Abstract:
:Antipsychotic polypharmacy (APP) is a common strategy despite guidelines advising against this practice. This article seeks to quantify the prevalence and correlates of APP using Medicaid Analytic eXtract files from 2003 to 2004. Nineteen percent of Medicaid recipients who received an antipsychotic were treated with APP. Individuals who received APP were more likely to be white, male, disabled, between the ages of 18-29, diagnosed with a psychotic disorder, and diagnosed with a higher number of psychiatric conditions. Geographic variation in APP rates was also observed. Quality improvement initiatives may help reduce APP for medically vulnerable patients.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Cotes RO,Goldsmith DR,Kopelovich SL,Lally CA,Druss BGdoi
10.1007/s10597-017-0183-ysubject
Has Abstractpub_date
2018-08-01 00:00:00pages
699-706issue
6eissn
0010-3853issn
1573-2789pii
10.1007/s10597-017-0183-yjournal_volume
54pub_type
杂志文章abstract::This paper reports a study of the extent to which essential elements of community mental health are part of mental health agencies' practices. A sample of 263 social workers reported on the nature of programming and services of 19 mental health facilities ranging from city and state community mental health centers to ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01424803
更新日期:1975-10-01 00:00:00
abstract::During yearly meetings of the recently developed network of 15 public/community psychiatry fellowships, it has been noted that programs are having varying degrees of success with regard to recruitment. To understand factors that impact recruitment, a quality improvement survey of fellows and alumni was conducted. Resp...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-014-9701-3
更新日期:2014-10-01 00:00:00
abstract::Treatment and support of people diagnosed with severe mental illness in Sweden takes place in out-patient psychiatric services or municipality services. Most of the responsibility for support in daily life are provided by the close family. One crucial matter is how to support these families. This research project aime...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-018-0307-z
更新日期:2019-05-01 00:00:00
abstract::A division of a decentralized state hospital has experienced a 75% drop in census since practicing community psychiatry. Soon, it is anticipated that two comprehensive mental health centers will develop in the area it serves and that the division will "go out of business." In working with the "natural community" and t...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01434872
更新日期:1967-09-01 00:00:00
abstract::The present descriptive study investigated the impact of socio-economic status in meeting the human rights needs among randomly selected recovered psychiatric patients (n = 100) at a tertiary care center. Data was collected through face to face interview, using structured Needs Assessment Questionnaire. The findings r...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-012-9577-z
更新日期:2014-04-01 00:00:00
abstract::Research on the recovery domains beside clinical recovery of people with severe mental illness in need of supported accommodations is limited. The aim of this study was (1) to investigate which recovery interventions exist for this group of people and (2) to explore the scientific evidence. We conducted a scoping revi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00561-3
更新日期:2020-08-01 00:00:00
abstract::This cross-sectional group comparison aimed to examine whether personal empowerment, recovery and community integration were associated with the individual's participation in an empowering community-centered model of intervention. Ninety-three participants from an empowering community-centered community mental health ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-016-0004-8
更新日期:2016-10-01 00:00:00
abstract::This retrospective study examines treatment outcomes associated with atypical antipsychotic medications in areas of 1) treatment response; 2) employment; 3) living arrangements; and 4) hospitalization rates. The study included a random sample of adults with serious mental illness, who participated in treatment for at ...
journal_title:Community mental health journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1023/a:1022618922208
更新日期:2003-04-01 00:00:00
abstract::Open Dialogue is a model of mental health services that originated in Finland and has since, been taken up in trial teams worldwide. As this is a relatively unknown approach in the UK, it is important to tentatively explore perspectives of NHS staff and service-users. Sixty-one Open Dialogue conference attendees, both...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-015-9849-5
更新日期:2015-11-01 00:00:00
abstract::A proliferation of recent literature provides substantial direction as to the key ingredients-target groups, messages and methods, and evaluation-of local-level, public interventions to counter stigma and discrimination. This paper provides a selective narrative review of that literature from the perspective or standp...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/s10597-017-0189-5
更新日期:2018-04-01 00:00:00
abstract::This discussion summarizes community-based research conducted by the Human Relations Service of Wellesley, Inc., during the first 15 years of its existence as a pilot mental health program. It suggests that the community mental health laboratory develop service and research as coordinated components. Service activitie...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01438981
更新日期:1969-10-01 00:00:00
abstract::Sociodemographic differences between rural and urban clients with severe mental illness (SMI) are explored using approaches which extend research in this area beyond limitations found in the few existing studies. Sixteen hundred adult clients from 18 Wisconsin counties are classified according to the degree of ruralit...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1025004804395
更新日期:1997-12-01 00:00:00
abstract::Consumer satisfaction with treatment is important information for providers of mental health services. The goal of the current study was to examine the relationship between youth and parent satisfaction ratings and the following youth variables: gender, age, primary diagnosis, and changes in functioning and symptomato...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-010-9293-5
更新日期:2010-06-01 00:00:00
