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July 01, 2024 | VOL. 75, NO. 7
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Psychiatric Services

Volume 72, Issue 3

March 2021

Cover: Photo by Antonio Olid on Shutterstock

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Taking Issue

March 2021

Closing the Gap: Better Health Care for Young Adults With First-Episode Psychosis

Stephanie A. Rolin, M.D., M.P.H., and
Misty C. Richards, M.D., M.S.

Page:241
Published Online:1 March 2021

https://doi.org/10.1176/appi.ps.72305

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Articles

March 2021

The Early Impact of the COVID-19 Pandemic on Acute Care Mental Health Services

Mohammed J. Abbas, M.R.C.Psych., M.B.Ch.B.,
Golo Kronenberg, M.D.,
Martin McBride, M.B.Ch.B., B.Med.Sci.,
Damodar Chari, M.B.B.S., D.P.M.,
Faisel Alam, M.B.B.S., M.Res.,
Elizabeta Mukaetova-Ladinska, Ph.D., M.R.C.Psych.,
Mohammed Al-Uzri, M.D., F.R.C.Psych.,
Traolach Brugha, M.D., F.R.C.Psych.

Pages:242–246
Published Online:20 October 2020

https://doi.org/10.1176/appi.ps.202000467

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Objective:This study aimed to explore the effects of COVID-19 and the lockdown measures adopted in England on patients with acute mental illness.Methods:The authors analyzed referrals to the crisis resolution and home treatment (CRHT) team and inpatient ...

March 2021

Using Claims Data to Assess Treatment Quality of First-Episode Psychosis

Christopher Reist, M.D., M.B.A.,
Elise Valdes, Ph.D., M.S.,
Yingqian Ren, Ph.D., M.S.,
Abel Wright, M.S.,
Jose M. Rubio, M.D.

Pages:247–253
Published Online:10 November 2020

https://doi.org/10.1176/appi.ps.201900595

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Objective:Coordinated specialty care (CSC) has become the standard of care for first-episode psychosis (FEP). The gap between CSC best practices and the actual care delivered is unknown. This longitudinal study aimed to measure that gap by using a large ...

March 2021

Structural Disadvantage and Culture, Race, and Ethnicity in Early Psychosis Services: International Provider Survey

Nev Jones, Ph.D.,
Sarah Kamens, Ph.D.,
Oladunni Oluwoye, Ph.D.,
Franco Mascayano, M.P.H.,
Chris Perry, L.F.M.T.,
Marc Manseau, M.D., M.P.H.,
Michael T. Compton, M.D., M.P.H.

Pages:254–263
Published Online:12 January 2021

https://doi.org/10.1176/appi.ps.202000211

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Objective:Little is known about provider perspectives on programmatic responses to structural disadvantage and cultural differences within early intervention in psychosis (EIP) services, programs, and models. The primary objective of this study was to ...

March 2021

Opioid and Nonpharmacologic Treatments Among Soldiers With Chronic Pain and Posttraumatic Stress Disorder

Mayada Saadoun, M.D., M.Sc.,
Mark R. Bauer, M.D.,
Rachel Sayko Adams, Ph.D., M.P.H.,
Krista Beth Highland, Ph.D.,
Mary Jo Larson, Ph.D., M.P.A.

Pages:264–272
Published Online:20 January 2021

https://doi.org/10.1176/appi.ps.201900303

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Objective:This study examined the prevalence of chronic pain alone, posttraumatic stress disorder (PTSD) alone, and both chronic pain and PTSD among U.S. Army soldiers during the postdeployment year.Methods:The sample was 576,425 active duty soldiers ...

March 2021

Predictors of Mental Health Crises Among Individuals With Intellectual and Developmental Disabilities Enrolled in the START Program

Luther G. Kalb, Ph.D.,
Joan B. Beasley, Ph.D.,
Andrea Caoili, L.C.S.W.,
Jennifer L. McLaren, M.D.,
Jarrett Barnhill, M.D.

Pages:273–280
Published Online:18 December 2020

https://doi.org/10.1176/appi.ps.202000301

Abstract
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Objective:Individuals with intellectual and developmental disabilities disproportionately use emergency psychiatric services compared with their neurotypical peers, suggesting that such individuals and their supports are at increased risk for crisis ...

March 2021

Implementation of a Community-Partnered Research Suicide-Risk Management Protocol: Case Study From Community Partners in Care

Nichole Goodsmith, M.D., Ph.D.,
Lily Zhang, M.S.,
Michael K. Ong, M.D., Ph.D.,
Victoria K. Ngo, Ph.D.,
Jeanne Miranda, Ph.D.,
Susan Hirsch, M.P.H.,
Felica Jones, A.A.,
Kenneth Wells, M.D., M.P.H.,
Bowen Chung, M.D., M.S.H.S.

