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A Comparison of Participants in Two Community-Based Programs: Assisted Outpatient Treatment and a Mental Health Court.

OBJECTIVE: Mental health courts and assisted outpatient treatment (AOT) are tools to help people with serious mental illness engage in treatment and avoid or reduce institutionalization. As both programs become increasingly prevalent, questions…

Tags: 2018, Assisted Outpatient Treatment, Bonfine Natalie, College of Graduate Studies, Department of Family & Community Medicine, Department of Psychiatry, mental health courts, Munetz Mark R, NEOMED College of Graduate Studies, NEOMED College of Medicine, Outpatient commitment, Psychiatric services (Washington, D.C.), Ritter Christian, Teller Jennifer L S

A mock morbidity and mortality conference: Does it change providers' behavior?

Tags: 2021, Academic Psychiatry, April 2021 List, Ashai A, Department of Psychiatry, journalArticle, Nahhas RW, NEOMED College of Medicine, Virgo L, Welton RS

A systematic review of ketamine for the treatment of depression among older adults.

Objective: To review the currently available data on the use of ketamine in the treatment of depression among older adults from randomized controlled studies.; Design: Randomized controlled trials.; Setting: Variable.; Participants: 60 years and…

A Test of the Career Construction Theory Model of Adaptation in Adult Workers With Chiari Malformation

The present study examined the career construction theory (CCT) model of adaptation using a sample of working adults diagnosed with Chiari malformation. Specifically, we tested a mediation model in which adaptivity (i.e., proactivity, openness, and…

Adapting cognitive behavioral therapy for psychosis for case managers: increasing access to services in a community mental health agency.

OBJECTIVE: The purpose of this article is twofold: (a) to describe the adaptation of an evidence-based practice and, (b) using a dissemination framework, to describe the process of implementing the practice at a community mental health agency.…

Tags: *Community Mental Health Services, *Diffusion of Innovation, *Health Services Accessibility, 2014, Adult, Case Management, Case Managers, Cognitive Behavioral Therapy/education/*methods, Cognitive Therapy – Methods, collaboration, Community Mental Health Services – United States, Cooperative Behavior, Department of Psychiatry, Evidence-Based, Evidence-Based Practice/education/methods, Female, Human, Humans, Inservice Training, Interinstitutional Relations, Male, Montesano Vicki L, Munetz Mark R, NEOMED College of Medicine, Pelton Jeremy R, Pilot Studies, Professional Practice, Program Implementation – Methods, Psychiatric rehabilitation journal, Psychotic Disorders/*therapy, Questionnaires, Scales, Schizophrenia – Rehabilitation, Schizophrenia/*therapy, Sivec Harry J, Staff Development, Thematic Analysis, Treatment Outcome, Turkington Douglas, United Kingdom, United States

Age moderates the relationship between source of social support and mental health in racial minority lesbian, gay, and bisexual youth

We examined the relationship between source of social support and mental health (and the moderating impact of age) in 64 low socioeconomic status, racial minority lesbian, gay, and bisexual adolescents/young adults. Social support from family ( β =…

Tags: 2019, Armelie Aaron P, Boarts Jessica M, Delahanty Douglas L, Department of Psychiatry, Depression, Journal of health psychology, June 2019 Update, NEOMED College of Medicine, sexuality, Smith Brian C, Social Support, trauma, Wise Anna E, youth

An examination of pain, disability, and the psychological correlates of Chiari Malformation pre- and post-surgical correction

BACKGROUND: 50% of patients with Chiari Malformation (CM) report a history of depression; however, rates of other psychological symptoms are unknown. Further, it is unclear whether surgical correction impacts pain, disability, and psychological…

Tags: 2019, Allen Philip A, Chiari malformation, Decompression surgery, Delahanty Douglas L, Department of Psychiatry, disability, Disability and health journal, Garcia Monica A, Houston James R, June 2019 Update, Labuda Rick, Li Xuan, Loth Francis, NEOMED College of Medicine, Pain, Psychological symptoms

An examination of premature mortality among decedents with serious mental illness and those in the general population.

OBJECTIVES: The primary aim of this retrospective study of death records was to determine whether there were significant differences in years of potential life lost (YPLL) between decedents with serious and persistent mental illness at a community…

An integrative ideology to guide community-based multidisciplinary care of severely mentally ill patients.

