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

Volume 70, Issue 10

October 2019

Cover: Photo by Tyler Nix on Unsplash

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TAKING ISSUE

October 2019

Shared Decisions and Agency: Better Engagement Tools

Cindy Peterson-Dana, L.M.H.C.

Page:857
Published Online:1 October 2019

https://doi.org/10.1176/appi.ps.701002

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Viewpoint

October 2019

Changing Medicare’s Protected Classes: History, Mistrust, and Budgets in the Prescription Drug Market

Richard G. Frank, Ph.D.

Pages:858–859
Published Online:4 September 2019

https://doi.org/10.1176/appi.ps.201900353

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Articles

AudioEditor's Choice

October 2019

Family Involvement in Psychiatric Hospitalizations: Associations With Discharge Planning and Prompt Follow-Up Care

Morgan Haselden, B.A.,
Tom Corbeil, M.P.H.,
Fei Tang, M.P.H.,
Mark Olfson, M.D., M.P.H.,
Lisa B. Dixon, M.D., M.P.H.,
Susan M. Essock, Ph.D.,
Melanie M. Wall, Ph.D.,
Marleen Radigan, Dr.P.H., M.S.,
Eric Frimpong, Ph.D., M.A.,
Rui Wang, M.S.,
Steven Lamberti, M.D.,
Matthew Schneider, M.D.,
Thomas E. Smith, M.D.

Pages:860–866
Published Online:16 July 2019

https://doi.org/10.1176/appi.ps.201900028

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Objective:Involving family in the care of inpatients with serious mental illness is known to be beneficial. This study examined frequencies of involvement by family in the care and discharge planning for 179 psychiatric inpatients.Methods:Involvement by ...

Audio

October 2019

Behavioral Activation as a Treatment for Posttraumatic Stress Disorder Among Returning Veterans: A Randomized Trial

Amy W. Wagner, Ph.D.,
Matthew Jakupcak, Ph.D.,
Halina M. Kowalski, L.P.C.,
Joyce N. Bittinger, Ph.D.,
Shahrokh Golshan, Ph.D.

Pages:867–873
Published Online:24 July 2019

https://doi.org/10.1176/appi.ps.201800572

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Objective:Although evidence-based, trauma-processing treatments exist for posttraumatic stress disorder (PTSD), many individuals do not seek out, complete, or fully respond to these treatments, pointing to the need for alternative treatments. In this ...

October 2019

Evidence of Low Adherence to Stimulant Medication Among Children and Youths With ADHD: An Electronic Health Records Study

Joseph Biederman, M.D.,
Ronna Fried, Ed.D.,
Maura DiSalvo, M.P.H.,
Barbara Storch, B.S.,
Alexa Pulli, B.S.,
K. Yvonne Woodworth, B.A.,
Itai Biederman, M.B.A.,
Stephen V. Faraone, Ph.D.,
Roy H. Perlis, M.D., M.Sc.

Pages:874–880
Published Online:27 June 2019

https://doi.org/10.1176/appi.ps.201800515

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Objective:The objective of this study was to evaluate rates and correlates of stimulant medication adherence in a sample of pediatric patients using data derived from electronic medical records (EMRs) from a large health care organization in a large ...

Editor's Choice

October 2019

Impact of Mobile Crisis Services on Emergency Department Use Among Youths With Behavioral Health Service Needs

Michael Fendrich, Ph.D.,
Melissa Ives, M.S.W.,
Brenda Kurz, Ph.D.,
Jessica Becker, M.S.W.,
Jeffrey Vanderploeg, Ph.D.,
Christopher Bory, Psy.D.,
Hsiu-Ju Lin, Ph.D.,
Robert Plant, Ph.D.

Pages:881–887
Published Online:19 June 2019

https://doi.org/10.1176/appi.ps.201800450

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Objective:Youths are using emergency departments (EDs) for behavioral health services in record numbers, even though EDs are suboptimal settings for service delivery. In this article, the authors evaluated a mobile crisis service intervention implemented ...

Audio

October 2019

Effect of Outpatient Service Utilization on Hospitalizations and Emergency Visits Among Youths With Autism Spectrum Disorder

David S. Mandell, Sc.D.,
Molly K. Candon, Ph.D.,
Ming Xie, M.S.,
Steven C. Marcus, Ph.D.,
Alene Kennedy-Hendricks, Ph.D.,
Andrew J. Epstein, Ph.D.,
Colleen L. Barry, Ph.D., M.P.P.

Pages:888–893
Published Online:19 June 2019

https://doi.org/10.1176/appi.ps.201800290

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Objective:Psychiatric hospitalizations and emergency department (ED) visits occur more frequently for youths with autism spectrum disorder (ASD). One mechanism that may reduce the likelihood of these events is utilization of home and community-based care. ...

