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Mashup Score: 5Opportunities and Challenges to Build Behavioral Health Crisis Capacity in Rural America - 14 hour(s) ago
This column shares lessons learned from a 1-year pilot implementation of a crisis response program deploying crisis professionals to rural parts of Albany County, New York. The data (325 crisis interventions for 191 unique individuals, 57% of cases resolved on the scene) suggest that the program helps fill the crisis services gap in these communities. Police were present on 80% of cases. Educating police to build confidence in the program and providing clearer guidelines on the triage process for dispatchers may be important strategies to continue shifting crisis response duties from traditional first responders to crisis professionals.
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 4Comparative Effectiveness of Clinician- Versus Peer-Supported Problem-Solving Therapy for Rural Older Adults With Depression - 2 day(s) ago
Objective: Self-guided and peer-supported treatments for depression among rural older adults may address some common barriers to treatment. This pilot study compared the effect on depression of peer-supported, self-guided problem-solving therapy (SG-PST) with case management problem-solving therapy (CM-PST) among older adults in rural California. Methods: Older adults with depression (N=105) received an introductory PST session with a clinician, followed by 11 sessions of CM-PST with a clinician (N=85) or SG-PST with a peer counselor (N=20). Results: Both interventions resulted in clinically significant improvement in depression by week 12. Depression scores in the CM-PST group dropped by 4.1 points more than in the SG-PST group between baseline and week 12 (95% CI=0.99–7.22, p<0.001, Hedges’s g=1.08). Conclusions: The results suggest that peer-supported SG-PST is a viable, acceptable option for rural older adults with depression as a second-line treatment if access to clinicians is li
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 2
Objective: Recreational cannabis legalization (RCL) is expanding rapidly. RCL’s effects on mental health issues are of particular concern because cannabis use is more frequent among people receiving psychiatric care and is associated with several psychiatric disorders. The authors conducted a scoping review to examine the evidence and discern gaps in the literature concerning the effects of RCL on mental health and to assess the factors responsible for an observed heterogeneity in research results. Methods: This scoping literature review followed PRISMA guidelines. Five databases—MEDLINE, CINAHL, Embase, APA PsycInfo, and Web of Science—were searched for English- or French-language reports published between January 1, 2012, and April 30, 2023. Results: Twenty-eight studies from the United States and Canada were found. The studies were classified by category of the study’s data (patients receiving psychiatric care [k=1], death records [k=4], emergency department or hospital records [k=1
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 2A Path to Wellness: Finding My Purpose - 7 day(s) ago
No matter who you are, you can make plans, but your purpose in life may emerge from an unexpected event. My experiences serve as an example of how even the best of plans can suddenly get overturned. Early in my life, I thought I was destined to become a behavioral analyst for the Federal Bureau of Investigation (FBI), but my career goal was derailed by forces outside my control. I was raised by a single mother who battled substance use and had barely enough to provide for a family of five. My home was
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1Examining State Licensing Requirements for Select Master’s-Level Behavioral Health Providers for Children - 9 day(s) ago
Objective: The authors examined licensing requirements for select children’s behavioral health care providers. Methods: Statutes and regulations as of October 2021 were reviewed for licensed clinical social workers, licensed professional counselors, and licensed marriage and family therapists for all 50 U.S. states and the District of Columbia. Results: All jurisdictions had laws regarding postgraduate training and license portability. No jurisdiction included language about specialized postgraduate training related to serving children and families or cultural competence. Other policies that related to the structure, composition, and authority of licensing boards varied across states and licensure types. Conclusions: In their efforts to address barriers to licensure, expand the workforce, and ensure that children have access to high-quality and culturally responsive care, states could consider their statutes and regulations.
