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October 2014
Table of Contents
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Psychiatric Services

A Journal of the American Psychiatric Association Editor: Howard H. Goldman, M.D., Ph.D.
Articles  |  October 1, 2014
A Maine Community Mobilizes to Prevent Schizophrenia

First hospital admissions for psychosis dropped by one-third among young residents of Portland, Maine, following the introduction of an aggressive early intervention program that involves the whole city. Since 2001, the Portland Identification and Early Referral program has trained more than 7,200 local physicians, school and college counselors, community mental health practitioners, and community agency staff to recognize youths at high risk for psychosis and refer them to family-aided assertive community treatment. The authors are currently testing the same system in six cities with more diverse populations.

Articles  |  October 1, 2014
Employment and Mental Illness: A Postrecession Analysis

As sheltered work for persons with mental illness is defunded, persons with mental illness are increasingly affected by the same forces that shape the broader economy. This study examined employment survey data from 2009 and 2010, a period of slow recovery from a devastating recession. The results depict a mixed jobs picture for persons with mental illness, with employment rates varying widely by severity of mental illness. College graduates with serious mental illness had relatively strong employment outcomes, but unemployment spiked among people with serious mental illness over age 50.

Articles  |  October 1, 2014
Phone Calls Help Veterans Explore Treatment Avoidance

Worried about their reputation and career prospects, returning service members with PTSD may avoid seeking treatment. In a randomized controlled trial, the authors examined engagement in treatment and symptoms among veterans with PTSD who received a brief phone-based intervention to discuss why they had avoided treatment. Veterans who received a call entered treatment sooner and experienced more immediate reductions in PTSD symptoms than veterans who received usual care. By six months, differences between the two groups had faded, suggesting that adding a second phone call might be warranted.

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