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August 2014
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Psychiatric Services

A Journal of the American Psychiatric Association Editor: Howard H. Goldman, M.D., Ph.D.
Articles  |  August 1, 2014
Anticipated Discrimination Constrains Young Lives

Self-imposed limitations due to a fear of discrimination may be just as devastating to persons with first-episode psychosis as the outright discrimination experienced in relationships or employment. In this study, 97 persons with first-episode psychosis and a mean age of 34 were asked about experiences with actual and anticipated discrimination. Many reported having curtailed everyday activities to avoid discrimination, thereby limiting access to opportunities and community resources typically available to younger people. Is discrimination a second illness? the authors asked.

Articles  |  August 1, 2014
Disappointing PTSD Treatment Rates a “Call to Action”

Are efforts to engage veterans in PTSD treatment falling short? A study from the Walter Reed Army Institute of Research found a sharp drop-off in treatment seeking after a mental health evaluation. Seventy-five percent of veterans who were referred for further evaluation after a postdeployment health assessment attended a follow-up appointment. However, among veterans who received a PTSD diagnosis, 22% had only one mental health visit and only 41% received minimally adequate care. The findings are a call to action, the authors said.

Articles  |  August 1, 2014
The Business Case for Follow-Up After Suicide Attempts

Providing follow-up calls to patients after they leave the hospital is not only good clinical practice, but it can help with the bottom line. In this study, the authors estimated the return on investment (ROI) for every $1 spent calling patients with suicidal ideation or deliberate self-harm who had been discharged from a hospital or emergency department. The ROI for the calls ranged from $1.76 to $2.43—a significant return that “supports the business case for payers, particularly Medicaid, to invest in postdischarge follow-up calls,” the authors concluded.

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