Psychiatric Services
- Volume 38
- Number 8
- August 1987
Article
Publication date: 01 August 1987
Pages811–812In many respects these ten disparate local studies were first-generation research efforts that raised as many questions as they answered. Nevertheless they serve an important role because the research community can now ask more sophisticated questions ...
https://doi.org/10.1176/ps.38.8.811Publication date: 01 August 1987
Pages815–818Reasons other than clinical and economic also support the value of a combined medical-psychiatry approach to clinical care. Medical-psychiatry units firmly place the psychiatrist back in the mainstream of the medical care system and solidify the ...
https://doi.org/10.1176/ps.38.8.815Publication date: 01 August 1987
Pages835–843The recently discovered high prevalence of the anxiety disorders, as well as studies demonstrating their strong association with psychophysiologic symptoms, will probably increase referrals for these disorders to psychiatric clinicians. The authors review ...
https://doi.org/10.1176/ps.38.8.835Publication date: 01 August 1987
Pages843–847Comments gathered in a national survey of community mental health center (CMHC) psychiatrists indicate that many suffer from burnout. Of the 96 respondents who provided comments, 46 expressed dissatisfaction with their work in CMHCs, 14 expressed ...
https://doi.org/10.1176/ps.38.8.843Publication date: 01 August 1987
Pages848–852Although community residential placements are among the leading areas of program expansion for the chronic mentally ill, they have been designed without scientifically validated models. The author reviews the literature on the impact of residential ...
https://doi.org/10.1176/ps.38.8.848Publication date: 01 August 1987
Pages852–857Assessing deinstitutionalization as a social policy requires examining a system of programs rather than single, "model" services. The authors report an evaluation of 19 residential treatment programs in Hennepin County, Minnesota, that provide three ...
https://doi.org/10.1176/ps.38.8.852Publication date: 01 August 1987
Pages858–863Recent emphasis on cutting the costs of psychiatric care and the possibility that reimbursement for psychiatric services will one day be based on diagnosis-related groups has stimulated debat about the proper length of psychiatric hospitalization. The ...
https://doi.org/10.1176/ps.38.8.858Publication date: 01 August 1987
Pages864–870In 1979 a Massachusetts state hospital initiated a plan to transfer 54 long-term residents of two wards to the community through a series of increasingly independent working and living arrangements. This study assesses the patients' residential and ...
https://doi.org/10.1176/ps.38.8.864Publication date: 01 August 1987
Pages871–875The effect of therapeutic alliance on treatment outcome in a stratified sample of 96 hospital inpatients was assessed by means of a 6-point alliance scale as well as by demographic, treatment history, and psychopathological data. Alliance was correlated ...
https://doi.org/10.1176/ps.38.8.871Publication date: 01 August 1987
Pages876–879Based on two years' work in an inner-city psychiatric clinic serving 50,000 members of a health maintenance organization (HMO), the author presents ten guidelines for the many clinicians now attempting to maintain sound psychiatric practice within the ...
https://doi.org/10.1176/ps.38.8.876