AudioEditor's Choice

October 2019

State Legislators’ Opinions About Adverse Childhood Experiences as Risk Factors for Adult Behavioral Health Conditions

Jonathan Purtle, Dr.P.H., M.Sc.,
Félice Lê-Scherban, Ph.D., M.P.H.,
Xi Wang, Ph.D.,
Emily Brown, M.S.W.,
Mariana Chilton, Ph.D., M.P.H.

Pages:894–900
Published Online:5 July 2019

https://doi.org/10.1176/appi.ps.201900175

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Objectives:Adverse childhood experiences (ACEs) increase risk of adult behavioral health conditions. State legislators are an important audience to target with evidence about ACEs because they make policy decisions that can prevent ACE exposure and ...

October 2019

Psychiatric Emergency Department Visits After Regional Expansion of Community Health Centers

Tim A. Bruckner, M.P.H., Ph.D.,
Parvati Singh, M.P.A.,
Bharath Chakravarthy, M.P.H., M.D.,
Lonnie Snowden, M.A., Ph.D.,
Jangho Yoon, M.S.P.H., Ph.D.

Pages:901–906
Published Online:27 June 2019

https://doi.org/10.1176/appi.ps.201800553

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Objective:Regional primary health care system capacity may affect the demand for psychiatric visits to the emergency department (ED). In the United States, community health centers (CHCs), which serve low-income regions regardless of individuals’ ability ...

Editor's Choice

October 2019

Evidence for Differential Predictive Performance of the Prime Screen Between Black and White Help-Seeking Youths

Zachary B. Millman, M.A.,
Pamela J. Rakhshan Rouhakhtar, M.A.,
Jordan E. DeVylder, Ph.D.,
Melissa E. Smith, Ph.D.,
Peter L. Phalen, Psy.D.,
Scott W. Woods, M.D.,
Barbara C. Walsh, Ph.D.,
Brittany Parham, Ph.D.,
Gloria M. Reeves, M.D.,
Jason Schiffman, Ph.D.

Pages:907–914
Published Online:16 July 2019

https://doi.org/10.1176/appi.ps.201800536

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Objective:Self-report screening instruments for emerging psychosis have the potential to improve early detection efforts by increasing the number of true positives among persons deemed to be at “clinical high risk” of the disorder, but their practical ...

October 2019

Use of an Educational Video to Reduce Barriers to Military Mental Health Care

Suzanne L. Hurtado, M.P.H.,
Cynthia M. Simon-Arndt, M.A., M.B.A.,
Emily A. Schmied, M.P.H., Ph.D.,
Jennifer N. Belding, Ph.D.,
Rosemarie S. Subala, M.P.H.,
Colleen M. Richardson, Psy.D.

Pages:915–920
Published Online:5 July 2019

https://doi.org/10.1176/appi.ps.201800547

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Objective:Although there is significant need for mental health care among service members, stigma surrounding these services, along with myths associated with behavioral health treatment, discourages care seeking. This study evaluated the effect of a ...

October 2019

Bed Tracking Systems: Do They Help Address Challenges in Finding Available Inpatient Beds?

Tami L. Mark, Ph.D.,
Jennifer N. Howard, Ph.D.,
Shilpi Misra, B.S.,
Laurel Fuller, M.P.H.

Pages:921–926
Published Online:19 June 2019

https://doi.org/10.1176/appi.ps.201900079

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Objective:Locating open beds in hospital and residential mental health and substance use disorder treatment settings has been an ongoing challenge in the United States. The inability to find open beds has contributed to long emergency department wait ...

October 2019

Lung Cancer Screening Eligibility, Risk Perceptions, and Clinician Delivery of Tobacco Cessation Among Patients With Schizophrenia

Kelly E. Irwin, M.D., M.P.H.,
Eleanor B. Steffens, M.P.H.,
YooJin Yoon, B.S.,
Efren J. Flores, M.D.,
Helen P. Knight, M.D.,
William F. Pirl, M.D., M.P.H.,
Oliver Freudenreich, M.D.,
David C. Henderson, M.D.,
Elyse R. Park, Ph.D., M.P.H.

Pages:927–934
Published Online:30 July 2019

https://doi.org/10.1176/appi.ps.201900044

Abstract
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Objective:Individuals with schizophrenia experience increased lung cancer mortality and decreased access to cancer screening and tobacco cessation treatment. To promote screening among individuals with schizophrenia, it is necessary to investigate the ...

Brief Reports

Editor's Choice

October 2019

Effectiveness of the NAMI Homefront Program for Military and Veteran Families: In-Person and Online Benefits

Morgan Haselden, B.A.,
Teri Brister, Ph.D.,
Suzanne Robinson, M.S.W.,
Nancy Covell, Ph.D.,
Luca Pauselli, M.D.,
Lisa Dixon, M.D., M.P.H.

