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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
pp.107-201
January 01, 2024 | VOL. 75, NO. 1
pp.1-71

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Psychiatric Services

Volume 73, Issue 5

May 2022

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Taking Issue

May 2022

The Elephants in the Room: Why Physicians Are Not Prescribing

Frances R. Levin, M.D., and
Edward V. Nunes, M.D.

Page:481
Published Online:1 May 2022

https://doi.org/10.1176/appi.ps.22073003

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Editorial

May 2022

Reporting on and Reviewing for Race/Racialization, Ethnicity, and Culture

Lisa B. Dixon, M.D., M.P.H.,
Roberto Lewis-Fernández, M.D.,
Jessica Isom, M.D., M.P.H.,
Chyrell Bellamy, Ph.D., M.S.W.,
Ayorkor Gaba, Psy.D.,
Rebecca C. Rossom, M.D., M.S.,
Leah Adams, Ph.D.,
Rupinder K Legha, M.D.,
Andrew D. Carlo, M.D., M.P.H.,
Yosef Sokol, Ph.D.,
Grayson S. Norquist, M.D., M.S.P.H.,
Michael Roy, B.S.,
Demarie Jackson, B.A.

Pages:482–483
Published Online:8 April 2022

https://doi.org/10.1176/appi.ps.20220099

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Articles

May 2022

Addiction Treatment and Telehealth: Review of Efficacy and Provider Insights During the COVID-19 Pandemic

Tami L. Mark, Ph.D., M.B.A.,
Katherine Treiman, Ph.D., M.P.H.,
Howard Padwa, Ph.D.,
Kristen Henretty, M.A.,
Janice Tzeng, M.P.H.,
Marylou Gilbert, M.A., J.D.

Pages:484–491
Published Online:13 October 2021

https://doi.org/10.1176/appi.ps.202100088

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Objective:Addiction treatment via telehealth expanded to unprecedented levels during the COVID-19 pandemic. This study aimed to clarify whether the research evidence on the efficacy of telehealth-delivered substance use disorder treatment and the ...

May 2022

Variation in Psychotropic Medication Prescription for Adults With Schizophrenia in the United States

Natalie Bareis, L.M.S.W., Ph.D.,
Mark Olfson, M.D., M.P.H.,
Melanie Wall, Ph.D.,
T. Scott Stroup, M.D., M.P.H.

Pages:492–500
Published Online:30 September 2021

https://doi.org/10.1176/appi.ps.202000932

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Objective:Variation in prescription of psychotropic medications to patients with schizophrenia spectrum disorders may underlie health inequities. Using a national U.S. Medicaid sample, the authors examined prescription patterns of psychotropic medications ...

May 2022

Confirmatory Efficacy of Cognitive Enhancement Therapy for Early Schizophrenia: Results From a Multisite Randomized Trial

Jessica A. Wojtalik, Ph.D.,
Raquelle I. Mesholam-Gately, Ph.D.,
Susan S. Hogarty, M.S.N.,
Deborah P. Greenwald, Ph.D.,
Maralee Y. Litschge, L.S.W.,
Luis R. Sandoval, Ph.D.,
Gautami Shashidhar, B.A.,
Synthia Guimond, Ph.D.,
Matcheri S. Keshavan, M.D.,
Shaun M. Eack, Ph.D.

Pages:501–509
Published Online:2 September 2021

https://doi.org/10.1176/appi.ps.202000552

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Objective: Cognitive enhancement therapy (CET) is an 18-month comprehensive cognitive remediation intervention designed to improve cognition and functioning among patients with schizophrenia. The current ...

May 2022

Antipsychotic Medications for Low-Income Preschoolers: Long Duration and Psychotropic Medication Polypharmacy

W. David Lohr, M.D.,
Kahir Jawad, M.D., M.P.H.,
Yana Feygin, M.S.,
Jennifer Le, M.D.,
Liza Creel, Ph.D.,
Natalie Pasquenza, M.B.A., R.N.,
P. Gail Williams, M.D.,
V. Faye Jones, M.D.,
John Myers, Ph.D., M.S.P.H.,
Deborah Winders Davis, Ph.D.

Pages:510–517
Published Online:2 September 2021

https://doi.org/10.1176/appi.ps.202000673

Abstract
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Objective:This study aimed to evaluate prescribing patterns of antipsychotic medication and factors that predict duration of use among low-income, preschool-age children.Methods:State Medicaid claims from 2012 to 2017 were used to identify antipsychotic ...

May 2022

Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders

Cameron J. Schilling, M.P.H.,
Matthew D. Eisenberg, Ph.D.,
Alene Kennedy-Hendricks, Ph.D.,
Alisa B. Busch, M.D., M.S.,
Haiden A. Huskamp, Ph.D.,
Elizabeth A. Stuart, Ph.D.,
Mark K. Meiselbach, B.S.,
Colleen L. Barry, Ph.D., M.P.P.

