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Psychiatric Services

Volume 73, Issue 9

September 2022

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Taking Issue

September 2022

Parity and Provider Networks

Alison Evans Cuellar, Ph.D.

Page:961
Published Online:1 September 2022

https://doi.org/10.1176/appi.ps.22073009

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Viewpoint

September 2022

A National Learning Health Experiment in Early Psychosis Research and Care

Robert K. Heinssen, Ph.D., A.B.P.P., and
Susan T. Azrin, Ph.D.

Pages:962–964
Published Online:27 July 2022

https://doi.org/10.1176/appi.ps.20220153

First Page
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Articles

September 2022

Socioeconomic Predictors of Treatment Outcomes Among Adults With Major Depressive Disorder

Jeffrey A. Mills, Ph.D.,
Vikram Suresh, M.S.,
Lenisa Chang, Ph.D.,
Taryn Mayes, M.S.,
Paul E. Croarkin, D.O., M.S.,
Madhukar H. Trivedi, M.D.,
Jeffrey R. Strawn, M.D.

Pages:965–969
Published Online:31 March 2022

https://doi.org/10.1176/appi.ps.202100559

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Objective:In this study, the authors sought to examine the impact of socioeconomic variables on outcomes of pharmacotherapy treatments for major depressive disorder in analyses that controlled for treatment access and level of care.Methods:The authors ...

September 2022

Cost-Effectiveness of Early Intervention in Psychosis: A Modeling Study

Saadia Sediqzadah, M.D., S.M.,
Allison Portnoy, Sc.D.,
Jane J. Kim, Ph.D.,
Matcheri Keshavan, M.D.,
Ankur Pandya, Ph.D.

Pages:970–977
Published Online:23 February 2022

https://doi.org/10.1176/appi.ps.202100161

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Objective:Programs for early intervention in psychosis have shown clinical efficacy. The authors aimed to evaluate the cost-effectiveness of early intervention programs compared with standard care for the treatment of first-episode psychosis in the United ...

September 2022

Adapting the Cultural Formulation Interview for the Military

Eric G. Meyer, M.D., Ph.D.,
Ravi B. DeSilva, M.D., M.A.,
Michael C. Hann, M.D., M.B.A.,
Neil K. Aggarwal, M.D., M.B.A.,
William L. Brim, Psy.D.,
Charles C. Engel, M.D., M.P.H.,
Francis G. Lu, M.D.,
Roberto Lewis-Fernández, M.D., M.T.S.

Pages:978–983
Published Online:23 February 2022

https://doi.org/10.1176/appi.ps.202100523

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Objective:U.S. military service members, veterans, and their families increasingly seek care from providers with limited knowledge of military culture. The 16-item core DSM-5 Cultural Formulation Interview (CFI) was designed to integrate cultural factors ...

September 2022

Racial Disparities in Prescription of Antidepressants Among U.S. Veterans Referred to Behavioral Health Care

Jocelyn E. Remmert, Ph.D.,
Gabriella Guzman, Psy.D.,
Shahrzad Mavandadi, Ph.D.,
Dave Oslin, M.D.

Pages:984–990
Published Online:13 April 2022

https://doi.org/10.1176/appi.ps.202100237

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White veterans referred to a collaborative care program were almost twice as likely as Black veterans to receive an antidepressant prescription. Notably, Black patients had significantly higher severity of depression symptoms, and more Black patients had ...

September 2022

Trends in Alcohol Use Disorder Treatment Utilization and Setting From 2008 to 2017

Aidan R. Larsen, M.S.P.H.,
Janet R. Cummings, Ph.D.,
Silke A. von Esenwein, Ph.D.,
Benjamin G. Druss, M.D., M.P.H.

Pages:991–998
Published Online:23 February 2022

https://doi.org/10.1176/appi.ps.202000323

Abstract
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Objective:Little is known about recent trends in treatment for alcohol use disorder. The authors used national data to examine treatment trends among individuals with alcohol use disorder.Methods:A sample of nonelderly adults (ages 18–64 years, N=36,707) ...

September 2022

Lived Experience as a Protective Factor for Mental Health Workers

Courtney von Hippel, Ph.D.,
Loren Brener, Ph.D.,
Grenville Rose, Ph.D.

Pages:999–1004
Published Online:16 March 2022

https://doi.org/10.1176/appi.ps.202100468

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Objective:When clients do not seem to be improving, mental health workers have more negative job attitudes, experience higher levels of client-related burnout, and are more interested in leaving the field. Nonetheless, it is unclear whether all mental ...