Pages:281–287
Published Online:27 January 2021

https://doi.org/10.1176/appi.ps.202000095

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Objective:Suicidality is common among participants in clinical trials and health services research, but approaches to suicide risk assessment and mitigation vary widely. Studies involving vulnerable populations with limited access to care raise additional ...

March 2021

Computerized Conjoint Analysis of the Weight Treatment Preferences of Individuals With Schizophrenia

Nichole Goodsmith, M.D., Ph.D.,
Amy N. Cohen, Ph.D.,
Anthony W. P. Flynn, B.A.,
Alison B. Hamilton, Ph.D., M.P.H.,
Gerhard Hellemann, Ph.D.,
Nancy Nowlin-Finch, M.D.,
Alexander S. Young, M.D., M.S.H.S.

Pages:288–294
Published Online:12 January 2021

https://doi.org/10.1176/appi.ps.202000068

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Objective:Innovative approaches are needed for assessing treatment preferences of individuals with schizophrenia. Conjoint analysis methods may help to identify preferences, but the usability and validity of these methods for individuals with ...

March 2021

Psychopharmaceutical Prescription Monitoring for Children in the Child Welfare System

Rameela Raman, Ph.D.,
Ryan T. Jarrett, B.A.,
Michael J. Cull, Ph.D.,
Kathy Gracey, M.Ed.,
April M. Shaffer, M.P.H.,
Richard A. Epstein, Ph.D., M.P.H.

Pages:295–301
Published Online:20 January 2021

https://doi.org/10.1176/appi.ps.202000077

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Objective:Children in the child welfare system are more likely to receive psychotropic medication prescriptions than children in the general population. The authors used prescription- and administrative-level data to quantify variability in prescribing ...

Reviews & Overviews

March 2021

Digital Technologies and Coercion in Psychiatry

Nathaniel P. Morris, M.D.

Pages:302–310
Published Online:12 January 2021

https://doi.org/10.1176/appi.ps.202000427

Abstract
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Psychiatry has a contentious history of coercion in the care of patients with mental illness, and legal frameworks often govern use of coercive interventions, such as involuntary hospitalization, physical restraints, and medication over objection. ...

Special Articles

March 2021

Preventing Risk and Promoting Young Children’s Mental, Emotional, and Behavioral Health in State Mental Health Systems

Kimberly Eaton Hoagwood, Ph.D.,
Kelly Kelleher, M.D.,
Nathaniel Z. Counts, J.D.,
Suzanne Brundage, M.Sc.,
Robin Peth-Pierce, M.P.A.

Pages:311–316
Published Online:10 November 2020

https://doi.org/10.1176/appi.ps.202000147

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Early neural development and maternal health have critical long-term effects on children’s mental health and outcomes later in life. As child mental disorders continue to rise nationwide, a number of states are considering new ways of investing in the ...

Editor's Choice

March 2021

Addressing Intersecting Social and Mental Health Needs Among Transition-Age Homeless Youths: A Review of the Literature

Dominika A. Winiarski, Ph.D.,
Angela C. Glover, B.A.,
Dawn T. Bounds, Ph.D., P.M.H.N.P.-B.C.,
Niranjan S. Karnik, M.D., Ph.D.

Pages:317–324
Published Online:5 January 2021

https://doi.org/10.1176/appi.ps.201900498

Abstract
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Homelessness among youths is a poorly understood and complex social phenomenon. The authors examined the risk factors for homelessness among transition-age young adults, including the unique mental health concerns that often perpetuate the cycle of ...

Brief Reports

March 2021

Evidence-Based Assessment in Routine Mental Health Services for Youths

Evelyn Cho, M.A.,
Siena K. Tugendrajch, M.A.,
Brigid R. Marriott, M.A.,
Kristin M. Hawley, Ph.D.

Pages:325–328
Published Online:3 November 2020

https://doi.org/10.1176/appi.ps.201900537

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Objective:Evidence-based assessment (EBA) plays a critical role in the delivery of effective treatments. However, little is known about the assessment practices of mental health clinicians who treat youths and the factors that support EBA. The authors ...

March 2021

The Potential Impact of Job Automation on Veterans in Vocational Rehabilitation Programs

Jack Tsai, Ph.D.,
Kandarp Mehta, M.S.,
Eric Elbogen, Ph.D.

Pages:329–332
Published Online:19 August 2020

https://doi.org/10.1176/appi.ps.202000172

Abstract
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Objective:The study aimed to examine the potential impact of job automation on veterans in the largest U.S. vocational rehabilitation program, the Compensated Work Therapy (CWT) program.Methods:Sixty-two CWT managers were surveyed about common jobs that ...

