma Interventions in Schools: Assessing the Evidence Base.","authors":"John Cosgrove, N Phil Masiakowski, Emma Scott, Tabitha Hoey, Tina Marshall, Sushmita Shoma Ghose, Nikhil A Patel","doi":"10.1176/appi.ps.20250163","DOIUrl":"10.1176/appi.ps.20250163","url":null,"abstract":"<p><strong>Objective: </strong>Schools can play an important role in delivering trauma interventions to students. This systematic review aimed to examine the level of evidence for school-based trauma intervention models, program components across interventions, and the cost benefits of interventions.</p><p><strong>Methods: </strong>A search of major databases, gray literature, and evidence-based registries was conducted to identify individual studies published between 2008 and 2022 that tested the effects of school-based trauma interventions on posttraumatic stress and other mental health outcomes. Using established rating criteria, the authors rated interventions as having high, moderate, or low evidence.</p><p><strong>Results: </strong>Of the 25 different interventions identified across 39 studies, two were rated as having a high level of evidence (ERASE-Stress and Teaching Recovery Techniques), and four were rated as having moderate evidence. Cognitive-behavioral and creative-expressive techniques were common elements across most high- and moderate-evidence interventions. Cost data on school-based trauma interventions were unavailable.</p><p><strong>Conclusions: </strong>This systematic review identified several school-based trauma interventions that show effectiveness across a variety of school settings and student populations, making them valuable resources for decision makers. Research is needed on the cost-effectiveness and cost benefits of trauma interventions implemented in school settings.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250163"},"PeriodicalIF":3.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126976","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 Duality of My Night in the Emergency Room.","authors":"Emily A Kumpf","doi":"10.1176/appi.ps.20250354","DOIUrl":"https://doi.org/10.1176/appi.ps.20250354","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250354"},"PeriodicalIF":3.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126983","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":"Suicidal Ideation and Behaviors Among Medicaid-Enrolled Youths With and Without Intellectual and Developmental Disabilities.","authors":"Naomi Cruz, Elizabeth M Stone, Hillary Samples","doi":"10.1176/appi.ps.20240609","DOIUrl":"https://doi.org/10.1176/appi.ps.20240609","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20240609"},"PeriodicalIF":3.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067531","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 Waiting Room Effect: Why Diverting People With Mental Illness From Jails Requires Broad Structural and Systemic Change.","authors":"Jacob M Izenberg","doi":"10.1176/appi.ps.20240386","DOIUrl":"https://doi.org/10.1176/appi.ps.20240386","url":null,"abstract":"<p><p>Mental health courts have gained popularity as a strategy for diverting people with mental illness away from the traditional criminal legal system, where they are overrepresented. Using a composite case example, the author introduces the waiting room effect, whereby such diversion strategies may in some cases unintentionally reinforce the role of jails by relying on them as places to hold individuals awaiting access to scarce and overburdened community resources. The waiting room effect underscores the need for investment in mental health services and upstream (e.g., prebooking) diversion, targeted court reforms, and attention to the structural factors underlying the criminalization of mental illness.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20240386"},"PeriodicalIF":3.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067521","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":"Seeking Common Ground: Shared Principles Between Psychiatry and Its Critics.","authors":"Helene Speyer, David Roe","doi":"10.1176/appi.ps.20250093","DOIUrl":"https://doi.org/10.1176/appi.ps.20250093","url":null,"abstract":"<p><p>A distinctive feature of psychiatry is the presence of countermovements that critically question the validity of diagnostic systems and the value of psychoactive drugs. Polarized positions frequently involve mutual accusations of being unscientific, a claim that may obscure underlying assumptions and hinder meaningful dialogue. Advancing the field requires that fundamental conceptual disagreements be made visible, thereby laying the groundwork for more informed, less polarized dialogues that could ultimately minimize stigma and promote an inclusive constructive dialogue.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250093"},"PeriodicalIF":3.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025181","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}
Elizabeth Reisinger Walker, Caitlin McCarthy, Emily Moore, Stephanie Tapscott, Kellay Chapman, Janet Cummings, Benjamin G Druss
{"title":"Aligning Training and Technical Assistance Offerings With State Mental Health Agency Priorities.","authors":"Elizabeth Reisinger Walker, Caitlin McCarthy, Emily Moore, Stephanie Tapscott, Kellay Chapman, Janet Cummings, Benjamin G Druss","doi":"10.1176/appi.ps.20240599","DOIUrl":"https://doi.org/10.1176/appi.ps.20240599","url":null,"abstract":"<p><p>Intermediary and purveyor organizations (IPOs), in collaboration with state mental health agencies, play an important role in providing training and technical assistance (TTA) for evidence-based practices for mental health services. Undertaking an iterative process of understanding states' priorities and needs is important for IPOs to calibrate their TTA offerings while remaining within their mission. The authors describe an example of a process for identifying state agencies' priorities, strengths, and needs and examining the extent to which TTA efforts continue to fit with needs and whether gaps exist.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20240599"},"PeriodicalIF":3.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025164","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}
