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Psychiatric Services

  • Volume 37
  • Number 9
  • September 1986

Article

Publication date: 01 September 1986

Pages875–878

Dr. Sharfstein's Introduction: A critical issue in the economics of mental health care is how we structure the financing of services and who becomes empowered to deliver those services. The quality and accountability of psychiatric care is thus caught in ...

https://doi.org/10.1176/ps.37.9.875

Publication date: 01 September 1986

Pages891–896

The challenge of chronic mental illness lies in developing effective service delivery systems that will preserve patients' functioning and limit their disability. The author uses a review of changes and excesses of the past 30 years—including ...

https://doi.org/10.1176/ps.37.9.891

Publication date: 01 September 1986

Pages897–901

In the inpatient psychosocial treatment of schizophrenia, therapies that are intense and over-stimulating often promote or prolong regression and negatively affect long-term adjustment. These approaches fail to take into account the chronicity of the ...

https://doi.org/10.1176/ps.37.9.897

Publication date: 01 September 1986

Pages901–907

Amidst the controversy about the effects of deinstitutionalization, the well-being of the chronic mentally ill in different treatment settings remains unclear. This study examined objective and subjective quality-of-life experiences of four groups of ...

https://doi.org/10.1176/ps.37.9.901

Publication date: 01 September 1986

Pages908–913

The level of functioning, treatment needs, and expected degree of compliance of 327 young adult patients who had a major psychiatric or substance abuse disorder were assessed retrospectively by the clinicians who provided their primary care in Missouri's ...

https://doi.org/10.1176/ps.37.9.908

Publication date: 01 September 1986

Pages913–918

The authors describe a skills training group for chronic mental patients called Successful Living that is offered in conjunction with an outpatient medication clinic at a Veterans Administration hospital. The weekly group operates on a drop-in basis and ...

https://doi.org/10.1176/ps.37.9.913

Publication date: 01 September 1986

Pages918–922

The authors studied 21 psychiatric outpatients who were granted a change in therapist at their request. The study sample did not differ signtficantly from other outpatients in demographic characteristics or diagnosis. Results indicated that the great ...

https://doi.org/10.1176/ps.37.9.918

Publication date: 01 September 1986

Pages923–928

Countertransference among hospital staff was investigated as part of ongoing research on difficult-to-treat psychiatric hospital patients. Staff's ratings of their emotional reactions to 127 patients on long-term units were analyzed by factor analysis, ...

https://doi.org/10.1176/ps.37.9.923

Publication date: 01 September 1986

Pages929–933

Interviews with 62 outpatients with chronic schizophrenia and schizoaffective disorder indicated that many patients monitor symptoms that they associate with changes in their illness and alter their behavior based on their symptoms. Ninety-eight percent ...

https://doi.org/10.1176/ps.37.9.929

Publication date: 01 September 1986

Pages934–936

The author, host of a nationally broadcast radio call-in show on mental health, describes how he meets the challenge of reconciling the requirements of professional ethics with the need to make the show "good radio." He discusses the subject matter of the ...

https://doi.org/10.1176/ps.37.9.934

Publication date: 01 September 1986

Pages937–939

In 1984 CMHCs were still adjusting to federal and state funding cuts for, and Medicaid restrictions on, mental health services. To cope with such reductions, the centers continued efforts to genenate revenues from private sources. Declining access for low-...

https://doi.org/10.1176/ps.37.9.937

Publication date: 01 September 1986

Page972

The Ideas column features brief notes about interesting or unusual programs, novel approaches to therapy, and useful resources in the mental health field. Contributions to Ideas are welcomed. Items, not exceeding 200 words, should be sent to the Editor, ...

https://doi.org/10.1176/ps.37.9.972

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