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May 01, 2024 | VOL. 75, NO. 5
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Psychiatric Services

Volume 69, Issue 3

March 2018

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Taking Issue

March 2018

Limiting Prescriptions (and Clinicians) as Systems Grow

Kelly J. Kelleher, M.D., M.P.H.

Page:249
Published Online:1 March 2018

https://doi.org/10.1176/appi.ps.69303

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Reviews & Overviews

AudioEditor's Choice

March 2018

Person-Oriented Recovery of Individuals With Serious Mental Illnesses: A Review and Meta-Analysis of Longitudinal Findings

Elizabeth C. Thomas, Ph.D.,
Katie E. Despeaux, B.A.,
Amy L. Drapalski, Ph.D.,
Melanie Bennett, Ph.D.

Pages:259–267
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201700058

Abstract
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Objective:Although there is significant literature examining changes over time in the functional recovery of people with serious mental illnesses, relatively little is known about the longitudinal nature of person-oriented recovery. The purpose of this ...

March 2018

A Response to Proposed Budget Cuts Affecting Children’s Mental Health: Protecting Policies and Programs That Promote Collective Efficacy

Kimberly Eaton Hoagwood, Ph.D.,
Marc Atkins, Ph.D.,
Sarah Horwitz, Ph.D.,
Krista Kutash, Ph.D.,
S. Serene Olin, Ph.D.,
Barbara Burns, Ph.D.,
Robin Peth-Pierce, M.P.A.,
Anne Kuppinger, M.Ed.,
Geraldine Burton, F.D.C., C.F.P.A.,
Priscilla Shorter,
Kelly J. Kelleher, M.D., M.P.H.

Pages:268–273
Published Online:1 November 2017

https://doi.org/10.1176/appi.ps.201700126

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Children stand to lose if the federal government follows through on threats to cut funding for critical safety-net programs that have long supported families and communities. Although cuts directly targeting children’s mental health are a great concern, ...

Articles

Audio

March 2018

Randomized Trial of Interventions for Smoking Cessation Among Medicaid Beneficiaries With Mental Illness

Mary F. Brunette, M.D.,
Sarah I. Pratt, Ph.D.,
Stephen J. Bartels, M.D., M.S.,
Emily A. Scherer, Ph.D.,
Stacey C. Sigmon, Ph.D.,
Joelle C. Ferron, M.S.W., Ph.D.,
Meghan Santos, M.S.W.,
Gail E. Williams, B.A.,
Samuel Kosydar, B.A.,
Rosemarie S. Wolfe, M.S.,
Doris Lotz, M.D.,
Kelley Capuchino, B.A.

Pages:274–280
Published Online:15 November 2017

https://doi.org/10.1176/appi.ps.201700245

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Objective:Medicaid beneficiaries with severe mental illnesses are a financially disadvantaged group with high rates of smoking and poor cessation outcomes. This study examined whether abstinence-contingent monetary incentives improved outcomes when added ...

March 2018

Differential Reimbursement of Psychiatric Services by Psychiatrists and Other Medical Providers

Tami L. Mark, Ph.D., M.B.A.,
William Olesiuk, Ph.D.,
Mir M. Ali, Ph.D.,
Laura J. Sherman, Ph.D.,
Ryan Mutter, Ph.D.,
Judith L. Teich, M.S.W.

Pages:281–285
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201700271

Abstract
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Objective:Given low psychiatrist participation in insurance networks, this study examines how psychiatrists are reimbursed in network and out of network under commercial insurance relative to other providers for the same diagnoses and services.Methods:...

March 2018

Testing a Web-Based, Trained-Peer Model to Build Capacity for Evidence-Based Practices in Community Mental Health Systems

Ramaris E. German, Ph.D.,
Abby Adler, Ph.D.,
Sarah A. Frankel, Ph.D.,
Shannon Wiltsey Stirman, Ph.D.,
Paola Pinedo, B.A.,
Arthur C. Evans, Ph.D.,
Aaron T. Beck, M.D.,
Torrey A. Creed, Ph.D.

Pages:286–292
Published Online:15 November 2017

https://doi.org/10.1176/appi.ps.201700029

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Objective:Use of expert-led workshops plus consultation has been established as an effective strategy for training community mental health (CMH) clinicians in evidence-based practices (EBPs). Because of high rates of staff turnover, this strategy ...

March 2018

The Impact of a State Medicaid Peer-Review Authorization Program on Pediatric Use of Antipsychotic Medications

Dinci Pennap, M.P.H.,
Mehmet Burcu, Ph.D., M.S.,
Daniel J. Safer, M.D.,
Julie Magno Zito, Ph.D.

Pages:293–299
Published Online:15 November 2017

https://doi.org/10.1176/appi.ps.201700177

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Objective:This cross-sectional study assessed the impact of a peer-review program on the prevalence of pediatric antipsychotic use among Medicaid-insured youths in a Mid-Atlantic state.Methods:Medicaid claims (2010–2014) were assessed among continuously ...

