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Psychiatric Services

Volume 62, Issue 9

September 2011

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Taking Issue

September 2011

Substance Use and First-Episode Psychosis

Melanie Bennett, Ph.D., and
Lisa B. Dixon, M.D., M.P.H.

Page:997
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_0997

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This Month's Highlights

September 2011

This Month's Highlights

Page:999
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_0999

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Columns

September 2011

Best Practices: Optimizing Care for People With Serious Mental Illness and Comorbid Diabetes

Martha Sajatovic, M.D.,
Neal V. Dawson, M.D.,
Adam T. Perzynski, Ph.D.,
Carol E. Blixen, Ph.D.,
Christopher S. Bialko, M.A.,
Christine L. McKibbin, Ph.D.,
Mark S. Bauer, M.D.,
Eileen L. Seeholzer, M.D., M.S.,
Denise Kaiser, R.N., B.S.N., and
Edna Fuentes-Casiano, M.S.S.A., L.S.W.

Pages:1001–1003
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1001

Abstract
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Diabetes and obesity among patients with serious mental illness are common. Use of second-generation antipsychotics compounds risk, and widely prevalent unhealthy behaviors further contribute to negative outcomes. This column describes Targeted Training ...

September 2011

Public-Academic Partnerships: A Program to Improve the Quality of Antipsychotic Prescribing in a Community Mental Health System

Mary F. Brunette, M.D.,
Alexander de Nesnera, M.D.,
Karin Swain, M.S.,
Erik G. Riera, Ed.M., M.B.A.,
Doris Lotz, M.D., and
Stephen J. Bartels, M.S., M.D.

Pages:1004–1006
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1004

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State mental health authorities can use public-academic partnerships to create professional roles in which leaders can track trends, identify problems, and carry out quality improvement projects to address key issues. Leaders with positions in both ...

Articles

September 2011

Substance Use Disorder Among People With First-Episode Psychosis: A Systematic Review of Course and Treatment

Jennifer P. Wisdom, Ph.D., M.P.H.,
Jennifer I. Manuel, Ph.D., L.M.S.W., and
Robert E. Drake, M.D., Ph.D.

Pages:1007–1012
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1007

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Objective:People experiencing a first episode of psychosis frequently have co-occurring substance use disorders, usually involving alcohol and cannabis, which put them at risk for prolonged psychosis, psychotic relapse, and other adverse outcomes. Yet few ...

September 2011

Career Satisfaction of Psychiatrists

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

Pages:1013–1018
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1013

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Objective:According to recent estimates, there is a shortage of around 45,000 psychiatrists in the United States. It will be very difficult to address this problem without attracting more medical students to psychiatry and motivating the current crop of ...

September 2011

Racial-Ethnic Composition of Provider Practices and Disparities in Treatment of Depression and Anxiety, 2003–2007

Isabel T. Lagomasino, M.D., M.P.H.,
Susan E. Stockdale, Ph.D., and
Jeanne Miranda, Ph.D.

Pages:1019–1025
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1019

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Objectives:This study explored whether racial and ethnic disparities in the treatment of depression and anxiety are associated with provider-level factors. Methods:This study analyzed 58,826 office-based adult outpatient visits to primary care physicians ...

September 2011

Ethnic Disparities in Antipsychotic Drug Use in British Columbia: A Cross-Sectional Retrospective Study

Joseph H. Puyat, M.Sc., M.A.,
Gillian E. Hanley, Ph.D., M.A.,
Colleen M. Cunningham, M.A.,
Michael R. Law, Ph.D., M.Sc.,
Sabrina T. Wong, Ph.D., R.N.^,,
Jason M. Sutherland, Ph.D., M.Sc., and
Steven G. Morgan, Ph.D., M.A.

Pages:1026–1031
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1026

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Objective:This study examined ethnic disparities in antipsychotic therapy in a population with significant Asian representation. Methods:Using a cross-sectional retrospective study design, self-reported ethnicity data pooled from three cycles of the ...

September 2011

Adherence, Persistence of Use, and Costs Associated With Second-Generation Antipsychotics for Bipolar Disorder

Karen L. Rascati, R.Ph., Ph.D.,
Kristin M. Richards, R.Ph., Ph.D.,
Carol A. Ott, Pharm.D.,
Andrew W. Goddard, M.D.,
Dana Stafkey-Mailey, Pharm.D., Ph.D.,
Jose Alvir, Dr.P.H.,
Kafi N. Sanders, M.P.H., and
Marko Mychaskiw, R.Ph., Ph.D.