September 2022

Online Psychosis Screening: Characterizing an Underexamined Population to Improve Access and Equity

Mark Savill, Ph.D.,
Theresa Nguyen, L.C.S.W.,
Ruth S. Shim, M.D., M.P.H.,
Rachel L. Loewy, Ph.D.

Pages:1005–1012
Published Online:17 February 2022

https://doi.org/10.1176/appi.ps.202100257

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Objective:Online resources represent an important avenue to identify and support individuals who may be experiencing symptoms of psychosis but have yet to engage in care. Understanding the experiences and needs of this group is critical to inform outreach ...

September 2022

Attitudes of Mental Health Service Users Toward Storage and Use of Electronic Health Records

Victoria Bakken, M.Sc.,
Roman Koposov, M.D., Ph.D.,
Thomas Brox Røst, M.Sc.,
Carolyn Clausen, M.Sc.,
Øystein Nytrø, Ph.D.,
Bennett Leventhal, M.D.,
Odd Sverre Westbye, M.Sc.,
Kaban Koochakpour, M.Sc.,
Arthur Mandahl,
Hege Hafstad,
Norbert Skokauskas, M.D., Ph.D.

Pages:1013–1018
Published Online:16 March 2022

https://doi.org/10.1176/appi.ps.202100477

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Objective:Electronic health records (EHRs) are used for both clinical practice and research. Because mental health service users’ views are underrepresented in perspectives on EHR use, the authors examined service users’ awareness, attitudes, and opinions ...

September 2022

Quantifying Balance Billing for Out-of-Network Behavioral Health Care in Employer-Sponsored Insurance

Sarah A. Friedman, Ph.D.,
Haiyong Xu, Ph.D.,
Francisca Azocar, Ph.D.,
Susan L. Ettner, Ph.D.

Pages:1019–1026
Published Online:23 March 2022

https://doi.org/10.1176/appi.ps.202100157

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Objective:The study estimated balance billing for out-of-network behavioral health claims and described subscriber characteristics associated with higher billing.Methods:Claims data (2011–2014) from a national managed behavioral health organization’s ...

Special Articles

September 2022

An RCT of Virtual Reality Job Interview Training for Individuals With Serious Mental Illness in IPS Supported Employment

Matthew J. Smith, Ph.D., L.C.S.W.,
Justin D. Smith, Ph.D.,
Shannon Blajeski, Ph.D., M.S.W.,
Brittany Ross, M.A.,
Neil Jordan, Ph.D.,
Morris D. Bell, Ph.D.,
Susan R. McGurk, Ph.D.,
Kim T. Mueser, Ph.D.,
Jane K. Burke-Miller, Ph.D.,
Eugene A. Oulvey, Ph.D.,
Michael F. Fleming, M.D., M.P.H.,
Karley Nelson, M.A.,
Adrienne Brown, M.S.,
John Prestipino, B.S.,
Nicole J. Pashka, M.S., C.R.C.,
Lisa A. Razzano, Ph.D., C.P.R.P.

Pages:1027–1038
Published Online:17 February 2022

https://doi.org/10.1176/appi.ps.202100516

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Objective:Virtual Reality Job Interview Training (VR-JIT) is a computerized interview simulator with efficacy at enhancing interview skills and employment outcomes. A randomized controlled trial assessed VR-JIT effectiveness for participants in individual ...

September 2022

Methodologies to Advance a “Science of How”: Identifying and Engaging Intervention Targets and Outcomes

Michelle R. Munson, Ph.D.,
Ramesh Raghavan, Ph.D.,
Rei Shimizu, Ph.D.,
Aaron H. Rodwin, L.M.S.W.,
James Jaccard, Ph.D.

Pages:1039–1046
Published Online:17 February 2022

https://doi.org/10.1176/appi.ps.202100202

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Objective:Although implementation science has taken hold in many areas of psychiatric services research, a need remains for developing effective, low-cost interventions for specific subpopulations with mental health conditions. The experimental ...

Brief Reports

September 2022

Treatment of Patients Presenting With Suicidal Behavior in North American Pediatric Emergency Departments

Megan M. Mroczkowski, M.D.,
Alison M. Lake, M.A., L.P.,
Marjorie Kleinman, M.S.,
F. Meridith Sonnett, M.D.,
Saba Chowdhury, M.P.H.,
Madelyn S. Gould, Ph.D., M.P.H.

Pages:1047–1050
Published Online:23 March 2022

https://doi.org/10.1176/appi.ps.202100206

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Objective:This study sought to identify current practices for the treatment of patients presenting with suicidal ideation or a recent suicide attempt in pediatric emergency departments (EDs) in North America.Methods:From October 10, 2018, to January 19, ...

