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May 01, 2024 | VOL. 75, NO. 5
CURRENT ISSUE
pp.401-509
April 01, 2024 | VOL. 75, NO. 4
pp.307-398
March 01, 2024 | VOL. 75, NO. 3
pp.203-304
February 01, 2024 | VOL. 75, NO. 2
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January 01, 2024 | VOL. 75, NO. 1
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Psychiatric Services

Volume 72, Issue 4

April 2021

Cover: Photo by WHYFRAME

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Taking Issue

April 2021

Prevention in the Era of COVID-19 and the Role of Behavioral Health Care Teams

Lilanthi Balasuriya, M.D.,
Shea Jorgensen, M.D.,
Marvin S. Swartz, M.D.

Page:369
Published Online:1 April 2021

https://doi.org/10.1176/appi.ps.72401

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Articles

April 2021

Risk Factors Associated With Child Protective Services Involvement Among Parents With a Serious Mental Illness

Laysha Ostrow, Ph.D.,
Katy Kaplan, Ph.D.,
Yaara Zisman-Ilani, Ph.D.,
Eugene Brusilovskiy, M.U.S.A.,
Carina Smith, B.S.,
Mark S. Salzer, Ph.D.

Pages:370–377
Published Online:10 September 2020

https://doi.org/10.1176/appi.ps.202000036

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Objective:People with serious mental illnesses are as likely to be parents as people in the general population but are much more likely to have contact with child protective services (CPS) and experience an out-of-home placement of their children. This ...

April 2021

Mental Disorders, Substance Use Disorders, and Psychotropic Medication Use Among Sudden-Death Victims

Jessica Ford, Ph.D.,
Greta Bushnell, M.S.P.H., Ph.D.,
Ashley M. Griffith, M.A.,
Golsa Joodi, M.D.,
Ankita Ashoka, M.B.B.S.,
Neil Patel, B.S.,
Mariya Husain, B.S.,
Irion W. Pursell, R.N.,
Samuel F. Sears, Ph.D.,
John Paul Mounsey, M.D., Ph.D.,
Ross J. Simpson, M.D., Ph.D.

Pages:378–383
Published Online:17 February 2021

https://doi.org/10.1176/appi.ps.201900389

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Objective:The authors sought to estimate the prevalence of mental and substance use disorders and psychotropic medication prescriptions among working-age sudden-death victims.Methods:Using a written protocol, the authors screened for sudden deaths ...

April 2021

Small Area Analysis of Veterans Affairs Mental Health Services Data

Daniel J. Gottlieb, B.S., M.S.,
Bradley V. Watts, M.D., M.P.H.,
Talya Peltzman, M.S.,
Natalie B. V. Riblet, M.D., M.P.H.,
Sarah Cornelius, B.S.,
Jenna A. Forehand, M.D., M.P.H.,
Brian Shiner, M.D., M.P.H.

Pages:384–390
Published Online:3 February 2021

https://doi.org/10.1176/appi.ps.202000130

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Objective:To identify geographic variation in mental health service use in the Department of Veterans Affairs (VA), the authors constructed utilization-based VA mental health service areas (MHSAs) for outpatient treatment and mental health referral ...

April 2021

Impact of Psychiatric Diagnoses and Treatment on Postoperative Outcomes Among Patients Undergoing Surgery for Colorectal Cancer

Chelsea G. Ratcliff, Ph.D.,
Nader N. Massarweh, M.D., F.A.C.S.,
Shubhada Sansgiry, Ph.D.,
Lilian Dindo, Ph.D.,
Jeffrey A. Cully, Ph.D.

Pages:391–398
Published Online:9 February 2021

https://doi.org/10.1176/appi.ps.201900559

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Objective:Psychiatric diagnoses may be a risk factor for poor colorectal cancer (CRC) surgery outcomes. The authors investigated the risk of psychiatric diagnoses and benefit of mental health treatment for surgery outcomes among CRC patients.Methods:This ...

