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Current Issue
CURRENT ISSUE
September 2014
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Psychiatric Services

A Journal of the American Psychiatric Association Editor: Howard H. Goldman, M.D., Ph.D.
Articles  |  September 1, 2014
Is Investment in Learning Collaboratives Premature?

In recent years, the mental health field has made learning collaboratives the centerpiece of efforts to implement training in evidence-based practices. Lasting an average of 14 months, these interventions typically begin with in-person training for two days and can cost more than $100,000 per site. In this literature review of 16 peer-reviewed studies, the authors found minimal evidence of the effectiveness of LCs in mental health settings. They called for more rigorous research to evaluate the utility of these costly endeavors.

Articles  |  September 1, 2014
ADA Accommodation and Work Participation

Even after passage of the Americans with Disability Act (ADA), persons with mental illnesses have difficulty finding a job and keeping it. In this study, the authors assessed employment outcomes among more than 1,000 individuals with a psychiatric disability who were unemployed at the start of the two-year study period. Those who received ADA accommodations not only worked more hours per month but worked 31% longer than the comparison group. Better documentation and measurement of the effectiveness of accommodations can move the nation closer toward the goal of full inclusion, the authors said.

Articles  |  September 1, 2014
Less Recidivism Among Mental Health Court Participants

Evidence has accumulated that mental health courts (MHCs) reduce rearrests and extend the time to rearrest among persons with mental illness. So far, however, many of these studies have lacked a rigorous experimental design. In this article, the authors report a carefully designed study of MHC outcomes that corrects a significant shortcoming of earlier research by controlling for the effect of nonrandom assignment to MHCs or traditional courts. The results confirmed previous findings that MHC participants demonstrate better recidivism outcomes.

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