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Psychiatric Services

Volume 73, Issue 11

November 2022

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Taking Issue

November 2022

The Impact of Implicit Bias on Black and Latinx Students

Kenneth M. Rogers, M.D., M.S.P.H., and
Kimberly Gordon-Achebe, M.D.

Page:1201
Published Online:1 November 2022

https://doi.org/10.1176/appi.ps.22073012

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Articles

November 2022

Use of Acute Mental Health Care in U.S. Children’s Hospitals Before and After Statewide COVID-19 School Closure Orders

Bonnie T. Zima, M.D., M.P.H.,
Juliet Beni Edgcomb, M.D., Ph.D.,
Jonathan Rodean, M.P.P.,
Susan D. Cochran, Ph.D., M.S.,
Christopher A. Harle, Ph.D.,
Jyotishman Pathak, Ph.D.,
Chi-hong Tseng, Ph.D.,
Regina Bussing, M.D., M.S.H.S.

Pages:1202–1209
Published Online:25 May 2022

https://doi.org/10.1176/appi.ps.202100582

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After statewide COVID-19–related school closures in 2020, suicide or self-injury and depressive disorders were the primary drivers of acute mental health encounters in a sample of 44 U.S. children’s hospitals. In fall 2020, mental health hospitalizations ...

November 2022

Identifying Diagnoses of Schizophrenia Spectrum Disorder in Large Data Sets

Nicole M. Benson, M.D., M.B.I.,
Zhiyou Yang, Ph.D.,
Max Weiss, A.B.,
Vicki Fung, Ph.D.,
Lauren V. Moran, M.D., M.P.H.,
Dost Öngür, M.D., Ph.D.,
John Hsu, M.D., M.B.A.

Pages:1210–1216
Published Online:20 April 2022

https://doi.org/10.1176/appi.ps.202100696

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Reviewing 48 instead of 12 months of patients’ care history reduced estimated rates of new schizophrenia spectrum disorder diagnoses, because historical diagnoses were detected for >40% of patients. Among participants with 48 months of historical data, 63%...

November 2022

Long-Term Benzodiazepine Use and Discontinuation Among Patients in the U.S. Veterans Health Administration

Christine Timko, Ph.D.,
Katherine J. Hoggatt, Ph.D.,
Aryan Esmaeili, Ph.D.,
Eleanor Lewis, Ph.D.,
Mai Chee Lor, M.P.H.,
Donovan T. Maust, M.D.,
Andrea L. Nevedal, Ph.D.

Pages:1217–1224
Published Online:3 May 2022

https://doi.org/10.1176/appi.ps.202100617

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In 2019, nearly three-quarters of Veterans Health Administration patients who were prescribed benzodiazepines had been taking these medications long term (>30 days), and half of the long-term users were over age 65, raising concerns about such risks as ...

November 2022

A Recovery-Oriented Intervention for People With Psychosis: A Pilot Randomized Controlled Trial

Franco Mascayano, M.P.H.,
Ruben Alvarado, M.D., Ph.D.,
Howard F. Andrews, Ph.D.,
Joy N. Baumgartner, M.S.S.W., Ph.D.,
Maria Soledad Burrone, M.D., Ph.D.,
Jacqueline Cintra, M.D., M.P.H.,
Sarah Conover, M.P.H.,
Catarina M. Dahl, Ph.D.,
Kim M. Fader, M.A.,
Prakash Gorroochurn, Ph.D.,
Sandro Galea, M.D., Dr.P.H.,
Maria J. Jorquera, M.P.H.,
Giovanni M. Lovisi, M.D., Ph.D.,
Flavia Mitkiewicz de Souza, Ph.D.,
Charissa Pratt, M.P.H.,
Maria E. Restrepo-Toro, M.S.,
Graciela Rojas, M.D.,
Keli Rodrigues Sarução, Ph.D.,
Robert Rosenheck, M.D.,
Sara Schilling, M.P.H.,
Tom Shriver, M.Sc.,
Peter Stastny, M.D.,
Eric Tapia, M.P.H.,
Maria Tavares Cavalcanti, M.D., Ph.D.,
Eliecer Valencia, J.D., M.A.,
Lawrence H. Yang, Ph.D.,
Alexandra Restrepo Henao, M.D., M.P.H.,
Gonzalo Martínez-Alés, M.D., Ph.D.,
Victor Romero Pardo, M.D.,
Teresa Gomez Alemany, M.D.,
Ezra Susser, M.D., Dr.P.H.

