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Psychiatric Services

Volume 54, Issue 5

May 2003

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Taking Issue

May 2003

Medication Errors in Psychiatry: Are Patients Being Harmed?

Benjamin C. Grasso, M.D., St. Mary's Regional Medical Center, Lewiston, Maine, and
David W. Bates, M.D., Brigham and Women's Hospital, Partners HealthCare System and Harvard Medical School, Boston

Page:599
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.599

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Departments

May 2003

This Month's Highlights

Page:607
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.607

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Columns

May 2003

Datapoints: Mental Health Services in Employee Assistance Programs, 2001

Judith L. Teich, M.S.W., and
Jeffrey A. Buck, Ph.D.

Page:611
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.611

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May 2003

Alcohol & Drug Abuse: A Research-Based Analysis of the Moderation Management Controversy

Keith Humphreys, Ph.D.

Pages:621–622
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.621

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May 2003

Practical Psychotherapy: Adaptation of Dialectical Behavior Therapy by a VA Medical Center

Michele R. Spoont, Ph.D.,
Nina A. Sayer, Ph.D.,
Paul Thuras, Ph.D. ,
Chris Erbes, Ph.D., and
Elizabeth Winston, Ph.D.

Pages:627–629
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.627

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May 2003

Rehab Rounds: Involving Families in Rehabilitation Through Behavioral Family Management

Danica Brown Liberman, B.A., and
Robert Paul Liberman, M.D.

Pages:633–635
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.633

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Introduction by the column editors: A wide variety of family psychoeducational approaches for persons with serious and persistent mental illness have been developed and used by mental health professionals since the introduction of such approaches in the ...

May 2003

Best Practices: Interpreting Measurement Data for Quality Improvement: Standards, Means, Norms, and Benchmarks

Richard C. Hermann, M.D., M.S., and
Scott Provost, M.M., M.S.W.

Pages:655–657
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.655

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May 2003

Psychopharmacology: Perspectives on Medication Adherence and Atypical Antipsychotic Medications

Dawn I. Velligan, Ph.D.,
Francis Lam, Pharm.D.,
Larry Ereshefsky, Pharm.D., and
Alexander L. Miller, M.D.

Pages:665–667
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.665

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Introduction by the column editor: The problem of noncompliance is one that affects all areas of medicine. Some opinion holds that it may be worse for psychiatric disorders, particularly the psychoses, and that the side effects of the older or ...

Other Articles

May 2003

Challenges for Psychiatry in Serving Homeless People With Psychiatric Disorders

Hunter L. McQuistion, M.D.,
Molly Finnerty, M.D.,
Jack Hirschowitz, M.D., and
Ezra S. Susser, M.D., Dr.P.H.

Pages:669–676
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.669

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The authors examine current challenges confronting psychiatry in caring for homeless people with psychiatric disorders. After reviewing how psychiatry has historically addressed homelessness and mental illness, the authors discuss the roles that the ...

May 2003

Use of Chart and Record Reviews to Detect Medication Errors in a State Psychiatric Hospital

Benjamin C. Grasso, M.D.,
Robert Genest, R.Ph.,
Constance W. Jordan, M.S.N., A.N.P., and
David W. Bates, M.D., M.Sc.

Pages:677–681
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.677

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OBJECTIVE: This study compared the effectiveness of using a review team and the usual self-reporting method in detecting different types of medication errors in a state psychiatric hospital. METHODS: Medication errors were defined by using widely accepted ...

May 2003

Aligning Incentives in the Treatment of Depression in Primary Care With Evidence-Based Practice

Richard G. Frank, Ph.D.,
Haiden A. Huskamp, Ph.D., and
Harold Alan Pincus, M.D.

Pages:682–687
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.682

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Deficits in the quality of treatment of depression in the primary care sector have been documented in multiple studies. Several clinical models for improving primary care treatment of depression have been shown to be cost-effective in recent years but ...

May 2003

The Integral Role of Pastoral Counseling by African-American Clergy in Community Mental Health

John L. Young, M.D., M.Th.,
Ezra E. H. Griffith, M.D., and
David R. Williams, Ph.D., M.Div.

Pages:688–692
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.688

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OBJECTIVE: Little is currently known about the pastoral counseling work of pastors of African-American churches. The authors interviewed the pastors of nearly all African-American churches in a metropolitan area about their pastoral counseling work and ...

