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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

Highlights from the January issue of Psychiatric Services:

Focus on Advance Directives for Psychiatric Care
Use of advance directives can empower consumers by facilitating collaborative, consumer-directed treatment planning. The Commonwealth of Virginia has launched an ambitious statewide project to embed psychiatric advance directives into routine care for people with serious mental illnesses. A research group involved in the project describes lessons learned in its first three years, which may be instructive for other states.

Psychiatrist Training Increases Their Prescription of Smoking Cessation Treatments
Tobacco use shortens the lives of people with mental illness, and clinicians should know more about cessation treatments. This study found that a two-day intensive training that provided psychiatrists with knowledge and skills to help patients quit resulted in a notable increase in their provision of smoking cessation treatments.

A 16-Year Cohort Study of Patients With Borderline Personality Disorder

Over a period of 16 years, patients in this follow-up study have been found to have high rates of use of various types of treatment. These sustained high use rates highlight the severe psychopathology often experienced by patients with borderline personality disorder.

Equine-Assisted Therapy Reduces Violence
This first controlled study of equine-assisted therapy was conducted in a state psychiatric hospital with long-term inpatients, many of whom had initiated violent incidents on the hospital’s wards. Researchers compared animal-assisted therapy using dogs or horses with enhanced social skills therapy. Three months after a course of therapy with horses, patients engaged in fewer violent incidents.

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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