Pages:1225–1231
Published Online:9 June 2022

https://doi.org/10.1176/appi.ps.202000843

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Objective:This pilot randomized controlled trial evaluated the effectiveness of critical time intervention–task shifting (CTI-TS) for people with psychosis in Santiago, Chile, and Rio de Janeiro. CTI-TS is a 9-month intervention involving peer support ...

November 2022

Downward National Trends in Mental Health Treatment Offered in Spanish: State Differences by Proportion of Hispanic Residents

George Pro, Ph.D., M.P.H.,
Clare Brown, Ph.D., M.P.H.,
Martha Rojo, Ph.D., R.N.,
Jenil Patel, Ph.D., M.P.H.,
Chasmine Flax, M.P.H.,
Tiffany Haynes, Ph.D.

Pages:1232–1238
Published Online:3 May 2022

https://doi.org/10.1176/appi.ps.202100614

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Between 2014 and 2019, the U.S. Hispanic population increased by 4.5%, while facilities that offered mental health treatment in Spanish declined by 17.8%. Forty-four states had a decrease in facilities offering services in Spanish, with the starkest ...

November 2022

Employment Outcomes After Certification as a Behavioral Health Peer Specialist in Four U.S. States

Laysha Ostrow, Ph.D.,
Judith A. Cook, Ph.D.,
Mark S. Salzer, Ph.D.,
Morgan Pelot, B.S.,
Jane K. Burke-Miller, Ph.D.

Pages:1239–1247
Published Online:23 June 2022

https://doi.org/10.1176/appi.ps.202100651

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Objective:A 3-year study explores employment outcomes of certified peer specialists (CPSs). Analyses reported here identified relationships between demographic, clinical, work history, and geographic characteristics and employment status and current ...

November 2022

The Working Alliance as a Mediator Between Fidelity to Strengths Model Case Management and Client Outcomes

Maryann Roebuck, Ph.D.,
Eric Latimer, Ph.D.,
Christiane Bergeron-Leclerc, Ph.D.,
Catherine Briand, Ph.D.,
Janet Durbin, Ph.D.,
Rick Goscha, Ph.D.,
Terry Krupa, Ph.D.,
Alissa Setliff, Ph.D.,
Catherine Vallée, Ph.D.,
Tim Aubry, Ph.D.

Pages:1248–1254
Published Online:3 May 2022

https://doi.org/10.1176/appi.ps.202100387

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The effect of the working alliance between clients and case managers on outcomes of mental health care is unclear. The authors report that strengths model case management fostered stronger working alliances, an effect that indirectly improved the quality ...

Reviews & Overviews

November 2022

Reliability of the Term “Serious Mental Illness”: A Systematic Review

Lauren Gonzales, Ph.D.,
Lauren E. Kois, Ph.D.,
Crystal Chen, M.A.,
Laura López-Aybar, M.A.,
Brittany McCullough, M.A.,
Kendra J. McLaughlin, Ph.D.

Pages:1255–1262
Published Online:27 July 2022

https://doi.org/10.1176/appi.ps.202100661

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Objective: The term “serious mental illness” (SMI) is widely used across research, practice, and policy settings. However, there is no consistent operational definition, and its reliability has not been ...

Special Articles

November 2022

Civilian Petitioners and Extreme Risk Protection Orders in the State of Washington

Laura Prater, M.P.H., Ph.D.,
Lauren Rooney, M.P.H.,
Andrew G. Bowen, B.A.,
Kelsey Conrick, M.P.H.,
Ayah Mustafa, B.S.P.H.,
Megan Moore, M.S.W., Ph.D.,
Frederick P. Rivara, M.D., M.P.H.,
Ali Rowhani-Rahbar, M.D., Ph.D.

Pages:1263–1269
Published Online:25 May 2022

https://doi.org/10.1176/appi.ps.202100636

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Objective:Extreme risk protection orders (ERPOs) are civil orders designed to temporarily restrict access to firearms when people are at substantial risk of harm to themselves or others. A minority of ERPOs in the United States have been filed by ...

Brief Reports

November 2022

Variation in Stakeholder Preferences for Implementing Evidence-Based Practices in Behavioral Health Care

Molly Candon, Ph.D.,
Nathaniel Williams, Ph.D., L.C.S.W.,
Kelly Zentgraf, M.S.,
Alison Buttenheim, Ph.D., M.B.A.,
Meenakshi Bewtra, M.D., Ph.D.,
Rinad S. Beidas, Ph.D.,
Rebecca E. Stewart, Ph.D.

