Psychiatric services (Washington, D.C.)最新文献_第6页

Introducing Psychosis Screening for a High-Risk Group: U.S. Service Members Exiting Active Duty. 介绍精神病筛查高危人群：美国现役军人退出现役。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-11 DOI: 10.1176/appi.ps.20260088

Eric A Nelson, Hosung H Kim, Alison S McCann-Nachman, Nicholas W Bowersox, Philip R Szeszko, David E Goodrich, Chi Chan, Erin A Hazlett, Cheryl M Corcoran, Joseph C Geraci

{"title":"Introducing Psychosis Screening for a High-Risk Group: U.S. Service Members Exiting Active Duty.","authors":"Eric A Nelson, Hosung H Kim, Alison S McCann-Nachman, Nicholas W Bowersox, Philip R Szeszko, David E Goodrich, Chi Chan, Erin A Hazlett, Cheryl M Corcoran, Joseph C Geraci","doi":"10.1176/appi.ps.20260088","DOIUrl":"https://doi.org/10.1176/appi.ps.20260088","url":null,"abstract":"Objective: Delayed treatment for psychosis is associated with poor outcomes, yet many veterans living with psychotic disorders seek health care services long after the onset of illness. Most transitioning service members and veterans (TSMVs) are in the age range when psychotic disorders emerge; however, no standardized screening for psychotic symptoms exists for this population. This novel project aimed to introduce screening and assessment of TSMVs for psychotic symptoms.Methods: This cross-sectional study added an item querying for perceptual disturbances to a program for all TSMVs leaving active duty at partnered U.S. military installations. Of TSMVs who screened positive, clinicians assessed a random subset for attenuated psychosis syndrome (APS) and threshold psychosis.Results: Of 5,019 TSMVs screened, 504 (10.0%) screened positive. TSMVs screening positive were nearly three times more likely to report lifetime suicidal ideation (37.7%), more than four times more likely to report past suicide attempts (22.4%), and approximately three times more likely to report depression (52.2%) and anxiety (58.9%) than were those screening negative. Of 120 TSMVs with a positive screen who were contacted for follow-up, 67 (55.8%) initiated a brief clinical structured interview; of those, 66 (98.5%) completed it. Twelve (18.2%) of these 66 TSMVs were diagnosed as having APS and five (7.6%) as having threshold psychosis.Conclusions: The one-item screening and brief interview were feasible and acceptable. TSMVs screening positive had greater risk for suicide and general mental health risks, and follow-up interviews identified previously undetected APS and threshold psychosis. Screening TSMVs for psychotic symptoms has potential to identify risk and improve outcomes.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20260088"},"PeriodicalIF":3.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932479","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

Private Equity Investment in Substance Use Disorder Treatment Facilities and Opioid- and Alcohol-Related Mortality. 物质使用障碍治疗设施和阿片类药物和酒精相关死亡率的私募股权投资。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-11 DOI: 10.1176/appi.ps.20250613

Taylor Holdaway, Marissa King, John R Kimberly, David A Fiellin, Susan H Busch

{"title":"Private Equity Investment in Substance Use Disorder Treatment Facilities and Opioid- and Alcohol-Related Mortality.","authors":"Taylor Holdaway, Marissa King, John R Kimberly, David A Fiellin, Susan H Busch","doi":"10.1176/appi.ps.20250613","DOIUrl":"https://doi.org/10.1176/appi.ps.20250613","url":null,"abstract":"Objective: The aim of this study was to describe the association of private equity (PE) investment in substance use disorder treatment facilities in the United States and opioid- and alcohol-related mortality.Methods: Facilities acquired or founded by PE from 2013 to 2023 were cataloged. Logistic models using cross-sectional data were estimated to predict the presence of at least one PE-owned facility in each U.S. county.Results: Approximately 22.9% of counties had at least one PE-owned treatment facility, and 67.6% of U.S. residents resided in such counties. Counties with (vs. without) PE ownership had nearly twice the opioid mortality rate (21.8 vs. 11.1 per 100,000 population). They were also more likely to be in urban areas (71.4% vs. 26.7%) and had a higher percentage of privately insured individuals (70.0% vs. 67.1%).Conclusions: PE ownership is less likely to occur in rural areas and more likely to occur in areas with greater opioid treatment need.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20250613"},"PeriodicalIF":3.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932456","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

Probing the National Increase in U.S. Adult Mental Health Care Use, 2019-2023. 探讨2019-2023年美国成人精神卫生保健使用的全国增长。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-11 DOI: 10.1176/appi.ps.20260060