Most practitioners working in community support settings understand the need to provide a comprehensive array of well-coordinated services to individuals with severe mental disabilities. However, a lack of consensus about the conceptual basis of…

Tags: 1993, Birnbaum A, Combined Modality Therapy, Community Mental Health Services/*organization & administration, Comprehensive Health Care/*organization & administration, Department of Psychiatry, Health Care/organization & administration, Hospital & community psychiatry, Humans, Interprofessional Relations, Mental Disorders/psychology/*rehabilitation, Munetz M R, NEOMED College of Medicine, Patient Care Team/*organization & administration, Quality Assurance, United States, Wyzik P F

AOT and Long-Term Use of Antipsychotics-3.

Tags: *Antipsychotic Agents, 2016, Antipsychotic Agents, Department of Psychiatry, Fuller Doris A, Humans, Munetz Mark R, NEOMED College of Medicine, Psychiatric services (Washington, D.C.)

Association Between Hospitalization and Delivery of Assisted Outpatient Treatment With and Without Assertive Community Treatment

OBJECTIVE: This study examined hospitalizations for individuals receiving assisted outpatient treatment (AOT), some of whom also received assertive community treatment (ACT). We examined whether participation in AOT, as well as in AOT paired with ACT…

Tags: 2019, Assertive community treatment, Bonfine Natalie, D.C.), Department of Family & Community Medicine, Department of Psychiatry, June 2019 Update, Munetz Mark R, NEOMED College of Graduate Studies, NEOMED College of Medicine, Outpatient commitment, Psychiatric services (Washington, Psychiatric services (Washington, D.C.), Ritter Christian, Teller Jennifer L S

Behavioral Health Provider Attitudes and Beliefs about Sexuality and Intimacy: Findings from a Mixed Method Design.

Recovery-oriented services overlook a crucial health domain for persons with severe mental illnesses (SMI): sexuality and intimacy. Though this aspect of social recovery correlates with improved life quality and treatment outcomes, behavioral …

Tags: 2021, Barrenger S, Behavioral health provider attitudes and beliefs, Bohrman C, Community mental health journal, Compton E, Department of Psychiatry, journalArticle, June 2021 List, Klein L, Meduna E, NEOMED College of Medicine, recovery, Sexuality and intimacy communication, Tennille J

Black Robe/White Coat: Mental Health Providers Must Reclaim the Role of Caring Clinician.

Tags: 2020, Community psychiatry, D.C.), Department of Psychiatry, Munetz Mark R, NEOMED College of Medicine, Psychiatric services (Washington, Psychiatric services (Washington, D.C.), Public policy issues

Characteristics Associated with Depression and Suicidal Thoughts Among Medical Residents: Results from the DEPRESS-Ohio Study

OBJECTIVE: This study describes the characteristics that are associated with depression in residents and also examines resident perception of available mental health support. METHODS: Residents and their program directors from each of 10 specialties…

Childhood Adversity, Proximal Stressors and PTSD Among People with Severe Mental Illness: An Exploratory Study.

The purpose of this exploratory study is to: (1) assess prevalence of childhood adversities and posttraumatic stress disorder (PTSD); (2) assess their association, and; (3) explore whether proximal sources of stress affect this relationship and/or…

Tags: 2020, Adams Richard E, Bonfine Natalie, Childhood adversity, Community mental health journal, Department of Family & Community Medicine, Department of Psychiatry, Journal Article, journalArticle, June 2020 Update I, NEOMED College of Graduate Studies, NEOMED College of Medicine, PTSD, Ritter Christian, Serious mental illness, Stress, trauma

Cognitive Behavioral Therapy for Psychosis (CBT-p) Delivered in a Community Mental Health Setting: A Case Comparison of Clients Receiving CBT Informed Strategies by Case Managers Prior to Therapy.