Pages:1270–1273
Published Online:23 March 2022

https://doi.org/10.1176/appi.ps.202100453

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Implementation of evidence-based practices (EBPs) is a key component in improving care quality. Stakeholders in behavioral health care surveyed in this study consistently ranked financial incentives as most useful and performance feedback as the least ...

November 2022

Increasing COVID-19 Vaccination Rates Among Patients With Serious Mental Illness: A Pilot Intervention Study

Carol Lim, M.D., M.P.H.,
Manjola U. Van Alphen, M.D., Ph.D.,
Sarah Maclaurin, P.M.H.N.P.,
Caitlin Mulligan, P.M.H.N.P.,
Benjamin Macri, P.M.H.N.P.,
Corinne Cather, Ph.D.,
Oliver Freudenreich, M.D., F.A.C.L.P.

Pages:1274–1277
Published Online:13 April 2022

https://doi.org/10.1176/appi.ps.202100702

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Objective:This pilot project aimed to maximize COVID-19 vaccine uptake among patients with serious mental illness. Psychiatric providers were engaged to directly address COVID-19 vaccine–related concerns with patients during outpatient visits.Methods:A ...

November 2022

Impact of a Targeted Intervention on Hepatitis C Care Among African Americans With Serious Mental Illness

Emily Heinlein, B.A.,
Jessica Taylor, B.A.,
Richard Goldberg, Ph.D.,
Wendy Potts, M.S.,
Jill RachBeisel, M.D.,
Deborah Medoff, Ph.D.,
Lan Li, M.S.,
Seth Himelhoch, M.D., M.P.H.

Pages:1278–1281
Published Online:27 April 2022

https://doi.org/10.1176/appi.ps.202100410

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Objective:This study aimed to update findings on the continuum of care for hepatitis C virus (HCV) infection with follow-up data for individuals with serious mental illness and to identify predictors of decisions to decline vaccination.Methods:The ...

November 2022

Prevalence and Correlates of Four Social Determinants in a Statewide Survey of Licensed Mental Health Services

Amy Ehntholt, Sc.D.,
Eric Y. Frimpong, Ph.D.,
Michael T. Compton, M.D., M.P.H.,
Grace A. Rowan, Ph.D.,
Wahida Ferdousi, Ph.D.,
Hannah Swetnam, M.S.,
Sahil Chaudhry, M.S.,
Marleen Radigan, Dr.P.H.,
Thomas E. Smith, M.D.,
Merrill Rotter, M.D.

Pages:1282–1285
Published Online:11 May 2022

https://doi.org/10.1176/appi.ps.202100380

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Objective:This analysis examined the distribution of four social determinants of health among recipients of state-licensed mental health services and analyzed relationships between determinants and individuals’ clinical and demographic characteristics....

Promoting High-Value Mental Health Care

November 2022

Quality Improvement Approach to Increasing Psychiatric Rehabilitation in the Inpatient Setting

Amelia Sim, M.B.B.S., M.R.C.Psych.,
Daniel Poremski, Ph.D.,
Alex Su, M.B.B.S., M.Med.

Pages:1286–1289
Published Online:11 May 2022

https://doi.org/10.1176/appi.ps.202100475

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This clinical practice improvement project (CPIP) sought to increase the rate of referrals to psychiatric rehabilitation units among inpatients on a 44-bed men’s ward at the Institute of Mental Health, Singapore. Three root causes of low referral rates ...

November 2022

Implementing Multidisciplinary, Team-Based Care in an Academic Outpatient Psychiatry Department

Justin A. Chen, M.D., M.P.H.,
Sara Macchiano, R.N., M.B.A.,
David Beckmann, M.D., M.P.H.,
Wei-Jean Chung, Ph.D.,
Sarah Gartaganis, L.I.C.S.W., M.P.H.,
Jeff C. Huffman, M.D.

Pages:1290–1293
Published Online:27 April 2022

https://doi.org/10.1176/appi.ps.202200030

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This column describes the implementation of a multidisciplinary, team-based model of care within an outpatient psychiatry practice at a large urban academic medical center. The authors outline the process by which the innovative team-based care model was ...

