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Psychiatric Services

Volume 62, Issue 10

October 2011

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Taking Issue

October 2011

Prison Overcrowding in the Context of the ACA

Henry J. Steadman, Ph.D.

Page:1117
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1117

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The Supreme Court�s decision on prison overcrowding in California and implementation in 2014 of the ACA may present new opportunities to prevent unnecessary incarceration of persons with mental illness.

This Month's Highlights

October 2011

This Month's Highlights

Page:1119
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1119

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Columns

October 2011

Law & Psychiatry: Lost in the Crowd: Prison Mental Health Care, Overcrowding, and the Courts

Paul S. Appelbaum, M.D.

Pages:1121–1123
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1121

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Skyrocketing inmate populations have put considerable pressure on prison mental health services. In California, prison populations have exceeded 200% of capacity, and litigation to rectify constitutionally inadequate care has been under way for more than ...

October 2011

Best Practices: Long-Term Impact of Web-Based Tools, Leadership Feedback, and Policies on Inpatient Antipsychotic Polypharmacy

Molly T. Finnerty, M.D.^,,
Edith Kealey, M.S.W.^,,
Emily Leckman-Westin, Ph.D.^,,
Nitin Gupta, M.S.,
Thomas M. White, M.D., M.S.^,,
Gerald M. Engel, B.S.Pharm., M.B.A., and
Lewis A. Opler, M.D., Ph.D.^,

Pages:1124–1126
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1124

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This column describes a series of interventions to decrease antipsychotic polypharmacy in the New York State Office of Mental Health (NYSOMH) network of psychiatric hospitals. Phase 1 consisted of implementation of the Psychiatric Services Clinical ...

October 2011

Personal Accounts: Resilience: Message From a “Mengele Twin” Survivor

Benjamin Gesundheit, M.D. Ph.D.,
Ephraim Reichenberg, and
Rael D. Strous, M.D.

Pages:1127–1129
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1127

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In 1944 Ephraim Reichenberg and his brother were experimented upon by Dr. Josef Mengele. Mr. Reichenberg, who lost his voice as a result, tells his story, which is accompanied by assessment notes from two of his current clinicians.

Articles

October 2011

Uninsurance Among Nonelderly Adults With and Without Frequent Mental and Physical Distress in the United States

Tara W. Strine, Ph.D., M.P.H.,
Matthew Zack, M.D., M.P.H.,
Satvinder Dhingra, M.P.H.,
Benjamin Druss, M.D., M.P.H., and
Eduardo Simoes, M.D., M.P.H.

Pages:1131–1137
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1131

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Population survey data (1993�2009) showed markedly higher uninsurance rates among people with frequent mental distress (indicative of a mental disorder) than among those with frequent physical distress (indicative of a chronic medical condition). These ...

October 2011

Predicting Psychiatric Hospital Admission Among Adults With Schizophrenia

Mark Olfson, M.D., M.P.H.,
Haya Ascher-Svanum, Ph.D.,
Douglas E. Faries, Ph.D., and
Steven C. Marcus, Ph.D.

Pages:1138–1145
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1138

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Objective:The authors identified patient characteristics that increased risk of hospital admission among adults with schizophrenia. Methods:A total of 1,460 participants in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) clinical ...

October 2011

Service Use Among Patients With Serious Mental Illnesses Who Presented With Physical Symptoms at Intake

Shula Minsky, Ed.D.,
Rebecca S. Etz, Ph.D.,
Michael Gara, Ph.D., and
Javier I. Escobar, M.D.

Pages:1146–1151
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1146

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Objective:The goal of this study was to examine relationships among serious mental illness, general physical symptoms, and use of mental health services among persons presenting for admission at a community-based mental health center. Methods:Number and ...

October 2011

Psychiatric and General Medical Conditions Comorbid With Bipolar Disorder in the National Hospital Discharge Survey

Natalya S. Weber, M.D., M.P.H.,
Jared A. Fisher, M.P.H.^,,
David N. Cowan, Ph.D., M.P.H.^,, and
David W. Niebuhr, M.D., M.P.H.

Pages:1152–1158
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1152

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Objective:From 40% to 65% of patients with bipolar disorder are estimated to have diagnoses of one or more comorbid conditions. The purpose of this study was to identify comorbid disorders and compare their prevalence in hospitalizations of persons with ...

