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Psychiatric Services

Volume 55, Issue 5

May 2004

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Taking Issue

May 2004

Ethics in Managed Care

James E. Sabin, M.D., Harvard Pilgrim Health Care, Wellesley, Massachusetts

Page:475
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.475

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Departments

May 2004

May 2004: This Month's Highlights

Page:483
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.483

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Columns

May 2004

Best Practices: Real-World Use of Evidence-Based Treatments in Community Behavioral Health Care

Dennis Morrison, Ph.D.

Pages:485–487
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.485

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Introduction by the column editor: It is one thing to tout "best practices" and another thing to actually employ them. The author of this month's column provides us with a "fly on the wall" view of the experience of one community mental health center in ...

May 2004

Psychopharmacology: Atypical Antipsychotic Dosing: The Effect of Smoking and Caffeine

Jose de Leon, M.D.

Pages:491–493
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.491

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May 2004

Datapoints: Patients' Early Discontinuation of Antidepressant Prescriptions

Elizabeth Lewis, B.A.,
Steven C. Marcus, Ph.D.,
Mark Olfson, M.D.,
Benjamin G. Druss, M.D., and
Harold Alan Pincus, M.D.

Page:494
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.494

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May 2004

Practical Psychotherapy: Gifts From Physicians to Patients: An Ethical Dilemma

David Krassner, M.D.

Pages:505–506
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.505

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May 2004

Alcohol & Drug Abuse: Population Thinking as an Adjunct to the Clinical Trial Perspective

Robert MacCoun, Ph.D.

Pages:509–515
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.509

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May 2004

Rehab Rounds: Supplementing Supported Employment With Workplace Skills Training

Charles J. Wallace, Ph.D., and
Robert Tauber, M.A.

Pages:513–515
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.513

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Introduction by the column editors: Supported employment, as designed for persons with serious and persistent mental illness, has been termed individual placement and support. In two randomized controlled trials (,), clients who received individual ...

Other Articles

May 2004

Current Concepts in Pharmacotherapy for Posttraumatic Stress Disorder

Frank B. Schoenfeld, M.D.,
Charles R. Marmar, M.D., and
Thomas C. Neylan, M.D.

Pages:519–531
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.519

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OBJECTIVE: This article describes current approaches to the pharmacologic treatment of posttraumatic stress disorder (PTSD) and reviews the classes of pharmacologic agents used in the treatment of PTSD. Pharmacotherapy for PTSD that is comorbid with other ...

May 2004

The Partners in Care Approach to Ethics Outcomes in Quality Improvement Programs for Depression

Jodi Halpern, M.D., Ph.D.,
Megan Dwight Johnson, M.D., M.S.H.S.,
Jeanne Miranda, Ph.D., and
Kenneth B. Wells, M.D., M.P.H.

Pages:532–539
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.532

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OBJECTIVE: Patient centeredness and equity are major quality goals, but little is known about how these goals are affected by efforts to improve the quality of care. The authors describe an approach to addressing these goals in a randomized trial of ...

Editor's Choice

May 2004

An Exploratory Analysis of Correlates of Recovery

Sandra G. Resnick, Ph.D.,
Robert A. Rosenheck, M.D., and
Anthony F. Lehman, M.D.

Pages:540–547
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.540

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OBJECTIVE: The concept of recovery has received increasing emphasis in the delivery of services to persons with schizophrenia. This study was an initial effort to develop an empirically based model of factors associated with a recovery orientation. ...

May 2004

Treatment Costs for Youths Receiving Multisystemic Therapy or Hospitalization After a Psychiatric Crisis

Ashli J. Sheidow, Ph.D.,
W. David Bradford, Ph.D.,
Scott W. Henggeler, Ph.D.,
Melisa D. Rowland, M.D.,
Colleen Halliday-Boykins, Ph.D.,
Sonja K. Schoenwald, Ph.D., and
David M. Ward, Ph.D.

Pages:548–554
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.548

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OBJECTIVE: The authors conducted a cost analysis for multisystemic therapy, an evidence-based treatment that is used as an intensive community-based alternative to the hospitalization of youths presenting with psychiatric emergencies. METHODS: Data from a ...

May 2004

Practitioner Relationships and Quality of Care for Low-Income Persons With Serious Mental Illness

Norma C. Ware, Ph.D.,
Toni Tugenberg, M.Ed., L.I.C.S.W., and
Barbara Dickey, Ph.D.

Pages:555–559
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.555

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OBJECTIVE: Though central to experiences of mental health care for persons with serious mental illness, relationships with practitioners have been underemphasized in recent quality-of-care research. This qualitative study described concepts of good care ...

May 2004

Use of Claims Data to Examine the Impact of Length of Inpatient Psychiatric Stay on Readmission Rate

Roberto Figueroa, M.D., M.P.P.M.,
Jeffrey Harman, Ph.D., and
John Engberg, Ph.D.

Pages:560–565
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.560

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OBJECTIVE: This study analyzed the impact of length of stay for inpatient treatment of psychiatric disorders on readmission rates. METHODS: Hospitalization data were obtained from the MarketScan data set collected by Medstat. The instrumental variable ...