April 2021

Clients’ Preferences for Family Involvement and Subsequent Family Contact Patterns Within OnTrackNY Early Psychosis Services

Nev Jones, Ph.D.,
Cale Basaraba, M.P.H.,
Sarah Piscitelli, M.A.,
Thomas Jewell, Ph.D.,
Ilana Nossel, M.D.,
Iruma Bello, Ph.D.,
Franco Mascayano, M.P.H.,
Jennifer Scodes, M.S.,
Leslie Marino, M.D.,
Melanie Wall, Ph.D.,
Lisa B. Dixon, M.D., M.P.H.

Pages:399–407
Published Online:3 February 2021

https://doi.org/10.1176/appi.ps.202000241

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Objective:Little is known about clients’ preferences for family involvement and subsequent family contact in naturalistic, community-based coordinated specialty care (CSC) settings. The study’s primary goal was to characterize clients’ preferences and ...

April 2021

Facility-Level Excess Mortality of VHA Patients With Mental Health or Substance Use Disorder Diagnoses

Benjamin R. Szymanski, Ph.D., M.P.H.,
Tyler C. Hein, Ph.D.,
Michael Schoenbaum, Ph.D.,
John F. McCarthy, Ph.D., M.P.H.,
Ira R. Katz, M.D., Ph.D.

Pages:408–414
Published Online:27 January 2021

https://doi.org/10.1176/appi.ps.202000282

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Objective:Individuals with mental or substance use disorders have higher mortality rates than people in the general population. How excess mortality varies across health care facilities is unknown. The authors sought to investigate facility-level ...

April 2021

A Retrospective Evaluation of a Pilot Youth Community Assessment and Treatment Service

Chinar Goel, F.R.A.N.Z.C.P., M.B.B.S.,
Reem M. A. Shafi, M.B.B.S., B.Sc.,
Adrian J. Conner, M.B.B.S.,
Flavie Waters, Ph.D.,
Paul E. Croarkin, D.O., M.S.,
Patrick McGorry, M.D., F.R.A.N.Z.C.P.

Pages:415–420
Published Online:9 February 2021

https://doi.org/10.1176/appi.ps.201900013

Abstract
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Objective:Targeted, highly accessible early intervention for youths with emerging and complex psychiatric presentations is increasingly needed. The Youth Community Assessment and Treatment Team (YCATT) multidisciplinary service was established to provide ...

April 2021

Health Care Utilization Due to Substance Abuse Among Homeless and Nonhomeless Children and Young Adults in New York

Rie Sakai-Bizmark, M.D., Ph.D.,
Eliza J. Webber, M.P.H.,
Dennys Estevez, M.P.H.,
Mary Murillo, B.S.,
Emily H. Marr, Ph.D.,
Lauren E. M. Bedel, M.P.H.,
Laurie A. Mena, M.S.,
Jayde Clarice D. Felix,
Lynne M. Smith, M.D.

Pages:421–428
Published Online:1 April 2021

https://doi.org/10.1176/appi.ps.202000010

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Objective:Substance abuse, particularly among homeless youths, is a significant public health challenge in the United States. Detailed data about health care utilization resulting from this preventable behavior remain sparse. This study aimed to compare ...

Reviews & Overviews

April 2021

Evidence for Use of Cannabinoids in Mood Disorders, Anxiety Disorders, and PTSD: A Systematic Review

Corneliu N. Stanciu, M.D., M.R.O.,
Mary F. Brunette, M.D.,
Nikhil Teja, M.D.,
Alan J. Budney, Ph.D.

Pages:429–436
Published Online:3 February 2021

https://doi.org/10.1176/appi.ps.202000189

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Objective:Two primary compounds of the cannabis plant (Cannabis sativa), delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), differentially and dose-dependently affect mood and anxiety. In this systematic review, the authors summarize the design and ...

