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Psychiatric Services

  • Volume 38
  • Number 8
  • August 1987

Article

Publication date: 01 August 1987

Pages811–812

In 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.38.8.811

Publication date: 01 August 1987

Pages815–818

Reasons 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.38.8.815

Publication date: 01 August 1987

Pages835–843

The 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.38.8.835

Publication date: 01 August 1987

Pages843–847

Comments 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.38.8.843

Publication date: 01 August 1987

Pages848–852

Although 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.38.8.848

Publication date: 01 August 1987

Pages852–857

Assessing 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.38.8.852

Publication date: 01 August 1987

Pages858–863

Recent 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.38.8.858

Publication date: 01 August 1987

Pages864–870

In 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.38.8.864

Publication date: 01 August 1987

Pages871–875

The 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.38.8.871

Publication date: 01 August 1987

Pages876–879

Based 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

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