Pages:518–525
Published Online:30 September 2021

https://doi.org/10.1176/appi.ps.202000914

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Objective:High-deductible health plans (HDHPs) are increasingly common in the U.S. health insurance market and are intended to reduce the use of low-value services, but evidence suggests that HDHP enrollees also reduce the use of high-value services. This ...

May 2022

Understanding Racial-Ethnic Disparities in Wraparound Care for Youths With Emotional and Behavioral Disorders

Madeline R. Stenersen, Ph.D.,
Aleece Kelly, M.P.P.,
Jeana Bracey, Ph.D.,
Tim Marshall, M.S.W.,
Mary Cummins, M.S.W.,
Kathryn Clark, M.S.,
Joy S. Kaufman, Ph.D.

Pages:526–532
Published Online:2 September 2021

https://doi.org/10.1176/appi.ps.202100086

Abstract
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Objective:Systems of care (SOCs) were developed to increase access to and quality of care for children with emotional and behavioral difficulties and their families through the provision of coordinated, community-based, culturally competent, family-driven ...

May 2022

Growth of IPS Supported Employment Programs in the United States: An Update

Jacqueline A. Pogue, M.P.H.,
Gary R. Bond, Ph.D.,
Robert E. Drake, M.D., Ph.D.,
Deborah R. Becker, M.Ed.,
Susanne M. Logsdon, B.A.

Pages:533–538
Published Online:30 September 2021

https://doi.org/10.1176/appi.ps.202100199

Abstract
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Objective:Individual placement and support (IPS), an evidence-based supported employment practice, is a core service in community mental health in the United States. Several factors promote the growth of IPS, including a network of 24 states participating ...

Special Articles

May 2022

Rapprochement and Reform: Overcoming Factionalism in Policy Making for Serious Mental Illness

William R. Smith, M.D., Ph.D., and
Dominic A. Sisti, Ph.D.

Pages:539–546
Published Online:18 January 2022

https://doi.org/10.1176/appi.ps.202100450

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This article traces the history of factionalism in policy making and advocacy for persons with serious mental illness from deinstitutionalization to the present. The authors draw on deliberative democratic theory to illustrate how factionalist advocacy ...

May 2022

How Physician Workforce Shortages Are Hampering the Response to the Opioid Crisis

Jennifer McNeely, M.D., M.S.,
Daniel Schatz, M.D., M.S.,
Mark Olfson, M.D., M.P.H.,
Noa Appleton, M.P.H.,
Arthur Robin Williams, M.D., M.B.E.

Pages:547–554
Published Online:15 September 2021

https://doi.org/10.1176/appi.ps.202000565

Abstract
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The United States is experiencing an unprecedented opioid crisis, with a record of about 93,000 opioid-involved overdose deaths in 2020, which requires rapid and substantial scaling up of access to effective treatment for opioid use disorder. Only 18% of ...

May 2022

Moving Beyond the Status Quo of Integrated Inpatient Medical and Psychiatric Care Units: The Path to Real-World Evaluation

C. Pinto, M.D.,
I. N. Fabbricotti, Ph.D.,
J. van Wijngaarden, Ph.D.,
W. J. G. Hoogendijk, M.D., Ph.D.,
J. Alsma, M.D., Ph.D.,
J. J. van Busschbach, M.Sc., Ph.D.,
M. A. van Schijndel, M.D., Ph.D.

Pages:555–560
Published Online:27 October 2021

https://doi.org/10.1176/appi.ps.202000811

Abstract
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Integrated inpatient medical and psychiatric care units (IMPUs) are hospital wards that care for inpatients with both acute general medical and psychiatric disorders. IMPU development has stalled, and wide variation in IMPU designs may reflect the fact ...

Brief Reports

May 2022

Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010–2016

Morgan C. Shields, Ph.D.,
Nancy D. Beaulieu, Ph.D.,
Sifan Lu, B.A.,
Alisa B. Busch, M.D., M.S.,
David M. Cutler, Ph.D.,
Alyna T. Chien, M.D., M.S.

Pages:561–564
Published Online:26 August 2021

https://doi.org/10.1176/appi.ps.202100182

Abstract
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Objective:This study explored trends in the quantity of inpatient psychiatry beds and in facility characteristics.Methods:Using the National Bureau of Economic Research’s Health Systems and Provider Database, the authors examined changes in the number of ...

May 2022

Integrating Primary Care Into Assertive Community Treatment

Jeanie Tse, M.D.,
Jason E. Cheng, M.D.,
Edward Tabasky, M.D.,
Emily Kingman, L.C.S.W.,
Drew LaStella, Ph.D.,
Gertie Quitangon, M.D.,
David Woodlock, M.S.

Pages:565–569
Published Online:9 September 2021

https://doi.org/10.1176/appi.ps.202100069

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Objective:This program evaluation examined integration of primary care nurse practitioners into assertive community treatment (ACT).Methods:From January to June 2019, primary care nurse practitioners in a postgraduate fellowship program were assigned to ...

