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Psychiatric Services

Volume 65, Issue 10

October 2014

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Taking Issue

October 2014

How I Stopped Fearing Technology-Based Interventions

Dror Ben-Zeev, Ph.D.

Page:1183
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.651005

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This Month's Highlights

October 2014

This Month’s Highlights

Page:1185
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.6510TMH

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Columns

October 2014

Law & Psychiatry: Hall v. Florida: Defining Intellectual Disability in the Shadow of the Death Penalty

Paul S. Appelbaum, M.D.

Pages:1186–1188
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.651004

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The Supreme Court decision in Hall v. Florida may be a sign of a new, more positive attitude by the court toward mental health expertise, according to the Law & Psychiatry column. In siding with the APA and other professional groups, the court ruled that ...

October 2014

Economic Grand Rounds: Treatment Participation and Medication Adherence: Effects on Criminal Justice Costs of Persons With Mental Illness

Allison G. Robertson, Ph.D., M.P.H.,
Jeffrey W. Swanson, Ph.D.,
Richard A. Van Dorn, Ph.D., and
Marvin S. Swartz, M.D.

Pages:1189–1191
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201400247

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Little empirical research has directly examined the extent to which early and consistent participation in outpatient services and adherence to prescribed psychotropic medications after a psychiatric hospitalization can help people with serious mental ...

October 2014

Personal Accounts: How I Learned to Live With Mental Illness

Mark Stone

Pages:1192–1193
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.651001

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Articles

October 2014

Reduction in Incidence of Hospitalizations for Psychotic Episodes Through Early Identification and Intervention

William R. McFarlane, M.D.,
Ezra Susser, M.D., Dr.P.H.,
Richard McCleary, Ph.D.,
Mary Verdi, M.A.,
Sarah Lynch, L.C.S.W.,
Deanna Williams, B.S., and
Ian W. McKeague, Ph.D.

Pages:1194–1200
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300336

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First hospital admissions for psychosis dropped by one-third among young residents of Portland, Maine, following the introduction of an aggressive early intervention program that involves the whole city. Since 2001, the Portland Identification and Early ...

October 2014

Employment Status of People With Mental Illness: National Survey Data From 2009 and 2010

Alison Luciano, Ph.D., and
Ellen Meara, Ph.D.

Pages:1201–1209
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300335

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As sheltered work for persons with mental illness is defunded, persons with mental illness are increasingly affected by the same forces that shape the broader economy. This study examined employment survey data from 2009 and 2010, a period of slow ...

October 2014

Variation in Long-Term Antipsychotic Polypharmacy and High-Dose Prescribing Across Physicians and Hospitals

Eric A. Latimer, Ph.D.,
Adonia Naidu, M.Sc., R.N.,
Erica E. M. Moodie, Ph.D.,
Robin E. Clark, Ph.D.,
Ashok K. Malla, M.B.B.S., F.R.C.P.C.,
Robyn Tamblyn, Ph.D., and
Willy Wynant, M.S.

Pages:1210–1217
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300217

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ObjectivesThis study had two aims: to measure the prevalence of long-term prescribing of high doses of antipsychotics and antipsychotic polypharmacy in a large Canadian province and to estimate the relative contributions of patient-, physician-, and ...

October 2014

Educational Gradients in Psychotropic Medication Use Among Older Adults in Costa Rica and the United States

Marisa Elena Domino, Ph.D.,
William H. Dow, Ph.D., and
Fernando Coto-Yglesias, M.D.

Pages:1218–1225
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300092

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ObjectiveThe relationship of education, psychiatric diagnoses, and use of psychotropic medication has been explored in the United States, but little is known about this relationship in poorer countries, despite the high burden of mental illness in these ...

October 2014

Consumption of Antidepressants in Italy: Recent Trends and Their Significance for Public Health

Maria Rosaria Gualano, M.D.,
Fabrizio Bert, M.D.,
Alice Mannocci, Ph.D.,
Giuseppe La Torre, M.D.,
Patrizia Zeppegno, M.D., and
Roberta Siliquini, M.D.

