Psychiatric services (Washington, D.C.)最新文献_第9页

Linking Primary Care Patients to Mental Health Care via Behavioral Health Social Workers: A Stepped-Wedge Study. 通过行为健康社会工作者将初级保健患者与精神卫生保健联系起来:一项阶梯式研究。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-01-07 DOI: 10.1176/appi.ps.202100322

Elizabeth R Pfoh, Jessica A Hohman, Kathleen Alcorn, Nirav Vakharia, Michael B Rothberg

{"title":"Linking Primary Care Patients to Mental Health Care via Behavioral Health Social Workers: A Stepped-Wedge Study.","authors":"Elizabeth R Pfoh, Jessica A Hohman, Kathleen Alcorn, Nirav Vakharia, Michael B Rothberg","doi":"10.1176/appi.ps.202100322","DOIUrl":"https://doi.org/10.1176/appi.ps.202100322","url":null,"abstract":"Objective: Demand for systematic linkage of patients to behavioral health care has increased because of the widespread implementation of depression screening. This study assessed the impact of deploying behavioral health social workers (BHSWs) in primary care on behavioral health visits for depression or anxiety.Methods: This quasi-experimental, stepped-wedge study included adults with a primary care visit between 2016 and 2019 at Cleveland Clinic, a large integrated health system. BHSWs were deployed in 40 practices between 2017 and 2019. Patients were allocated to a control group (diagnosed before BHSW deployment) and an intervention group (diagnosed after deployment). Data were collected on behavioral health visits (i.e., to therapists and psychiatrists) within 30 days of the diagnosis. Multilevel logistic regression models identified associations between BHSW deployment period and behavioral health visit, adjusted for demographic variables and clustering within each group.Results: Of 68,659 persons with a diagnosis, 21% had a depression diagnosis, 49% an anxiety diagnosis, and 31% both diagnoses. In the period after BHSW deployment, the proportion of patients with depression who had a behavioral health visit increased by 10 percentage points, of patients with anxiety by 9 percentage points, and of patients with both disorders by 11 percentage points. The adjusted odds of having a behavioral health visit was higher in the postdeployment period for patients with depression (adjusted odds ratio [AOR]=4.35, 95% confidence interval [CI]=3.50-5.41), anxiety (AOR=4.27, 95% CI=3.57-5.11), and both (AOR= 3.26, 95% CI=2.77-3.84).Conclusions: Integration of BHSWs in primary care was associated with increased behavioral health visits.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"864-871"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39791041","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: 2

Social Determinants and Treatment of Mental Disorders Among Children: Analysis of Data From the National Survey of Children's Health. 儿童精神障碍的社会决定因素和治疗:来自全国儿童健康调查的数据分析。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2021-12-16 DOI: 10.1176/appi.ps.202100307

Noah S Triplett, Meredith Luo, Julie K Nguyen, Kristen Sievert

{"title":"Social Determinants and Treatment of Mental Disorders Among Children: Analysis of Data From the National Survey of Children's Health.","authors":"Noah S Triplett, Meredith Luo, Julie K Nguyen, Kristen Sievert","doi":"10.1176/appi.ps.202100307","DOIUrl":"https://doi.org/10.1176/appi.ps.202100307","url":null,"abstract":"Objective: This study examined associations between social determinants of health (SDoHs) and need for and access to psychiatric treatment for U.S. children.Methods: Data were from the 2019 National Survey of Children's Health, a nationally representative parent-proxy survey of U.S. children. Parents (N=29,433) completed self-report surveys and indicated whether their children needed and received psychiatric treatment.Results: In total, 3,425 children (12%) were reported to have an emotional, developmental, or behavioral problem for which they needed treatment or counseling. Additionally, 605 children (18% of those who indicated treatment needs) were reported to have not received psychiatric treatment in the past year. Several SDoHs were associated with greater need for treatment and lower likelihood of accessing treatment.Conclusions: Findings highlight the need for greater attention to social and systemic influences on children's mental health. Addressing social determinants may be beneficial in improving mental health and facilitating access to treatment.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"922-925"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200896/pdf/nihms-1802233.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590645","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}