May 2004

One-Year Housing Arrangements Among Homeless Adults With Serious Mental Illness in the ACCESS Program

Alvin S. Mares, Ph.D., M.S.W., and
Robert A. Rosenheck, M.D.

Pages:566–574
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.566

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OBJECTIVE: This study examined the various living arrangements among formerly homeless adults with mental illness 12 months after they entered case management. METHODS: The study surveyed 5,325 clients who received intensive case management services in ...

Brief Report

May 2004

Brief Reports: The Impact of Fear of HIPAA Violation on Patient Care

Bryan K. Touchet, M.D.,
Stephanie R. Drummond, D.O., and
William R. Yates, M.D.

Pages:575–576
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.575

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The deadline for compliance with the privacy rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) was April 14, 2003. Understandably, many psychiatrists and other mental health providers have been focusing on compliance. This ...

May 2004

Implications of Educating the Public on Mental Illness, Violence, and Stigma

Patrick W. Corrigan, Psy.D.,
Amy C. Watson, Ph.D.,
Amy C. Warpinski, B.A., and
Gabriela Gracia, B.S., B.A.

Pages:577–580
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.577

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This study examined how two types of public education programs influenced how the public perceived persons with mental illness, their potential for violence, and the stigma of mental illness. A total of 161 participants were randomly assigned to one of ...

May 2004

Reduction of Episodes of Seclusion and Restraint in a Psychiatric Emergency Service

Barbara M. D'Orio, M.D.,
David Purselle, M.D.,
Debbie Stevens, C.N.S., and
Steven J. Garlow, M.D., Ph.D.

Pages:581–583
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.581

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The authors developed a comprehensive plan focusing on the early identification and management of problematic behaviors in an effort to reduce seclusion and restraint in a psychiatric emergency service and to increase adherence to hospital standards for ...

May 2004

Need for and Use of Mental Health Services Among Parents of Children in the Head Start Program

Brian E. Razzino, Ph.D.,
Michelle New, Ph.D.,
Amy Lewin, Psy.D., and
Jill Joseph, M.D., Ph.D.

Pages:583–586
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.583

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This study examined the prevalence of psychosocial difficulties and use of mental health services among 290 parents of children in the Head Start program. Data on demographic characteristics, child behavior problems, parents' difficulties, home ...

Letters

May 2004

Patients and Families and DSM Revision Process

Richard Balon, M.D.

Page:587
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.587

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May 2004

Patients and Families and DSM Revision Process

John Z. Sadler, M.D., and
K. W. M. Fulford, D.Phil., M.B.

Pages:587-a–588
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.587-a

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May 2004

Training in Transcultural Psychiatry to Reduce Racial and Ethnic Disparities

Babatunde A. Adetunji, M.D., M.A.,
Thomas O. Osinowo, M.D., M.S., and
Adedapo B. Williams, M.D., M.R.C.Psych.

Page:588
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.588

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May 2004

Training in Transcultural Psychiatry to Reduce Racial and Ethnic Disparities

Jayme L. Opolka, M.S.,
Karen L. Rascati, Ph.D.,
Carolyn M. Brown, Ph.D., and
P. J. Gibson, Ph.D.

Pages:588-a–589
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.588-a

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May 2004

Disability Compensation for PTSD and Use of VA Mental Health Care

Nina A. Sayer, Ph.D.,
Michele Spoont, Ph.D., and
David B. Nelson, Ph.D.

Page:589
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.589

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Book Reviews: Sadness, Depression, and Hypomania: Five First-Person Accounts

May 2004

The Unholy Darkness: An Autobiography Sightlines: The View of a Valley Through the Voice of Depression How I Stayed Alive When My Brain Was Trying to Kill Me: One Person's Guide to Suicide Prevention The Thief of Happiness: The Story of an Extraordinary Psychotherapy Detour: My Bipolar Road Trip in 4-D

Jeffrey L. Geller, M.D., M.P.H.

Pages:590–593
Published Online:1 May 2004

https://doi.org/10.1176/ps.55.5.590

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Book Reviews

May 2004

Taking Psychology and Law Into the Twenty-First Century Forensic Psychology: From Classroom to Courtroom

Ira K. Packer, Ph.D.

Pages:593–594
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.593

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May 2004

Clinician's Guide to Cultural Psychiatry

Gabrielle Beaubrun, M.D.

Page:594
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.594

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May 2004

Integrated Treatment for Mood and Substance Use Disorders

Robert E. Drake, M.D.

Page:595
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.595

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May 2004

Negotiating Managed Care: A Manual for Clinicians

Jay M. Pomerantz, M.D.

Pages:595-a–596
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.595-a

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May 2004

Correctional Mental Health Handbook

Dale Rauch, M.D.

Page:596
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.596

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May 2004

Reel Psychiatry: Movie Portrayals of Psychiatric Conditions

Stuart Fischoff, Ph.D.

Pages:596-a–597
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.596-a

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May 2004

Exploring Consciousness

Michael Sheikman, M.D.

Page:597
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.597

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News & Notes

May 2004

Pages:598–599
Published Online:1 May 2004

https://doi.org/10.1176/appi.ps.55.5.598

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