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View article: Social Risk at Individual vs Neighborhood Levels and Health Care Use in Medicaid Enrollees
Social Risk at Individual vs Neighborhood Levels and Health Care Use in Medicaid Enrollees Open
Importance Health-related social risks are increasingly recognized as important contributors to health. Compared with individual screening, neighborhood measures are potentially a lower cost, scalable strategy for identifying social risk. …
View article: Clozapine Use Among People With Psychotic Disorders Who Experience Specific Indications for Clozapine
Clozapine Use Among People With Psychotic Disorders Who Experience Specific Indications for Clozapine Open
Conclusions: Initiating clozapine treatment is uncommon among people with psychotic disorders who experience events suggesting clozapine is indicated, with even lower rates among Black and Hispanic patients.
View article: Validation of a Multivariable Model to Predict Suicide Attempt in a Mental Health Intake Sample
Validation of a Multivariable Model to Predict Suicide Attempt in a Mental Health Intake Sample Open
Importance Given that suicide rates have been increasing over the past decade and the demand for mental health care is at an all-time high, targeted prevention efforts are needed to identify individuals seeking to initiate mental health ou…
View article: Intentions to Use Cannabis Postpartum: A Qualitative Study of Pregnant Individuals Who Used Cannabis During Early Pregnancy
Intentions to Use Cannabis Postpartum: A Qualitative Study of Pregnant Individuals Who Used Cannabis During Early Pregnancy Open
Objective: To examine plans for postpartum cannabis use among pregnant individuals who used cannabis during early pregnancy. Materials and Methods: Eighteen virtual focus groups were conducted from November 17, …
View article: Telehealth Collaborative Care Led by Clinical Pharmacists for People With Psychosis or Bipolar Disorder
Telehealth Collaborative Care Led by Clinical Pharmacists for People With Psychosis or Bipolar Disorder Open
Conclusions: Clinical pharmacist-led telehealth collaborative care has potential to improve psychopharmacologic treatment adherence and recommended disease preventive screening for people with psychosis or bipolar disorder.
View article: Development and validation of a machine learning model using electronic health records to predict trauma- and stressor-related psychiatric disorders after hospitalization with sepsis
Development and validation of a machine learning model using electronic health records to predict trauma- and stressor-related psychiatric disorders after hospitalization with sepsis Open
A significant minority of individuals develop trauma- and stressor-related disorders (TSRD) after surviving sepsis, a life-threatening immune response to infections. Accurate prediction of risk for TSRD can facilitate targeted early interv…
View article: Racial, ethnic, and age disparities in the association of mental health symptoms and polysubstance use among persons in HIV care
Racial, ethnic, and age disparities in the association of mental health symptoms and polysubstance use among persons in HIV care Open
We characterized polysubstance use burden and associations with mental health problems across demographic subgroups of PWH. In 2018–2020, as part of a primary care-based intervention study, PWH in care at three medical centers in Kaiser Pe…
View article: Serious Mental Illness, Glycemic Control, and Neighborhood Factors within an Urban Diabetes Cohort
Serious Mental Illness, Glycemic Control, and Neighborhood Factors within an Urban Diabetes Cohort Open
Background and Hypothesis Serious mental illness (SMI) may compromise diabetes self-management. This study assessed the association between SMI and glycemic control, and explored sociodemographic predictors and geographic clustering of thi…
View article: Patient Perceptions of Prenatal Cannabis Use and Implications for Clinicians
Patient Perceptions of Prenatal Cannabis Use and Implications for Clinicians Open
OBJECTIVE: To understand pregnant patients' reasons for prenatal cannabis use and perceptions of safety, desired and undesirable health care experiences, and desired information about prenatal cannabis use and secondarily to understand rac…
View article: Exploring preferences for different modes of cannabis use during early pregnancy: A qualitative study
Exploring preferences for different modes of cannabis use during early pregnancy: A qualitative study Open
View article: Pregnant individual’s lived experience of cannabis use during the COVID-19 pandemic: a qualitative study
Pregnant individual’s lived experience of cannabis use during the COVID-19 pandemic: a qualitative study Open
Introduction Quantitative studies indicate that the COVID-19 pandemic has contributed to increased rates of prenatal cannabis use. However, little is known about how the pandemic has impacted cannabis use from the perspective of pregnant i…
View article: Cardiometabolic Monitoring and Sociodemographic and Clinical Characteristics of Youths Prescribed Antipsychotic Medications
Cardiometabolic Monitoring and Sociodemographic and Clinical Characteristics of Youths Prescribed Antipsychotic Medications Open
Cardiometabolic monitoring increased modestly over time, but close to half of the studied youths did not receive glycemic or lipid testing. Additional clinical strategies may be needed to increase monitoring overall and among harder-to-rea…
View article: Performance of a Prediction Model of Suicide Attempts Across Race and Ethnicity
Performance of a Prediction Model of Suicide Attempts Across Race and Ethnicity Open
This study examines whether race disparities exist in the prediction of suicide attempts and if have they have detrimental effects on individuals and health care systems
View article: Racial, ethnic, and age disparities in the association of mental health symptoms and polysubstance use among persons in HIV care
Racial, ethnic, and age disparities in the association of mental health symptoms and polysubstance use among persons in HIV care Open
We characterized polysubstance use burden and associations with mental health problems across demographic subgroups of PWH. In 2018–2020, as part of a primary care-based intervention study, PWH in care at three medical centers in Kaiser Pe…
View article: Perceptions About Cannabis Following Legalization Among Pregnant Individuals With Prenatal Cannabis Use in California
Perceptions About Cannabis Following Legalization Among Pregnant Individuals With Prenatal Cannabis Use in California Open