Pages:1226–1231
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300510

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Like the rest of the world, Italy has experienced a surge in use of antidepressants. As this study documents, use of antidepressants in Italy increased fourfold between 2001 and 2011, a period that saw the introduction of SSRIs, the arrival of several new ...

October 2014

RCT of a Brief Phone-Based CBT Intervention to Improve PTSD Treatment Utilization by Returning Service Members

Tracy Stecker, Ph.D.,
Gregory McHugo, Ph.D.,
Haiyi Xie, Ph.D.,
Katrina Whyman, B.A., and
Meissa Jones, B.A.

Pages:1232–1237
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300433

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Worried about their reputation and career prospects, returning service members with PTSD may avoid seeking treatment. In a randomized controlled trial, the authors examined engagement in treatment and symptoms among veterans with PTSD who received a brief ...

October 2014

Treatment of Veterans With PTSD at a VA Medical Center: Primary Care Versus Mental Health Specialty Care

Dolores Vojvoda, M.D.,
Elina Stefanovics, Ph.D., and
Robert A. Rosenheck, M.D.

Pages:1238–1243
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300204

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ObjectiveRecent military conflicts have generated significantly more demand for treatment of posttraumatic stress disorder (PTSD) as well as concerns about the adverse effects of stigma associated with specialty mental health care. This study examined the ...

October 2014

Associations of Psychotherapy Dose and SSRI or SNRI Refills With Mental Health Outcomes Among Veterans With PTSD

Hana J. Shin, Ph.D.,
Mark A. Greenbaum, M.S., M.A.,
Shaili Jain, M.D., and
Craig S. Rosen, Ph.D.

Pages:1244–1248
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300234

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ObjectiveThis study assessed associations between psychotherapy and pharmacotherapy for posttraumatic stress disorder (PTSD) and longitudinal changes in PTSD, depression, and mental health functioning among U.S. veterans diagnosed as having PTSD.Methods...

October 2014

Mental Health Service Use Among African-American Emerging Adults, by Provider Type and Recency of Use

Sha-Lai L. Williams, Ph.D.

Pages:1249–1255
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300329

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ObjectiveThis study examined factors associated with mental health service utilization among African-American emerging adults, specifically, when services were used (recency) and the types of providers visited (mental health versus non–mental health)....

October 2014

Impact of a Culturally Focused Psychiatric Consultation on Depressive Symptoms Among Latinos in Primary Care

C. Andres Bedoya, Ph.D.,
Lara Traeger, Ph.D.,
Nhi-Ha T. Trinh, M.D., M.P.H.,
Trina E. Chang, M.D., M.P.H.,
Charlotte D. Brill, B.A.,
Katherine Hails, B.A.,
Patrick N. Hagan, B.A.,
Katherine Flaherty, Sc.D., and
Albert Yeung, M.D., Sc.D.

Pages:1256–1262
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300088

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ObjectiveA culturally focused psychiatric (CFP) consultation service was implemented to increase engagement in mental health care and reduce depressive symptoms among adult Latino primary care patients. The aim of this study was to assess preliminary ...

Open Forum

October 2014

Erasing Stigma Is Much More Than Changing Words

Patrick W. Corrigan, Psy.D.

Pages:1263–1264
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201400113

Abstract
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Some have argued that giving schizophrenia another name—“dopamine dysregulation disorder” or “youth onset conative, cognitive and reality distortion”—will erase stigma. “I admire the spirit of these efforts,” writes the author of this month’s Open Forum, “...

Brief Reports

October 2014

Stigma and Public Support for Parity and Government Spending on Mental Health: A 2013 National Opinion Survey

Colleen L. Barry, Ph.D., M.P.P., and
Emma E. McGinty, Ph.D., M.S.

