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

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Generosity of States' Medicaid Home and Community-Based Programs for Youths With Complex Mental Health Needs. 各州为有复杂心理健康需求的青少年提供的医疗补助家庭和社区项目的慷慨。
IF 3.2
Psychiatric services (Washington, D.C.) Pub Date : 2025-07-30 DOI: 10.1176/appi.ps.20250005
Genevieve Graaf, Monica Cañizares, Douglas Leslie
{"title":"Generosity of States' Medicaid Home and Community-Based Programs for Youths With Complex Mental Health Needs.","authors":"Genevieve Graaf, Monica Cañizares, Douglas Leslie","doi":"10.1176/appi.ps.20250005","DOIUrl":"https://doi.org/10.1176/appi.ps.20250005","url":null,"abstract":"<p><strong>Objective: </strong>Medicaid's Home and Community-Based Services (HCBS) waiver programs, authorized by section 1915(c) of the Social Security Act, are widely used to finance care for individuals experiencing complex health needs. Programs for youths experiencing complex behavioral health needs are less numerous and comprehensive than are programs for other populations, and little is known about variations in coverage and benefits across states. This study aimed to quantify and compare the benefits of different states' HCBS waiver programs for youths experiencing behavioral health needs.</p><p><strong>Methods: </strong>States' initial, renewal, and amendment applications (2006-2022) for HCBS waiver programs for youths experiencing behavioral health needs were collected from states and the Centers for Medicare and Medicaid Services. Data collected included the following elements that were used to construct the Generosity Index-a monthly measure of program generosity-for each state: annual costs per person, maximum number of participants, cost limits, age ranges related to eligibility, services covered, service limits, geographic exclusions, allowances for participant-directed care, and authorizations for family members to provide care.</p><p><strong>Results: </strong>Consistent with studies examining section 1915(c) waiver programs for youths with other types of complex health needs, characteristics of programs for youths experiencing behavioral health needs varied substantially across states and evolved over time. Wisconsin consistently provided the most generous benefits and coverage (index score=1.64 in 2022), whereas substantial declines in program generosity were observed at certain times in Wyoming and Kansas.</p><p><strong>Conclusions: </strong>Heterogeneity among mental health waiver programs for youths must be accounted for in assessing the impacts of waiver policies.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250005"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747063","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}
引用次数: 0
Considerations for Implementation of Measurement-Based Care: Focus on Solo and Small-Group Practitioners. 实施基于测量的护理的考虑:关注个人和小团体的从业者。
Psychiatric services (Washington, D.C.) Pub Date : 2025-07-01 Epub Date: 2025-06-05 DOI: 10.1176/appi.ps.20240372
Kathryn K Ridout, Erik Vanderlip, Andrew D Carlo, Bashkim Kadriu, Cecilia Livesey, John Torous, Carol Alter
{"title":"Considerations for Implementation of Measurement-Based Care: Focus on Solo and Small-Group Practitioners.","authors":"Kathryn K Ridout, Erik Vanderlip, Andrew D Carlo, Bashkim Kadriu, Cecilia Livesey, John Torous, Carol Alter","doi":"10.1176/appi.ps.20240372","DOIUrl":"10.1176/appi.ps.20240372","url":null,"abstract":"<p><p>Measurement-based care (MBC) is the structured process of repeatedly assessing patient-reported outcomes, including recovery, quality of life, function, satisfaction, and psychiatric symptomatology, to inform the process of care. Backed by years of experience and scientific evidence, the use of standardized rating scales in psychiatric practice is associated with significant gains in the efficiency of care delivery, achievement of superior clinical outcomes, and improved patient wellness and experience. Private and public payers increasingly require evidence of MBC implementation across practice settings to satisfy reimbursement criteria, and accreditation bodies are adding routine use of symptom measures to their requirements for ongoing accreditation. Several technological advances have improved the tracking of symptoms as part of routine clinical care. Despite increased calls for the adoption of MBC, the psychiatric field has been slow to implement MBC in routine practice. In 2023, the American Psychiatric Association's Board of Trustees approved as a resource document a report by the Council on Quality Care, \"Implementation of Measurement-Based Care.\" This article reviews this resource document, including the rationale and evidence behind MBC; highlights payment and practice incentives to entice clinicians to consider more consistent MBC implementation; and describes strategies and best practices to aid MBC adoption.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"665-674"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228422","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}
引用次数: 0
Early Psychosis Intervention, Part 1: Addressing Inequities in Access to and Outcomes of Early Intervention Programs. 早期精神病干预,第1部分:解决在获得和早期干预方案的结果不公平。
Psychiatric services (Washington, D.C.) Pub Date : 2025-07-01 DOI: 10.1176/appi.ps.25076010
Beatrice Todesco, Nicole Kozloff, Lisa B Dixon
{"title":"Early Psychosis Intervention, Part 1: Addressing Inequities in Access to and Outcomes of Early Intervention Programs.","authors":"Beatrice Todesco, Nicole Kozloff, Lisa B Dixon","doi":"10.1176/appi.ps.25076010","DOIUrl":"https://doi.org/10.1176/appi.ps.25076010","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 7","pages":"702"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532871","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}
引用次数: 0
From Data to Action: Scaling Early Intervention Services. 从数据到行动:扩大早期干预服务。
Psychiatric services (Washington, D.C.) Pub Date : 2025-07-01 DOI: 10.1176/appi.ps.25076011
Samuel R Bunting
{"title":"From Data to Action: Scaling Early Intervention Services.","authors":"Samuel R Bunting","doi":"10.1176/appi.ps.25076011","DOIUrl":"https://doi.org/10.1176/appi.ps.25076011","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 7","pages":"619"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532872","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}
