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

Volume 72, Issue 8

August 2021

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Taking Issue

August 2021

Improving Access to Care for Patients With Opioid Use Disorder Requires a Health Equity Lens

Danielle S. Jackson, M.D., M.P.H.,
Shea Jorgensen, M.D.,
Lilanthi Balasuriya, M.D., M.M.S.

Page:865
Published Online:1 August 2021

https://doi.org/10.1176/appi.ps.72802

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Articles

August 2021

Interpersonal Psychotherapy of Posttraumatic Stress Disorder for Veterans and Family Members: An Open Trial

Alison Pickover, Ph.D.,
Ari Lowell, Ph.D.,
Amit Lazarov, Ph.D.,
Andrea Lopez-Yianilos, Psy.D.,
Arturo Sanchez-Lacay, M.D., M.P.H.,
Matthew Ryba, B.S.,
Sara Such, B.A.,
Shay Arnon, B.A.,
Doron Amsalem, M.D.,
Yuval Neria, Ph.D.,
John C. Markowitz, M.D.

Pages:866–873
Published Online:9 February 2021

https://doi.org/10.1176/appi.ps.202000355

Abstract
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Objective: Military service members and veterans have high rates of posttraumatic stress disorder (PTSD), as do military family members. Exposure-based, cognitive-behavioral approaches have received ample research, but other PTSD therapies require ...

August 2021

Rural-Urban Differences in Physician Bias Toward Patients With Opioid Use Disorder

Berkeley Franz, Ph.D., M.A.,
Lindsay Y. Dhanani, Ph.D.,
William C. Miller, M.D., Ph.D.

Pages:874–879
Published Online:24 February 2021

https://doi.org/10.1176/appi.ps.202000529

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Objective: Effective treatments for opioid use disorder exist, but rural areas of the United States have a shortage of services offering such treatments. Physician bias toward patients with opioid use disorder can also limit care access, but no studies ...

Editor's Choice

August 2021

Housing Is Mental Health Care: A Call for Medicaid Demonstration Waivers Covering Housing

Jennifer Mathis, J.D.

Pages:880–884
Published Online:18 December 2020

https://doi.org/10.1176/appi.ps.202000252

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Housing is critical to enabling people with serious mental illnesses to live successfully in their communities. Yet unlike other essential community-based services, housing cannot be covered under the Medicaid program, which guarantees states federal ...

August 2021

A Clinical Decision Support System to Prevent Aggression and Reduce Restrictive Practices in a Forensic Mental Health Service

Jessica J. Griffith, B.Sc., D.Psych.,
Denny Meyer, B.Sc., Ph.D.,
Tessa Maguire, Ph.D.,
James R. P. Ogloff, J.D., Ph.D.,
Michael Daffern, M.Psych., Ph.D.

Pages:885–890
Published Online:17 May 2021

https://doi.org/10.1176/appi.ps.202000315

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Objective: Preventing aggression and reducing restrictive practices in mental health units rely on routine, accurate risk assessment accompanied by appropriate and timely intervention. The authors studied the use of an electronic clinical decision ...

August 2021

Brief Screening Tool for Stepped-Care Management of Mental and Substance Use Disorders

Kathryn L. Lovero, Ph.D.,
Cale Basaraba, M.P.H.,
Saida Khan, M.A.,
Antonio Suleman, M.D.,
Dirceu Mabunda, M.D.,
Paulino Feliciano, B.S.,
Palmira dos Santos, Ph.D.,
Wilza Fumo, M.D.,
Flavio Mandlate, M.D.,
M. Claire Greene, Ph.D.,
Andre Fiks Salem, B.S.,
Jennifer J. Mootz, Ph.D.,
Ana Olga Mocumbi, M.D.,
Cristiane S. Duarte, Ph.D., M.P.H.,
Lidia Gouveia, M.D.,
Maria A. Oquendo, M.D., Ph.D.,
Melanie M. Wall, Ph.D.,
Milton L. Wainberg, M.D.

Pages:891–897
Published Online:17 May 2021

https://doi.org/10.1176/appi.ps.202000504

Abstract
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Objective: Stepped mental health care requires a rapid method for nonspecialists to detect illness. This study aimed to develop and validate a brief instrument, the Mental Wellness Tool (mwTool), for identification and classification. Methods: Cross-...

August 2021

“What Will Happen If I Say Yes?” Perspectives on a Standardized Firearm Access Question Among Adults With Depressive Symptoms

Julie E. Richards, Ph.D., M.P.H.,
Sarah D. Hohl, Ph.D., M.P.H.,
Courtney D. Segal, B.A.,
David C. Grossman, M.D., M.P.H.,
Amy K. Lee, M.P.H.,
Ursula Whiteside, Ph.D.,
Casey Luce, M.S.P.H.,
Evette J. Ludman, Ph.D.,
Greg Simon, M.D., M.P.H.,
Robert B. Penfold, Ph.D.,
Emily C. Williams, Ph.D., M.P.H.