Commentary

May 2022

Commentary on “Rapprochement and Reform: Overcoming Factionalism in Policy Making for Serious Mental Illness”

Howard H. Goldman, M.D., Ph.D.

Pages:570–571
Published Online:18 January 2022

https://doi.org/10.1176/appi.ps.202100512

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May 2022

Commentary on Smith and Sisti: “Rapprochement and Reform: Overcoming Factionalism in Policy Making for Serious Mental Illness”

Joseph Parks, M.D.

Pages:572–573
Published Online:18 January 2022

https://doi.org/10.1176/appi.ps.202100590

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May 2022

Overcoming Factionalism in Serious Mental Illness Policy Making: A Counter-Perspective

Kendall Atterbury, Ph.D., and
Nev Jones, Ph.D.

Pages:574–576
Published Online:18 January 2022

https://doi.org/10.1176/appi.ps.202100613

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Open Forum

May 2022

Grave Disability in U.S. Jails and Prisons

Nathaniel P. Morris, M.D., and
Renée L. Binder, M.D.

Pages:577–579
Published Online:9 August 2021

https://doi.org/10.1176/appi.ps.202100129

Abstract
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Many states authorize involuntary psychiatric care on the basis of grave disability, a legal standard often defined as a person’s inability to provide for basic needs because of mental illness. Mental illness is prevalent in U.S. jails and prisons, and ...

May 2022

Increasing the Impact of Interventions Incentivizing Psychiatric Treatment Engagement: Challenges and Opportunities

Gabriela K. Khazanov, Ph.D.,
Sarah E. Forster, Ph.D.,
Dominick DePhilippis, Ph.D.,
James R. McKay, Ph.D.

Pages:580–583
Published Online:9 September 2021

https://doi.org/10.1176/appi.ps.202100100

Abstract
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Individuals with psychiatric disorders often struggle to initiate and engage in treatment. Financial incentives improve treatment engagement, including treatment attendance, medication adherence, and abstinence from substance use. The U.S. Department of ...

Integrated Care

May 2022

Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs

Matthew L. Goldman, M.D., M.S.,
Deborah M. Scharf, Ph.D., C.Psych.,
Jonathan D. Brown, Ph.D., M.H.S.,
Sarah H. Scholle, M.P.H., Dr.P.H.,
Harold A. Pincus, M.D.

Pages:584–587
Published Online:9 September 2021

https://doi.org/10.1176/appi.ps.201900623

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Initiatives that support and incentivize the integration of behavioral health and general medical care have become a focus of government strategies to achieve the triple aim of improved health, better patient experience, and reduced costs. The authors ...

May 2022

Academic-Community Partnership to Improve Pediatric Mental Health Access: Missouri Child Psychiatry Access Project

Ujjwal Ramtekkar, M.D., M.B.A.,
Melissa Maras, Ph.D.,
Wendy Ell, D.P.T.,
Ginger Nicol, M.D.,
Laine Young-Walker, M.D.

Pages:588–591
Published Online:2 September 2021

https://doi.org/10.1176/appi.ps.202100074

Abstract
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Because of significant shortages in the behavioral health workforce, primary care providers (PCPs) have become the de facto mental health providers to address poor access to mental health care. Child psychiatry access programs (CPAPs) could support PCPs ...

Social Determinants of Mental Health

May 2022

Climate Change and Mental Health: Implications for the Psychiatric Workforce

Alison R. Hwong, M.D., Ph.D.,
Emily A. Kuhl, Ph.D.,
Wilson M. Compton, M.P.E., M.D.,
Tami Benton, M.D.,
Adrienne Grzenda, M.D., Ph.D.,
Benjamin Doty, Ph.D.,
Laura Thompson, M.S.,
Nitin Gogtay, M.D.,
Diana Clarke, M.Sc., Ph.D.,
Jonathan Alpert, M.D., Ph.D.

Pages:592–595
Published Online:9 August 2021

https://doi.org/10.1176/appi.ps.202100227

Abstract
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Climate change is a major global public mental health crisis that is expected to increase the need for mental health services. Psychiatrists and other mental health care providers must address workforce needs through recruitment, training and education, ...

Economic Grand Rounds

May 2022

Lessons From the COVID-19 Pandemic on the Nature of Work Among Those With Mental Illness

Buyi Wang, M.A.,
Carolyn D. Gorman, M.S.,
Richard Frank, Ph.D.,
Sherry Glied, Ph.D.

Pages:596–598
Published Online:9 August 2021

https://doi.org/10.1176/appi.ps.202100217

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Workers with mental illness may be uniquely affected by the labor market impacts of the pandemic. The authors used data from the National Health Interview Survey (2016–2018) to categorize workers by employment in essential or nonessential industries and ...

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