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Psychiatric Services

  • Volume 38
  • Number 10
  • October 1987

Article

Publication date: 01 October 1987

Pages1041–1043

Our study, conducted on a geropsychiatric hospital unit, showed that the average length of hospital stay decreased after the introduction of DRGs, while the number of patients discharged to more restrictive facilities showed a marginal in crease. Whether ...

https://doi.org/10.1176/ps.38.10.1041

Publication date: 01 October 1987

Pages1046–1048

There are other ethical and legal dilemmas inherent in balancing a pedophile's right to limited confidentiality with society's right to protect its children. For example, we need to further consider the implications of a therapist's duty to disclose ...

https://doi.org/10.1176/ps.38.10.1046

Publication date: 01 October 1987

Page1052

The article entitled "Patients' Rights: The Action Moves to State Courts" by Robert D. Miller, M.D., Ph.D., Stephen Rachlin, M.D., and Paul S. Appelbaum, M.D., in the April issue (pages 343-344) inadvertently cited Youngberg v. Romeo instead of Mills V. ...

https://doi.org/10.1176/ps.38.10.1052

Publication date: 01 October 1987

Pages1063–1070

More than one-third of long-term mentally ill adults live with their families, most with aging parents, a situation that accentuates the need for residential alternatives to home care for deinstitutionalized patients who will out-live their caregivers. ...

https://doi.org/10.1176/ps.38.10.1063

Publication date: 01 October 1987

Pages1070–1075

Health insurance claims of families covered by Aetna's Federal Employees Health Benefit Program from 1980 through 1983 were analyzed to determine if any changes in total health care utilization and costs were associated with the initiation of mental ...

https://doi.org/10.1176/ps.38.10.1070

Publication date: 01 October 1987

Pages1076–1081

Efforts to contain the cost of medical care are having a profound impact on psychiatric residency training programs, which must cope with diminishing levels of funding from both federal and private sources. The programs are also being buffeted by other ...

https://doi.org/10.1176/ps.38.10.1076

Publication date: 01 October 1987

Pages1081–1085

Several psychiatric facilities have opened their records partially or completely to patients. The authors report the results of a two-part study in which 20 patients on a minimum-security unit of a forensic center were allowed to read their records and ...

https://doi.org/10.1176/ps.38.10.1081

Publication date: 01 October 1987

Pages1086–1090

To obtain a comprehensive picture of the levels of mental disability in the general state prison population in New York State, the authors gathered data on a random sample of inmates using a survey instrument adapted from the state's level-of-care surveys ...

https://doi.org/10.1176/ps.38.10.1086

Publication date: 01 October 1987

Pages1091–1095

A quasi-experimental method was developed to evaluate the cost-effectiveness of a public system of 24-hour acute psychiatric care in Santa Clara County, California, before and after a new treatment setting was introduced. The original system relied on a ...

https://doi.org/10.1176/ps.38.10.1091

Publication date: 01 October 1987

Pages1096–1099

The families of 14 schizophrenic patients who were recently discharged from a Veterans Administration hospital received periodic consultation in their homes from members of a clinical team. The visiting clinicians educated the families and the patients ...

https://doi.org/10.1176/ps.38.10.1096

Publication date: 01 October 1987

Pages1100–1105

The attitudes of 4l1 black adults toward community mental health centers (CMHCs) and their relationship to seven demographic and sociocultural characteristics were assessed. Fewer than 20 percent of subjects had negative attitudes toward CMHCs, about 34 ...

https://doi.org/10.1176/ps.38.10.1100

Publication date: 01 October 1987

Pages1106–1109

With shrinking federal resources, innovative approaches involving both professional organizations and federal program staff are needed to stimulate research in new or undeveloped clinical areas. National Institute of Mental Health staff and members of the ...

https://doi.org/10.1176/ps.38.10.1106

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