Pages:898–904
Published Online:4 May 2021

https://doi.org/10.1176/appi.ps.202000187

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Objective: Addressing firearm access is recommended when patients are identified as being at risk of suicide. However, the practice of assessing firearm access is controversial, and no national guidelines exist to inform practice. This study ...

August 2021

Effects of the ACA on Health Care Coverage for Adults With Substance Use Disorders

Mark Olfson, M.D., M.P.H.,
Melanie M. Wall, Ph.D.,
Colleen L. Barry, Ph.D., M.P.P.,
Christine Mauro, Ph.D.,
C. Jean Choi, M.S.,
Ramin Mojtabai, M.D., Ph.D.

Pages:905–911
Published Online:7 May 2021

https://doi.org/10.1176/appi.ps.202000377

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Objective: The authors assessed changes in health care coverage in nationally representative samples of low- and middle-income adults with and without substance use disorders following the 2014 Affordable Care Act marketplace launch and Medicaid ...

August 2021

Registry-Managed Care Coordination and Education for Patients With Co-occurring Diabetes and Serious Mental Illness

Judith A. Cook, Ph.D.,
Jessica A. Jonikas, M.A.,
Pamela J. Steigman, M.A.,
Crystal M. Glover, Ph.D.,
Jane K. Burke-Miller, Ph.D.,
Joni Weidenaar, M.P.H., M.B.A.,
Sheila O’Neill, M.S.W.,
Debbie Pavick, M.S.W.,
Asma Jami, M.D.,
Charles J. Santos, M.D.

Pages:912–919
Published Online:23 April 2021

https://doi.org/10.1176/appi.ps.202000096

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Objective: Longitudinal changes in health outcomes of patients with serious mental illness and co-occurring diabetes were examined after introduction of an intervention involving electronic disease management, care coordination, and personalized patient ...

August 2021

Weighing the Association Between BMI Change and Suicide Mortality

Leah M. Hecht, Ph.D.,
Hsueh-Han Yeh, Ph.D.,
Jordan M. Braciszewski, Ph.D.,
Lisa R. Miller-Matero, Ph.D.,
Anjali Thakrar, M.D.,
Shivali Patel, M.D.,
Gregory E. Simon, M.D.,
Frances L. Lynch, Ph.D.,
Arne Beck, Ph.D.,
Ashli A. Owen-Smith, Ph.D.,
Rebecca C. Rossom, M.D.,
Beth E. Waitzfelder, Ph.D.,
Christine Y. Lu, Ph.D.,
Jennifer M. Boggs, Ph.D.,
Brian K. Ahmedani, Ph.D.

Pages:920–925
Published Online:22 April 2021

https://doi.org/10.1176/appi.ps.202000475

Abstract
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Objective: Suicide rates continue to rise, necessitating the identification of risk factors. Obesity and suicide mortality rates have been examined, but associations among weight change, death by suicide, and depression among adults in the United States ...

August 2021

Impact of High-Deductible Health Plans on Medication Use Among Individuals With Bipolar Disorder

Christine Y. Lu, M.Sc., Ph.D.,
Alisa B. Busch, M.D., M.S.,
Fang Zhang, Ph.D.,
Jeanne M. Madden, Ph.D.,
Matthew X. Callahan, M.S., M.P.H.,
Robert F. LeCates, M.A.,
Jamie Wallace, M.P.H.,
Phyllis Foxworth, B.S.,
Stephen B. Soumerai, Sc.D.,
Dennis Ross-Degnan, Sc.D.,
J. Frank Wharam, M.D., M.P.H.

Pages:926–934
Published Online:11 May 2021

https://doi.org/10.1176/appi.ps.202000362

Abstract
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Objective: High-deductible health plans (HDHPs) require substantial out-of-pocket spending for most services, although medications may be subject to traditional copayment arrangements. This study examined effects of HDHPs on medication out-of-pocket ...

Special Articles

August 2021

Barriers to Integrated Medication-Assisted Treatment for Rural Patients With Co-occurring Disorders: The Gap in Managing Addiction

Claire Snell-Rood, Ph.D.,
Robin A. Pollini, M.P.H., Ph.D.,
Cathleen Willging, Ph.D.

Pages:935–942
Published Online:3 February 2021

https://doi.org/10.1176/appi.ps.202000312

Abstract
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Objective: Guidelines for treatment of opioid use disorder stipulate for mental health assessment and the option for treatment alongside medication for opioid use disorder (MOUD). Yet efforts to expand MOUD treatment capacity have focused on expanding ...

August 2021

Driving Access and Quality: A Shift to Value-Based Behavioral Health Care

Katherine Hobbs Knutson, M.D., M.P.H.,
David Wennberg, M.D.,
Rahul Rajkumar, M.D., J.D.

Pages:943–950
Published Online:7 May 2021

https://doi.org/10.1176/appi.ps.202000386

Abstract
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Multiple barriers exist to accessing behavioral health care, and several are related to payment. The national shortage of behavioral health providers is exacerbated by their not joining health insurance networks, often shifting the cost of treatment to ...

