Emma K Boswell, Peiyin Hung, Jiajia Zhang, Elizabeth L Crouch
{"title":"Sociodemographic Disparities in Mental Health Care Settings Among Adults.","authors":"Emma K Boswell, Peiyin Hung, Jiajia Zhang, Elizabeth L Crouch","doi":"10.1176/appi.ps.20240137","DOIUrl":"https://doi.org/10.1176/appi.ps.20240137","url":null,"abstract":"<p><strong>Objective: </strong>Untreated mental illness has significant consequences for both society and individuals, yet sociodemographic disparities in mental health care persist. Given the barriers to mental health care that rural and racially marginalized populations face, understanding mental health treatment settings across these populations may help catalyze future actions tailored to these settings. This study aimed to analyze rural-urban and racial-ethnic disparities across mental health care settings.</p><p><strong>Methods: </strong>This cross-sectional study examined 92,639 adult respondents to the National Survey on Drug Use and Health (2021 and 2022). Rural-urban and racial-ethnic disparities in receipt of mental health care in the past 12 months were evaluated by using Rao-Scott chi-square tests and multivariable logistic regressions. All analyses used complex survey weights.</p><p><strong>Results: </strong>In 2021-2022, no rural-urban differences were found among respondents receiving inpatient or outpatient care. Compared with respondents in large metro areas (classified by the 2013 Rural-Urban Continuum Codes), nonmetro respondents were less likely to use virtual care (i.e., telehealth; adjusted odds ratio=0.74, 95% CI=0.65-0.86). Non-Hispanic White respondents were more likely than non-Hispanic Black respondents to receive outpatient care, prescription medication, and telehealth, whereas non-Hispanic Black respondents were more likely than Non-Hispanic White respondents to receive inpatient care.</p><p><strong>Conclusions: </strong>Widespread telehealth uptake after 2020 did not equally increase access to telehealth care for all rural-urban classifications. Racial and ethnic disparities were striking; initiatives that prioritize cultural competence and promote racial-ethnic equity in mental health care should be supported.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20240137"},"PeriodicalIF":3.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986918","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 Services: How Much of What Is Enough?","authors":"Lisa B Dixon","doi":"10.1176/appi.ps.20250298","DOIUrl":"https://doi.org/10.1176/appi.ps.20250298","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 8","pages":"703"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763091","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}
Catherine Yang, Emily M Beydler, Manon Lefevre, Dominic Sisti
{"title":"Justice Delayed: The Case of Zuranolone and Barriers to Advancing Perinatal Mental Health.","authors":"Catherine Yang, Emily M Beydler, Manon Lefevre, Dominic Sisti","doi":"10.1176/appi.ps.20250025","DOIUrl":"10.1176/appi.ps.20250025","url":null,"abstract":"<p><p>By discussing challenges in the development of and access to zuranolone, an innovative oral pharmacological treatment for postpartum depression, this Open Forum examines the systemic exclusion of women's mental health issues from research and advocacy efforts, highlighting how these gaps perpetuate injustice in the health care system. Issues such as inadequate funding for women's mental health research, insurance coverage limitations, and inequities in treatment accessibility represent systemic disparities that violate the foundational principle of justice in medical ethics.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"764-766"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Helping Someone in a Mental Health Crisis.","authors":"Cohen Miles-Rath","doi":"10.1176/appi.ps.20250239","DOIUrl":"10.1176/appi.ps.20250239","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"773"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328476","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}
Cole Hooley, Danielle R Adams, Carrie L E Wendt, Cory B Dennis