Y Nina Gao, Kara E Rudolph, Mark Olfson

{"title":"Probing the National Increase in U.S. Adult Mental Health Care Use, 2019-2023.","authors":"Y Nina Gao, Kara E Rudolph, Mark Olfson","doi":"10.1176/appi.ps.20260060","DOIUrl":"https://doi.org/10.1176/appi.ps.20260060","url":null,"abstract":"Objective: The authors aimed to estimate the extent to which changes in anxiety and depression symptoms and in insurance coverage were associated with the national increase in mental health care use from 2019 to 2023.Methods: A total of 147,488 respondents were identified from the 2019-2023 National Health Interview Surveys. The authors used item response theory to model longitudinal anxiety and depression scores and Oaxaca-Blinder decompositions of trends to compare data from 2019 with those from 2023. Associations between mental health care use, mental health symptoms, and insurance coverage were modeled among demographic subgroups with penalized logistic regression.Results: From 2019 to 2023, mental health care use increased from 19.2% of individuals reporting use in the past year to 23.8%, a 24.0% increase. Psychotherapy use increased from 9.5% to 13.4%, a 41.1% increase, and mental health medication use increased from 15.7% to 18.8%, a 19.7% increase. Decomposition analysis suggested that 36.7% of the increase in mental health care use was associated with changes in depression and anxiety, whereas 11.3% was associated with changes in health insurance coverage.Conclusions: Increasing anxiety and depression symptoms and changes in health insurance status were associated with significant shares of the increase in mental health care use from 2019 to 2023. In the context of a shifting U.S. policy landscape, outlining strategies to maintain accessible, affordable, and high-quality mental health care is important.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"appips20260060"},"PeriodicalIF":3.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932457","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

What I Could Not Have Told You. 我不能告诉你的事。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-11 DOI: 10.1176/appi.ps.20260426

Yunong Bai

引用次数: 0

Subacute Inpatient Units for a Subset of People Experiencing Chronic Street Homelessness and Serious Mental Illness. 亚急性住院单位的人经历慢性街头无家可归和严重精神疾病的子集。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-03 DOI: 10.1176/appi.ps.20250622

Alexander McClanahan, Caitlin Stork, Lala Forrest, Samuel Jackson, Dwight Kemp, Carine Nzodom, Michael Flaum

引用次数: 0

Provider Type Market Share for Treatment of Depression in a Large Commercially Insured Population. 大型商业保险人群中抑郁症治疗的提供者类型市场份额。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-01 Epub Date: 2026-06-24 DOI: 10.1176/appi.ps.20240585

Jill R Glassman, Margaret C Nikolov, Sujin Song, Robert M Kaplan

{"title":"Provider Type Market Share for Treatment of Depression in a Large Commercially Insured Population.","authors":"Jill R Glassman, Margaret C Nikolov, Sujin Song, Robert M Kaplan","doi":"10.1176/appi.ps.20240585","DOIUrl":"10.1176/appi.ps.20240585","url":null,"abstract":"Objective: This study aimed to examine the distribution of differing types of professionals providing depression care for a large sample of commercially insured patients.Methods: The Blue Cross Blue Shield Axis database, which includes >60 million commercially insured individuals, was used to conduct a cross-sectional observational study of 133,886 members with claims for major depressive disorder in January 2019.Results: Of the sample, 9.7% (N=13,053) received depression-related care from both a mental health professional and a primary care physician (PCP) in the year following diagnosis, 38.8% (N=52,013) were treated exclusively by a mental health professional, and 33.6% (45,007) were treated exclusively by a PCP. For the remaining 17.8% (N=23,813) of members, provider types in claims were listed as \"other\" or unspecified. Annual health care expenditures and number of visits were lowest for patients receiving depression-related care from PCPs only and highest for those being treated by both mental health professionals and PCPs. A greater percentage of patients with higher diagnostic severity visited both mental health and primary care providers compared with patients with lower severity.Conclusions: Patients experiencing depression visit a wide variety of providers. PCPs infrequently treated patients for depression more than once annually and were associated with patients with lower annual health care expenditures and lower diagnostic severity. However, outcomes associated with different approaches to depression management are not clearly understood. Randomized trials or trials simulating randomization that compare outcomes for patients managed by different types of health care professionals, with different treatment modalities and frequencies, are needed.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"848-854"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311291","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

Trajectories of Medical Prescription Opioid Use in Middle Adulthood and Substance Use Disorder Symptoms. 成人中期药物处方阿片类药物使用轨迹与物质使用障碍症状。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-01 Epub Date: 2026-06-11 DOI: 10.1176/appi.ps.20250392

