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Psychiatric Services

Volume 63, Issue 7

July 2012

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Taking Issue

July 2012

The Complicated Lessons of Prohibition

Martha Sajatovic, M.D.

Page:627
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p627

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This Month's Highlights

July 2012

This Month's Highlights

Page:629
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p629

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Columns

July 2012

Law & Psychiatry: Treatment of Incompetent, Dangerous Criminal Defendants: Parsing the Law

Paul S. Appelbaum, M.D.

Pages:630–632
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201200630

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The case of Jared Lee Loughner, who killed or wounded 19 people in a shooting rampage in Tucson, demonstrates the confusion inherent in current rules for the treatment of defendants with mental illness. Found incompetent to stand trial and committed for ...

July 2012

State Mental Health Policy: Maryland's Shared Leadership Approach to Mental Health Transformation: Partnerships That Work

Rafael M. Semansky, Ph.D., M.P.P.

Pages:633–635
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201200212

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In 2005, Maryland received a mental health transformation grant from the Substance Abuse and Mental Health Services Administration. Maryland's transformation efforts have differed from those in other grantee states and have evolved into a shared ...

Articles

July 2012

Medicare Part D Benzodiazepine Exclusion and Use of Psychotropic Medication by Patients With New Anxiety Disorders

Michael K. Ong, M.D., Ph.D.,
Lily Zhang, M.S.,
Haiyong Xu, Ph.D.,
Francisca Azocar, Ph.D., and
Susan L. Ettner, Ph.D.

Pages:637–642
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100331

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Medicare Part D drug plans specifically exclude coverage of benzodiazepines, largely because of concerns over safety and inappropriate use. However, benzodiazepines are an effective, low-cost treatment for anxiety. This study used national data to examine ...

July 2012

Use of Longer Periods of Temporary Detention to Reduce Mental Health Civil Commitments

Tanya Nicole Wanchek, Ph.D., J.D., and
Richard J. Bonnie, LL.B.

Pages:643–648
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100359

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Individuals experiencing a mental health crisis can be held on a temporary detention order (TDO) before a civil commitment hearing is required. TDO periods, which permit stabilization and evaluation of patients, vary across the U.S. from 48 hours to 30 ...

July 2012

Knowledge and Attitudes About Mental Illness: A Survey of Middle School Students

Otto Wahl, Ph.D.,
Janet Susin, M.A.,
Amy Lax, B.A.,
Lorraine Kaplan, M.A., and
Dayna Zatina, Psy.D.

Pages:649–654
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100358

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Objectives:Despite the many studies of public attitudes toward mental illnesses, relatively few have examined the views of the youngest generation of citizens. This study was intended to increase understanding of youths' views of mental illness by ...

July 2012

Portrayals of Schizophrenia by Entertainment Media: A Content Analysis of Contemporary Movies

Patricia R. Owen, Ph.D.

Pages:655–659
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100371

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Movie portrayals of people with mental illness often perpetuate negative stereotypes. This review of 41 movies released between 1990 and 2010 that featured at least one main character with schizophrenia found that most characters engaged in dangerous or ...

July 2012

Training and Consultation to Promote Implementation of an Empirically Supported Treatment: A Randomized Trial

Rinad S. Beidas, Ph.D.,
Julie M. Edmunds, M.A.,
Steven C. Marcus, Ph.D., and
Philip C. Kendall, Ph.D., A.B.P.P.

Pages:660–665
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100401

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Objective:The study evaluated the efficacy of three training modalities and the impact of ongoing consultation after training. Cognitive-behavioral therapy (CBT) for anxiety among youths, an empirically supported treatment, was used as the exemplar. ...

July 2012

An Examination of Costs, Charges, and Payments for Inpatient Psychiatric Treatment in Community Hospitals

Michael Stensland, Ph.D.,
Peter R. Watson, M.B.A., M.P.H., and
Kyle L. Grazier, Dr. P.H.

Pages:666–671
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100402

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Objective:Hospitalization is a critical component of treatment for individuals with serious and persistent mental illness. Despite its resource intensity, the costs of inpatient psychiatric hospitalizations in the United States are not well understood. ...

July 2012

One-Year Cost Implications of Using Mental Health Care After Discharge From a General Medical Hospitalization

Justin K. Benzer, Ph.D.,
Jennifer L. Sullivan, Ph.D.,
Sandra Williams, M.S., and
James F. Burgess, Ph.D.

Pages:672–678
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100457

Abstract
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Objective:The purpose of this study was to direct attention to mental health issues that may occur around discharge of patients hospitalized for general medical issues. This study provides a methodology and tested whether postdischarge mental health care ...

July 2012

Pharmacotherapy of Alcohol Use Disorders by the Veterans Health Administration: Patterns of Receipt and Persistence

Alex H. S. Harris, Ph.D., M.S.,
Elizabeth Oliva, Ph.D.,
Thomas Bowe, Ph.D.,
Keith N. Humphreys, Ph.D.,
Daniel R. Kivlahan, Ph.D., and
Jodie A. Trafton, Ph.D.

Pages:679–685
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201000553

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Objective:This study assessed changes since 2007 at Veterans Health Administration (VHA) facilities (N=129) in use of the medications approved by the U.S. Food and Drug Administration for treatment of alcohol use disorders. Methods:VHA data from fiscal ...