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 4Integrating Board-Certified Psychiatric Pharmacists in a Certified Community Behavioral Health Clinic - 13 day(s) ago
Demand for mental health services has dramatically increased in recent years, raising concerns about the availability of service providers to meet these increased needs. One approach to expanding access to care is the use of highly qualified board-certified psychiatric pharmacists (BCPPs). However, the implementation of programs for integrating BCPPs has not been well characterized in community mental health settings. This column describes the development and implementation of a comprehensive practice model to incorporate BCPPs in a certified community behavioral health clinic. The authors report the results from the first 14 months of BCPP integration (based on 3,221 direct patient care interventions), offer recommendations, and highlight lessons learned.
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1
Objective: Learning health care networks can significantly improve the effectiveness, consistency, and cost-effectiveness of care delivery. As part of a data harmonization process, incorporation of the perspectives of community partners to maximize the relevance and utility of the data is critical. Methods: A mixed-methods focus group study was conducted with early psychosis program providers, leadership, service users, and family members to explore their priorities regarding data collection in early psychosis care. Focus group transcripts were analyzed through thematic analysis. Results: Twenty-two focus groups comprising 178 participants were conducted across 10 early psychosis programs. Participants considered functioning, quality of life, recovery, and symptoms of psychosis as key outcomes to assess, although variation by participants’ roles was also evident. Participants emphasized the clinical utility of assessing a broad range of predictors of care outcomes, favored a broad conc
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 3The Role of Black Churches in Promoting Mental Health for Communities of Socioeconomically Disadvantaged Black Americans - 15 day(s) ago
Objective: Churches in socioeconomically disadvantaged neighborhoods serve as safe havens in many Black communities. Churches provide faith and charitable services but often have limited resources to address the mental health needs of their communities. This article reports on a collaborative effort, driven by members of a Black church, to understand mental health needs, coping strategies, and resilience factors in a community of socioeconomically disadvantaged Black Americans. Methods: A community-based participatory research effort was established among a church, a community mental health organization, clinicians, and researchers to interview and survey individuals residing near the church. Results: The sample consisted of 59 adults, most of whom were ages 46–65 years, men (N=34, 58%), and unemployed (N=46, 78%). Mean scores on the Patient Health Questionnaire–9 (9.2±7.7) and Generalized Anxiety Disorder–7 scale (9.4±6.7) were almost three times higher than those reported by studies
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 0Promoting Positive Self-Identity of Youths With Mental Disorders: Collaboration Between Academia and a Ministry of Education - 16 day(s) ago
Inclusive schools reflect the dominant approach to education, yet many youths with mental disorders still attend special education schools. Although special education schools address educational, social, and developmental needs, they may increase students’ self-stigma and hinder positive identity formation. Israel’s Ministry of Education and an academic community mental health department partnered to address this challenge by developing a manual-based intervention for special education school settings. About 180 teachers were trained, and approximately 400 students participated in the self-management and positive identity group intervention. This partnership demonstrates the importance and potential of collaborations to address challenges that arise in real-world settings.
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 10Self-Pay Outpatient Mental Health Care for Children and Adolescents, by Socioeconomic Status - 17 day(s) ago
Objective: Many parents struggle to find mental health care for their children, and many mental health clinicians do not accept insurance payments. The authors aimed to estimate the frequency and cost of self-pay psychotherapy and psychotropic medication management visits for youths and to determine how service use varies by family income. Methods: A descriptive cross-sectional analysis was performed among youths ages 5–17 years in the 2018–2020 Medical Expenditure Panel Survey. Specialist visits included those with psychiatrists, psychologists, social workers, and mental health counselors or family therapists. Results: Approximately one in five of 13,639 outpatient mental health specialist visits were self-pay, with psychologists (23% of visits) and social workers (24% of visits) most likely to see youths on a self-pay basis. Use of self-pay care was strongly associated with higher income, but even families earning <$28,000 per year utilized some self-pay care, at a median cost of $95
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
A behavioral health crisis response team deployed in rural areas could fill service gaps and reduce police involvement in crisis responses. https://t.co/tAltKUe5Ly https://t.co/7KWgjotbrw