A Journal of the American Psychiatric Association
Edited by Howard H. Goldman, M.D., Ph.D.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 http://ps.psychiatryonline.org
The March issue of Psychiatric Services is now online. Below are some highlights from the issue.
Using Feedback From Patients: Best Clinical Practices
Researchers have developed an array of patient-reported outcome measures (PROMs) to assess treatment progress and results. How should PROM feedback be used in routine care? A literature review found that patients had the best therapeutic outcomes when they were treated at clinics that used formal guidelines for incorporating PROM feedback into treatment sessions.
Fewer Drug Side Effects for Patients in Collaborative Care
Depressed primary care patients reported fewer antidepressant side effects when they participated in a high-intensity collaborative care intervention. In this model, treatment was delivered by a primary care provider who was supported by a nurse care manager. The care manager, who was available off site by telephone, wassupported by a team consisting of a telepharmacist, telepsychologist, and telepsychiatrist.
Disparities Persist in Children’s Program Designed to Close Gaps
The Children’s Mental Health Initiative (CMHI) was launched in 1993 to close gaps in care among disadvantaged children. For this reason, researchers who analyzed current data for nearly 4,000 children with serious emotional disturbances who were enrolled in systems of care under CMHI expected to find only modest racial-ethnic differences. Instead they found persistent and troubling disparities, especially for African-American and Latino children.
Fotonovela Helps Counter Stigma About Depression Among Latinos
Stigma about treatment among Latinos is fueled by fears, cultural norms, and lack of knowledge. Fotonovelas are popular health education tools that use posed photographs, captions, and soap opera narratives to engage audiences and raise awareness about health or social issues. A fotonovela was effective in increasing knowledge about depression and depression treatments when tested among Latino students at night schools in Los Angeles.
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.
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.
John A. Talbott, M.D.
Book Review Editor
Jeffrey L. Geller, M.D., M.P.H.
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.
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