abstract::Little is known about whether, compared to terrorism survivors who relocated to another area, better long-term outcome occurs in terrorism survivors who remain in the community, which may offer social support and formal services as well as ongoing trauma reminders and adversities. A cross-sectional telephone survey of...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0160-5
更新日期:2018-05-01 00:00:00
abstract::Our aim was to examine adolescent predictors (family- and school-related factors, substance use, and psychiatric disorders) for drug crime offending. The initial study population consisted of 508 former adolescent psychiatric inpatients aged between 13 and 17 years. Of them, 60 (12%) had committed a drug crime by youn...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00708-2
更新日期:2020-09-10 00:00:00
abstract::Individual dietetic consultations were trialled in a community-based first-episode psychosis program. Participants received eight individualised dietetic consultations, plus weekly shopping tours and cooking groups. The outcome measure was waist circumference (WC). In total, 30 patients commenced the program. An inten...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-014-9787-7
更新日期:2015-02-01 00:00:00
abstract::This study investigated the comprehensiveness of disaster mental health state plans and their adherence to published best practices in three states that experienced post-9/11 federally-declared disasters. There were 59 disaster mental health best practices used in this study to assess each state disaster mental plan's...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-011-9421-x
更新日期:2012-12-01 00:00:00
abstract::The assumption that terminations data represent a cross section of patients treated at mental health centers is investigated by comparing social characteristics of patients admitted to and terminated from mental health centers. The great majority of patient characteristics of the two groups are similar enough to make ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01419752
更新日期:1976-10-01 00:00:00
abstract::Low-income women experience disproportionately high rates of adverse maternal mental health outcomes, such as pregnancy-related depression, and have less access to behavioral health support. Adverse maternal mental health affects children through compromising bonding, impeding early childhood development, and increasi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00744-y
更新日期:2020-11-07 00:00:00
abstract::This study examines level of depression and factors associated with depression among female and male youth in Jordan. The study uses data from a cross-sectional survey conducted among a national sample of 14-25 year old youth attending educational institutions in Jordan (N = 8,129). On average, respondents reported fr...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-012-9529-7
更新日期:2013-02-01 00:00:00
abstract::Alcohol education programs for adolescents operate without a clear cut philosophy or evidence of impact. Little innovative work is being undertaken to remedy the situation. Based on a review of present research and programmatic materials, the difficulties in the development of sound and appropriate objectives are iden...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01419685
更新日期:1966-09-01 00:00:00
abstract::Often the cases seen in a municipal court or a mental health center's crisis department are identical. The concepts used to describe these common cases and the resultant agency actions taken differ drastically between the legal and mental health arenas. This paper presents a working model that combines mental health a...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00766012
更新日期:1979-10-01 00:00:00
abstract::Microaggressions perpetuate inequalities and stereotypes against people from marginalized communities. Research demonstrates that ongoing experiences of identity-related microaggressions can negatively impact mental health outcomes, increase somatic symptoms, and increase negative affect. This study explores the relat...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00615-6
更新日期:2020-08-01 00:00:00
abstract::The focus of the present study was to examine the extent of noncompliance in psychiatric aftercare in an integrated hospital and community mental health service. Characteristics of those patients who were noncompliant were explored in order to facilitate the prediction of treatment noncompliance at the point of discha...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1022461026275
更新日期:1997-02-01 00:00:00
abstract::Citizen involvement in CMHC service delivery has two bases: (a) volunteerism and (b) identification with clients and citizens who may need services. This identification is expressed two ways, as cultural similarity to clients or social activism in their behalf. Paraprofessionals have been portrayed as a major mechanis...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754207
更新日期:1981-04-01 00:00:00
abstract::Changes in activity patterns of 12 case managers over the first year of an intensive community support program are described and a method and format for the collection and analysis of time budget data in case management are presented. During the first six months of the program case managers recorded the predominant ac...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752824
更新日期:1987-04-01 00:00:00
abstract::The role of individual variables (COVID-19 anxiety, perceived susceptibility, perceived severity, optimistic bias and personal identity) as predictors of quality of life (QoL) during the novel coronavirus or COVID-19 pandemic is explored. Impact of group related variables (identification to family, religious group and...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00712-6
更新日期:2021-01-01 00:00:00
abstract::A necessary first step in the psychosocial treatment of persons with severe mental illness is helping them identify their goals. Unfortunately, goal assessment is often viewed as a categorical process in which individuals list needs for which they require services. Motivational interviews provide a more sophisticated ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1002757631131
更新日期:2001-04-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02189063
更新日期:1994-10-01 00:00:00
abstract::Factors in the social processes by which communities act to send persons to the state mental hospital produce differences in admission rates for Mexican-Americans in certain age-sex-diagnosis specific populations. These factors are seen as related to ethnic discrimination at all stages of the process. ...
journal_title:Community mental health journal
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