Disease Burden Among Individuals with Severe Mental Illness in a Community Setting.
*Cost of Illness; Adult; Assisted Living; Chronic Disease/*epidemiology; Chronic pain; Chronic Pain; Co-morbid illness; Comorbidity; Female; Headache; Health status; Health Status; Human; Humans; Male; Mental Disorders; Mental Disorders/complications/*epidemiology; Middle Aged; Prevalence; Self Report; Severe mental illness; Young Adult
This study examines the prevalence of comorbid physical health conditions within a community sample of individuals with severe mental illness (SMI), compares them to a matched national sample without SMI, and identifies which comorbidities create the greatest disease burden for those with SMI. Self-reported health status, co-morbid medical conditions and perceived disease burden were collected from 203 adults with SMI. Prevalence of chronic health conditions was compared to a propensity-matched sample without SMI from the National Comorbidity Survey-Replication (NCS-R). Compared to NCS-R sample without SMI, our sample with SMI had a higher prevalence of seven out of nine categories of chronic health conditions. Chronic pain and headaches, as well as the number of chronic conditions, were associated with increased disease burden for individuals with SMI. Further investigation of possible interventions, including effective pain management, is needed to improve the health status of this population.
Baughman Kristin R; Bonfine Natalie; Dugan Sara E; Adams Richard; Gallagher Mary; Olds R Scott; Piatt Elizabeth; Ritter Christian
Community mental health journal
2016
2016-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s10597-015-9973-2" target="_blank" rel="noreferrer noopener">10.1007/s10597-015-9973-2</a>
Exploring the relationship between criminogenic risk assessment and mental health court program completion.
*Needs Assessment; *Risk Assessment; Clinical services; Comparative Studies; Criminal Law/*legislation & jurisprudence; Criminals/*legislation & jurisprudence/*psychology; Criminogenic risk assessment; Criminology – Legislation and Jurisprudence; Evaluation Research; Goals; Goals and Objectives; Human; Humans; Judicial Role; Jurisprudence; Mental Disorders – Therapy; Mental Disorders/*therapy; Mental health court; Mental Health Services; Mentally Ill Persons/*legislation & jurisprudence/*psychology; Multicenter Studies; Needs Assessment; Ohio; Psychiatric Patients – Legislation and Jurisprudence; Psychiatric Patients – Psychosocial Factors; Public Offenders – Legislation and Jurisprudence; Public Offenders – Psychosocial Factors; Risk Assessment; Scales; Validation Studies
The two primary goals of mental health courts are to engage individuals with severe mental illness in the criminal justice system with clinical mental health services and to prevent future involvement with the criminal justice system. An important factor in helping to achieve both goals is to identify participants' level of clinical needs and criminogenic risk/needs. This study seeks to better understand how criminogenic risk affects outcomes in a mental health court. Specifically, we explore if high criminogenic risk is associated with failure to complete mental health court. Our subjects are participants of a municipal mental health court (MHC) who completed the Level of Services Inventory-Revised (LSI-R) upon entry to the program (N=146). We used binary logistic regression to determine the association between termination from the program with the total
Bonfine Natalie; Ritter Christian; Munetz Mark R
International journal of law and psychiatry
2016
2016-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.ijlp.2016.02.002" target="_blank" rel="noreferrer noopener">10.1016/j.ijlp.2016.02.002</a>
AOT and Long-Term Use of Antipsychotics-3.
*Antipsychotic Agents; Antipsychotic Agents; Humans
Munetz Mark R; Fuller Doris A
Psychiatric services (Washington, D.C.)
2016
2016-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1176/appi.ps.670704" target="_blank" rel="noreferrer noopener">10.1176/appi.ps.670704</a>