Pages:1032–1040
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1032

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Objective:A retrospective study using Medicaid claims identified patients with bipolar disorder for whom oral second-generation antipsychotics were prescribed and compared rates of adherence, persistence of use, and costs across five groups of patients ...

September 2011

Characteristics Associated With Purchasing Antidepressant or Antianxiety Medications Through Primary Care in Israel

Liat Ayalon, Ph.D.,
Revital Gross, Ph.D.^,,
Aviv Yaari, M.D.,
Elan Feldhamer, B.A.,
Ran Balicer, M.D., Ph.D., and
Margalit Goldfracht, M.D.

Pages:1041–1046
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1041

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Objectives:This study analyzed the role of patient and physician characteristics associated with the purchase of antidepressant or antianxiety medications in Israel, a country that has a universal health care system. Methods:A national sample of 30,000 ...

September 2011

Implementation of Collaborative Depression Management at Community-Based Primary Care Clinics: An Evaluation

Amy M. Bauer, M.D., M.S.,
Vanessa Azzone, Ph.D.,
Howard H. Goldman, M.D., Ph.D.,
Laurie Alexander, Ph.D.,
Jürgen Unützer, M.D., M.P.H.,
Brenda Coleman-Beattie, M.A., and
Richard G. Frank, Ph.D.

Pages:1047–1053
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1047

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Objective:This study evaluated a large demonstration project of collaborative care of depression at community health centers by examining the role of clinic site on two measures of quality care (early follow-up and appropriate pharmacotherapy) and on ...

September 2011

Perceptions of Quality of Health Care Among Veterans With Psychiatric Disorders

Inger Burnett-Zeigler, Ph.D.,
Kara Zivin, Ph.D.,
Mark A. Ilgen, Ph.D., and
Amy S. B. Bohnert, Ph.D.

Pages:1054–1059
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1054

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Objective:An estimated 37% to 40% of veterans treated by the U.S. Department of Veterans Affairs (VA) have a psychiatric disorder, and many of them have comorbid general medical problems. This study examined the impact of demographic and clinical ...

September 2011

Association of Involuntary Psychiatric Examination With Probability of Arrest of People With Serious Mental Illness

John M. Robst, Ph.D.,
Robert Constantine, Ph.D., and
John Petrila, J.D., LL.M.

Pages:1060–1065
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1060

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Objective:This study examined the association between the occurrence of an involuntary psychiatric examination under Florida civil commitment law and the probability of arrest during the next quarter. Methods:County criminal justice records and several ...

September 2011

Service Intensity as a Predictor of Competitive Employment in an Individual Placement and Support Model

Alan B. McGuire, Ph.D.^,,
Gary R. Bond, Ph.D.,
Daniel R. Clendenning, M.S., and
Marina Kukla, Ph.D.

Pages:1066–1072
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1066

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Objectives:Previous research on the individual placement and support (IPS) model of supported employment has focused on the model's effectiveness and on fidelity to the program model. Little is known about service intensity, or the number of service ...

September 2011

Direct Costs of Bipolar Disorder Versus Other Chronic Conditions: An Employer-Based Health Plan Analysis

Mark D. Williams, M.D.,
Nilay D. Shah, Ph.D.,
Amy E. Wagie, B.S.,
Douglas L. Wood, M.D., and
Mark A. Frye, M.D.

Pages:1073–1078
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1073

Abstract
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Objective:This study was a retrospective data-based analysis of health care utilization and costs for patients diagnosed as having bipolar disorder compared with patients with diagnoses of depression, diabetes, coronary artery disease, or asthma. Methods:...

September 2011

Adequacy of Treatment for Patients With Schizophrenia Spectrum Disorders and Affective Disorders in Lombardy, Italy

Antonio Lora, M.D.,
Valentino Conti, M.Sc.,
Olivia Leoni, Ph.D., and
Alma Lisa Rivolta, Pharm.D.

Pages:1079–1084
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1079

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Objective:This study assessed whether patients being treated for schizophrenia spectrum and affective disorders in Lombardy receive adequate treatment and sought predictors of adequate treatment. Methods:Patients were aged ≥18, were residents of Italy's ...