March 2018

Relationship Between Pregnancy Complications and Psychiatric Disorders: A Population-Based Study With a Matched Control Group

Christina D. Kang-Yi, Ph.D.,
Sara L. Kornfield, Ph.D.,
C. Neill Epperson, M.D.,
David S. Mandell, Sc.D.

Pages:300–307
Published Online:15 November 2017

https://doi.org/10.1176/appi.ps.201700097

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Objectives:This study sought to identify whether pregnancy complications differ between women with and without a psychiatric disorder diagnosis prior to pregnancy.Methods:Women who gave birth between 2007 and 2009 in Pennsylvania and were enrolled in ...

March 2018

Message Framing and Engagement in Specialty Mental Health Care

Shahrzad Mavandadi, Ph.D.,
Erin Wright, B.A.,
Johanna Klaus, Ph.D.,
David Oslin, M.D.

Pages:308–314
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201700251

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Objective:Engagement rates in specialty mental health care for depression are suboptimal. This study examined the extent to which framing—by gain, by loss, or neutral— of health messages promotes appointment attendance among patients referred to specialty ...

Audio

March 2018

Behavioral Health Coverage Under the Affordable Care Act: What Can We Learn From Marketplace Products?

Maureen T. Stewart, Ph.D.,
Constance M. Horgan, Sc.D.,
Dominic Hodgkin, Ph.D.,
Timothy B. Creedon, M.A.,
Amity Quinn, Ph.D.,
Lindsay Garito, M.P.H., M.A.,
Sharon Reif, Ph.D.,
Deborah W. Garnick, Sc.D.

Pages:315–321
Published Online:15 December 2017

https://doi.org/10.1176/appi.ps.201700098

Abstract
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Objective:The 2008 federal parity law and the 2010 Affordable Care Act (ACA) sought to expand access to behavioral health services. There was concern that health plans might discourage enrollment by individuals with behavioral health conditions who tend ...

March 2018

Racial-Ethnic Differences in Patterns of Discontinuous Medication Treatment Among Medicaid-Insured Youths With ADHD

Xu Ji, Ph.D.,
Benjamin G. Druss, M.D., M.P.H.,
Cathy Lally, M.S.P.H.,
Janet R. Cummings, Ph.D.

Pages:322–331
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201600469

Abstract
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Objective:This study examined the association between race-ethnicity and patterns of medication gaps and discontinuities among Medicaid-insured children initiating pharmacotherapy for attention-deficit hyperactivity disorder (ADHD).Methods:Medicaid claims ...

March 2018

Factors Influencing Receipt of Mental Health Services Among Medicaid Beneficiaries With Breast Cancer

Michael T. Halpern, M.D., Ph.D., and
Mallorie H. Fiero, Ph.D.

Pages:332–337
Published Online:15 November 2017

https://doi.org/10.1176/appi.ps.201700024

Abstract
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Objective:This study examined associations of state-level Medicaid reimbursement and other policies and patient characteristics with receipt of mental health diagnostic and treatment services for beneficiaries with cancer.Methods:Data (2006–2008) from ...

Open Forum

Editor's Choice

March 2018

Methadone Maintenance Treatment for Older Adults: Cost and Logistical Considerations

Brandi P. Cotton, Ph.D., M.S.N.,
William Culbertson Bryson, M.D., M.P.H.,
Martha L. Bruce, Ph.D., M.P.H.

Pages:338–340
Published Online:1 November 2017

https://doi.org/10.1176/appi.ps.201700137

Abstract
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In a demographic shift, older adults now comprise an increasing proportion of those receiving methadone maintenance treatment (MMT) for opioid use disorder. A study of MMT recipients in New York City suggests that 13% of the population is over 60 years of ...

Datapoints

March 2018

The Extent to Which Psychiatrists Diagnose and Treat Substance Use Disorders

Tami L. Mark, Ph.D., M.B.A., and
Angélica Meinhofer, Ph.D.

Page:250
Published Online:16 January 2018

https://doi.org/10.1176/appi.ps.201700457

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Promoting High-Value Mental Health Care

Audio

March 2018

A Proactive Behavioral Health Service Model to Address Use of Constant Observation in a General Hospital

Aaron Pinkhasov, M.D.,
Deepan Singh, M.D.,
Sridivya Chavali, M.B.B.S.,
Lori Legrand, L.C.S.W.,
Rose Calixte, Ph.D.

Pages:251–253
Published Online:16 January 2018

https://doi.org/10.1176/appi.ps.201700456

Abstract
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In hospitals, use of constant observation (CO) causes significant economic burden without demonstrated reduction in adverse events. A novel quality improvement (QI) project was developed to reduce use of CO by integrating proactive behavioral health ...