{"title":"Measures of the Availability and Accessibility of Behavioral Health Services: A Scoping Review.","authors":"Cole Hooley, Danielle R Adams, Carrie L E Wendt, Cory B Dennis","doi":"10.1176/appi.ps.20240282","DOIUrl":"10.1176/appi.ps.20240282","url":null,"abstract":"<p><strong>Objective: </strong>Service availability and accessibility are necessary precursors to scaling up behavioral health services. This review aimed to examine the literature in order to identify and summarize quantitative measurement approaches to assessing the availability and accessibility of behavioral health services.</p><p><strong>Methods: </strong>The search used in this scoping review included terms for psychiatric diagnoses, behavioral health services, measurement, and availability and accessibility. Databases queried were CINAHL, MEDLINE, PsycInfo, Embase, and Web of Science. Two coders first screened the titles and abstracts and then the full texts of retrieved articles. Articles were included if they discussed a behavioral health service outcome and provided sufficient description of their quantitative measures or measurement approach. Two researchers extracted data from each article that met the inclusion criteria and deductively coded measures by using availability and accessibility domains derived from existing frameworks.</p><p><strong>Results: </strong>The search yielded 266 articles containing 250 unique measurement approaches. Articles most frequently used secondary (vs. nonsecondary) data sources. Measures were often developed for a single study; 93% of the unique measures were used only once. Only 12% of the measures had psychometric properties reported. The availability and accessibility domains had uneven coverage across secondary sources and unique measures. One brief, public-facing, psychometrically tested measure was found, but it lacked one of the availability domains.</p><p><strong>Conclusions: </strong>Availability and accessibility should be treated as constructs distinct from utilization. National surveys provide indispensable information about the availability and accessibility of behavioral health services. The field would benefit from having a brief, client- and public-facing, psychometrically tested measure covering core availability and accessibility domains.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"748-759"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278135","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":"Expanding Access to Mental Health Services for Justice-Involved Youths.","authors":"Alan H Shu, Matthew E Hirschtritt","doi":"10.1176/appi.ps.25076012","DOIUrl":"https://doi.org/10.1176/appi.ps.25076012","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 8","pages":"704-705"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763090","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}
Shari L Hutchison, Jamie F Edwards, Irina O Karpov, Amy D Herschell
{"title":"Care Management Intervention for Medicaid-Enrolled Adults With First-Time Psychiatric Admission.","authors":"Shari L Hutchison, Jamie F Edwards, Irina O Karpov, Amy D Herschell","doi":"10.1176/appi.ps.20240530","DOIUrl":"10.1176/appi.ps.20240530","url":null,"abstract":"<p><p>A behavioral health managed care organization in Pennsylvania expanded a bridging strategy associated with reducing multiple readmissions to Medicaid-enrolled adults with a first admission to an inpatient mental health service. The intervention consisted of active problem solving, screenings, assessment of individuals' motivation for ongoing treatment, care management services, and resource coordination. The intervention was associated with significantly lower rates of readmission and higher rates of aftercare receipt within 30 days compared with nonreceipt of the intervention. Direct cost savings were achieved through fewer readmissions, but longer-term savings may be achieved by affecting the illness trajectory for individuals with behavioral health disorders.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"774-776"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278134","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}
Ryan K McBain, Jonathan H Cantor, Shannon D Donofry, Rachel M Burns, Federico Girosi, Nicole K Eberhart
{"title":"Estimating the Investment Gap in Treating Serious Mental Illness in the United States.","authors":"Ryan K McBain, Jonathan H Cantor, Shannon D Donofry, Rachel M Burns, Federico Girosi, Nicole K Eberhart","doi":"10.1176/appi.ps.20250142","DOIUrl":"https://doi.org/10.1176/appi.ps.20250142","url":null,"abstract":"<p><p>Despite substantial enrollment of adults with serious mental illness in state Medicaid programs, public-sector funding remains inadequate to deliver comprehensive evidence-based mental health care. The authors of this Open Forum propose a rigorous empirical method for quantifying the investment gap between current resources and those required for achieving evidence-based care. Drawing from an analysis of California's county-based mental health system, the authors outline a four-step process that entails quantifying current mental health service utilization, defining evidence-based clinical standards, estimating unit costs, and scaling services to population needs. This approach should provide states with actionable economic insights to guide strategic investments and clinical outcomes.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250142"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747062","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}