October 2011

Medicare Beneficiaries With Depression: Comparing Diagnoses in Claims Data With the Results of Screening

Katia Noyes, Ph.D., M.P.H.,
Hangsheng Liu, Ph.D.,
Jeffrey M. Lyness, M.D., and
Bruce Friedman, Ph.D.

Pages:1159–1166
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1159

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Objective:The study evaluated the accuracy of Medicare claims in identifying elderly patients with depression compared with diagnoses of depression made with validated self-report depression scales. Methods:The study included 1,551 participants in the ...

October 2011

Effects of Race and Ethnicity on Depression Treatment Outcomes: The CO-MED Trial

Ira M. Lesser, M.D.,
Sidney Zisook, M.D.,
Bradley N. Gaynes, M.D., M.P.H.,
Stephen R. Wisniewski, Ph.D.,
James F. Luther, M.A.,
Maurizio Fava, M.D.,
Ahsan Khan, M.D.,
Patrick McGrath, M.D.,
Diane Warden, Ph.D.,
A. John Rush, M.D., and
Madhukar Trivedi, M.D.

Pages:1167–1179
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1167

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Objective:The investigators examined whether outcomes differ by race-ethnicity for patients with major depressive disorder in acute- (12 weeks) and continuation-phase (weeks 12–28) treatment with one of two antidepressant combinations or one selective ...

October 2011

Mental Health Service Use by Persons of Asian Ancestry With DSM-IV Mental Disorders in the United States

Su Yeon Lee, B.A.,
Silvia S. Martins, M.D., Ph.D.,
Katherine M. Keyes, Ph.D., M.P.H., and
Hochang B. Lee, M.D.

Pages:1180–1186
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1180

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Objectives:This study compared the prevalence and odds of mental health service utilization among people of Asian ancestry with lifetime DSM-IV mood, anxiety, alcohol, and drug use disorders with utilization by members of other racial and ethnic groups ...

October 2011

Symptoms of Schizophrenia and Psychosis According to Foreign Birth in a Canadian Sample of Homeless Persons

Marie-José C. C. Dealberto, M.D., Ph.D.,
Alison Middlebro, R.N., M.Sc., and
Susan Farrell, Ph.D., C.Psych.^,

Pages:1187–1193
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1187

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Objective:The objective of the study was to examine the relationship between foreign birth and symptoms of schizophrenia and psychosis in a clinical sample of homeless persons. Methods:All the charts documented between 2002 and 2007 by a psychiatric ...

October 2011

Continuing Care and Long-Term Substance Use Outcomes in Managed Care: Early Evidence for a Primary Care-Based Model

Felicia W. Chi, M.P.H.,
Sujaya Parthasarathy, Ph.D.,
Jennifer R. Mertens, Ph.D., and
Constance M. Weisner, Dr.P.H., M.S.W.^,

Pages:1194–1200
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1194

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Objectives:How best to provide ongoing services to patients with substance use disorders to sustain long-term recovery is a significant clinical and policy question that has not been adequately addressed. Analyzing nine years of prospective data for 991 ...

October 2011

Untreated Posttraumatic Stress Among Persons With Severe Mental Illness Despite Marked Trauma and Symptomatology

Chloe E. Chessen, B.A.,
Katherine Anne Comtois, Ph.D., M.P.H., and
Sara J. Landes, Ph.D.^,

Pages:1201–1206
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1201

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Objective:The study examined the degree to which trauma was addressed among clients being treated for a severe mental illness and a substance use disorder at a community mental health center. Methods:Participants (N=74) were a randomly selected sample of ...

October 2011

After the Black Box Warning: Predictors of Psychotropic Treatment Choices for Older Patients With Dementia

Hyungjin Myra Kim, Sc.D.,
Claire Chiang, Ph.D.^,, and
Helen C. Kales, M.D.^,

Pages:1207–1214
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1207

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Objectives:This study aimed to evaluate factors associated with the selection of pharmacological treatments often given as first-line treatments to elderly patients with neuropsychiatric symptoms associated with dementia. It also evaluated patterns of ...