This exploratory case comparison examines the influence of case management activities on engagement and progress in psychotherapy for clients with schizophrenia. Six clients were recruited to participate in ten sessions of Cognitive Behavioral…

Tags: *Case Managers, *CBT-p, *Cognitive behavioral techniques for psychosis, *Cognitive behavioral therapy for psychosis, *Community Mental Health Services, *Continuum of care, *Schizophrenia, 2017, Adult, Case Management, Case-Control Studies, Cognitive Behavioral Therapy/*methods, Cognitive Therapy – Methods, Community mental health journal, Community Mental Health Services, Comparative Studies, Continuity of Patient Care, Department of Psychiatry, Evidence-Based, Exploratory Research, Female, Human, Humans, Knepp Kristen A, Male, Middle Aged, Montesano Vicki L, Munetz Mark R, NEOMED College of Medicine, Outcome Assessment, Professional Practice, Program Implementation – Methods, Psychotic Disorders – Therapy, Psychotic Disorders/*therapy, Schizophrenia, Sivec Harry J, Skubby David, Surveys and Questionnaires

Crime, Vulnerability, and AOT.

Tags: *Crime, *Mental Health Services, 2017, Aultman Julie M, College of Graduate Studies, Department of Family & Community Medicine, Department of Psychiatry, Humans, Munetz Mark R, NEOMED College of Graduate Studies, NEOMED College of Medicine, Outpatients, Psychiatric services (Washington, D.C.), Research

Crisis Intervention Team (CIT) programs in rural communities: a focus group study.

The Crisis Intervention Teams model (CIT) was originally developed as an urban model for police officers responding to calls about persons experiencing a mental illness crisis. Literature suggests that there is reason to believe that there may be…

Crisis intervention team officer dispatch, assessment, and disposition: Interactions with individuals with severe mental illness.

The Crisis Intervention Team (CIT) model is a specialized police response program for people in a mental illness crisis. We analyzed 2174 CIT officers' reports from one community, which were completed during a five year period. These officers'…

Delirium Precipitated by Polycythaemia.

Delirium is a common and serious problem among acutely unwell persons. Although linked to higher rates of mortality, institutionalization and dementia, it remains under diagnosed. Careful consideration of its phenomenology is warranted to improve…

Tags: delirium, Department of Psychiatry, Ehassan NM, Miquel MAR, NEOMED College of Medicine, polycythaemia, Zaraa AS

Different Strokes: How to Spot and Treat Poststroke Depression.

The article discusses tips on how to diagnose and treat poststroke depression. Other topics include the prevalence of stroke in the U.S. and around the world, the adverse effects of stroke like mild, moderate, and severe disability, the possible…

Tags: 2021, CONTINUING education units, Department of Psychiatry, DISEASE complications, Disease Management, George E, journalArticle, May 2021 List, NEOMED College of Medicine, Psychiatric Times, PSYCHOLOGICAL stress, stroke, STROKE diagnosis, STROKE patients, STROKE prevention, STROKE treatment, Tampi RR

Disease Burden Among Individuals with Severe Mental Illness in a Community Setting.

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…

Do Attitudes Matter? Evaluating the Influence of Training in CBT-p-Informed Strategies on Attitudes About Working with People Who Experience Psychosis.

Attitudes of mental health providers are an important consideration in training and delivering evidence-based practices. Treatment approaches for individuals who experience schizophrenia consistently endorse the importance of a recovery perspective.…

Evaluation of dextromethorphan with select antidepressant therapy for the treatment of depression in the acute care psychiatric setting.

Introduction: Dextromethorphan (DXM), an N-methyl-D-aspartate receptor antagonist, may have ketamine-like antidepressant effects. Dextromethorphan is extensively metabolized via cytochrome P450 (CYP) 2D6, and its half-life in extensive metabolizers…

Tags: 2019, bupropion, CYP2D6 inhibitor, Department of Pharmacy Practice, Department of Psychiatry, Depression, dextromethorphan, Emshoff Jessica, fluoxetine, Mullen Chanda, NEOMED College of Medicine, NEOMED College of Pharmacy, NMDA, Nofziger Jill L, paroxetine, Paxos Chris, The mental health clinician

Exploring the Networking of Academic Health Science Leaders: How and Why Do They Do It?

PURPOSE: Networking is essential to leadership effectiveness in the business context. Yet little is known about leadership networking within the academic health science context. If we are going to train academic leaders, we must first understand the…

Tags: 2020, Academic medicine : journal of the Association of American Medical Colleges, Baker Lindsay, Castellani Brian, Department of Psychiatry, Hafferty Fred W, Lieff Susan J, NEOMED College of Medicine, Ng Stella L, Poost-Foroosh Laya

Exploring the relationship between criminogenic risk assessment and mental health court program completion.