September 2022

Character Strength–Focused Positive Psychotherapy on Acute Psychiatric Wards: A Feasibility and Acceptability Study

Stef Kouvaras, D.Clin.Psy.,
Martina Guiotto, M.Sc.,
Beate Schrank, Ph.D.,
Mike Slade, Ph.D.,
Simon Riches, Ph.D., D.Clin.Psy.

Pages:1051–1055
Published Online:5 April 2022

https://doi.org/10.1176/appi.ps.202100316

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Objective:A manualized single-session positive psychotherapy intervention was developed and tested on acute psychiatric wards.Methods:Participants were invited in 2018–2019 to identify positive experiences, link them to a personal character strength, and ...

Personal Accounts

September 2022

Bringing an Inside Perspective to Mental Health Services

Rufus May, D.Clin.

Pages:1056–1058
Published Online:4 March 2022

https://doi.org/10.1176/appi.ps.73901

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September 2022

Adrian A. Fletcher, Psy.D., M.A.

Pages:1059–1060
Published Online:4 March 2022

https://doi.org/10.1176/appi.ps.202100706

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Racism & Mental Health Equity

September 2022

Addressing Health Equity and Racism Through a Hispanic Psychiatry Fellowship

Esperanza Díaz, M.D.,
Luis Añez Nava, Psy.D.,
Susan Parke, M.D.,
Michelle Silva, Psy.D.,
Francis G. Lu, M.D.,
Larry Davidson, Ph.D.,
Maria Restrepo-Toro, M.S.,
Ayana Jordan, M.D., Ph.D.,
Maria Garcia Vassallo, M.D.,
Andrea Mendiola, M.D.,
Jeanne Steiner, D.O.,
Charles Dike, F.R.C.Psych., MB.Ch.B.

Pages:1061–1064
Published Online:13 April 2022

https://doi.org/10.1176/appi.ps.202100220

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The scarcity of bilingual psychiatrists, as well as appropriate mental health services for populations with limited English proficiency, has led to inequitable health outcomes. A fellowship program was developed, which draws from a clinical model staffed ...

September 2022

Dismantling Racial Inequities in Early Psychosis Family Psychoeducation

Jada S. Gibbs, B.A.,
Sydney Kriegsman, M.D.,
Hannah E. Brown, M.D.

Pages:1065–1068
Published Online:16 March 2022

https://doi.org/10.1176/appi.ps.202100459

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Families and caregivers play a critical role in the recovery of their loved ones with schizophrenia. Early intervention services, including family psychoeducation, can improve clinical outcomes and reduce stress for caregivers. Despite the benefits of ...

Technology in Mental Health

September 2022

The Promise of Digital Mental Health for LGBTQ+ Youths

Jeffrey M. Cohen, Psy.D.,
Brian A. Feinstein, Ph.D.,
Kathryn Fox, Ph.D.

Pages:1069–1072
Published Online:16 March 2022

https://doi.org/10.1176/appi.ps.202100569

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Lesbian, gay, bisexual, transgender, queer, plus (LGBTQ+) youths face increased risk for psychiatric morbidity, and the stress of being in a minority group drives this disparity. Affirmative treatments can improve mental health among LGBTQ+ youths, but ...

Global Mental Health Reforms

September 2022

Implementing Collaborative Care in Low-Resource Government, Research, and Academic Settings in Rural Nepal

James Jackson, M.D.,
Rajkumar Dangal, M.D.,
Binod Dangal, M.D.,
Tula Gupta, M.D.,
Sunita Jirel,
Sangeeta Khadka,
Pragya Rimal, M.A.,
Bibhav Acharya, M.D.

Pages:1073–1076
Published Online:17 February 2022

https://doi.org/10.1176/appi.ps.202100421

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The collaborative care model (CoCM) is a strategy of integrating behavioral health into primary care to expand access to high-quality mental health services in areas with few psychiatrists. CoCM is multifaceted, and its implementation is accelerating in ...

Lived Experience Inclusion & Leadership

September 2022

Meaningful Participatory Research in a Multistakeholder Collaboration on Youth Pathways to Care: Implementation and Reflections

Linda M. Callejas, Ph.D., and
Nev Jones, Ph.D.

Pages:1077–1080
Published Online:17 February 2022

https://doi.org/10.1176/appi.ps.202100567

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The authors of this column describe and reflect on challenges and successes encountered during implementation of a participatory research collaborative focused on the pathways to mental health care for youths and young adults. The collaborative centered ...

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