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Psychiatric Services

  • Volume 31
  • Number 2
  • February 1980

Article

Publication date: 01 February 1980

Pages97–103

Considerable semantic confusion surrounds the use of the concept "least restrictive environment." Imprecise use of this and other terms in planning services for chronic mental patients has been associated with errors in logic and faulty generalizations. ...

https://doi.org/10.1176/ps.31.2.97

Publication date: 01 February 1980

Pages103–107

Faced with a major operational deficit and the end of its federal staffing grant, a community mental health center established a cost-containment committee and developed a program to engage staff support. The committee, including members of the clinical ...

https://doi.org/10.1176/ps.31.2.103

Publication date: 01 February 1980

Pages108–112

Many chronic psychotic patients make pathological adaptations to the environments imposed on them as a result of their illnesses, and those adaptations often distort the clinical picture and make it difficult for the psychiatrist to make a satisfying ...

https://doi.org/10.1176/ps.31.2.108

Publication date: 01 February 1980

Pages113–116

The placements, activity levels, and hospital admissions of 263 of the most severely mentally ill patients in a county continuing care program were studied over an 18-month period. The findings showed a major shift of patients from local locked facilities ...

https://doi.org/10.1176/ps.31.2.113

Publication date: 01 February 1980

Pages117–119

In 1977 staff members on a 30-bed inpatient ward in a state hospital implemented a program to discontinue the medication of chronic schizophrenic patients who had been hospitalized continuously for five years or more. Six-month follow-up of the 15 ...

https://doi.org/10.1176/ps.31.2.117

Publication date: 01 February 1980

Pages119–121

Staffing patterns of federally funded community mental health centers were examined in a survey of 512 centers conducted in 1977. A total of 275 usable responses were received. The findings showed that rural centers had significantly fewer trainees in ...

https://doi.org/10.1176/ps.31.2.119

Publication date: 01 February 1980

Pages122–126

The management and treatment of psychotic exacerbations of manic-depressive illness during the last six months of pregnancy are discussed and guidelines are given. The author notes that such concerns are covered only superficially in most standard ...

https://doi.org/10.1176/ps.31.2.122

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