引用次数: 0
Bridging the Gap From Efficacy to Effectiveness to Reduce Duration of Untreated Psychosis. 弥合从疗效到有效性的差距,以减少未治疗精神病的持续时间。
Psychiatric services (Washington, D.C.) Pub Date : 2025-06-01 DOI: 10.1176/appi.ps.25076009
Mark A Sanders, Matthew E Hirschtritt
{"title":"Bridging the Gap From Efficacy to Effectiveness to Reduce Duration of Untreated Psychosis.","authors":"Mark A Sanders, Matthew E Hirschtritt","doi":"10.1176/appi.ps.25076009","DOIUrl":"https://doi.org/10.1176/appi.ps.25076009","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 6","pages":"535-536"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251971","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}
引用次数: 0
Disclosure of Editor's Financial Relationships. 披露编辑的财务关系。
Psychiatric services (Washington, D.C.) Pub Date : 2025-06-01 DOI: 10.1176/appi.ps.2025disclosure
{"title":"Disclosure of Editor's Financial Relationships.","authors":"","doi":"10.1176/appi.ps.2025disclosure","DOIUrl":"https://doi.org/10.1176/appi.ps.2025disclosure","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":"76 6","pages":"588"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251972","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}
引用次数: 0
Coordinated Specialty Care: Progress and Future. 协调专科护理:进展与未来。
IF 3.8
Psychiatric services (Washington, D.C.) Pub Date : 2022-12-01 DOI: 10.1176/appi.ps.22073016
Alia Warner, William R Smith, Jack Tsai
{"title":"Coordinated Specialty Care: Progress and Future.","authors":"Alia Warner,&nbsp;William R Smith,&nbsp;Jack Tsai","doi":"10.1176/appi.ps.22073016","DOIUrl":"https://doi.org/10.1176/appi.ps.22073016","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"1319"},"PeriodicalIF":3.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40714108","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}
引用次数: 0
Rapprochement and Reform: Overcoming Factionalism: Response to Commentaries. 和解与改革:克服派性:对评注的回应。
IF 3.8
Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 DOI: 10.1176/appi.ps.22073013
William R Smith, Dominic A Sisti
{"title":"Rapprochement and Reform: Overcoming Factionalism: Response to Commentaries.","authors":"William R Smith,&nbsp;Dominic A Sisti","doi":"10.1176/appi.ps.22073013","DOIUrl":"https://doi.org/10.1176/appi.ps.22073013","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"1312"},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40460479","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}
引用次数: 1
Employment Outcomes After Certification as a Behavioral Health Peer Specialist in Four U.S. States. 美国四个州行为健康同行专家认证后的就业结果。
IF 3.8
Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 Epub Date: 2022-06-23 DOI: 10.1176/appi.ps.202100651
Laysha Ostrow, Judith A Cook, Mark S Salzer, Morgan Pelot, Jane K Burke-Miller
{"title":"Employment Outcomes After Certification as a Behavioral Health Peer Specialist in Four U.S. States.","authors":"Laysha Ostrow,&nbsp;Judith A Cook,&nbsp;Mark S Salzer,&nbsp;Morgan Pelot,&nbsp;Jane K Burke-Miller","doi":"10.1176/appi.ps.202100651","DOIUrl":"https://doi.org/10.1176/appi.ps.202100651","url":null,"abstract":"<p><strong>Objective: </strong>A 3-year study explores employment outcomes of certified peer specialists (CPSs). Analyses reported here identified relationships between demographic, clinical, work history, and geographic characteristics and employment status and current employment in peer services jobs versus other jobs.</p><p><strong>Methods: </strong>The study recruited adults who recently became a CPS, regardless of current employment status, in four states. Online survey data were collected from March to October 2020 and included demographic information, health status and diagnoses, mental health service use, motivations for becoming certified, employment history, and job characteristics, including job satisfaction. Descriptive statistics and logistic regression models were used to compare groups.</p><p><strong>Results: </strong>Of 681 respondents, 591 provided data on current employment and were included. Participants who received Social Security Disability Insurance or Supplemental Security Income, veterans, those who used outpatient counseling or therapy, and those who did not disclose their mental health status in the workplace were less likely to report current employment. Lack of disclosure and higher local unemployment rates contributed to a lower likelihood of working in peer services jobs, whereas individuals reporting depressive disorders were more likely to hold such jobs. Compared with those in other jobs, those in peer services jobs reported longer job tenure, and a larger proportion received employee benefits. Job satisfaction was significantly higher among those with peer services jobs.</p><p><strong>Conclusions: </strong>Workers with a CPS credential had higher employment rates, compared with adults with psychiatric disabilities, and the quality of peer specialist jobs was equal to or higher than the quality of other jobs held by study participants.</p>","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"1239-1247"},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40239093","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}
引用次数: 1
Discrimination and Suicidality Among Hispanic Mental Health Patients, 2010-2020: A Natural Language Processing Approach. 2010-2020年西班牙裔心理健康患者的歧视与自杀:一种自然语言处理方法
IF 3.8
Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 DOI: 10.1176/appi.ps.20220240
Evan V Goldstein, Elise V Bailey, Fernando A Wilson
{"title":"Discrimination and Suicidality Among Hispanic Mental Health Patients, 2010-2020: A Natural Language Processing Approach.","authors":"Evan V Goldstein,&nbsp;Elise V Bailey,&nbsp;Fernando A Wilson","doi":"10.1176/appi.ps.20220240","DOIUrl":"https://doi.org/10.1176/appi.ps.20220240","url":null,"abstract":"","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"1313-1314"},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40453646","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}
引用次数: 3
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