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Psychiatric Services

  • Volume 40
  • Number 4
  • April 1989

Article

Publication date: 01 April 1989

Pages341–349

Dr. Miller's Introduction: We are becoming more and more aware that many alcoholics and chemically dependent individuals also suffer from a psychiatric disorder. This reality emerges now after a period in which the possibility of coexisting mental and ...

https://doi.org/10.1176/ps.40.4.341

Publication date: 01 April 1989

Pages356–358

Dr. Sbarfstein's Introduction: Prospective payment is the major economic change that is reshaping the delivery of medical care. Capitation financing for the chronic mentally ill is an innovative and promising alternative to underfunded and ...

https://doi.org/10.1176/ps.40.4.356

Publication date: 01 April 1989

Pages361–368

The burgeoning field of case managementfor long-term psychiatric patients has been handicapped by a lack of conceptual models that delineate the diverse activities of case managers. Based on the actualpractice of case management, the author outlines a ...

https://doi.org/10.1176/ps.40.4.361

Publication date: 01 April 1989

Pages369–376

Five years of intensive case management and specialized alternatives to hospitalization were provided to 72 young recidivistic, treatment-resistant, chronically thougbt-disorderedpatients. Cornpared with a two-year prestudy baseline, patients' days in the ...

https://doi.org/10.1176/ps.40.4.369

Publication date: 01 April 1989

Pages377–382

A 50-state survey was conducted to identify the extent of and the factors associated with states' funding of mental health research. Of the 49 states responding, 28 funded mental health research. Funds for research represented about .3 percent of total ...

https://doi.org/10.1176/ps.40.4.377

Publication date: 01 April 1989

Pages383–387

Twenty-eight of 49 states that responded to a survey supported mental health or substance abuse research through at least one of four funding mechanisms—the joint state-university research unit, research grants, state in-house research, and contracts. The ...

https://doi.org/10.1176/ps.40.4.383

Publication date: 01 April 1989

Pages388–392

States have funded psychiatric research through a variety of mechanism, including psychiatric research institutes. The authors identified and surveyed 33 such institutes to obtain information on their organizational characteristics. Twenty-nine institutes ...

https://doi.org/10.1176/ps.40.4.388

Publication date: 01 April 1989

Pages397–401

The rate of compliance with aftercare following hospitalization is disturbingly low despite its proven efficacy in preventing relapse and rehospitalization. This study of 134 emergency admissions to a New York City municipal hospital examined the impact ...

https://doi.org/10.1176/ps.40.4.397

Publication date: 01 April 1989

Pages402–406

Sociodrama, a synthesis of group psychotherapy and theatrical presentation, was used from 1978 to 1981 to promote rehabilitation of chronic mentally ill patients at Bellevue Mental Hospital in Jamaica. Staff and patients collectively analyzed their ...

https://doi.org/10.1176/ps.40.4.402

Publication date: 01 April 1989

Pages407–409

Enhancing the clinical utility of medical chart work is a useful goal of quality assurance programs. A series of interventions at this facility demonstrated that medical record requirements can be modified to maximize the record's utility to the clinical ...

https://doi.org/10.1176/ps.40.4.407

Publication date: 01 April 1989

Pages415–418

As more chronic mental patients are channeled into the community, residential care facilities will become increasingly important in their treatment, and more psychiatrists will become involved in board-and-care work. While traditional psychotherapeutic ...

https://doi.org/10.1176/ps.40.4.415

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