引用次数: 4

Integrating Hepatitis C Virus Treatment Programs Within Community Mental Health. 将丙型肝炎病毒治疗方案纳入社区精神卫生。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-01-07 DOI: 10.1176/appi.ps.202100375

Michael Braude, Gaganpreet Khaira, Ian Woolley, David Clarke, Anouk Dev, William Sievert

引用次数: 0

Psychiatric Services in a Metropolitan Police Department Cellblock Using APRNs. 使用APRNs的大都会警察局牢房的精神病学服务。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-02-02 DOI: 10.1176/appi.ps.73801

Stacy Kracher, Steven Balcom, Michael Christopher

引用次数: 0

Lessons Learned From a New Reverse-Integration Model to Improve Primary Care Screening in Community Mental Health Settings. 从一种新的反向整合模式中吸取的教训，以改善社区精神卫生机构的初级保健筛查。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-02-09 DOI: 10.1176/appi.ps.202100177

Christina Mangurian, Marilyn D Thomas, Fumi Mitsuishi, L Elizabeth Goldman, Grace Niu, Margaret A Handley, Nicholas S Riano, Alison Hwong, Susan Essock, James Dilley, John W Newcomer, Dean Schillinger

{"title":"Lessons Learned From a New Reverse-Integration Model to Improve Primary Care Screening in Community Mental Health Settings.","authors":"Christina Mangurian, Marilyn D Thomas, Fumi Mitsuishi, L Elizabeth Goldman, Grace Niu, Margaret A Handley, Nicholas S Riano, Alison Hwong, Susan Essock, James Dilley, John W Newcomer, Dean Schillinger","doi":"10.1176/appi.ps.202100177","DOIUrl":"https://doi.org/10.1176/appi.ps.202100177","url":null,"abstract":"The authors sought to describe a reverse-integration intervention aimed at improving preventive health screening in a community mental health clinic. The intervention, CRANIUM (cardiometabolic risk assessment and treatment through a novel integration model for underserved populations with mental illness), integrated primary care services into a large urban community mental health setting. It was implemented in 2015 and included a patient-centered team, population-based care, emphasis on screening, and evidence-based treatment. CRANIUM's strengths included provider acceptability, a patient-centered approach, sustained patient engagement, and economic feasibility. Challenges included underutilized staff, registry maintenance, and unanticipated screening barriers. The CRANIUM reverse-integration model can be feasibly implemented and was acceptable to providers.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"942-945"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357142/pdf/nihms-1790050.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39599375","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}

引用次数: 7

A COVID-19 Rapid Mental Health Response for Medical Center Health Care Workers. 医疗中心医护人员COVID-19快速心理健康应对

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-02-02 DOI: 10.1176/appi.ps.73301

Maga Jackson-Triche, Christina Mangurian

引用次数: 3

Collaborative Care for Low-Income Patients From Racial-Ethnic Minority Groups in Primary Care: Engagement and Clinical Outcomes. 初级保健中少数族裔低收入患者的协作护理:参与和临床结果。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-02-10 DOI: 10.1176/appi.ps.202000924

Michelle A Blackmore, Urvashi B Patel, Dana Stein, Kelly E Carleton, Sarah M Ricketts, Asif M Ansari, Henry Chung