Open Forum

September 2011

Lessons Learned From the New York State Mental Health Response to the September 11, 2001, Attacks

Lloyd I. Sederer, M.D.,
Carol B. Lanzara, M.S., J.D.,
Susan M. Essock, Ph.D.,
Sheila A. Donahue, M.A.,
James L. Stone, M.S.W., C.S.W., and
Sandro Galea, M.D., Dr.P.H.

Pages:1085–1089
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1085

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Objective:In the aftermath of the September 11, 2001, attacks on the World Trade Center, the public mental health system in New York City mounted the largest mental health disaster response in history, called Project Liberty. The successes and challenges ...

Brief Reports

September 2011

CMHC Adherence to National Mental Health Plan Standards in Italy: A Survey 30 Years After National Reform Law

Carmine Munizza, M.D.,
Raffaella Gonella, Ph.D.,
Luca Pinciaroli, D.Psych.,
Paola Rucci, D.Stat.,
Rocco L. Picci, M.D., and
Giuseppe Tibaldi, M.D.

Pages:1090–1093
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1090

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Objective:The PROG-CSM (Progetto Centri di Salute Mentale) survey was conducted in all Italian community mental health centers (CMHCs) with the aim of evaluating the extent to which these services adhered to the standards defined by the Italian National ...

September 2011

Use of Administrative Data to Identify Potential Service Gaps for Individuals With Serious Mental Illness

Thomas E. Smith, M.D.,
Anita Appel, L.C.S.W.,
Sheila A. Donahue, M.A.,
Susan M. Essock, Ph.D.,
Carlos T. Jackson, Ph.D.,
Adam Karpati, M.D.,
Trish Marsik,
Robert W. Myers, Ph.D., and
Lily Tom, D.S.W.

Pages:1094–1097
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1094

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Objective:The New York City Mental Health Care Monitoring Initiative uses Medicaid claims data to identify individuals with serious mental illness who are experiencing or at risk for gaps in services. In this study the authors assessed whether proposed ...

September 2011

Medical Comorbidity and Functional Status Among Adults With Major Mental Illness Newly Admitted to Nursing Homes

Kelly A. Aschbrenner, Ph.D.,
Shubing Cai, Ph.D.,
David C. Grabowski, Ph.D.,
Stephen J. Bartels, M.S., M.D., and
Vincent Mor, Ph.D.

Pages:1098–1100
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1098

Abstract
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Objective:This study compared comorbid conditions and functional status among elderly and nonelderly individuals with mental illness who were newly admitted to nursing homes (N=286,411). Methods:Data were drawn from the Centers for Medicare & Medicaid ...

September 2011

Sleep Problems, Psychiatric Hospitalization, and Emergency Department Use Among Psychiatric Patients With Medicaid

Christopher N. Kaufmann, M.H.S.,
Adam P. Spira, Ph.D.,
Donald S. Rae, M.A.,
Joyce C. West, Ph.D., M.P.P., and
Ramin Mojtabai, M.D., Ph.D.

Pages:1101–1105
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1101

Abstract
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Objective:This study examined the prevalence of sleep problems and their association with the use of inpatient and emergency department services by Medicaid recipients with serious mental illness. Methods:The sample consisted of 1,560 psychiatric patients ...

Letters

September 2011

Creating Barriers to Mental Health Care in the Netherlands

Johannes E. Hovens, M.D., Ph.D.^,, and
G. Johannes van der Ploeg, M.D.

Page:1106
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1106

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September 2011

Creating Barriers to Mental Health Care in the Netherlands: Reply

Belinda R. Bruwer, M.B.ChB., M.Med. (Psych.), and
Soraya Seedat, M.Med. (Psych.), Ph.D.

Pages:1106–1107
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1106a

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September 2011

A New Blood-Based Diagnostic Aid for Schizophrenia

Deanna L. Kelly, Pharm.D., B.C.P.P.,
Sheryl Thedford, Pharm.D., and
Gopal Vyas, D.O.

Page:1107
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1107

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News & Notes

September 2011

Pages:1108–1109
Published Online:14 January 2015

https://doi.org/10.1176/ps.62.9.pss6209_1108

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