Integrated Care

Editor's Choice

March 2018

Psychiatry’s Role in Improving the Physical Health of Patients With Serious Mental Illness: A Report From the American Psychiatric Association

Benjamin G. Druss, M.D., M.P.H.,
Lydia Chwastiak, M.D., M.P.H.,
John Kern, M.D.,
Joseph J. Parks, M.D.,
Martha C. Ward, M.D.,
Lori E. Raney, M.D.

Pages:254–256
Published Online:1 February 2018

https://doi.org/10.1176/appi.ps.201700359

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The American Psychiatric Association Integrated Care Workgroup recently convened an expert panel charged with addressing the role of psychiatry in improving the physical health of persons with serious mental illness. The group reviewed the peer-reviewed ...

Personal Accounts

March 2018

Wellness Benefits of a Social Security Exit Plan

George H. Brice, M.S.W.

Pages:257–258
Published Online:1 March 2018

https://doi.org/10.1176/appi.ps.69301

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Frontline Reports

March 2018

The Doctor Is (Virtually) In: Using Electronic Consultation to Provide Prompt Psychiatric Services

Douglas Archibald, Ph.D.,
Clare Liddy, M.D., M.Sc.,
Erin J. Keely, M.D.

Page:362
Published Online:1 March 2018

https://doi.org/10.1176/appi.ps.69302

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Brief Reports

March 2018

Past-Year Treatment Utilization Among Individuals Meeting DSM-5 PTSD Criteria: Results From a Nationally Representative Sample

Andrew C. Hale, Ph.D.,
Rebecca K. Sripada, Ph.D.,
Kipling M. Bohnert, Ph.D.

Pages:341–344
Published Online:15 December 2017

https://doi.org/10.1176/appi.ps.201700021

Abstract
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Objective:Little is known regarding treatment utilization among individuals meeting DSM-5 criteria for posttraumatic stress disorder (PTSD).Methods:Data were analyzed from the third wave of the National Epidemiologic Survey on Alcohol and Related ...

March 2018

Clinical Consensus Recommendations for Urine Testing of Adherence to Antipsychotics Among People With Serious Mental Illness

Amy N. Cohen, Ph.D.,
Gretchen Collins, M.D.,
Frederick Charles Nucifora, Ph.D., D.O.,
Roddy Strobel, M.D.,
David B. Wait, M.D.,
Alexander S. Young, M.D., M.S.H.S.

Pages:345–348
Published Online:15 December 2017

https://doi.org/10.1176/appi.ps.201700082

Abstract
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Objective:This study developed clinical recommendations for the use of proven urine testing technologies to assess antipsychotic medication adherence among people with serious mental illness.Methods:Guided by the RAND/UCLA Appropriateness Method, ...

Editor's Choice

March 2018

Use of a Mental Health Center Collaborative Care Team to Improve Diabetes Care and Outcomes for Patients With Psychosis

Lydia A. Chwastiak, M.D., M.P.H.,
Mina Luongo, R.N.,
Joan Russo, Ph.D.,
Lisa Johnson, A.R.N.P.,
Jessica M. Lowe, B.A.,
Gail Hoffman, B.A.,
Michael G. McDonell, Ph.D.,
Brent Wisse, M.D.

Pages:349–352
Published Online:1 December 2017

https://doi.org/10.1176/appi.ps.201700153

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Objective:This study aimed to evaluate the feasibility, acceptability, and preliminary effectiveness (compared with usual care) of a collaborative care model to treat community mental health center (CMHC) patients with psychosis and poorly controlled ...

March 2018

All-Cause, 30-Day Readmissions Among Persons With Intellectual and Developmental Disabilities and Mental Illness

Robert Balogh, Ph.D., B.H.Sc.(P.T.),
Elizabeth Lin, Ph.D.,
Kristin Dobranowski, M.H.Sc.,
Avra Selick, M.A.,
Andrew S. Wilton, M.Sc.,
Yona Lunsky, Ph.D., C.Psych.

Pages:353–357
Published Online:15 November 2017

https://doi.org/10.1176/appi.ps.201600534

Abstract
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Objective:Early hospital readmissions within 30 days of discharge are common and costly. This research describes predictors of all-cause, 30-day hospital readmissions among persons with intellectual and developmental disabilities (IDD), a group known to ...

Editor's Choice

March 2018

Family Involvement in the Clinical Care of Clients With First-Episode Psychosis in the RAISE Connection Program

Amy L. Drapalski, Ph.D.,
Sarah Piscitelli, M.A.,
Rufina J. Lee, M.S.W.,
Deborah Medoff, Ph.D.,
Lisa B. Dixon, M.D., M.P.H.

Pages:358–361
Published Online:1 November 2017

https://doi.org/10.1176/appi.ps.201700080

Abstract
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Objective:This study described how families were involved in the RAISE Connection Program for clients with first-episode psychosis (FEP) and examined factors that predicted family involvement.Methods:Presence of family members at clinical visits for 65 ...

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