Open Forum

October 2011

Requiring Case Management Meetings to Be Conducted Outside the Clinic

David Charles Strickler, B.A.

Pages:1215–1217
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1215

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In this Open Forum a psychiatric health care consumer recounts his experience with his state's requirement to hold case management meetings outside of the clinic. Over time, the author found that meeting elsewhere amounted to being put on public display, ...

Brief Reports

October 2011

“How to Speak to Your Psychiatrist”: Shared Decision-Making Training for Inpatients With Schizophrenia

Johannes Hamann, M.D.,
Rosmarie Mendel, Ph.D.,
Anna Meier,
Florim Asani, R.N.,
Esther Pausch, R.N.,
Stefan Leucht, M.D., and
Werner Kissling, M.D.

Pages:1218–1221
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1218

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Objective:Involving patients with mental illness in shared decision making about their treatment has recently attracted attention, but existing interventions may insufficiently motivate or enable patients with schizophrenia to behave more actively. This ...

October 2011

Religiosity Among Adults Who Are Chronically Homeless: Association With Clinical and Psychosocial Outcomes

Jack Tsai, Ph.D., and
Robert A. Rosenheck, M.D.

Pages:1222–1224
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1222

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Objective:This study examined changes in religious faith among homeless people enrolled in a supported housing program and their association with clinical and psychosocial outcomes. Methods:A total of 582 clients at 11 sites were separated into three ...

October 2011

Underutilization of Mental Health Services Among Bereaved Caregivers With Prolonged Grief Disorder

Wendy G. Lichtenthal, Ph.D.,
Matthew Nilsson, B.S.,
David W. Kissane, M.D.,
William Breitbart, M.D.,
Elizabeth Kacel, B.A.,
Eric C. Jones, Ph.D., and
Holly G. Prigerson, Ph.D.

Pages:1225–1229
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1225

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Objective:This study examined grief and mental health service use among 86 bereaved caregivers of advanced cancer patients. Methods:Caregivers were assessed before (median=3.1 months) and after (median=6.6 months) patients' deaths for prolonged grief ...

October 2011

Trajectories in Use of Substance Abuse and Mental Health Services Among Stimulant Users in Rural Areas

Geoffrey Michael Curran, Ph.D.,
Songthip T. Ounpraseuth, Ph.D.,
Elise Allee, M.A.,
Jeon Small, Ph.D., and
Brenda M. Booth, Ph.D.

Pages:1230–1232
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1230

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Objective:This study examined substance abuse and mental health service utilization during a three-year period among stimulant users living in rural areas. Methods:Participants (N=710) were interviewed at baseline and every six months for 36 months. One-...

Letters

October 2011

Harold A. Maio

Page:1233
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1233

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October 2011

Assessing the Career Satisfaction of Psychiatrists

Sidney Weissman, M.D.

Pages:1233–1234
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1233a

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October 2011

Assessing the Career Satisfaction of Psychiatrists: Reply

Jim P. DeMello, D.B.A., and
Satish P. Deshpande, Ph.D.

Page:1234
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1234

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October 2011

Psychosis and Homicide

David Vinkers, M.D., Ph.D., and
Marieke Liem, M.A., Ph.D.

Page:1234
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1234a

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October 2011

Psychosis and Homicide: Reply

Olav B. Nielssen, M.B.B.S., Ph.D., and
Matthew M. Large, B.Sc. (Med.), M.B.B.S.

Pages:1234–1235
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1234b

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October 2011

Incentives to Reduce Metabolic Side Effects of Antipsychotics

Edward L. Knight, Ph.D., and
Alex Young, M.D.

Page:1235
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1235

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October 2011

Incentives to Reduce Metabolic Side Effects of Antipsychotics: Reply

Christina Mangurian, M.D.,
Susan M. Essock, Ph.D., and
Lloyd I. Sederer, M.D.

Pages:1235–1236
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1235a

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News & Notes

October 2011

2010 NSDUH Data Show Rise in Illicit Drug Use, Continued High Rates of Binge Drinking

Page:1237
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1237

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October 2011

First-Ever CDC Report on Mental Illness Prevalence

Pages:1237–1238
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1237a

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October 2011

Page:1238
Published Online:1 October 2011

https://doi.org/10.1176/ps.62.10.pss6210_1238

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