Harold A Pollack, Brandon Tabman, Derek S Brown, Hefei Wen, Kristin L Berg, Lauren Peterson, Betsy Q Cliff, Beau M Ances, Kenton J Johnston
{"title":"Neuropsychiatric Disorders Among Adult Emergency Department Patients With Intellectual and Developmental Disabilities.","authors":"Harold A Pollack, Brandon Tabman, Derek S Brown, Hefei Wen, Kristin L Berg, Lauren Peterson, Betsy Q Cliff, Beau M Ances, Kenton J Johnston","doi":"10.1176/appi.ps.20240604","DOIUrl":"https://doi.org/10.1176/appi.ps.20240604","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare rates of psychiatric and neurologic diagnoses on emergency department (ED) visit records of adults with versus without intellectual and developmental disabilities (IDDs).</p><p><strong>Methods: </strong>This cross-sectional study used the 2019 Nationwide Emergency Department Sample of U.S. hospital ED visit discharges. Validated codes were used to compare psychiatric and neurologic diagnoses of patients ages ≥18 with versus without diagnosed IDDs. Diagnosed psychiatric and neurologic conditions included depression, anxiety, schizophrenia or psychosis, suicidality, seizure, dementia, and sleep disorder.</p><p><strong>Results: </strong>The analysis identified 558,408 and 112,593,527 (nationally weighted) ED visits by adults with and without IDDs, respectively. Compared with the general population, adults with IDDs were twice as likely to have a mental disorder as the principal visit diagnosis, with higher probabilities of principal visit suicidality (1.6 times higher), neurologic disorder (5.6 times higher), and seizure (8.1 times higher) diagnoses. Compared with the general population, adults with intellectual disability were nearly twice as likely to have a dementia diagnosis, and patients with Down's syndrome were six times likelier to have a dementia diagnosis. More than one in five ED visit records of patients ages 50-54 with Down's syndrome included a dementia diagnosis; the dementia diagnosis rate for such patients ages ≥70 was 2.7 times higher than that of the general population.</p><p><strong>Conclusions: </strong>Adult ED patients with IDDs were more likely than those without IDDs to have co-occurring mental and neurologic disorders. Findings underscore the need to provide neuropsychiatric services across the lifespan to address the distinctive care needs of individuals with IDDs.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20240604"},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995096","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}
Ana M Ugueto, Lauren A O'Hagan, Mathijs F G Lucassen
{"title":"Reasons Why Suicidal Adolescents Want to Live: A Corpus-Driven Language Analysis.","authors":"Ana M Ugueto, Lauren A O'Hagan, Mathijs F G Lucassen","doi":"10.1176/appi.ps.20240332","DOIUrl":"https://doi.org/10.1176/appi.ps.20240332","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent suicidality is a major public and mental health crisis. Youths contemplating suicide experience an internal conflict between wanting to die and wanting to live. This study aimed to examine suicidal adolescents' self-reported reasons for living in order to develop a nuanced understanding of their individual perspectives and experiences.</p><p><strong>Methods: </strong>Between January and December 2023, adolescent patients hospitalized for suicidality identified three reasons for living as a part of safety planning in the context of standard clinical care. Reasons for living were qualitatively analyzed by using corpus-driven language analysis to determine the most frequently occurring words in the dataset and to identify word-based patterns and contextual factors that indicate what matters to adolescents.</p><p><strong>Results: </strong>Participants were 211 adolescent patients; 97% identified three reasons for living. The corpus comprised 1,914 individual words and 494 unique word forms. Analysis of the 10 most common words (i.e., \"my,\" \"family,\" \"friends,\" \"want,\" \"future,\" \"mom,\" \"be,\" \"life,\" \"sister,\" and \"go\") and the 10 most common nouns, adjectives, and verbs offered insights into adolescents' sense of belonging and purpose and reinforced the importance to adolescents of relationships, hobbies, ambitions, and responsibilities. Individual words, frequencies of occurrence, structures, and indicative examples are provided.</p><p><strong>Conclusions: </strong>Reasons for living provide insights into what is important in the lives of suicidal adolescents. Thus, such reasons may serve as a protective factor to help reduce suicidality. Moreover, reasons for living can feasibly be used therapeutically to build rapport, establish therapy goals, and personalize evidence-based treatments.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20240332"},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995099","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":"Assessing the Benefits and Risks of Increases in Prescribing ADHD Medications.","authors":"Frances R Levin, Christina A Brezing","doi":"10.1176/appi.ps.20250391","DOIUrl":"https://doi.org/10.1176/appi.ps.20250391","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 9","pages":"781"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986939","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}