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Psychiatric Services

  • Volume 36
  • Number 7
  • July 1985

Article

Publication date: 01 July 1985

Pages711–713

Discussing treatment planning for a young child this month is Major Peter S. Jensen, M.D., who is assistant chief if the child, adolescent, and family psychiatry service at the Eisenhower Army Medical Center in Fort Gordon, Georgia.

https://doi.org/10.1176/ps.36.7.711

Publication date: 01 July 1985

Pages727–732

Although employee assistance programs are rapidly becoming the predominant vehicle for the delivery of mental health services in occupational settings, few programs employ a psychiatrist on either a part-time or a full-time basis. After providing an ...

https://doi.org/10.1176/ps.36.7.727

Publication date: 01 July 1985

Pages732–737

Homelessness among mental patients is frequently associated with deinstitutionalization. In a study to clarify the relationship between homelessness and psychiatric hospitalization, data from Illinois statistical reports and from admission reports of a ...

https://doi.org/10.1176/ps.36.7.732

Publication date: 01 July 1985

Pages738–741

The author cites increasing numbers of chronic, homeless, and neglected mentally ill people as evidence of the failure of deinstitutionalization and community care to live up to their promise to reduce chronicity, the need for long-term hospitalization, ...

https://doi.org/10.1176/ps.36.7.738

Publication date: 01 July 1985

Pages742–745

The author argues that most of the mentally ill should be treated in the community, where they can develop the skills necessary to function in society. The state hospitals should be used only to treat the most unmanageable patients. The author blames the ...

https://doi.org/10.1176/ps.36.7.742

Publication date: 01 July 1985

Pages746–748

The effect of a two-week wilderness camp on ten skillareas related to community survival of the chronic mentally ill was assessed both by participants, who were adult chronic psychiatric patients from two Oregon state mental hospitals, and by camp and ...

https://doi.org/10.1176/ps.36.7.746

Publication date: 01 July 1985

Pages749–753

The authors examined how the Medicaid hospital benefit structure affects the length of stay of psychiatric inpatients and transfers to state mental hospitals and nursing homes. They hypothesized that length-of-stay and discharge patterns would depend on ...

https://doi.org/10.1176/ps.36.7.749

Publication date: 01 July 1985

Pages754–760

For psychiatric patients treated in general hospitals, the prospective payment system does not differentiate between patients treated in medical-surgical wards and patients treated in psychiatric units. in particular, the system uses a single length-of-...

https://doi.org/10.1176/ps.36.7.754

Publication date: 01 July 1985

Pages760–763

Prospective payment represents a major economic challenge to inpatient psychiatric units. For a unit to survive, increased efficiency of treatment will be crucial but will probably not be enough. Most units will need to alter the percentages of high-cost ...

https://doi.org/10.1176/ps.36.7.760

Publication date: 01 July 1985

Pages764–769

By December 31, 1985, the Secretary of tbe Department of Health and Human Services must report to Congress on whether psychiatric programs now exempt from Medicare's prospective payment system can be brought under that system, and if so, how. The ...

https://doi.org/10.1176/ps.36.7.764

Publication date: 01 July 1985

Pages770–772

The authors review several methods for enhancing the clinical utility of psychiatric diagnostic formulations and their value in predicting resource consumption. They suggest incorporating the concept of severity of illness in a comprehensive diagnostic ...

https://doi.org/10.1176/ps.36.7.770

Publication date: 01 July 1985

Pages775–776

Taken as a whole, this plan offers a relatively simple pricing scheme that creates some incentives for economizing behavior. With respect to the setting of the rate and the determination of covered costs, we expect that the same rules will be followed for ...

https://doi.org/10.1176/ps.36.7.775

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