November 2022

Improving Community Pharmacist–Delivered Care for Patients With Psychiatric Disorders Filling an Opioid Prescription

Amy Werremeyer, Pharm.D., B.C.P.P.,
Oliver Frenzel, Pharm.D., M.P.H.,
Mark A. Strand, Ph.D., C.P.H.,
Heidi Eukel, Pharm.D.,
Elizabeth Skoy, Pharm.D.,
Jayme Steig, Pharm.D.

Pages:1294–1297
Published Online:3 May 2022

https://doi.org/10.1176/appi.ps.202100592

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Pharmacists tend to provide care to patients with psychiatric disorders less frequently than to other types of patients, yet patients with psychiatric disorders experience more drug-related problems and use more opioids than those without psychiatric ...

Integrated Care

November 2022

Behavioral Health Integration in Community Health Centers and Emergency Department Use

Amber K. Sabbatini, M.D., M.P.H.,
Theresa J. Hoeft, Ph.D.,
Herbert C. Duber, M.D., M.P.H.,
Eli Kern, M.P.H., R.N.,
Philip W. Sylling, M.A.,
Alexis Desrosiers, M.P.A.,
Michael B. McKee, M.Ed.,
Susan E. Hernandez, M.P.A., Ph.D.

Pages:1298–1301
Published Online:17 May 2022

https://doi.org/10.1176/appi.ps.202100626

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Medicaid enrollees with behavioral health disorders often experience fragmented care, leading to high rates of preventable use of emergency departments (EDs). As part of its Medicaid Transformation Program, the Washington Health Care Authority partnered ...

Personal Accounts

November 2022

Shannon M. Knight

Pages:1302–1303
Published Online:27 April 2022

https://doi.org/10.1176/appi.ps.20220164

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Racism & Mental Health Equity

November 2022

The Crypto-Apartheid of Race, Class, and Safety Arbitration on the Inpatient Psychiatric Unit

Cynthia X. He, M.D., Ph.D., and
Ramotse Saunders, M.D.

Pages:1304–1307
Published Online:20 April 2022

https://doi.org/10.1176/appi.ps.202100286

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Inpatient psychiatric treatment and violence assessment are strongly influenced by a patient’s race and class identity. The authors argue that psychiatrists enact a crypto-apartheid wherein they recognize and condemn the structural racism and classism ...

November 2022

School Mental Health Professionals’ Knowledge of Stereotypes and Implicit Bias Toward Black and Latinx Youths

Freda F. Liu, Ph.D.,
Erin McRee, M.S.,
Jessica Coifman, M.P.H.,
Jeff Stone, Ph.D.,
Calvin K. Lai, Ph.D.,
Chia-li Yu, B.S.,
Aaron R. Lyon, Ph.D.

Pages:1308–1311
Published Online:20 July 2022

https://doi.org/10.1176/appi.ps.202100253

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Clinician bias is a contributor to health care inequities, but research on racial-ethnic bias among mental health professionals, especially toward minoritized youths, is limited. This column describes two studies involving mental health clinicians in ...

Editor’s Choice

November 2022

Supported Employment for Individuals With Mental Disorders

Brent J. Gibbons, Ph.D., and
Lisa B. Dixon, M.D., M.P.H.

Pages:1315–1316
Published Online:1 November 2022

https://doi.org/10.1176/appi.ps.22073015

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Letters

November 2022

Rapprochement and Reform: Overcoming Factionalism: Response to Commentaries

William R. Smith, M.D., Ph.D.
Dominic A. Sisti, Ph.D.

Page:1312
Published Online:1 November 2022

https://doi.org/10.1176/appi.ps.22073013

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November 2022

The Injustices of the Social Security System With Regard to Psychiatric Patients

Michael J. Williams, M.A.

Page:1313
Published Online:8 November 2022

https://doi.org/10.1176/appi.ps.202200015

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November 2022

Discrimination and Suicidality Among Hispanic Mental Health Patients, 2010–2020: A Natural Language Processing Approach

Evan V. Goldstein, Ph.D., M.P.P.,
Elise V. Bailey, B.S.,
Fernando A. Wilson, Ph.D.

Pages:1313–1314
Published Online:8 November 2022

https://doi.org/10.1176/appi.ps.20220240

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Other Items of Interest

November 2022

Correction to Wamuo et al.

Page:1314
Published Online:1 November 2022

https://doi.org/10.1176/appi.ps.22073010correction

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