March 2021

Rates of Cognitive and Functional Impairments Among Sheltered Adults Experiencing Homelessness

Zanjbeel Mahmood, M.S.,
Lea Vella, Ph.D.,
Jacqueline E. Maye, Ph.D.,
Amber V. Keller, B.A.,
Ryan Van Patten, Ph.D.,
Jillian M. R. Clark, Ph.D.,
Elizabeth W. Twamley, Ph.D.

Pages:333–337
Published Online:5 January 2021

https://doi.org/10.1176/appi.ps.202000065

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Objective:This study examined rates of objective cognitive and functional impairments and associations between cognitive performance and performance-based functional capacity in a well-characterized sample of adults experiencing homelessness.Methods:One ...

March 2021

U.S. Health Care Reform and Enduring Barriers to Mental Health Care Among Low-Income Adults With Psychological Distress

Ramin Mojtabai, M.D., Ph.D.

Pages:338–342
Published Online:20 January 2021

https://doi.org/10.1176/appi.ps.202000194

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Objective:The author aimed to assess changes in mental health service use, unmet need for mental health care, and barriers to obtaining care among low-income adults after the implementation of the Affordable Care Act in 2014.Methods:Data on 15,968 adults ...

Open Forum

March 2021

The Three Cs of Disclosing Serious Mental Illness at Work: Control, Conditions, Costs

Marjorie L. Baldwin, Ph.D.

Pages:344–346
Published Online:20 January 2021

https://doi.org/10.1176/appi.ps.202000160

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This Open Forum describes a framework for analyzing factors that influence an individual’s decision to disclose serious mental illness in the competitive workplace. The disclosure decision is multifaceted, organized in dimensions of control, conditions, ...

Personal Accounts

March 2021

My Benefits From Electroconvulsive Therapy—What a Psychiatrist Learned by Being a Patient

Rebecca E. Barchas, M.D.

Pages:347–348
Published Online:10 November 2020

https://doi.org/10.1176/appi.ps.72301

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Social Determinants of Mental Health

Editor's Choice

March 2021

Addressing the Urgent Housing Needs of Vulnerable Women in the Era of COVID-19: The Los Angeles County Experience

Nichole Goodsmith, M.D., Ph.D.,
Roya Ijadi-Maghsoodi, M.D., M.S.H.P.M.,
Rebeca M. Melendez, M.A.Hum.,
Emily C. Dossett, M.D., M.T.S.

Pages:349–352
Published Online:10 November 2020

https://doi.org/10.1176/appi.ps.202000318

Abstract
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For people experiencing homelessness, COVID-19 underscores existing health and social inequities, introduces additional threats to health and safety, and calls for rapid and creative solutions to reduce risk. This column focuses on the particular ...

Culture & Mental Health Services

March 2021

Rethinking Interpreter Functions in Mental Health Services

Doris F. Chang, Ph.D.,
Elaine Hsieh, Ph.D., J.D.,
William B. Somerville, Ph.D.,
Jon Dimond, Ph.D.,
Monica Thomas, Ph.D.,
Andel Nicasio, Ph.D.,
Marit Boiler, M.P.H.,
Roberto Lewis-Fernández, M.D.

Pages:353–357
Published Online:29 September 2020

https://doi.org/10.1176/appi.ps.202000085

Abstract
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Interpreters improve access to care for patients with limited English proficiency (LEP), but some studies have reported poorer cultural understanding, relationship quality, and patient satisfaction than with language-concordant care. Use of interpreter ...

State Mental Health Policy

March 2021

Developing Regional Mental Health Priorities: Mixed-Methods Needs Assessment of Eight States in the Southeastern United States

Elizabeth Reisinger Walker, Ph.D., M.P.H.,
Emily Moore, M.P.H.,
Stephanie Tapscott, M.S.,
Melissa Alperin, Ed.D., M.P.H.,
Janet R. Cummings, Ph.D.,
Benjamin G. Druss, M.D., M.P.H.

Pages:358–361
Published Online:25 November 2020

https://doi.org/10.1176/appi.ps.202000141

Abstract
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State mental health agencies (SMHAs), which provide a variety of services to meet their residents’ mental health needs, typically work within their own state, with little opportunity for cross-state collaboration and information exchange. This column ...

March 2021

A Second-Opinion Program for the Care of Youths Prescribed Five or More Psychotropics in Washington State

Rebecca P. Barclay, M.D.,
Erin Dillon-Naftolin, M.D.,
Douglas Russell, M.D.,
Robert J. Hilt, M.D.

Pages:362–365
Published Online:3 September 2020

https://doi.org/10.1176/appi.ps.202000234

Abstract
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This retrospective study describes a second-opinion review program for the care of children in Washington State who received Medicaid coverage and who were prescribed five or more psychotropic medications, primarily by mental health specialists. In total, ...

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