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Psychiatric Services

Volume 73, Issue 6

June 2022

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Taking Issue

June 2022

Doing More, Together: Toward Systems Coordination

Natalie Bonfine, Ph.D., and
Stacey L. Barrenger, Ph.D.

Page:603
Published Online:1 June 2022

https://doi.org/10.1176/appi.ps.22073004

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Articles

June 2022

Factors Associated With Initial Treatment Choice, Engagement, and Discontinuation for Patients With Opioid Use Disorder

Ryan Mutter, Ph.D.,
Donna Spencer, Ph.D.,
Jeffrey McPheeters, B.A.

Pages:604–612
Published Online:20 October 2021

https://doi.org/10.1176/appi.ps.202100239

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Objective:Pharmacotherapy for opioid use disorder is effective but underused from a clinical perspective, and average treatment duration is shorter than current recommendations. In this analysis, the authors examined factors associated with initiation of, ...

June 2022

Mental Health Conservatorship Among Homeless People With Serious Mental Illness

Kristen R. Choi, Ph.D., R.N.,
Enrico G. Castillo, M.D., M.S.,
Marissa J. Seamans, Ph.D., M.S.P.H.,
Joseph H. Grotts, B.A.,
Shayan Rab, M.D.,
Ippolytos Kalofonos, M.D., Ph.D.,
Meredith Mead, M.S.N., R.N.,
Imani J. Walker, D.O., M.S.P.H.,
Sarah L. Starks, Ph.D.

Pages:613–619
Published Online:27 October 2021

https://doi.org/10.1176/appi.ps.202100254

Abstract
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Objective:The purpose of this study was to examine associations between homelessness and length of psychiatric hospitalization and to explore the role of mental health conservatorship in determining discharge location for patients who are homeless and ...

June 2022

A Randomized Controlled Trial Evaluating the Effectiveness of Supported Employment Integrated in Primary Care

Lori L. Davis, M.D.,
Mercy N. Mumba, Ph.D.,
Richard Toscano, M.Ed.,
Patricia Pilkinton, M.D.,
Catherine M. Blansett, Ph.D.,
Kimberly McCall, Ph.D.,
David MacVicar, Ph.D.,
Al Bartolucci, Ph.D.

Pages:620–627
Published Online:15 September 2021

https://doi.org/10.1176/appi.ps.202000926

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Objectives:Mental health issues can cause serious problems in occupational functioning, including higher rates of unemployment. Individual placement and support (IPS) is an evidence-based supported employment intervention that is typically integrated ...

June 2022

Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study

Alexander C. Kline, Ph.D.,
Kaitlyn E. Panza, Ph.D.,
Brandon Nichter, Ph.D.,
Jack Tsai, Ph.D.,
Ilan Harpaz-Rotem, Ph.D.,
Sonya B. Norman, Ph.D.,
Robert H. Pietrzak, Ph.D., M.P.H.

Pages:628–635
Published Online:15 November 2021

https://doi.org/10.1176/appi.ps.202100112

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Objective:Psychiatric and substance use disorders are prevalent among U.S. military veterans, yet many veterans do not engage in treatment. The authors examined characteristics associated with use of mental health care in a nationally representative ...

June 2022

A Continuum-Based Framework as a Practice Assessment Tool for Integration of General Health in Behavioral Health Care

Ekaterina Smali, M.P.A., M.P.H.,
Rachel M. Talley, M.D.,
Matthew L. Goldman, M.D., M.S.,
Harold Alan Pincus, M.D.,
David Woodlock, M.S.,
Henry Chung, M.D.

Pages:636–641
Published Online:24 September 2021

https://doi.org/10.1176/appi.ps.202000708

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Objective:General medical conditions among patients with mental and substance use disorders are often not adequately detected and managed in behavioral health settings. The project described in this study sought to investigate how behavioral health ...

June 2022

Improving Mental Health Guardianship: From Prevention to Treatment

Amy L. Shearer, M.S., Ph.D.,
Elizabeth Bromley, M.D., Ph.D.,
Curley Bonds, M.D.,
Connie Draxler,
Dmitry Khodyakov, M.A., Ph.D.

Pages:642–649
Published Online:29 November 2021

https://doi.org/10.1176/appi.ps.202100020

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Objective:The authors sought to identify the most promising strategies for improving the mental health guardianship process in Los Angeles County for adults with mental illness who are gravely disabled.Methods:In May and June 2019, 56 experts, working in ...

Reviews & Overviews

June 2022

Instruments for Measuring Violence on Acute Inpatient Psychiatric Units: Review and Recommendations

Lisa A. Mistler, M.D., M.S., and
Matthew J. Friedman, M.D., Ph.D.

