Psychiatric Services
- Volume 37
- Number 9
- September 1986
Article
Publication date: 01 September 1986
Pages875–878Dr. 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.37.9.875Publication date: 01 September 1986
Pages891–896The 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.37.9.891Publication date: 01 September 1986
Pages897–901In 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.37.9.897Publication date: 01 September 1986
Pages901–907Amidst 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.37.9.901Publication date: 01 September 1986
Pages908–913The 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.37.9.908Publication date: 01 September 1986
Pages913–918The 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.37.9.913Publication date: 01 September 1986
Pages918–922The 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.37.9.918Publication date: 01 September 1986
Pages923–928Countertransference 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.37.9.923Publication date: 01 September 1986
Pages929–933Interviews 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.37.9.929Publication date: 01 September 1986
Pages934–936The 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.37.9.934Publication date: 01 September 1986
Pages937–939In 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.37.9.937Publication date: 01 September 1986
Page972The 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