Brief Reports

August 2021

Identification and Treatment of Addiction in Medicaid Health Homes

Christina M. Andrews, Ph.D.,
Melissa A. Westlake, M.S.W.,
Allie F. Silverman, M.P.H., M.S.W.,
Sophia N. D. Negaro, M.S.W.

Pages:951–954
Published Online:7 May 2021

https://doi.org/10.1176/appi.ps.202000374

Abstract
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Objective: Coordinated care models, such as the Medicaid health home, may be well positioned to identify and address addiction, yet little is known about the strategies health home plans use to identify and treat this condition. This study examined state ...

August 2021

Mobile Health for Caregivers of Young Adults With Early Psychosis: A Survey Study Examining User Preferences

Benjamin Buck, Ph.D.,
Ayesha Chander, M.Res.,
Maria Monroe-DeVita, Ph.D.,
Sunny Chieh Cheng, Ph.D.,
Bryan Stiles, B.A.,
Dror Ben-Zeev, Ph.D.

Pages:955–959
Published Online:8 July 2021

https://doi.org/10.1176/appi.ps.202000193

Abstract
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Objective: Caregivers play a key role in supporting the recovery of young adults with early psychosis. This role often involves considerable responsibilities and burden. Despite the considerable needs of caregivers, troubling service gaps addressing ...

Commentaries

August 2021

Quick Mental Health Screens and Triaged Public Health Approach: Lessons From Mozambique

Ken Duckworth, M.D.

Pages:961–962
Published Online:1 August 2021

https://doi.org/10.1176/appi.ps.202100308

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Open Forum

Audio

August 2021

Service User Participation Within the Mental Health System: Deepening Engagement

Marie Brown, Ph.D., and
Nev Jones, Ph.D.

Pages:963–965
Published Online:4 March 2021

https://doi.org/10.1176/appi.ps.202000494

Abstract
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Over the past decade, there has been a marked uptick in interest in increasing service user participation in the U.S. mental health care system, including clinical practice, research, and policy. Too often, however, these efforts remain superficial and ...

August 2021

Reconceptualizing Recovery: Integrating Lived Experience Perspectives Into Traditional Eating Disorder Recovery Frameworks

Therese E. Kenny, M.Sc., and
Stephen P. Lewis, Ph.D.

Pages:966–968
Published Online:27 January 2021

https://doi.org/10.1176/appi.ps.202000447

Abstract
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Eating disorder recovery has long been conceptualized as comprising the domains of weight, behaviors, and thoughts. Criteria for these domains are generally absolute (e.g., no specified behaviors in a set time frame) and determined by researchers and/or ...

August 2021

A New Commitment Pathway for Offenders With Serious Mental Illness: Expedited Diversion to Court-Ordered Treatment

Steven K. Hoge, M.D., M.B.A., and
Richard J. Bonnie, LL.B.

Pages:969–971
Published Online:18 December 2020

https://doi.org/10.1176/appi.ps.202000436

Abstract
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The authors propose a new form of civil commitment that would benefit individuals with serious mental illness involved with the criminal justice system. This population has complex needs rooted in comorbid conditions, alienation from treatment and support ...

Datapoints

August 2021

Impact of the COVID-19 Pandemic on Primary Care–Mental Health Integration Services in the VA Health System

Brittany L. Cornwell, M.P.H.,
Benjamin R. Szymanski, Ph.D., M.P.H.,
John F. McCarthy, Ph.D., M.P.H.

Pages:972–973
Published Online:5 January 2021

https://doi.org/10.1176/appi.ps.202000607

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Culture & Mental Health Services

August 2021

Engaging African American Clergy and Community Members to Increase Access to Evidence-Based Practices for Depression

Sidney H. Hankerson, M.D., M.B.A.,
La’Shay S. Crayton, M.P.H., L.M.S.W.,
Sonia C. Duenas, M.P.H.

Pages:974–977
Published Online:17 May 2021

https://doi.org/10.1176/appi.ps.201900412

Abstract
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African American clergy provide informal counseling for community members with depression. Through a qualitative case study with two African American clergy and 25 community members in New York City, the authors explored perspectives on training clergy in ...

Promoting High-Value Mental Health Care

August 2021

Improving Patient Flow and Access to Care at an Academically Affiliated Urban Safety-Net Hospital

Melanie Rylander, M.D.,
Mara Prandi-Abrams, B.S.,
Amanda Klahr, M.S.N., R.N.,
Dana Houlton, R.N.,
Brooke Sixta, M.S.N., R.N.-B.C.,
Chelsea Wolf, M.D.,
Christopher Piatz, M.D.,
C. Christian Thurstone, M.D.

Pages:978–981
Published Online:30 April 2021

https://doi.org/10.1176/appi.ps.202000379

Abstract
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Access to inpatient psychiatric beds remains a significant barrier to care for patients having a mental health crisis. A quality improvement initiative described here was designed to increase access to care by increasing efficiency of health care delivery ...

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