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May 01, 2024 | VOL. 75, NO. 5
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Psychiatric Services

Volume 69, Issue 1

January 2018

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Taking issue

January 2018

Therapeutic Alliance: Implications for Practice and Policy

Sandra Steingard, M.D.

Page:1
Published Online:2 January 2018

https://doi.org/10.1176/appi.ps.69104

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Articles

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January 2018

Effectiveness of Mental Health Courts in Reducing Recidivism: A Meta-Analysis

Evan M. Lowder, Ph.D.,
Candalyn B. Rade, Ph.D.,
Sarah L. Desmarais, Ph.D.

Pages:15–22
Published Online:15 August 2017

https://doi.org/10.1176/appi.ps.201700107

Abstract
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Objective:Mental health courts (MHCs) were developed to address the overrepresentation of adults with mental illnesses in the U.S. criminal justice system through diversion into community-based treatment. Research on MHCs has proliferated in recent years, ...

AudioEditor's Choice

January 2018

Modeling the Cost-Effectiveness of Interventions to Reduce Suicide Risk Among Hospital Emergency Department Patients

Peter Denchev, Ph.D.,
Jane L. Pearson, Ph.D.,
Michael H. Allen, M.D.,
Cynthia A. Claassen, Ph.D.,
Glenn W. Currier, M.D., M.P.H.,
Douglas F. Zatzick, M.D.,
Michael Schoenbaum, Ph.D.

Pages:23–31
Published Online:15 September 2017

https://doi.org/10.1176/appi.ps.201600351

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Objective:This study estimated the expected cost-effectiveness and population impact of outpatient interventions to reduce suicide risk among patients presenting to general hospital emergency departments (EDs), compared with usual care. Several such ...

January 2018

Prevalence of Serious Emotional Disturbance Among U.S. Children: A Meta-Analysis

Nathaniel J. Williams, Ph.D.,
Lysandra Scott, M.S.W.,
Gregory A. Aarons, Ph.D.

Pages:32–40
Published Online:1 September 2017

https://doi.org/10.1176/appi.ps.201700145

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Objective:Prevalence estimates of child psychiatric disorders with severe impairment vary widely, and there is a critical need for precise estimates to inform clinical practice and policy in the United States. This study presents a systematic review and ...

January 2018

The Role of the Therapeutic Relationship in Psychopharmacological Treatment Outcomes: A Meta-analytic Review

Christine M. Wienke Totura, Ph.D.,
Sherecce A. Fields, Ph.D.,
Marc S. Karver, Ph.D.

Pages:41–47
Published Online:15 September 2017

https://doi.org/10.1176/appi.ps.201700114

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Objective:Patient nonadherence to psychopharmacological treatment is a significant barrier to effective treatment. The therapeutic relationship is known to be a critical component of effective psychological treatment, but it has received limited study. A ...

January 2018

Mammography Among Women With Severe Mental Illness: Exploring Disparities Through a Large Retrospective Cohort Study

Melanie Thomas, M.D., M.S.,
Monique James, M.D.,
Eric Vittinghoff, Ph.D.,
Jennifer M. Creasman, M.S.P.H.,
Dean Schillinger, M.D.,
Christina Mangurian, M.D., M.A.S.

Pages:48–54
Published Online:15 September 2017

https://doi.org/10.1176/appi.ps.201600170

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Objective:This study examined mammogram screening rates among women with severe mental illness by using a socioecological framework. Because it has been shown that people with severe mental illness receive less preventive health care overall, the analysis ...

January 2018

Syndromic Surveillance of Mental and Substance Use Disorders: A Validation Study Using Emergency Department Chief Complaints

Sidra Goldman-Mellor, Ph.D., M.P.H.,
Yusheng Jia, B.A.,
Kevin Kwan, B.A.,
Jared Rutledge, Ph.D.

Pages:55–60
Published Online:15 September 2017

https://doi.org/10.1176/appi.ps.201700028

Abstract
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Objective:This study evaluated whether emergency department (ED) patient presentations for problems related to mental and substance use disorders could be validly monitored by a syndromic surveillance system that uses chief complaints to identify mental ...