Special Article

April 2021

American Association for Emergency Psychiatry Recommendations to Address Psychiatric Staff Shortages in Emergency Settings

Janet S. Richmond, L.I.C.S.W.,
Dianna Dragatsi, M.D.,
Victor Stiebel, M.D.,
John Samuel Rozel, M.D.,
Joseph J. Rasimas, M.D., Ph.D.

Pages:437–443
Published Online:20 January 2021

https://doi.org/10.1176/appi.ps.201900501

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Objective:The psychological sequelae of the COVID-19 crisis will increase demands for psychiatric care in already strained emergency and mental health systems. To address the shortage of psychiatrists (and nurse practitioners and physician assistants) in ...

Brief Reports

April 2021

Mental Health and Psychosocial Characteristics Associated With COVID-19 Among U.S. Adults

Jack Tsai, Ph.D.,
Minda Huang, M.S.,
Eric Elbogen, Ph.D.

Pages:444–447
Published Online:3 February 2021

https://doi.org/10.1176/appi.ps.202000540

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Objective:This study examined psychosocial and mental health characteristics associated with COVID-19 infection.Methods:An online survey that asked about COVID-19 status, social support, and mental health was used to recruit a national sample of 6,607 low-...

April 2021

Cost of mHealth Versus Clinic-Based Care for Serious Mental Illness: Same Effects, Half the Price Tag

Dror Ben-Zeev, Ph.D.,
Lisa A. Razzano, Ph.D.,
Nicole J. Pashka, M.S., L.C.P.C.,
Carol E. Levin, Ph.D.

Pages:448–451
Published Online:9 February 2021

https://doi.org/10.1176/appi.ps.202000349

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Objective:This study compared the costs of implementing a smartphone-delivered mobile health (mHealth) intervention (called FOCUS) with the costs of implementing a clinic-based group intervention (Wellness Recovery Action Planning [WRAP]) for serious ...

April 2021

A Multimethod Study of Mental Health Care Patients’ Attitudes Toward Clinician-Level Performance Information

James F. Boswell, Ph.D.,
Michael J. Constantino, Ph.D.,
Jennifer M. Oswald, Ph.D.,
Matteo Bugatti, Ph.D.,
Alice E. Coyne, M.S.,
Brien Goodwin, M.S.,
Nicholas Morrison, Ph.D.

Pages:452–456
Published Online:3 February 2021

https://doi.org/10.1176/appi.ps.202000366

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Objective:Research demonstrates variability in mental health clinicians’ overall and domain-specific outcomes for their patients. Despite calls to increase patient access to provider performance information, little is known about patients’ attitudes ...

Open Forum

April 2021

Mental Health Services in a U.S. Prison During the COVID-19 Pandemic

Paul R. S. Burton, M.D.,
Nathaniel P. Morris, M.D.,
Matthew E. Hirschtritt, M.D., M.P.H.

Pages:458–460
Published Online:5 January 2021

https://doi.org/10.1176/appi.ps.202000476

Abstract
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Pandemics pose unique risks to people in correctional facilities. Among other vulnerabilities, incarcerated populations often have high rates of mental disorders and substance use disorders, which may increase risks for morbidity and mortality during a ...

April 2021

Shared Risk Taking: Shared Decision Making in Serious Mental Illness

Yaara Zisman-Ilani, M.A., Ph.D.,
Paul H. Lysaker, Ph.D.,
Ilanit Hasson-Ohayon, M.A., Ph.D.

Pages:461–463
Published Online:9 February 2021

https://doi.org/10.1176/appi.ps.202000156

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Shared decision making (SDM) is an interpersonal health communication model that is underutilized with people with serious mental illness. Although research has emphasized the role of patient capacity–, clinician-, and system-related barriers in SDM ...

Commentary

April 2021

Barriers to Expanding the Role of Nonprescribing Clinicians in Emergency Settings

Ryan E. Lawrence, M.D.