Pages:650–657
Published Online:15 September 2021

https://doi.org/10.1176/appi.ps.202000297

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Objective:Violence by patients against inpatient psychiatric unit staff is common, causing considerable suffering. Despite the Joint Commission’s 2018 requirement for behavioral health organizations to use standardized instruments, no identified gold ...

Special Articles

Audio

June 2022

Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies

Margaret E. Balfour, M.D., Ph.D.,
Arlene Hahn Stephenson, M.A.S., Ph.D.,
Ayesha Delany-Brumsey, Ph.D.,
Jason Winsky, B.A.,
Matthew L. Goldman, M.D., M.S.

Pages:658–669
Published Online:20 October 2021

https://doi.org/10.1176/appi.ps.202000721

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How a community responds to behavioral health emergencies is both a public health issue and social justice issue. Individuals experiencing a behavioral health crisis often receive inadequate care in emergency departments (EDs), boarding for hours or days ...

Brief Reports

June 2022

Trends in Mental Health Concerns Reported to Two Pediatric Mental Health Care Access Programs During the COVID-19 Pandemic

Amie F. Bettencourt, Ph.D.,
Carson Allen, B.S.,
Kelly Coble, L.C.S.W.-C.,
Terrence Hibbert, M.B.A.,
Dustin E. Sarver, Ph.D.

Pages:670–673
Published Online:29 November 2021

https://doi.org/10.1176/appi.ps.202100479

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Objective:Pediatric Mental Health Care Access (PMHCA) programs increase access to mental health care by providing training, consultation, and resource-referral support to primary care providers (PCPs). The authors compared trends in services provided by ...

June 2022

The Impacts of COVID-19 on a Statewide Population With Mental Illness

Ian T. Rodgers, M.P.H.,
Dhanushki Samaranayake, Ph.D.,
Adrienne Anderson, M.P.H.,
Linda Capobianco, M.A.,
Dana E. Cohen, M.P.A.,
Amy Ehntholt, Sc.D.,
Suzanne Feeney, M.B.A.,
Emily Leckman-Westin, Ph.D.,
Sonia Marinovic, B.A.,
Thomas E. Smith, M.D.,
Lisa B. Dixon, M.D., M.P.H.,
Helen-Maria Lekas, Ph.D.,
Roberto Lewis-Fernández, M.D.,
Amanda Saake, M.S.W.

Pages:674–678
Published Online:30 September 2021

https://doi.org/10.1176/appi.ps.202100328

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Objective:This survey examined the experiences of individuals receiving treatment in a large public mental health system during the early months of the COVID-19 pandemic.Methods:The survey, conducted between May and June 2020, assessed four domains: ...

June 2022

Examining the Relationship Between COVID-19 Prevalence and Depression Care at Community Health Centers: Assessing 2020 Data

Evan V. Goldstein, Ph.D., M.P.P.

Pages:679–682
Published Online:27 October 2021

https://doi.org/10.1176/appi.ps.202100478

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Objective:The author examined associations between COVID-19 prevalence at community health centers (CHCs) and the percentage of eligible CHC patients who had ongoing depression care documented in 2020.Methods:Using 2020 Uniform Data System data, the ...

Open Forum

June 2022

A Case for Psychiatric Leadership in Dispositional Capacity Assessment

Blake R. Erickson, M.D., M.A.,
Joseph Pereira, M.D.,
Elizabeth Bromley, M.D., Ph.D.,
Leah G. Pope, Ph.D.,
Milton L. Wainberg, M.D.

Pages:683–685
Published Online:24 September 2021

https://doi.org/10.1176/appi.ps.202100247

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Dispositional capacity assessment, which evaluates a patient’s ability for self-care after hospital discharge, is a novel concept with important implications for work in consultation-liaison, inpatient, and emergency psychiatric settings. In this Open ...

June 2022

Recommendations for Integrated Systems and Services for People With Co-occurring Mental Health and Substance Use Conditions

Kenneth Minkoff, M.D., and
Nancy H. Covell, Ph.D.

Pages:686–689
Published Online:13 October 2021

https://doi.org/10.1176/appi.ps.202000839

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People with co-occurring mental and substance use disorders experience poor outcomes and incur high costs in multiple domains. Efforts to develop and disseminate evidence-based integrated programs for people with such co-occurring disorders began to wane ...

June 2022

Postpandemic Psychotherapy: Still Under Siege

John C. Markowitz, M.D., and
Barbara L. Milrod, M.D.

Pages:690–692
Published Online:7 October 2021

https://doi.org/10.1176/appi.ps.202100349

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The authors review the past and current challenges in psychotherapy training, research, and practice and the state of psychotherapy in the context of current training and funding, the COVID-19 pandemic, and the current era’s pursuit of novelty. Where does ...