May 2003

A National Study of the Effect of Chronic Pain on the Use of Health Care by Depressed Persons

Yuhua Bao, M.A.,
Roland Sturm, Ph.D., and
Thomas W. Croghan, M.D.

Pages:693–697
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.693

Abstract
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OBJECTIVE: The objective of this study was to provide national estimates of the impact of common pain conditions such as back pain, chronic headache, self-reported arthritis, and unspecified chronic pain on the use of health services and quality of care ...

May 2003

Cost-Effectiveness of Collaborative Care for Depression in a Primary Care Veteran Population

Chuan-Fen Liu, Ph.D.,
Susan C. Hedrick, Ph.D.,
Edmund F. Chaney, Ph.D.,
Patrick Heagerty, Ph.D.,
Bradford Felker, M.D.,
Nicole Hasenberg, M.P.H.,
Stephan Fihn, M.D., and
Wayne Katon, M.D.

Pages:698–704
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.698

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OBJECTIVE: This study examined the incremental cost-effectiveness of a collaborative care intervention for depression compared with consult-liaison care. METHODS: A total of 354 patients in a Department of Veterans Affairs (VA) primary care clinic who met ...

May 2003

Administrative Burden and Its Implications for Outpatient Substance Abuse Treatment Organizations

Christy Harris Lemak, Ph.D.,
Jeffrey A. Alexander, Ph.D., and
Cynthia Campbell, Ph.D.

Pages:705–711
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.705

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OBJECTIVE: The aim of this study was to examine the extent of administrative burden on outpatient substance abuse treatment organizations and its implications for efficiency and productivity. METHODS: Using data from the 1995 and 2000 waves of the ...

May 2003

Impact of Structured Clinical Interviews on Physicians' Practices in Community Mental Health Settings

T. Michael Kashner, Ph.D., J.D.,
A. John Rush, M.D.,
Alina Surís, Ph.D.,
Melanie M. Biggs, Ph.D.,
Virginia L. Gajewski, R.N.,C.,
Danielle J. Hooker, R.N.,C.,
Thomas Shoaf, M.D., and
Kenneth Z. Altshuler, M.D.

Pages:712–718
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.712

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OBJECTIVE: Budgetary constraints often limit practicing psychiatrists from conducting more thorough diagnostic evaluations. This study examined physicians' diagnosing and prescribing practices in the context of feedback from nurse-administered, structured ...

May 2003

Treatment Adherence Associated With Conventional and Atypical Antipsychotics in a Large State Medicaid Program

Joseph Menzin, Ph.D.,
Luke Boulanger, M.A.,
Mark Friedman, M.D.,
Joan Mackell, Ph.D., and
John R. Lloyd, B.S.

Pages:719–723
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.719

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OBJECTIVES: Rates of medication adherence over a one-year period were assessed among outpatients with schizophrenia who initiated therapy with conventional or atypical antipsychotic agents. METHODS: Data were drawn from paid medical and pharmacy claims ...

May 2003

Use of Antidepressants Among Canadian Workers Receiving Depression-Related Short-Term Disability Benefits

Carolyn S. Dewa, M.P.H., Ph.D.,
Jeffrey S. Hoch, Ph.D.,
Paula Goering, R.N., Ph.D.,
Elizabeth Lin, Ph.D., and
Michael Paterson, M.Sc.

Pages:724–729
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.724

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OBJECTIVES: Little is known about how antidepressants are being used, but rising antidepressant expenditures and the accompanying impulse to control costs make this a critical issue to be addressed. The authors studied patterns of antidepressant use in a ...

May 2003

Community Integration of Elderly Mentally Ill Persons in Psychiatric Hospitals and Two Types of Residences

Marja F. I. A. Depla, M.A.,
Ron de Graaf, Ph.D.,
Jooske T. van Busschbach, Ph.D., and
Thea J. Heeren, Ph.D.

Pages:730–735
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.730

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OBJECTIVE: Deinstitutionalization policy in the Netherlands has given rise to two new living arrangements for elderly long-term psychiatric patients. Both involve accommodation in mainstream residential homes for elderly persons, either concentrated in a ...

Brief Report

May 2003

Behavioral Health Screening Policies in Medicaid Programs Nationwide

Rafael M. Semansky, M.P.P.,
Chris Koyanagi, and
Rita Vandivort-Warren, M.S.W.