Importance As rates of prenatal cannabis use increase and cannabis legalization spreads across the US, studies are needed to understand the potential impacts of legalization from the perspectives of pregnant individuals who use cannabis. O…
View article: Electroconvulsive Therapy Anesthetic Choice and Clinical Outcomes
Electroconvulsive Therapy Anesthetic Choice and Clinical Outcomes Open
Objective Etomidate and methohexital are the 2 commonly used anesthetics for electroconvulsive therapy (ECT) in the United States. The objective of this study was to examine how anesthetic choice between etomidate and methohexital is assoc…
View article: Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner
Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner Open
Importance Substance use disorders are associated with high rates of emergency department (ED) use and challenges engaging with primary care services. Objective To examine 5-year health care engagement and utilization outcomes for particip…
View article: Evaluating Implementation and Outcomes of the Achieving Depression and Anxiety Patient-Centered Treatment Collaborative Care Program in a Large, Integrated Health Care System: A Mixed Methods Observational Study Protocol
Evaluating Implementation and Outcomes of the Achieving Depression and Anxiety Patient-Centered Treatment Collaborative Care Program in a Large, Integrated Health Care System: A Mixed Methods Observational Study Protocol Open
Background Collaborative care is an evidence-based multidisciplinary model shown to improve patient depression and anxiety outcomes. Although there is robust literature showing the effectiveness of collaborative care on depression and anxi…
View article: Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression
Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression Open
Research is warranted to identify patient-, provider-, and system-level barriers that contribute to racial-ethnic disparities in perinatal mental health care.
View article: Closing the Care Gap for People with Severe and Persistent Mental Illness: Collaborative Care, Telehealth, and Clinical Pharmacy
Closing the Care Gap for People with Severe and Persistent Mental Illness: Collaborative Care, Telehealth, and Clinical Pharmacy Open
People with severe and persistent mental illness (SPMI) frequently struggle to maintain their recovery from recurring suicidality, psychosis, and debilitating mood episodes. They also face a high risk of chronic health conditions. Traditio…
View article: Psychotropic medication prescribing during the COVID-19 pandemic
Psychotropic medication prescribing during the COVID-19 pandemic Open
This study examined changes in psychotropic medication use associated with the early months of the coronavirus disease 2019 (COVID-19) pandemic. Using Kaiser Permanente Northern California electronic health records, the authors identified …
View article: Opportunities to Integrate Mobile App–Based Interventions Into Mental Health and Substance Use Disorder Treatment Services in the Wake of COVID-19
Opportunities to Integrate Mobile App–Based Interventions Into Mental Health and Substance Use Disorder Treatment Services in the Wake of COVID-19 Open
The COVID-19 pandemic has heightened concerns about the impact of depression, anxiety, alcohol, and drug use on public health. Mobile apps to address these problems were increasingly popular even before the pandemic, and may help reach peo…
View article: Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study
Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study Open
Background: The coronavirus disease 2019 (COVID-19) pandemic resulted in widespread psychosocial disruption, which may impact suicidal thoughts and behaviours. This study characterizes adult suicide-related emergency department (ED)…
View article: Emergency Department Encounters Among Youth With Suicidal Thoughts or Behaviors During the COVID-19 Pandemic
Emergency Department Encounters Among Youth With Suicidal Thoughts or Behaviors During the COVID-19 Pandemic Open
In this cross-sectional study of youth experiencing suicidal thoughts and behaviors, suicide-related presentations to the ED initially decreased during the COVID-19 pandemic, likely owing to shelter-in-place orders, then were similar to 20…
View article: Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups
Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups Open
View article: Perceived Barriers and Motivators for Physical Activity in Women With Perinatal Depression
Perceived Barriers and Motivators for Physical Activity in Women With Perinatal Depression Open
Background : Physical activity (PA) can help reduce depression symptom severity in women with perinatal depression. However, PA is low, and barriers and motivators for PA among women with perinatal depression are not well understood. Metho…
View article: Engaging patients in population-based chronic disease management: A qualitative study of barriers and intervention opportunities
Engaging patients in population-based chronic disease management: A qualitative study of barriers and intervention opportunities Open
View article: Treatment for Anxiety and Substance Use Disorders During the COVID-19 Pandemic: Challenges and Strategies
Treatment for Anxiety and Substance Use Disorders During the COVID-19 Pandemic: Challenges and Strategies Open
The COVID-19 pandemic is likely to exacerbate existing anxiety and substance use disorders (SUDs) and increase vulnerability among individuals previously free of these conditions. Numerous pandemic-related stressors—coronavirus infection f…
View article: Changing Results—Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management
Changing Results—Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management Open
Background Despite the success of current cardiovascular disease ( CVD ) management programs, many patients do not achieve optimal control of CVD ‐related risk factors. New strategies are needed to better activate and engage these patients…
View article: Assessing strengths of children with type 1 diabetes: Validation of the Diabetes Strengths and Resilience (DSTAR) measure for ages 9 to 13
Assessing strengths of children with type 1 diabetes: Validation of the Diabetes Strengths and Resilience (DSTAR) measure for ages 9 to 13 Open
This brief, practical measure of diabetes strengths demonstrated sound psychometric properties. Diabetes strengths appeared unrelated to self-management behaviors, perhaps because of the primary role of adult caregivers in T1D management f…