January 2018

Impact of Physician Follow-Up Care on Psychiatric Readmission Rates in a Population-Based Sample of Patients With Schizophrenia

Paul Kurdyak, M.D., Ph.D.,
Simone Natalie Vigod, M.D., M.Sc.,
Alice Newman, M.Sc.,
Vasily Giannakeas, M.P.H.,
Benoit H. Mulsant, M.D., M.S.,
Therese Stukel, Ph.D.

Pages:61–68
Published Online:1 September 2017

https://doi.org/10.1176/appi.ps.201600507

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Objective:The study evaluated the association between physician follow-up within 30 days after hospital discharge and psychiatric readmission within the subsequent 180 days.Methods:Among inpatients with schizophrenia who were discharged between 2007 and ...

Editor's Choice

January 2018

Evaluating the Implementation of Home-Based Videoconferencing for Providing Mental Health Services

Alejandro Interian, Ph.D.,
Arlene R. King, Ph.D.,
Lauren M. St. Hill, B.S.,
Claire H. Robinson, M.P.H.,
Laura J. Damschroder, M.S., M.P.H.

Pages:69–75
Published Online:1 September 2017

https://doi.org/10.1176/appi.ps.201700004

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Objective:The Veterans Health Administration (VHA) has recently implemented video-to-home (V2H) telehealth as part of a strategy to improve access to mental health treatment. Implementation research of this modality is needed, given that V2H telehealth ...

January 2018

The Role of Neighborhood Factors and Community Stigma in Predicting Community Participation Among Persons With Psychiatric Disabilities

Lauren Gonzales, Ph.D.,
Philip T. Yanos, Ph.D.,
Ana Stefancic, Ph.D.,
Mary Jane Alexander, Ph.D.,
Brianna Harney-Delehanty, M.A.

Pages:76–83
Published Online:15 September 2017

https://doi.org/10.1176/appi.ps.201700165

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Objective:This study examined the association between neighborhood characteristics, stigma related to mental illness reported by local community members, and measures of perceived stigma and community participation among individuals with psychiatric ...

Reviews & Overviews

Editor's Choice

January 2018

Positive Changes Experienced After a First Episode of Psychosis: A Systematic Review

Gerald Jordan, M.A.,
Kathleen MacDonald, M.Sc.,
Megan A. Pope, M.Sc.,
Emily Schorr, M.Sc.,
Ashok K. Malla, M.B.B.S., F.R.C.P.C.,
Srividya N. Iyer, Ph.D.

Pages:84–99
Published Online:1 November 2017

https://doi.org/10.1176/appi.ps.201600586

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Objective:Although the negative consequences associated with first-episode psychosis (FEP) have been well investigated, relatively less is known about positive changes that people may experience after FEP. Existing literature is disparate and in need of ...

Open Forum

Audio

January 2018

Fentanyl and the Evolving Opioid Epidemic: What Strategies Should Policy Makers Consider?

Colleen L. Barry, Ph.D., M.P.P.

Pages:100–103
Published Online:2 October 2017

https://doi.org/10.1176/appi.ps.201700235

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Major policy efforts are being aimed at combating the epidemic of opioid addiction and overdose deaths. In response to the epidemic, the medical community and policy makers have attempted to intervene; to date, these varied approaches have done little to ...

Law & Psychiatry

January 2018

Forensic Experts, Indigent Defendants, and the Constitution

Paul S. Appelbaum, M.D.

Pages:2–4
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201700467

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Over 30 years ago, the U.S. Supreme Court held that indigent defendants raising psychiatric issues are entitled to the assistance of a mental health expert. However, the exact dimensions of that assistance, and whether the expert must be assigned ...

Technology in Mental Health

January 2018

Opportunities for Flexible, On-Demand Care Delivery Through Telemedicine

Armen C. Arevian, M.D., Ph.D.,
Jessica Jeffrey, M.D., M.B.A.,
Alexander S. Young, M.D., M.S.H.S.,
Michael K. Ong, M.D., Ph.D.

Pages:5–8
Published Online:2 January 2018

https://doi.org/10.1176/appi.ps.201600589

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Efficient response to health care needs when clinical resources are limited is a critical issue in health care delivery. Technologies such as telemedicine hold promise to support adaptive service delivery models to address these issues. The authors ...

