Psychiatric services (Washington, D.C.)最新文献_第7页

The Injustices of the Social Security System With Regard to Psychiatric Patients. 精神病人社会保障制度的不公正。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 DOI: 10.1176/appi.ps.202200015

Michael J Williams

引用次数: 0

The Impact of Implicit Bias on Black and Latinx Students. 内隐偏见对黑人和拉丁裔学生的影响。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 DOI: 10.1176/appi.ps.22073012

Kenneth M Rogers, Kimberly Gordon-Achebe

引用次数: 0

Supported Employment for Individuals With Mental Disorders. 精神障碍患者就业支持。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 DOI: 10.1176/appi.ps.22073015

Brent J Gibbons, Lisa B Dixon

引用次数: 0

Reliability of the Term "Serious Mental Illness": A Systematic Review. “严重精神疾病”一词的可靠性：系统回顾。

Psychiatric services (Washington, D.C.) Pub Date : 2022-11-01 Epub Date: 2022-07-27 DOI: 10.1176/appi.ps.202100661

Lauren Gonzales, Lauren E Kois, Crystal Chen, Laura López-Aybar, Brittany McCullough, Kendra J McLaughlin

{"title":"Reliability of the Term \"Serious Mental Illness\": A Systematic Review.","authors":"Lauren Gonzales, Lauren E Kois, Crystal Chen, Laura López-Aybar, Brittany McCullough, Kendra J McLaughlin","doi":"10.1176/appi.ps.202100661","DOIUrl":"10.1176/appi.ps.202100661","url":null,"abstract":"Objective: The term \"serious mental illness\" (SMI) is widely used across research, practice, and policy settings. However, there is no consistent operational definition, and its reliability has not been systematically evaluated. The purpose of this review was to provide a comprehensive qualitative content analysis of \"SMI\" empirical research, including study and sample characteristics and SMI operational definitions. These data can provide important considerations for how stakeholders conceptualize SMI.Methods: Systematic review of PsycInfo, PsycArticles, and PubMed databases from January 1, 2015, to December 31, 2019, identified 788 original empirical studies that characterized the sample as having \"SMI.\"Results: Descriptive content analysis indicated that most studies (85%) provided no operational definition for SMI. Only 15% defined the term, and an additional 26% provided examples of SMI that included only psychiatric diagnostic categories (e.g., SMI, such as schizophrenia). Of the 327 studies that provided any description of SMI, variability was noted regarding whether criteria included any mental health diagnosis (N=31) or only specified diagnoses (N=289), functional impairment (N=73), or any specified duration of symptoms (N=39). Across all studies that characterized samples as having SMI, substantial variability was noted regarding included diagnostic classifications.Conclusions: Referencing \"SMI\" is second nature for many stakeholders. Findings suggest that evidence-based practice and policy efforts should weigh the level of research support indicating that the construct and the term \"SMI\" lacks generalizability. Researchers and stakeholders are encouraged to develop precise and agreed-upon diagnostic language in their efforts to support and advocate for people with mental illnesses.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"1255-1262"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40661170","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

The Complex Task of Measuring the Value of Laboratory Investigations and Other Diagnostic Tests: Commentary on Srivastava and Nair. 测量实验室调查和其他诊断试验价值的复杂任务:对斯里瓦斯塔瓦和奈尔的评论。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-10-01 Epub Date: 2022-06-23 DOI: 10.1176/appi.ps.20220076

Ryan E Lawrence

引用次数: 0

The Collaborative Advocate: Psychiatrists' Role in Addressing Criminal Legal Involvement. 合作倡导者:精神科医生在处理刑事法律介入中的作用。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-10-01 DOI: 10.1176/appi.ps.22073010

Chidi Wamuo, Michah Pearson, Sarah Y Vinson

引用次数: 0

Utility of Investigations, History, and Physical Examination in "Medical Clearance" of Psychiatric Patients: A Meta-Analysis. 调查、病史和体格检查在精神病人“医学检查”中的效用:一项荟萃分析。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-10-01 Epub Date: 2022-06-23 DOI: 10.1176/appi.ps.202000858

Anil Srivastava, Rajesh Nair

{"title":"Utility of Investigations, History, and Physical Examination in \"Medical Clearance\" of Psychiatric Patients: A Meta-Analysis.","authors":"Anil Srivastava, Rajesh Nair","doi":"10.1176/appi.ps.202000858","DOIUrl":"https://doi.org/10.1176/appi.ps.202000858","url":null,"abstract":"Objective: Few reviews and no meta-analyses have explored the utility of investigations, such as laboratory tests, among patients presenting with psychiatric symptoms, and none has explored the yield of history and physical examination. A meta-analysis of studies exploring the utility of \"medical clearance\" among adult psychiatric patients was conducted.Methods: PubMed, PsycInfo, and Web of Science were systematically searched from inception until February 15, 2021. Primary outcome was detection by investigations (e.g., bloodwork and imaging), history, or physical examination of an illness that caused or aggravated psychiatric symptoms or was comorbid and that resulted in change in the patient's diagnosis or management (\"yield\"). A mixed-effects meta-analysis with inverse-variance weighting was used to pool results.Results: Twenty-five cross-sectional studies were included. Pooled yield of investigations was 1.1% (95% confidence interval [CI]=0.5%-2.2%), although yield was relatively higher among disoriented, agitated, or older patients. Yield was higher in the inpatient setting, compared with the emergency room, with similar results by approach (protocolized versus nonprotocolized). Compared with investigations, yield of history and physical examination was higher (15.6%, 95% CI=9.1%-25.6%, and 14.9%, 95% CI=8.1%-25.9%, respectively), with nonsignificant differences by evaluator (psychiatrist versus nonpsychiatrist) for physical examination.Conclusions: Investigations were of relatively low yield, especially when weighed against cost and potential harm, and they should not be routinely conducted for patients presenting with primarily psychiatric complaints, although certain subgroups may benefit. History and physical examination, by contrast, should be undertaken for all patients, ideally with participation of the consulting psychiatrist.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"1140-1152"},"PeriodicalIF":3.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40237576","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

Workplace Discrimination Against People With Mental Disorders and the ADA. 工作场所对精神障碍患者的歧视与《美国残疾人法》。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-10-01 DOI: 10.1176/appi.ps.20220379

Paul S Appelbaum

引用次数: 1

"If This Is an Emergency, Hang up and Dial 911" in the Era of 988. 988年代的“如果有紧急情况，请挂断电话并拨打911”。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-10-01 Epub Date: 2022-07-27 DOI: 10.1176/appi.ps.20220261

Leah G Pope, Michael T Compton

引用次数: 2

Refugee Mental Health. 难民心理健康。