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

Volume 74, Issue 10

October 2023

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Taking Issue

October 2023

The Intersection of Culture, Community, and Mental Health

James Gang, M.D., and
Joseph Kim, M.D.

Page:1009
Published Online:1 October 2023

https://doi.org/10.1176/appi.ps.23074016

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Articles

October 2023

Anxiety and Depression Symptoms Among Young U.S. Essential Workers During the COVID-19 Pandemic

Doron Amsalem, M.D.,
Chana T. Fisch, B.A.,
Melanie Wall, Ph.D.,
C. Jean Choi, M.S.,
Amit Lazarov, Ph.D.,
John C. Markowitz, M.D.,
Mariah LeBeau, B.A.,
Melissa Hinds, R.N., M.S.N.,
Kip Thompson, Ph.D.,
Prudence W. Fisher, Ph.D.,
Thomas E. Smith, M.D.,
Sidney H. Hankerson, M.D.,
Roberto Lewis-Fernández, M.D.,
Lisa B. Dixon, M.D., M.P.H.,
Yuval Neria, Ph.D.

Pages:1010–1018
Published Online:12 April 2023

https://doi.org/10.1176/appi.ps.20220530

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Objective:Emerging cross-sectional data indicate that essential workers in the COVID-19 era face increased mental health risks. This study longitudinally examined clinical symptoms of generalized anxiety disorder, depression, and posttraumatic stress ...

October 2023

Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion

Benjamin A. Howell, M.D., M.P.H.,
Laura C. Hawks, M.D., M.P.H.,
Lilanthi Balasuriya, M.D., M.H.S.,
Virginia W. Chang, M.D., Ph.D.,
Emily A. Wang, M.D., M.A.S.,
Tyler N. A. Winkelman, M.D., M.Sc.

Pages:1019–1026
Published Online:5 April 2023

https://doi.org/10.1176/appi.ps.20220171

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Objective:Individuals with criminal legal involvement have high rates of substance use and other mental disorders. Before implementation of the Affordable Care Act’s Medicaid expansion, they also had low health insurance coverage. The objective of this ...

October 2023

Randomized Controlled Trial of Self-Directed Care for Medically Uninsured Adults With Serious Mental Illness

Judith A. Cook, Ph.D.,
Jessica A. Jonikas, M.A.,
Jane K. Burke-Miller, Ph.D.,
Marie Hamilton, M.A., M.P.H.,
Carl Falconer, M.A.,
Michael Blessing, M.A.,
Frances Aranda, Ph.D.,
Gretchen Johns, M.A.,
Christine Cauffield, Ph.D.

Pages:1027–1036
Published Online:29 March 2023

https://doi.org/10.1176/appi.ps.20220508

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Objective:Self-directed care (SDC) is a treatment model in which recipients self-manage funds designated for provision of services. The model is designed to cost no more than traditional services while achieving superior participant outcomes. The authors ...

October 2023

Differences and Similarities Between Consumer- and Caregiver- or Family-Informed Peer Roles in Mental Health

Helena Roennfeldt, M.S.W.,
Melissa Chapman, Ph.D.,
Cecilia Runneboom, M.Sc.,
Ying Wang, Ph.D.,
Louise Byrne, Ph.D.

Pages:1037–1044
Published Online:29 March 2023

https://doi.org/10.1176/appi.ps.20220386

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Objective:Peer workers are widely employed across the mental health sector in Australia, and these positions increasingly include people with experience as a service user (consumer peer workers) and people with experience as a family member (caregiver ...

October 2023

Virtual Acute Psychiatric Ward: Evaluation of Outcomes and Cost Savings

Bon A. Castillo, M.D.,
Ravit Shterenberg, B.Sc.,
James M. Bolton, M.D.,
Carolyn S. Dewa, Ph.D.,
Katrina Pullia, C.C.P.A.,
Jennifer M. Hensel, M.D., M.Sc.

Pages:1045–1051
Published Online:5 April 2023

https://doi.org/10.1176/appi.ps.20220332

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Objective:The COVID-19 pandemic motivated rapid expansion of virtual care. In Winnipeg, Canada, the authors launched a virtual psychiatric acute care ward (vWARD) to divert patients from hospitalization through daily remote treatment by a psychiatry team ...