Pages:1265–1268
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300550

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ObjectiveThe study examined attitudes among Americans about policies to require insurance parity for mental health and substance abuse benefits and to increase government spending on mental health treatment.MethodsA Web-based public opinion survey was ...

October 2014

Stigma, Discrimination, Treatment Effectiveness, and Policy: Public Views About Drug Addiction and Mental Illness

Colleen L. Barry, Ph.D., M.P.P.,
Emma E. McGinty, Ph.D., M.S.,
Bernice A. Pescosolido, Ph.D., and
Howard H. Goldman, M.D., Ph.D.

Pages:1269–1272
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201400140

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ObjectivePublic attitudes about drug addiction and mental illness were compared.MethodsA Web-based national survey (N=709) was conducted to compare attitudes about stigma, discrimination, treatment effectiveness, and policy support in regard to drug ...

October 2014

Efforts to Reduce Seclusion and Restraint Use in a State Psychiatric Hospital: A Ten-Year Perspective

Alok Madan, Ph.D., M.P.H.,
Jeffrey J. Borckardt, Ph.D.,
Anouk L. Grubaugh, Ph.D.,
Carla Kmett Danielson, Ph.D.,
Stephen McLeod-Bryant, M.D.,
Harriet Cooney, M.S.N.,
Joan Herbert, M.S.,
Susan J. Hardesty, M.D., and
B. Christopher Frueh, Ph.D.

Pages:1273–1276
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300383

Abstract
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ObjectiveThe authors previously demonstrated an 82.3% reduction in seclusion and restraint use at an inpatient psychiatric facility, largely attributable to changes to the physical environment. This study investigated whether the reduction was sustained ...

October 2014

Anatomy of a Transformation: A Systematic Effort to Reduce Mechanical Restraints at a State Psychiatric Hospital

Jenna L. Godfrey, Ph.D.,
Amanda C. McGill, R.N., M.S.N.,
Nicole Tuomi Jones, Ph.D.,
Stephen L. Oxley, M.D., and
Robyn M. Carr, M.P.A.

Pages:1277–1280
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300247

Abstract
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ObjectiveThe authors describe efforts to reduce use of mechanical restraints at a state psychiatric hospital.MethodsData were collected for individuals admitted to the acute adult unit (AAU) (N=2,910) and the community transition unit (CTU) (N=334) over ...

October 2014

Foster Care, Externalizing Disorders, and Antipsychotic Use Among Medicaid-Enrolled Youths

Lauren Vanderwerker, Ph.D.,
Ayse Akincigil, Ph.D.,
Mark Olfson, M.D., M.P.H.,
Tobias Gerhard, Ph.D.,
Sheree Neese-Todd, M.A., and
Stephen Crystal, Ph.D.

Pages:1281–1284
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201300455

Abstract
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ObjectivesThe authors investigated the extent to which clinical diagnoses of externalizing disorders explain higher rates of antipsychotic use by foster care youths.MethodsMedicaid claims data from 44 states for 2009 for youths in foster care (N=301,894) ...

Letters

October 2014

Antidepressant Prescribing in Elderly Populations

Ilse R. Wiechers, M.D., M.P.P., and
Donovan T. Maust, M.D., M.S.

Page:1285
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.651003

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October 2014

Antidepressant Prescribing in Elderly Populations: In Reply

Gregory E. Simon, M.D., M.P.H.

Pages:1285–1286
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.651009

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October 2014

Do Organizations Forming ACOs Have Mental Health Providers?

Donovan T. Maust, M.D., M.S., and
Kara Zivin, Ph.D.

Pages:1286–1287
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201400149

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October 2014

Assessing Online Dietary Information for People With Schizophrenia

Paul Gorczynski, M.A., Ph.D.,
Hiren Patel, B.Sc., M.Sc., and
Rohan Ganguli, M.D., F.R.C.P.(C.)

Page:1286
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.201400205

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News and Notes

October 2014

Pages:1288–1289
Published Online:1 October 2014

https://doi.org/10.1176/appi.ps.6510news

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