{"title":"Collaborative Care for Low-Income Patients From Racial-Ethnic Minority Groups in Primary Care: Engagement and Clinical Outcomes.","authors":"Michelle A Blackmore, Urvashi B Patel, Dana Stein, Kelly E Carleton, Sarah M Ricketts, Asif M Ansari, Henry Chung","doi":"10.1176/appi.ps.202000924","DOIUrl":"https://doi.org/10.1176/appi.ps.202000924","url":null,"abstract":"Objective: To assess model impact and opportunities for improvement, this study examined collaborative care model (CoCM) engagement and clinical outcomes among low-income patients from racial-ethnic minority groups with depression and anxiety.Methods: Starting in 2015, the CoCM was implemented in seven primary care practices of an urban academic medical center serving patients from racial-ethnic minority backgrounds, predominantly Medicaid beneficiaries. Eligible individuals scored positive for depressive or anxiety symptoms (or both) on the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 and the Generalized Anxiety Disorder Scale-2 (GAD-2) and GAD-7 during systematic screening in primary care settings. Screening rates and yield, patient characteristics, and CoCM engagement and outcomes were examined. Clinical improvement was measured by the difference in PHQ-9 and GAD-7 scores at baseline and at 10-to-14-week follow-up.Results: High rates of screening (87%, N=88,236 of 101,091) and identification of individuals with depression or anxiety (13%, N=11,886) were observed, and 58% of 3,957 patients who engaged in minimally adequate CoCM treatment had significant clinical improvement. Nevertheless, only 56% of eligible patients engaged in the model, and 25% of those individuals did not return for at least one follow-up appointment. Being female with clinically significant comorbid anxiety and depressive symptoms and having Medicaid or commercial insurance increased the likelihood of CoCM engagement.Conclusions: CoCM can help engage vulnerable patients in behavioral health care and improve clinical symptoms. However, significant opportunity exists to advance the model's impact in treating depressive and anxiety disorders and decreasing health disparities by addressing engagement barriers.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"842-848"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39600361","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

Serious Mental Illness Diagnosis and COVID-19 Vaccine Uptake in the Veterans Health Administration. 退伍军人健康管理局的严重精神疾病诊断和COVID-19疫苗接种

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-01-18 DOI: 10.1176/appi.ps.202100499

Taona P Haderlein, W Neil Steers, Aram Dobalian

{"title":"Serious Mental Illness Diagnosis and COVID-19 Vaccine Uptake in the Veterans Health Administration.","authors":"Taona P Haderlein, W Neil Steers, Aram Dobalian","doi":"10.1176/appi.ps.202100499","DOIUrl":"https://doi.org/10.1176/appi.ps.202100499","url":null,"abstract":"Objective: This study examined the association between serious mental illness diagnoses and COVID-19 vaccination among Veterans Health Administration (VHA) patients.Methods: The sample (N=4,890,693) comprised veterans ages ≥18 years with VHA outpatient visits from March 1, 2018, through February 29, 2020. Veterans with serious mental illness were identified with ICD-10 diagnostic codes from electronic health records of the U.S. Department of Veterans Affairs. Receipt of a VHA COVID-19 vaccine from December 1, 2020, through June 1, 2021, was documented by using procedure codes. Treatment effects estimation with inverse-probability weighting was used to estimate the effects of serious mental illness on COVID-19 vaccine uptake.Results: Patients with serious mental illness and patients without serious mental illness were equally likely to receive a vaccination (48% and 46%, respectively; average effect of serious mental illness=-0.4%, 95% confidence interval=-0.8% to 0.1%).Conclusions: VHA outreach activities have contributed to equitable distribution of the COVID-19 vaccine.","PeriodicalId":520759,"journal":{"name":"Psychiatric services (Washington, D.C.)","volume":" ","pages":"918-921"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39706932","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: 4

Brokering System Change: A Logic Model of an Intermediary-Purveyor Organization for Behavioral Health Care. 代理系统变革:行为医疗保健中介供应商组织的逻辑模型。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-02-23 DOI: 10.1176/appi.ps.202100425

Lisa Davis, Lisa Wong, Elizabeth Bromley

引用次数: 3

Finding the Rainbow in the Deluge: Community Mental Health Perspectives on Psychosocial Impacts of COVID-19 in India. 在洪水中发现彩虹:从社区心理健康角度看COVID-19在印度的社会心理影响。

IF 3.8

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-02-23 DOI: 10.1176/appi.ps.202100458

Johann Alex Ebenezer, Praveen Mathew Alexander, Arnab Mukherjee, Starlin Vijay Mythri

引用次数: 0