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…

Tags: *Needs Assessment, *Risk Assessment, 2016, Bonfine Natalie, Clinical services, College of Graduate Studies, Comparative Studies, Criminal Law/*legislation & jurisprudence, Criminals/*legislation & jurisprudence/*psychology, Criminogenic risk assessment, Criminology – Legislation and Jurisprudence, Department of Family & Community Medicine, Department of Psychiatry, Evaluation Research, Goals, Goals and Objectives, Human, Humans, International journal of law and psychiatry, Judicial Role, Jurisprudence, Mental Disorders – Therapy, Mental Disorders/*therapy, Mental health court, Mental Health Services, Mentally Ill Persons/*legislation & jurisprudence/*psychology, Multicenter Studies, Munetz Mark R, Needs Assessment, NEOMED College of Graduate Studies, NEOMED College of Medicine, Ohio, Psychiatric Patients – Legislation and Jurisprudence, Psychiatric Patients – Psychosocial Factors, Public Offenders – Legislation and Jurisprudence, Public Offenders – Psychosocial Factors, Risk Assessment, Ritter Christian, Scales, Validation Studies

Fred Frese: A Tribute to a Quintessential Prosumer.

Tags: 2019, Department of Psychiatry, Geller Jeffrey L, Munetz Mark R, NEOMED College of Medicine, Psychiatric services (Washington, D.C.)

From Boundary Spanning to Deep Partnerships.

Tags: *Cooperative Behavior, *Criminal Behavior, *Interdisciplinary Communication, *Interprofessional Relations, 2015, Bonfine Natalie, Department of Family & Community Medicine, Department of Psychiatry, Humans, Mental Disorders/*complications, Munetz Mark R, NEOMED College of Medicine, Psychiatric services (Washington, D.C.), Substance-Related Disorders/*complications

Getting ready for recovery: reconciling mandatory treatment with the recovery vision.

Considering treatment of serious mental illnesses, it might appear that the recovery model would be incompatible with any form of mandatory treatment. The authors suggest that this is not so. With individuals whose psychotic illness substantially…

Tags: *Commitment of Mentally Ill, *Convalescence, 2001, Community Participation, Decision Making, Department of Psychiatry, Frese F J 3rd, Humans, Mental Health Services/*organization & administration, Munetz M R, NEOMED College of Medicine, Psychiatric rehabilitation journal, Psychotic Disorders/*therapy

Improving our understanding of the relationship between emotional abuse and substance use disorders: the mediating roles of negative urgency and posttraumatic stress disorder

Background: Emotional abuse is associated with an increased risk for substance use disorders (SUDs) as well as with negative urgency and posttraumatic stress disorder (PTSD) following a subsequent trauma. Both negative urgency and PTSD are key…

Tags: 2019, Boros Alec, Delahanty Douglas L, Department of Psychiatry, Detoxification, emotional abuse, Hruska Bryce, Jensen Tammy, June 2019 Update, Junglen Angela, negative urgency, NEOMED College of Medicine, PTSD, Substance use, Substance Use & Misuse

Improving Patient Experience by Teaching Empathic Touch and Eye Gaze: A Randomized Controlled Trial of Medical Students

Background: Empathy is critical for optimal patient experience with health-care providers. Verbal empathy is routinely taught to medical students, but nonverbal empathy, including touch, less so. Our objective was to determine whether instruction…

Tags: 2020, Department of Family & Community Medicine, Department of Internal Medicine, Department of Psychiatry, Dhawan N, empathic touch, Empathy, eye gaze, February 2021 List, Gerzina H, Hartung PJ, Journal of patient experience, journalArticle, Konen-Butler C, Larson R, Lecat P, NEOMED College of Medicine, patient perception, standardized patient encounter

Informed consent: A policy prescription for communicating benefit and risk in state medical marijuana programs

In creating medical marijuana laws, state governments signal to the public that marijuana can safely and effectively treat a wide range of diseases. In many cases, these state approvals overestimate the benefits of marijuana and understate the risks.…

Tags: 2020, Cannabis, Department of Pharmacy Practice, Department of Psychiatry, Drug-Related Side Effects and Adverse Reactions, Dugan SE, Information Dissemination, journalArticle, Marijuana Use, Medical Marijuana, Messamore E, NEOMED College of Medicine, NEOMED College of Pharmacy, Policy Making, Psychiatric Services, September 2020 List

Informed consent: A policy prescription for communicating benefit and risk in state medical marijuana programs.