Controversies in Psychiatric Services

June 2022

Clinician Responsibility in Value-Based Payment Systems

Matthew D. Erlich, M.D.,
Patrick Runnels, M.D., M.B.A., and
Rachel Talley, M.D., are editors of this column.
Dr. Erlich served as action editor for this exchange.

Page:693
Published Online:28 January 2022

https://doi.org/10.1176/appi.ps.73601

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June 2022

The Limits of Using Outcomes as Quality Measures

Jeffrey A. Buck, Ph.D.

Pages:693–694
Published Online:28 January 2022

https://doi.org/10.1176/appi.ps.202000873

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June 2022

You Get What You Pay for: The Case for Value-Based Payments in Psychiatry

Ish P. Bhalla, M.D., M.S.,
Susan Foosness, M.S.W., M.P.P.,
Nora Dennis, M.D., M.S.P.H.

Pages:694–696
Published Online:28 January 2022

https://doi.org/10.1176/appi.ps.202100136

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Racism & Mental Health Equity

June 2022

Improving Black Mental Health: A Collective Call to Action

Crystal L. Brandow, Ph.D., and
Margaret Swarbrick, Ph.D., F.A.O.T.A.

Pages:697–700
Published Online:30 September 2021

https://doi.org/10.1176/appi.ps.202000894

Abstract
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A constellation of factors detrimentally affects Black mental health at individual and community levels. Issues such as racism, trauma, and a lack of culturally relevant services prevent access to timely, high-quality mental health treatment. These ...

Promoting High-Value Mental Health Care

June 2022

A Novel Recovery-Based Suicide Prevention Program in Upstate New York

Joel G. Thomas, Ph.D.,
Susan D. Sperry, Ph.D.,
Rebecca J. Shields, D.O.,
Robert J. Gregory, M.D.

Pages:701–704
Published Online:27 October 2021

https://doi.org/10.1176/appi.ps.202100162

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Suicide prevention efforts have focused primarily on screening, education, and brief interventions rather than on treatment of underlying vulnerabilities. The Psychiatry High Risk Program (PHRP) is a specialized outpatient program for suicidal youths and ...

June 2022

Impact of the COVID-19 Pandemic on a Statewide Individual Placement and Support Employment Initiative

Paul J. Margolies, Ph.D.,
I-Chin Chiang, M.S.,
Thomas C. Jewell, Ph.D.,
Karen Broadway-Wilson, B.S.,
Raymond Gregory, B.S.,
Gary Scannevin, M.P.S., C.P.R.P.,
Lisa B. Dixon, M.D., M.P.H.

Pages:705–708
Published Online:30 September 2021

https://doi.org/10.1176/appi.ps.202100120

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The COVID-19 pandemic has had an enormous impact on the provision of behavioral health care services across the United States. This column examines this impact within the context of New York State’s supported employment initiative, which involved 89 ...

Economic Grand Rounds

June 2022

Drivers of County Engagement in Criminal Justice–Behavioral Health Initiatives

Alison E. Cuellar, Ph.D.,
Niloofar Ramezani, Ph.D.,
Alex Breno, M.S.,
Jennifer E. Johnson, Ph.D.,
Faye S. Taxman, Ph.D.

Pages:709–711
Published Online:13 October 2021

https://doi.org/10.1176/appi.ps.202100485

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Several large, county-level initiatives are underway to improve behavioral health care for justice-involved clients. Unfortunately, only about a quarter of counties participate in these efforts, leaving justice-involved populations at risk of poor mental ...

Global Mental Health Reforms

June 2022

The Tōhoku Theater Project in Postdisaster Japan: An Exemplar for Addressing Community Mental Health in the Context of Disaster

Kathleen M. Pike, Ph.D.,
Tahilia J. Rebello, Ph.D.,
Setsu Hanasaki, M.A.,
Ryoko Narita-Ohtaki, Ph.D.,
Phyllis Kaufman, J.D.,
Tsuyoshi Akiyama, M.D.,
Bryan Doerries, B.A.,
Lawrence H. Yang, Ph.D.,
Nao Suzuki, B.A.,
Elizabeth B. Magill, B.A.,
Seiji Yasumura, M.D., D.M.Sc.

Pages:712–715
Published Online:20 October 2021

https://doi.org/10.1176/appi.ps.202000520

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The Tōhoku Theater Project was completed 2 years after the natural and nuclear disasters in Tōhoku, Japan, on March 11, 2011. It employed the dramatic arts to support the healing process, promote resilience, and increase dialogue and understanding about ...

Editor’s Choice

June 2022

Trauma and Serious Mental Illness

Shea Jorgensen, M.D., and
Lisa B. Dixon, M.D., M.P.H.

Pages:716–717
Published Online:1 June 2022

https://doi.org/10.1176/appi.ps.22073005

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