October 2023

Impact of Cofacilitated, Collaborative, Recovery-Oriented Practice Training on Clinical Mental Health Workforce Competencies

Phoebe E. Williamson, B.App.Sc., M.A.O.T.,
Judith Hope, M.B.B.S., Ph.D.,
Christopher Dixon, B.A.,
Lindsay G. Oades, M.B.A., Ph.D.

Pages:1052–1058
Published Online:25 April 2023

https://doi.org/10.1176/appi.ps.202100619

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Objective:The authors aimed to evaluate the impact of a staff development training program informed by the collaborative recovery model (CRM) on staff outcomes in the largest implementation of CRM undertaken by a public clinical mental health service....

Special Articles

October 2023

Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl

Craig Allen, M.D.,
Christina Arredondo, M.D.,
Rochelle Dunham, M.D.,
Marc Fishman, M.D.,
Leonard Lev, M.D.,
Shannon Mace, J.D., M.P.H.,
Joseph Parks, M.D.,
Daniel Rosa, M.D.,
Sosunmolu Shoyinka, M.D.,
DeJuan White, M.D.,
Aaron Williams, M.A.

Pages:1059–1062
Published Online:12 April 2023

https://doi.org/10.1176/appi.ps.202100660

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The use of fentanyl and its analogs is the primary driver of deaths related to the opioid overdose crisis. In fall 2021, the U.S. Drug Enforcement Administration issued its first public safety alert in 6 years to raise awareness of the escalating ...

October 2023

Experiences of Black Adults Evaluated in a Locked Psychiatric Emergency Unit: A Qualitative Study

Colin M. Smith, M.D., M.Sc.G.H.,
Lori-Ann Daley, M.D.,
Chris Lea, B.S.,
Keith Daniel, M.Ed., D.Min.,
Damon S. Tweedy, M.D.,
Nathan M. Thielman, M.D., M.P.H.,
B. Lynette Staplefoote-Boynton, M.D., M.P.H.,
Elizabeth Aimone, M.Sc.G.H.,
Jane P. Gagliardi, M.D., M.H.S.

Pages:1063–1071
Published Online:12 April 2023

https://doi.org/10.1176/appi.ps.20220533

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Objective:Evidence shows that Black individuals have higher rates of coercive emergency psychiatric interventions than other racialized groups, yet no studies have elevated the voices of Black patients undergoing emergency psychiatric evaluation. This ...

Brief Reports

October 2023

Assessing the Potential Efficacy of an Intervention for Incarcerated People With Mental Illness

Amy Blank Wilson, Ph.D., M.S.W.,
Jonathan Phillips, Ph.D., M.S.W.,
Melissa L. Villodas, Ph.D., M.S.W.,
Anna Parisi, Ph.D., M.S.W.,
Ehren Dohler, M.S.W.,
Caroline Ginley, M.S.W.

Pages:1072–1076
Published Online:18 April 2023

https://doi.org/10.1176/appi.ps.20220355

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Objective:This preliminary study tested the efficacy of an evidence-based correctional intervention (Thinking for a Change) with an adapted delivery to incarcerated people with mental illness.Methods:A small-scale randomized controlled trial (N=47 men) ...

October 2023

One-Year All-Cause Mortality and Delivery of the Collaborative Chronic Care Model in General Mental Health Clinics

Michael A. Ruderman, D.O., M.P.H.,
Amy L. Byers, Ph.D., M.P.H.,
Mark S. Bauer, M.D.,
Kelly Stolzmann, M.S.,
Christopher J. Miller, Ph.D.,
Samantha L. Connolly, Ph.D.,
Bo Kim, Ph.D.

Pages:1077–1080
Published Online:5 April 2023

https://doi.org/10.1176/appi.ps.20220428

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Objective:This study aimed to determine whether the evidence-based collaborative chronic care model (CCM) is associated with reduced all-cause mortality among adult patients treated in general mental health clinics.Methods:Data came from a stepped-wedge, ...

Open Forum

October 2023

Self-Stigma and PTSD: Conceptualization and Implications for Research and Treatment

Natasha Benfer, Ph.D.,
Mary Katherine Howell, Ph.D.,
Alicia Lucksted, Ph.D.,
Erin G. Romero, Ph.D.,
Amy L. Drapalski, Ph.D.

Pages:1081–1083
Published Online:20 March 2023

https://doi.org/10.1176/appi.ps.20220397

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Preliminary empirical evidence suggests that self-stigma may be a significant problem for those with posttraumatic stress disorder (PTSD). Although research on self-stigma for persons with PTSD is limited, some PTSD symptoms, such as negative thoughts ...