Pages:464–465
Published Online:1 April 2021

https://doi.org/10.1176/appi.ps.72302

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April 2021

Addressing Risk Factors Among Parents With Serious Mental Illness: Commentary on Ostrow et al.

Robyn M. Powell, Ph.D., J.D., and
Joanne Nicholson, Ph.D.

Pages:466–467
Published Online:1 April 2021

https://doi.org/10.1176/appi.ps.202000790

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Datapoints

April 2021

Health Conditions Associated With Severe Illness From COVID-19 Among Individuals With Serious Mental Illness

Priscilla Novak, Ph.D.,
Maria X. Sanmartin, Ph.D.,
Mir M. Ali, Ph.D.,
Jie Chen, Ph.D.

Pages:468–469
Published Online:19 November 2020

https://doi.org/10.1176/appi.ps.202000300

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Personal Accounts

April 2021

The Radicalization of a White Psychiatrist

Lindsay-Rose Dykema, M.D., M.P.H.

Pages:470–472
Published Online:14 October 2020

https://doi.org/10.1176/appi.ps.72101

First Page
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April 2021

The Challenging but Essential Pursuit of Suicide Prevention: Reflections From a Trainee

Thomas O. Mitchell, M.D.

Pages:473–474
Published Online:5 January 2021

https://doi.org/10.1176/appi.ps.711101

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Global Mental Health Reforms

April 2021

High and Intensive Care in Psychiatry: A New Model for Acute Inpatient Care

Yolande Voskes, M.Sc., Ph.D.,
Anne Laura van Melle, M.Sc.,
Guy A. M. Widdershoven, Ph.D.,
A. F. M. M. van Mierlo, M.D.,
Frits J. M. Bovenberg,
Cornelis L. Mulder, M.D., Ph.D.

Pages:475–477
Published Online:12 January 2021

https://doi.org/10.1176/appi.ps.201800440

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In response to three reforms in Dutch mental health care, an organizational framework, including methods and interventions, was developed as part of a new model for acute inpatient care. Core elements of high and intensive care (HIC) include preventing ...

April 2021

Schizophrenia Treatment Coverage Provided by the Public and Private Health Systems of Chile

Alberto Minoletti,
Gonzalo Soto-Brandt, M.P.H.,
Olga Toro, M.P.H.,
Matías Irarrázaval, M.P.H.,
Rozendo Zanga, M.P.H.,
Rubén Alvarado, M.P.H., Ph.D.

Pages:478–481
Published Online:18 December 2020

https://doi.org/10.1176/appi.ps.202000018

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Since health care delivery in Chile was comprehensively reformed in 2005, treating schizophrenia for its populace has been guaranteed, regardless of individuals’ type of health insurance coverage. The implementation of this national schizophrenia ...

Law & Psychiatry

April 2021

A Legal Right to Clozapine Therapy for Incarcerated Individuals With Treatment-Resistant Schizophrenia

Theodore R. Zarzar, M.D.,
Joseph B. Williams, M.D.,
Megan E. Pruette, M.D.,
Brian B. Sheitman, M.D.

Pages:482–484
Published Online:17 February 2021

https://doi.org/10.1176/appi.ps.202000845

Abstract
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People with serious mental illnesses increasingly are being treated in jails and prisons, and during incarceration are afforded a constitutional right to medical care. This right pertains to both general medical and mental illnesses and both acute and ...

Editor's Choice

Editor's Choice

April 2021

Homelessness and Mental Health: Part 1

Lilanthi Balasuriya, M.D., and
Lisa B. Dixon, M.D., M.P.H.

Pages:485–486
Published Online:1 April 2021

https://doi.org/10.1176/appi.ps.72402

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Corrections

April 2021

Correction to Ben-Zeev et al.

Page:456
Published Online:1 April 2021

https://doi.org/10.1176/appi.ps.724correction

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