Dr. Lisa Dixon is one of the nation’s leading experts on helping to
eradicate the stigma of mental illness. She is a Professor of Psychiatry at
Columbia University Medical Center and serves as the editor of Psychiatric
Services. She wants these articles to get to people who can use them.

As an introduction to the work of Dr. Dixon and her colleagues at
Psychiatric Services, we have enclosed some of the more recent articles
that have been published. The compilation is listed below. You can email
her (Lisa.dixon@nyspi.columbia.edu) if you
want to get regular notification of articles being published.

Today, Psychiatric Services published 10 new articles:

Reducing Frequent Utilization of Psychiatric Emergency Services Among
Veterans While Maintaining Quality of Care

Barriers to care for “high utilizers” of psychiatric emergency services
included treatment nonadherence, lack of expertise regarding management of
psychiatric issues among staff, and lack of special services to address
need. According to staff at 31 facilities, solutions include
recovery-oriented care, better care coordination and case management, and
use of predictive analytics to flag high utilizers.

Peer-Led Self-Management of General Medical Conditions for Patients With
Serious Mental Illnesses: A Randomized Trial

Participation in the HARP intervention, a six-session, peer-led program for
self-management of medical conditions, led to improvements in both physical
and mental health-related quality of life, compared with treatment as usual
in this randomized trial.

Mental Health Providers’ Attitudes About Criminal Justice–Involved
Clients With Serious Mental Illness

Providers at psychiatric rehabilitation programs were significantly more
likely to respect clients with serious mental illness if the clients were
not involved in the justice system. Ninety-five percent of providers felt
great respect for clients with no criminal involvement, compared with 79%
who expressed respect for clients with criminal involvement. Less than half
of providers rated themselves as similar to clients, regardless of criminal
justice status.

Understanding Mental Illness Stigma Towards Persons With Multiple
Stigmatized Conditions: Implications of Intersectionality Theory

Attempts to address public stigma toward persons with mental illness must
also recognize additional sources of stigma—for example, stigma related to
poverty, race, and sexual identity. Contact-based interventions, which
involve learning about mental illness from a person with lived experience,
may be a more effective way to address multiple sources of stigma compared
with more traditional education-based programs.

Racial, Ethnic, and Gender Disparities in Health Care Access and Use Among
U.S. Adults With Serious Psychological Distress

Analyses of 2006–2015 National Health Interview Survey data revealed that
among adults with serious psychological distress, whites were significantly
more likely than blacks to experience barriers to utilizing health care,
including having insufficient money for needed medications and mental
health care and experiencing delays in care. Women also experienced poorer
mental health care utilization. This may signal a departure from a
longstanding pattern of health care disparities among members of
racial-ethnic groups.

Who Receives Electroconvulsive Therapy? Data From Privately Insured
Americans

Sociodemographic and clinical characteristics associated with
electroconvulsive therapy (ECT) use were examined among patients with mood
disorders. Of the 969,277 patients with a mood disorder, 2,471 received
ECT. The proportion of patients with a mood disorder who received ECT in
the western United States was substantially lower than in other regions.

National Estimates of Recovery-Remission From Serious Mental Illness

A national survey assessed lifetime prevalence of and recovery-remission
from serious mental illness among more than 41,000 individuals. Lifetime
estimates of diagnosed illness and current prevalence of serious mental
illness were consistent with previous research, and results indicated that
recovery is possible and is associated with increasing age.

Psychiatric Case Review and Treatment Intensification in Collaborative
Care Management for Depression in Primary Care

In a collaborative care program for treatment of depression in primary
care, psychiatric case review was associated with receipt of a new
depression medication. The findings support the importance of psychiatric
case review in reducing clinical inertia in collaborative care for
depression.

Behavioral Health Treatment Patterns Among Employer-Insured Adults in
Same- and Different-Gender Marriages and Domestic Partnerships

Behavioral health service claims data (2008–2013) for a national sample of
commercially insured, partnered adults indicated that men and women in
same-gender legal unions had higher rates of service use than those in
different-gender marriages. Use of services among adults with same-gender
partners was lower in states with fewer LGBT protections.

Psychiatry’s Role in Improving the Physical Health of Patients With
Serious Mental Illness: A Report From the American Psychiatric Association

Improving the physical health of persons with serious mental illness will
require widespread reforms in multiple areas, according to a recent report
by the American Psychiatric Association. The recommendations call for
better training in outpatient general medical care for psychiatry interns
and residents, changes in reimbursement of psychiatrists for general
medical services, reexamination of state and federal policy toward persons
with serious mental illnesses, and more research into the particular health
challenges of this population.

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