Datapoints

October 2023

How to Reach a Mobile Crisis Team: Results From a National Survey

Rachel Odes, Ph.D., R.N.,
Deepa Manjanatha, M.P.H.,
Preston Looper, M.S., L.P.C.-S.,
Megan McDaniel, B.A.,
Matthew L. Goldman, M.D., M.S.

Pages:1084–1085
Published Online:20 March 2023

https://doi.org/10.1176/appi.ps.20220449

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Personal Accounts

October 2023

Todd Douglas Wittenberg

Pages:1086–1087
Published Online:10 May 2023

https://doi.org/10.1176/appi.ps.20230054

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Integrated Care

October 2023

A New, Comprehensive Approach to Integration Using Measurement to Demonstrate Value

Henry Chung, M.D.,
Joseph Parks, M.D.,
Ken Minkoff, M.D.,
Lori Raney, M.D.

Pages:1088–1091
Published Online:12 April 2023

https://doi.org/10.1176/appi.ps.20220542

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The comprehensive health care integration (CHI) framework promotes the delivery of integrated physical and behavioral health care to adults and children in community settings by providing a flexible integration approach for both physical and behavioral ...

Research, Community, & Services Partnerships

October 2023

Improving Nutrition Security for Individuals With Serious Mental Illnesses: A Partnership of Public and Nonprofit Agencies

Michael T. Compton, M.D., M.P.H.,
Dana E. Cohen, M.P.A.,
Gabriella Farland, B.A.,
En Fu, Ph.D.,
Cheryl Gerstler, M.Ed.,
Leah G. Pope, Ph.D.,
Merrill Rotter, M.D.

Pages:1092–1095
Published Online:14 March 2023

https://doi.org/10.1176/appi.ps.20220436

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In conjunction with multiple partners (state agencies, nonprofits, a university, and key stakeholders and content experts), the authors are implementing and evaluating an intervention intended to enable individuals with serious mental illnesses living in ...

Culture & Mental Health Services

October 2023

“It’s Taboo to Talk About It”: Korean American Clergy Members’ Views of Mental Health

Stephanie Han, M.D.,
Hyon Soo Lee, Ph.D.,
Sheryl Kataoka, M.D., M.S.H.S.

Pages:1096–1099
Published Online:12 April 2023

https://doi.org/10.1176/appi.ps.20220252

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Korean Americans are more likely to seek guidance from church leaders than to use traditional mental health services. Through semistructured key informant interviews with 16 Christian clergy members serving later-generation Korean Americans, the authors ...

October 2023

Mental Health of Asian American Caregivers of Family Members With Severe Mental Illness

Juliann Li Verdugo, M.S.W., L.M.S.W.,
Hans Y. Oh, Ph.D.,
Yuri Jang, Ph.D.

Pages:1100–1103
Published Online:20 March 2023

https://doi.org/10.1176/appi.ps.20220535

Abstract
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Within the general population, caregivers of individuals with severe mental illness experience considerable mental health burdens. Less is known about these burdens among Asian Americans, who frequently serve as primary caregivers of family members in ...

Promoting High-Value Mental Health Care

October 2023

Community-Based Service Use After Clozapine Treatment: A Mirror-Image Analysis of Public Claims Data

Deepak K. Sarpal, M.D.,
Kangho Suh, Ph.D.,
Kaiqi Bian, M.S.,
Pingjui Ko, M.S.,
Jessica M. Gannon, M.D.,
Peter Jhon, M.P.A.,
K. N. Roy Chengappa, M.D.

Pages:1104–1107
Published Online:5 April 2023

https://doi.org/10.1176/appi.ps.20220471

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Although clozapine demonstrates unique efficacy for treatment-resistant schizophrenia, its impact on community-based services remains largely underexplored. The authors examined changes in use of community-based services after clozapine treatment among a ...

Law & Psychiatry

October 2023

Preventing Abuses in Guardianship Cases

Paul S. Appelbaum, M.D.

Pages:1108–1111
Published Online:24 August 2023

https://doi.org/10.1176/appi.ps.20230374

Abstract
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Guardianships allow court-appointed guardians to make decisions on behalf of persons who are incapable of caring for themselves. With their authority frequently extending over both the personal and the financial affairs of a ward, guardians sometimes ...

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