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Psychiatric Services

Psychiatric Services
A Journal of the American Psychiatric Association

Edited by Howard H. Goldman, M.D., Ph.D.
ISSN 1075-2730
Item #PSY

Psychiatric Services focuses on the delivery of behavioral health services in organized systems, such as public mental health systems, correctional systems, and health maintenance organizations. Under health care reform, systems of care are changing to maximize quality and accessibility and lower costs. Clinicians and administrators look to Psychiatric Services for research on how to deliver evidence-based treatments, to take an integrated “whole-health” approach to care, and to better engage their patients—especially those with severe and persistent mental illnesses, who are often served by multiple systems.

Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The journal focuses on issues related to the delivery of mental health services, especially for people with severe mental illness in community-based treatment programs. Each month, Psychiatric Services features 15 research reports with results that have practical applications in the diverse settings where today's practitioners work. The journal has long recognized that providing high-quality care involves collaboration among a variety of professionals. Authors of research reports include psychiatrists, psychologists, pharmacists, drug and alcohol treatment counselors, social workers, nurses, economists, and professionals in related systems such as welfare and criminal justice systems. Monthly columns keep readers up to date on important developments in areas such as law and psychiatry and state mental health policy. Issues feature book reviews, news, and letters to the editor. Every member of the treatment team will find Psychiatric Services a valuable source of information.

To visit Psychiatric Services online, please go to

Below are some highlights from the December 2014 issue.

Focus on Shared Decision Making
Two research reports, an Open Forum, and two commentaries take a closer look at shared decision making. Although this practice is widely promoted and used in general medical care, shared decision making has only recently come to be regarded as an ethical imperative in mental health care.

Integrated Care Column: A “Wake-Up Call” for Psychiatrists
Smoking kills half of psychiatrists’ patients, note the authors of this column, which they label “a wake-up call for psychiatrists.” The authors outline what psychiatrists should—and can—do to help patients quit.

Delays in Seeking Care Among Veterans With PTSD
In a review of medical records for more than 39,000 Iraq and Afghanistan veterans who had received a postdeployment PTSD diagnosis, researchers found that those who waited longer to get treatment were less likely to experience symptom improvement. Men waited nearly two years longer than women to initiate minimally adequate care. Even with PTSD treatment, some subgroups were not as likely to improve as others.

Schizophrenia Narratives Differ for Males and Females
When researchers listened closely to interviews with 27 young people who had schizophrenia, they noted several themes that differed for males and females. Males said they felt abnormal or “broken” and described fantasies of escape. Females told stories of their family members with mental illness and described their own struggles to begin careers and adult lives.

Howard H. Goldman, M.D., Ph.D., is Professor of Psychiatry, University of Maryland School of Medicine, Baltimore, where he is the Director of the Mental Health Systems Improvement Collaborative.

Howard H. Goldman, M.D., Ph.D.

Editorial Board
David A. Adler, M.D.
Benjamin G. Druss, M.D., M.P.H.
Javier I. Escobar, M.D.
Stephen M. Goldfinger, M.D.
Richard K. Harding, M.D.
Grayson S. Norquist, M.D., M.S.P.H.
Martha Sajatovic, M.D.
Bradley D. Stein, M.D., Ph.D.
Marvin S. Swartz, M.D.
Marcia Valenstein, M.D.
Roy C. Wilson, M.D.
Bonnie T. Zima, M.D., M.P.H.

Editor Emeritus
John A. Talbott, M.D.

Book Review Editor
Jeffrey L. Geller, M.D., M.P.H.

Contributing Editors
Law & Psychiatry: Paul S. Appelbaum, M.D.
Frontline Reports: Francine Cournos, M.D., and Stephen M. Goldfinger, M.D.
Public-Academic Partnerships: Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D.
Personal Accounts: Jeffrey L. Geller, M.D., M.P.H.
Best Practices: William M. Glazer, M.D.
Datapoints: Amy M. Kilbourne, Ph.D., M.P.H., and Tami L. Mark, Ph.D.
Mental Health Care Reforms in Europe: Matt Muijen, M.D.
Mental Health Care Reforms in Latin America: Jos� Miguel Caldas de Almeida, M.D., and Marcela Horvitz-Lennon, M.D., M.P.H.
State Mental Health Policy: Fred C. Osher, M.D.
Case Studies in Public-Sector Leadership: Jules M. Ranz, M.D. and Susan M. Deakins, M.D.
Economic Grand Rounds: Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D.

Editorial Consultants
Norman Clemens, M.D.
Julie M. Donohue, Ph.D.
Robert E. Drake, M.D., Ph.D.
Marcia Kraft Goin, M.D., Ph.D.
Shelly F. Greenfield, M.D., M.P.H.
M. Susan Ridgely, J.D.
Laura Van Tosh

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