Sean Esteban McCabe, Emily Pasman, Timothy E Wilens, Elizabeth Overton Gunnar Hoffman, Ty S Schepis, John Jardine, Kara Dickinson, Anna Wang, Philip Veliz

{"title":"Trajectories of Medical Prescription Opioid Use in Middle Adulthood and Substance Use Disorder Symptoms.","authors":"Sean Esteban McCabe, Emily Pasman, Timothy E Wilens, Elizabeth Overton Gunnar Hoffman, Ty S Schepis, John Jardine, Kara Dickinson, Anna Wang, Philip Veliz","doi":"10.1176/appi.ps.20250392","DOIUrl":"10.1176/appi.ps.20250392","url":null,"abstract":"Objective: Major changes in opioid prescribing have created a need to understand long-term patterns of medical prescription opioid use and its associations with substance-related consequences. This study aimed to identify trajectories of medical use of prescription opioids during middle adulthood (ages 35-60) and examine associations of such trajectories with nonmedical prescription opioid use and substance use disorder symptoms.Methods: Twenty-seven cohorts of 31,094 adults were followed longitudinally via self-administered surveys during midlife. Latent profile analysis was used to create trajectory profiles based on frequency of medical prescription opioid use between ages 35 and 60.Results: An estimated 37.3% of adults reported at least one episode of medical prescription opioid use during midlife, and four trajectories were identified: infrequent use (27.1% of all adults); multiple peaks at ages 35, 45, and 60 (3.7%); multiple peaks at ages 40 and 55 (2.9%); and frequent use at all ages (3.7%). The prevalence and adjusted odds ratio (AOR) of experiencing multiple substance use disorder symptoms were significantly higher among adults with frequent use at all ages (60.5%, AOR=2.1); multiple peaks at ages 35, 45, and 60 (51.1%, AOR=1.7); multiple peaks at ages 40 and 55 (48.9%, AOR=1.5); and infrequent use (41.1%, AOR=1.4), relative to a population control group.Conclusions: Most adults with frequent long-term medical use of prescription opioids reported multiple substance use disorder symptoms. Screening for nonmedical use and substance use disorders before prescribing opioids and ongoing monitoring for substance use disorders are critical, particularly among adults requiring frequent or long-term recurrent medical use of prescription opioids.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"824-831"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221721","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

Hope. 希望。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-01 DOI: 10.1176/appi.ps.20260295

Maggie Toko

引用次数: 0

Pilot Evaluation of the Preventive Online Mental Health Program for Youth: Mixed-Methods Study. 青少年预防性在线心理健康计划的试点评估：混合方法研究。

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-01 DOI: 10.1176/appi.ps.20250719

Soyeon Kim, Elnaz Moghimi

引用次数: 0

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2026-09-01 Epub Date: 2026-06-11 DOI: 10.1176/appi.ps.20250498

Mikaela G Miller, Shane D DeGrace, Emily A Troyer, Mindy M Kim, Alexandra Y Parker, Ankey Zhu, Constanza Mardones-Segovia, Hilary M Gould, Suzi Hong, Steve Koh, Jordan N Kohn

{"title":"Unmet Health-Related Social Needs and Increased Acute Care Use Among Patients With Schizophrenia Spectrum Disorders.","authors":"Mikaela G Miller, Shane D DeGrace, Emily A Troyer, Mindy M Kim, Alexandra Y Parker, Ankey Zhu, Constanza Mardones-Segovia, Hilary M Gould, Suzi Hong, Steve Koh, Jordan N Kohn","doi":"10.1176/appi.ps.20250498","DOIUrl":"10.1176/appi.ps.20250498","url":null,"abstract":"Objective: The authors aimed to evaluate whether unmet health-related social needs (HRSNs) of adults with a schizophrenia spectrum disorder were associated with greater risk for and frequency of hospital readmissions and repeat emergency department visits after discharge and with longer inpatient length of stay (LOS).Methods: Retrospective cohort analyses were conducted with electronic medical record data of patients with schizophrenia spectrum disorders (N=629). Cox proportional hazards and negative binomial regression models were used to examine associations between unmet HRSNs (e.g., food or housing) and outcomes.Results: Compared with patients without unmet HRSNs, patients with at least one unmet HRSN (N=186, 30%) had increased risk for and frequency of hospital readmissions and emergency department visits during follow-up, but no difference in cumulative LOS was found. Comorbid substance use disorders were associated with increased risk and frequency.Conclusions: Unmet HRSNs were associated with increased risk for and frequency of acute care use up to 13 months postdischarge.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"871-875"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221714","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