July 2012

The Role of Culture in Substance Abuse Treatment Programs for American Indian and Alaska Native Communities

Rupinder Kaur Legha, M.D., and
Douglas Novins, M.D.

Pages:686–692
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100399

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Objective:Culture figures prominently in discussions regarding the etiology of alcohol and substance abuse in American Indian and Alaska Native (AI/AN) communities, and a substantial body of literature suggests that it is critical to developing meaningful ...

July 2012

Screening, Diagnosis, and Treatment of Dyslipidemia Among Persons With Persistent Mental Illness: A Literature Review

Erik R. Vanderlip, M.D.,
Jess G. Fiedorowicz, M.D., Ph.D., and
William G. Haynes, M.D.

Pages:693–701
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100475

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Objective:Cardiovascular disease is the most frequent cause of death of persons with severe and persistent mental illness, and there is evidence of a widening mortality gap with the general population. Modifiable risk factors for cardiovascular disease, ...

Open Forum

July 2012

Everyday Solutions for Everyday Problems: How Mental Health Systems Can Support Recovery

Mike Slade, Ph.D.

Pages:702–704
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100521

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People who experience mental illness can be viewed as either fundamentally different than, or fundamentally like, everyone else in society. Recovery-oriented mental health systems focus on commonality. In practice, this involves an orientation toward ...

Brief Reports

July 2012

Is Dropout After a First Psychotherapy Visit Always a Bad Outcome?

Gregory E. Simon, M.D., M.P.H.,
Zachary E. Imel, Ph.D.,
Evette J. Ludman, Ph.D., and
Bradley J. Steinfeld, Ph.D.

Pages:705–707
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100309

Abstract
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Objective:The authors compared outcomes reported by patients who did or did not return for treatment after an initial psychotherapy visit. Methods:Members of a group health plan were surveyed about initial psychotherapy visits occurring between March and ...

July 2012

Strengths Model Case Management Fidelity Scores and Client Outcomes

Sadaaki Fukui, Ph.D.,
Rick Goscha, Ph.D.,
Charles A. Rapp, Ph.D.,
Ally Mabry, B.S., M.S.W.,
Paul Liddy, B.A., R.P.N., and
Doug Marty, M.S.W.

Pages:708–710
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100373

Abstract
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Objective:The study examined the relationship between fidelity of strengths model case management (SMCM) and client outcomes of psychiatric hospitalization, competitive employment, postsecondary education, and independent living. Methods:Data were ...

July 2012

Attitudes and Beliefs About Treatment Among College Students With Untreated Mental Health Problems

Daniel Eisenberg, Ph.D.,
Nicole Speer, Ph.D., and
Justin B. Hunt, M.D., M.S.

Pages:711–713
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100250

Abstract
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Objective:This study estimated attitudes and beliefs about treatment in a national sample of college students with untreated mental health problems. Methods:A retrospective analysis of the 2007 and 2009 Healthy Minds Study, an online survey of college ...

July 2012

Cancer Incidence in a Sample of Maryland Residents With Serious Mental Illness

Emma Elizabeth McGinty, M.S.,
Yiyi Zhang, Ph.D.,
Eliseo Guallar, M.D., Dr.P.H.,
Daniel E. Ford, M.D., M.P.H.,
Donald Steinwachs, Ph.D.,
Lisa B. Dixon, M.D., M.P.H.,
Nancy L. Keating, M.D., M.P.H., and
Gail L. Daumit, M.D., M.H.S.

Pages:714–717
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.201100169

Abstract
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Objective:Persons with serious mental illness have an increased mortality rate and a higher burden of many medical conditions compared with persons without serious mental illness. Cancer risk in the population with serious mental illness is uncertain, and ...

Frontline Reports

July 2012

“El Grupo”: Bringing Psychotherapy to an Underserved Population

Hansel Arroyo, M.D.,
Emily Steinberg, M.D., and
Craig L. Katz, M.D.

Page:718
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p718

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July 2012

Moderated Online Social Therapy for Recovery From Early Psychosis

John F. M. Gleeson, M.Psych., Ph.D.,
Mario Alvarez-Jimenez, D.Clin.Psy., Ph.D., and
Reeva Lederman, M.I.S., Ph.D.

Page:719
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p719

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Letters

July 2012

Supported Housing and the Lamppost—or Supported Housing in the Spotlight?

Deborah K. Padgett, Ph.D.

Page:720
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p720

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July 2012

Supported Housing and the Lamppost—or Supported Housing in the Spotlight?: In Reply

Kim Hopper, Ph.D.

Pages:720–721
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p720a

First Page
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July 2012

Performance Measures for Schizophrenia Research

Tom Burns, M.D.

Page:721
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p721

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July 2012

Performance Measures for Schizophrenia Research: In Reply

Donald Emile Addington, M.B.B.S.,
Emily McKenzie, M.Sc., and
JianLi Wang, Ph.D.

Pages:721–722
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p721a

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News & Notes

July 2012

Pages:723–724
Published Online:1 July 2012

https://doi.org/10.1176/appi.ps.20120p723

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