Pages:736–739
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.736

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Under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) mandate, states are required to screen Medicaid-insured children for mental health and substance use disorders. This national study found that states vary considerably in their ...

May 2003

Psychotropic Medication Expenditures for Community-Dwelling Elderly Persons

Rajender Aparasu, M.Pharm., Ph.D.,
Jane Mort, Pharm.D., and
Heather Brandt, B.S.

Pages:739–742
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.739

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Psychotropic medication expenditures for community-dwelling elderly persons in the United States were examined with the 1996 Medical Expenditure Panel Survey (MEPS). According to the MEPS, an estimated $1.07 billion was spent on psychotropic agents, and ...

May 2003

Cost Evaluation of Risperidone Compared With Olanzapine

Matthew J. Byerly, M.D.,
Mary Weber, Ph.D.,
Deean Brooks, B.S.,
Sara Beth Casey, M.D.,
Sheila Elliot, and
Jason Hawkins, Pharm.D.

Pages:742–744
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.742

Abstract
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This study evaluated costs associated with risperidone and olanzapine treatment for schizophrenia. Data were collected from the Department of Veterans Affairs computerized database nine months before and nine months after patients began continuous ...

Letters

May 2003

Large Data Sets Are Powerful

John A. Pandiani, Ph.D., and
Steven M. Banks, Ph.D.

Page:745
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.745

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May 2003

Large Data Sets Are Powerful

Steven P. Segal, Ph.D.

Pages:745-a–746
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.745-a

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May 2003

Large Data Sets Are Powerful

Robert E. Drake, M.D., Ph.D., and
Gregory J. McHugo, Ph.D.

Page:746
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.746

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May 2003

Patients' Attitudes Toward Antidepressants

Christoph Lauber, M.D.,
Carlos Nordt, M.A., and
Wulf Rössler, M.D.

Pages:746-a–747
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.746-a

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May 2003

Suicide and Schizophrenia

Maurizio Pompili, M.D.,
Iginia Mancinelli, M.D., and
Roberto Tatarelli, M.D.

Pages:747–748
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.747

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May 2003

Medical Disorders Among Psychiatric Patients

Roy R. Reeves, D.O., Ph.D., and
Rafael A. Torres, M.D.

Page:748
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.748

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May 2003

Suicide, Firearms, and Data

Arthur Z. Berg, M.D.

Pages:748-a–749
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.748-a

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May 2003

Suicide, Firearms, and Data

Andrew L. Brickman, Ph.D., and
Devra C. Mintz, M.D., M.P.H.

Page:749
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.749

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Book Reviews

May 2003

Drug Courts in Operation: Current Research

Maurice H. Richardson, Judge (Ret.)

Page:750
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.750

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May 2003

Reinventing Justice: The American Drug Court Movement

Robert P. Ziemian, Hon.

Pages:750-a–751
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.750-a

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May 2003

Beyond Black: Biracial Identity in America

Maureen Slade, R.N., M.S., and
Brendan Slade-Smith

Page:751
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.751

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May 2003

The Anatomy of Racial Inequality: The W. E. B. Du Bois Lectures

Joshua Miller, Ph.D.

Pages:751-a–752
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.751-a

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May 2003

The Disability Rights Movement: From Charity to Confrontation

Susan Stefan, J.D.

Pages:752–753
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.752

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May 2003

Madness: A Brief History

David J. Lynn, M.D.

Page:753
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.753

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May 2003

The Heart of Addiction

Bert Pepper, M.D.

Page:754
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.754

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May 2003

Healing the Trauma of Abuse: A Women's Workbook

Joanne Nicholson, Ph.D.

Pages:754-a–755
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.754-a

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May 2003

Toxic Turmoil: Psychological and Societal Consequences of Ecological Disasters

Burton C. Einspruch, M.D., F.A.C.P.

Pages:755–756
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.755

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May 2003

Personal Therapy for Schizophrenia and Related Disorders: A Guide to Individualized Treatment

Mohamed Sabaawi, M.D.

Page:756
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.756

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May 2003

Handbook of Assessment and Treatment Planning for Psychological Disorders

Michael E. Rutter, Ph.D.

Page:757
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.757

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News & Notes

May 2003

Pages:759–760
Published Online:1 May 2003

https://doi.org/10.1176/appi.ps.54.5.759

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