In creating medical marijuana laws, state governments signal to the public that marijuana can safely and effectively treat a wide range of diseases. In many cases, these state approvals overestimate the benefits of marijuana and understate the risks.…

Tags: 2020, Cannabis, Department of Pharmacy Practice, Department of Psychiatry, Drug-Related Side Effects and Adverse Reactions, Dugan SE, Information Dissemination, journalArticle, July 2020 List, Marijuana Use, Medical Marijuana, Messamore E, NEOMED College of Medicine, NEOMED College of Pharmacy, Policy Making, Psychiatric Services

International models of psychiatric emergency care: The state of Qatar

A variety of cultural, legal, and ethnic influences have led to an increase in mental health-related emergency department (ED) visits in Qatar. Patients who experience psychiatric emergencies often require resources not available at the general…

Tags: 2020, August 2020 List, bookSection, Department of Psychiatry, Models of Emergency Psychiatric Services That Work, NEOMED College of Medicine, Zaraa AS

Interventions That Target Criminogenic Needs for Justice-Involved Persons With Serious Mental Illnesses: A Targeted Service Delivery Approach.

This research describes the development of a targeted service delivery approach that tailors the delivery of interventions that target criminogenic needs to the specific learning and treatment needs of justice-involved people with serious mental…

Interventions That Target Criminogenic Needs for Justice-Involved Persons With Serious Mental Illnesses: A Targeted Service Delivery Approach.

This research describes the development of a targeted service delivery approach that tailors the delivery of interventions that target criminogenic needs to the specific learning and treatment needs of justice-involved people with serious mental…

Tags: 2018, Bonfine Natalie, Community Mental Health Services/*organization & administration, Criminal Law, Criminals/*psychology/statistics & numerical data, criminogenic needs, Department of Family & Community Medicine, Department of Psychiatry, Duda-Banwar Janelle, Farkas Kathleen, Health Services Needs and Demand/*statistics & numerical data, Humans, International journal of offender therapy and comparative criminology, Mental Disorders/psychology/*therapy, mental illness, Mentally Ill Persons/*psychology/statistics & numerical data, NEOMED College of Medicine, recidivism, Wilson Amy Blank

Learning From the Past and Creating the Future: American Association for Geriatric Psychiatry (AAGP) and Geriatric Mental Healthcare in the United States

Tags: 2019, Department of Psychiatry, NEOMED College of Medicine, October 2019 Update, Tampi Rajesh R, The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry

Meeting the Needs of Justice-Involved People With Serious Mental Illness Within Community Behavioral Health Systems

The overrepresentation of people with serious mental illness in the criminal justice system is a complex problem. A long-standing explanation for this phenomenon, the criminalization hypothesis, posits that policy changes that shifted the care of…

Tags: 2019, Bonfine Natalie, Community Mental Health Services, D.C.), Department of Family & Community Medicine, Department of Psychiatry, Jails and prisons/mental health services, January 2020 Update, Journal Article, Munetz Mark R, NEOMED College of Graduate Studies, NEOMED College of Medicine, Psychiatric services (Washington, Psychiatric services (Washington, D.C.), Wilson Amy Blank

Mental Health and Service Impacts During COVID-19 for Individuals with Serious Mental Illnesses Recently Released from Prison and Jail.

Individuals recently released from jail or prison with serious mental illnesses may be vulnerable to the coronavirus pandemic. This study aims to understand how they experienced the pandemic during initial stay-at-home orders in New York City. …

Tags: 2021, Barrenger SL, Bond L, COVID-19, Department of Psychiatry, journalArticle, June 2021 List, NEOMED College of Medicine, Prison and jail reentry, Serious mental illnesses, services, The journal of behavioral health services & research

Mental Illness as a Stigmatized Identity

In this study, we examine the relationships among reflected appraisals, self-views, and well-being for individuals diagnosed with severe and persistent mental illness. We also test a perceptual control model of identity to determine whether…

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