Psychiatric Services
- Volume 36
- Number 12
- December 1985
Article
Publication date: 01 December 1985
Pages1262–1270Dr. Sharfstein's Introduction: What determines length of stay for psychiatric patients? This is a subject of intense concern in an era of prospective payment and diagnosis-related groups (DRGs). This month's column reports a survey of a broad panel of ...
https://doi.org/10.1176/ps.36.12.1262Publication date: 01 December 1985
Pages1279–1285Since its development close to 40 years ago in England, the therapeutic milieu, or therapeutic community, has undergone significant alteration and corruption by the emphasis on community care, increased use of pharmacotherapy, quick staff turnover, and ...
https://doi.org/10.1176/ps.36.12.1279Publication date: 01 December 1985
Pages1286–1291Staff views about the actual and ideal treatment environment of three therapeutic milieus with psychoanalytic, biological, and rehabilitative orientations were assessed using the Community Oriented Programs Environment Scale (COPES), real and ideal forms. ...
https://doi.org/10.1176/ps.36.12.1286Impact of an Alternatives Program on Client Utilization of Services in a County Mental Health System
Publication date: 01 December 1985
Pages1291–1296To evaluate the effectiveness of a county alternatives-to-hospitalization program in reducing patients' use of inpatient services, the author compared use of services by 357 clients before and after their admission to the alternatives program. Program ...
https://doi.org/10.1176/ps.36.12.1291Publication date: 01 December 1985
Pages1297–1301One hundred twenty-six admissions to a time-limited day hospital program were studied to obtain evaluative and descriptive information about the program and its patients. Patients most likely to complete the program were older, lived with their families, ...
https://doi.org/10.1176/ps.36.12.1297Publication date: 01 December 1985
Pages1302–1305The La Posada program, a shortterm alternative to hospitalization for acutely disturbed chronic patients, combines crisis intervention techniques with techniques developed in halfway houses to enhance independent functioning and counteract regressive, ...
https://doi.org/10.1176/ps.36.12.1302Publication date: 01 December 1985
Pages1305–1308Based on data from medical records of an urban psychiatric center, 113 patients previously identified as having multiple admissions—three or more admissions in 365 days—were compared with 113 patients without multiple admissions who were matched for age, ...
https://doi.org/10.1176/ps.36.12.1305Publication date: 01 December 1985
Pages1309–1311In a large urban teaching hospital treating many patients with AIDS, 37 medical house officers and 91 registered nurses completed a questionnaire designed to measure attitudes about homosexuality. Mean scores for both physicians and nurses fell in the low-...
https://doi.org/10.1176/ps.36.12.1309Publication date: 01 December 1985
Pages1312–1314A study in a Florida state hospital examined the impact of staff training in aggression control on the incidence of patient assaults on staff and of assault-related injuries. The subjects were 96 unit staff and shift supervisors. Of the 31 staff members ...
https://doi.org/10.1176/ps.36.12.1312Publication date: 01 December 1985
Pages1317–1318Our experience points to the merit of developing a family support group in a large state psychiatric hospital. The group enhances individual family treatment and can be coordinated with similar groups in the community. The responses to the questionnaire, ...
https://doi.org/10.1176/ps.36.12.1317Past Issues
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