Pages:935–939
Published Online:5 July 2019

https://doi.org/10.1176/appi.ps.201800573

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Objective:This study aimed to evaluate the effectiveness of Homefront, a six-session, peer-taught family education program by the National Alliance on Mental Illness (NAMI), delivered in person or online, for families or support persons of military ...

October 2019

Perspectives and Practice in the Identification and Treatment of Opioid Use, Alcohol Use, and Depressive Disorders

Courtney Benjamin Wolk, Ph.D.,
Chyke A. Doubeni, M.D.,
Heather A. Klusaritz, Ph.D., M.S.W.,
Andrea Bilger, M.P.H.,
Emily Paterson, M.P.H.,
David W. Oslin, M.D.

Pages:940–943
Published Online:12 June 2019

https://doi.org/10.1176/appi.ps.201800378

Abstract
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Objective:Little research has focused on the treatment of adults with substance use disorders in primary care despite the high occurrence, morbidity, and mortality associated with these disorders.Methods:An electronic survey was administered to primary ...

October 2019

Designing Safer Use of Antipsychotics Among Youths: A Human-Centered Approach to an Algorithm-Based Solution

Andrea L. Hartzler, Ph.D.,
James D. Ralston, M.D., M.P.H.,
Terry A. Hannan, M.A.,
Kelly J. Kelleher, M.D.,
Robert B. Penfold, Ph.D.

Pages:944–947
Published Online:16 July 2019

https://doi.org/10.1176/appi.ps.201800390

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Objective:Guidelines recommend against prescribing antipsychotics without an indication, yet prescription rates remain undesirably high for youths. Information technology can facilitate guideline-based prescribing, but little is known about providers’ ...

October 2019

Availability of Assertive Community Treatment in the United States: 2010 to 2016

Stanislav Spivak, M.D.,
Bernadette A. Cullen, M.B.B.Ch., B.A.O.,
Charee Green, L.C.P.C.,
Tyler Firth, L.C.P.C.,
Holly Sater, L.C.P.C.,
Ramin Mojtabai, M.D., Ph.D.

Pages:948–951
Published Online:12 June 2019

https://doi.org/10.1176/appi.ps.201900032

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Objective:The study examined change in availability of assertive community treatment (ACT) and associated services over time.Methods:Change over time in the availability of facilities in the United States offering ACT and its associated services was ...

Commentary

October 2019

Understanding the Research on Extreme Risk Protection Orders: Varying Results, Same Message

Jeffrey W. Swanson, Ph.D.

Pages:953–954
Published Online:5 August 2019

https://doi.org/10.1176/appi.ps.201900291

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Open Forum

Audio

October 2019

Use of Behavioral Economics to Improve Medication Adherence in Severe Mental Illness

Daniel Guinart, M.D., and
John M. Kane, M.D.

Pages:955–957
Published Online:19 June 2019

https://doi.org/10.1176/appi.ps.201900116

Abstract
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Medication nonadherence is associated with multiple negative outcomes. Financial reinforcement based on behavioral economic principles has been proposed as a potential strategy to enhance medication adherence in severe mental illness, and some studies ...

October 2019

Stop Calling Them Laggards: Strategies for Encouraging Nonadopters to Incorporate Evidence-Based Practices

Rebecca E. Stewart, Ph.D.,
Rinad S. Beidas, Ph.D.,
David S. Mandell, Sc.D.

Pages:958–960
Published Online:27 June 2019

https://doi.org/10.1176/appi.ps.201900031

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Diffusion theory has deeply influenced implementation science and, specifically, language and thinking around practitioners and organizations that do not adopt evidence-based practices. In this Open Forum, the authors address the use of the term “laggard” ...

Personal Accounts

October 2019

What Shaped My Career

E. Fuller Torrey, M.D.

Pages:961–962
Published Online:24 July 2019

https://doi.org/10.1176/appi.ps.70901

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Case Studies in Public-Sector Leadership

October 2019

Workloads in Clinical Psychiatry: Another Way

Hunter L. McQuistion, M.D., and
Rachel Zinns, M.D., Ed.M.

Pages:963–966
Published Online:22 August 2019

https://doi.org/10.1176/appi.ps.201900125

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Caseload and daily volume requirements present clinical and administrative challenges in organized settings primarily serving the public sector. These challenges are examined through lenses of systems-level fiscal viability, population health, and patient ...

Law & Psychiatry

October 2019

“Use the Back Door”: Treating Incarcerated Patients in Community Mental Health Facilities

Nathaniel P. Morris, M.D.

Pages:967–970
Published Online:22 August 2019

https://doi.org/10.1176/appi.ps.201900344

Abstract
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Incarcerated individuals are a vulnerable population who face not only high rates of mental disorders, substance use disorders, and other chronic medical conditions but also widespread social stigmatization. These patients occasionally present for ...

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