Promoting High-Value Mental Health Care

January 2018

Training the Frontline Workforce to Deliver Evidence-Based Therapy to People With Psychosis: Challenges in the GOALS Study

Philippa A. Garety, Ph.D.,
Tom K. J. Craig, M.D., Ph.D.,
Catherine H. Iredale, B.Sc., M.Sc.,
Nedah Basit, B.Sc., D.Clin.Psy.,
Miriam Fornells-Ambrojo, Ph.D., D.Clin.Psy.,
Rikesh Halkoree, B.Sc.,
Suzanne Jolley, M.Sc., Ph.D.,
Sabine Landau, Ph.D.,
Paul McCrone, Ph.D.,
Catherine Tunnard, B.Sc., D.Clin.Psy.,
Darshan Zala, M.Sc.,
Helen Waller, Ph.D., D.Clin.Psy.

Pages:9–11
Published Online:2 January 2018

https://doi.org/10.1176/appi.ps.201700268

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Improving access to psychotherapies in psychosis requires workforce expansion in resource-challenged systems. The GOALS feasibility randomized controlled trial assessed training and implementation of an evidence-based intervention by frontline workers, ...

January 2018

Potential Benefits to Patients and Payers From Increased Measurement of Antipsychotic Plasma Levels in the Management of Schizophrenia

Zachary Predmore, B.A.,
Soeren Mattke, M.D., D.Sc.,
Marcela Horvitz-Lennon, M.D., M.P.H.

Pages:12–14
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201700398

Abstract
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Approximately 40% of patients with schizophrenia either do not respond to the prescribed antipsychotic drug or cannot tolerate it because of side effects, resulting in poor disease control and negative health and economic outcomes. Identifying the root ...

Brief Reports

Editor's Choice

January 2018

A Mobile Application for Monitoring and Management of Depressed Mood in a Vulnerable Pregnant Population

Liisa Hantsoo, Ph.D.,
Stephanie Criniti, M.S.,
Annum Khan, B.A.,
Marian Moseley, M.S.S., M.P.H.,
Naomi Kincler, M.P.H,
Laura J. Faherty, M.D., M.P.H.,
C. Neill Epperson, M.D.,
Ian M. Bennett, M.D., Ph.D.

Pages:104–107
Published Online:16 October 2017

https://doi.org/10.1176/appi.ps.201600582

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Objective:This study tested whether a mood tracking and alert (MTA) mobile application (app) improved mental health care delivery in a high-risk obstetric population.Methods:Pregnant women with depressive symptomatology at <32 weeks gestation were ...

January 2018

Effect of Crisis Response Planning on Patient Mood and Clinician Decision Making: A Clinical Trial With Suicidal U.S. Soldiers

Craig J. Bryan, Psy.D., A.B.P.P.,
Jim Mintz, Ph.D.,
Tracy A. Clemans, Psy.D.,
T. Scott Burch, Psy.D.,
Bruce Leeson, Ph.D.,
Sean Williams, L.C.S.W.,
M. David Rudd, Ph.D., A.B.P.P.

Pages:108–111
Published Online:2 October 2017

https://doi.org/10.1176/appi.ps.201700157

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Objective:The study examined the immediate effect of crisis interventions on the emotional state of acutely suicidal soldiers and clinician decision making.Methods:Soldiers (N=97) presenting to a military emergency department or behavioral health clinic ...

AudioEditor's Choice

January 2018

A Change in Perspective: From Dual Diagnosis to Multimorbidity

Ish P. Bhalla, M.D., and
Robert A. Rosenheck, M.D.

Pages:112–116
Published Online:16 October 2017

https://doi.org/10.1176/appi.ps.201700194

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Objective:There has been increasing interest within psychiatry in the concept of multimorbidity because psychiatric patients typically present with multiple concurrent disorders, these disorders mutually exacerbate one another, and their interaction ...

January 2018

Improving Access to Collaborative Behavioral Health Care for Rural-Dwelling Older Adults

Lauren B. Gerlach, D.O.,
Shahrzad Mavandadi, Ph.D.,
Donovan T. Maust, M.D., M.S.,
Joel E. Streim, M.D.,
David W. Oslin, M.D.

Pages:117–120
Published Online:2 October 2017

https://doi.org/10.1176/appi.ps.201700026

Abstract
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Objective:This study examined whether a telephone-delivered collaborative care intervention (SUpporting Seniors Receiving Treatment And INtervention [SUSTAIN]) improved access to mental health services similarly among older adults in rural areas and those ...

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