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Mashup Score: 7Associations of Mortality Outcomes With Employment Status at Discharge From VA Vocational Rehabilitation Service Programs - 16 hour(s) ago
Objective: The authors evaluated associations between employment at discharge from Veterans Health Administration Vocational Rehabilitation Service (VR) programs and suicide and other causes of death. Methods: For veterans receiving VR between October 1, 2005, and September 30, 2014 (N=78,293), proportional hazards analyses were used to test associations of employment with suicide, drug overdose, and external and natural cause mortality rates over 1 and 5 years postdischarge and through December 31, 2019. The analyses were adjusted for clinical and sociodemographic characteristics and propensity for employment. Results: Of the veterans, 94.1% had a psychiatric diagnosis, and 35.5% were employed at VR discharge. In proportional hazards analyses, employment was associated with lower mortality rates through 1 year (suicide, hazard ratio [HR]=0.54; overdose, HR=0.70; external causes, HR=0.62; and natural causes, HR=0.51) and 5 years postdischarge (overdose, HR=0.72; external causes, HR=0.8
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 3
This column details some of the ways in which psychiatric survivors or those writing about their lived experience with mental illness are disadvantaged and devalued in mainstream academic publishing. This devaluation stems from structural issues involving various organizations, persons, and practices. Breaking the constraints of this structure is extremely difficult, but the author proposes some ways of doing so.
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 4
This column details some of the ways in which psychiatric survivors or those writing about their lived experience with mental illness are disadvantaged and devalued in mainstream academic publishing. This devaluation stems from structural issues involving various organizations, persons, and practices. Breaking the constraints of this structure is extremely difficult, but the author proposes some ways of doing so.
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1A Journey Toward Radical Recovery - 3 day(s) ago
I wrote this snippet (taken from a longer manifesto) during a particularly serious psychotic episode about 8 years ago. My physician had told me to write down everything that was going on in my head, so I did. That’s a little sample of what came out. Scary? Maybe. Poetic and fascinating? Definitely. Welcome to my head. At that time, I had been working in the mental health field for about 10 years. I was working in a decision support center that used CommonGround, a Web-based app to facilitate shared
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1Collaborative Care for Depression and Anxiety: Racial-Ethnic Differences in Treatment Engagement and Outcomes - 3 day(s) ago
Objective: This study aimed to examine racial-ethnic differences in engagement with and clinical outcomes of a collaborative care model (CoCM) implemented in primary care outpatient clinics in an urban academic medical center. Methods: Adult patients (N=4,911) who screened positive for symptoms of depression, anxiety, or both on the Patient Health Questionnaire–9 or the Generalized Anxiety Disorder–7 scale and who identified as non-Hispanic Black, Hispanic, or non-Hispanic White were offered participation in a CoCM implementation. The primary outcome was treatment engagement, defined as receipt of any follow-up visit, minimally adequate 4-week follow-up (at least one visit), and minimally adequate 16-week follow-up (at least three visits) after initial assessment. Secondary outcomes were response and remission of depression or anxiety. Results: After adjustment of analyses for sociodemographic covariates, Black and Hispanic participants were significantly less likely than White partici
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 3Access to Psychiatric and Education Services During Incarceration in the United States - 3 day(s) ago
Objective: Individuals with psychiatric disorders are incarcerated at disproportionately high rates and often have low educational attainment. Access to psychiatric and education services within prisons has been described as inadequate, but recent data are lacking. The authors sought to assess the association of psychiatric disorders with both educational attainment before incarceration and access to psychiatric and education services during incarceration. Methods: Data were from the 2016 Survey of Prison Inmates, a national survey of adults incarcerated in U.S. state and federal prisons (N=24,848). Multinomial regression was used to identify associations of educational attainment before incarceration with psychiatric disorders and sociodemographic factors. Multivariable logistic regression models were used to assess associations of psychiatric disorders with access to psychiatric and education services during incarceration and with sociodemographic factors. Results: Before incarcerati
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1Prevalence of Opioid Use Disorder and Opioid Overdose Rates Among People With Mental Illness - 9 day(s) ago
Objective: The authors examined the prevalence and correlates of co-occurring opioid use disorder and opioid overdose among individuals receiving psychiatric services. Methods: This was a cross-sectional study of adults with continuous enrollment in New York State Medicaid who received at least one psychiatric service in 2020 (N=523,885). Logistic regression models were used to examine the correlates of both opioid use disorder and overdose. Results: In the study sample, the prevalence rate of opioid use disorder was 8.1%; within this group, 7.7% experienced an opioid overdose in the study year. Opioid use disorder rates were lower among younger (18–24 years; 2.0%) and older (≥65 years; 3.1%) adults and higher among men (11.1%) and among those residing in rural areas (9.9%). Compared with Whites (9.4%), opioid use disorder rates were lower for Asian Americans (2.0%, adjusted odds ratio [AOR]=0.22) and Blacks (6.8%, AOR=0.76) and higher for American Indians (13.2%, AOR=1.43) and Hispani
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 5Opportunities and Challenges to Build Behavioral Health Crisis Capacity in Rural America - 10 day(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 - 11 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
Veteran employment at discharge from VHA vocational rehabilitation services is associated with a reduction in mortality risks, including suicide risk. @kzivin https://t.co/fpSyb0KZug https://t.co/cs9RgI2iKY