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Psychiatric Services

  • Volume 40
  • Number 9
  • September 1989

Article

Publication date: 01 September 1989

Pages878–879

The evidence accumulating from these recent careful studies suggests that care in the community is likely to be less expensive and more beneficial than institution-based care for many people with chronic mental illness. The cost savings are likely to be ...

https://doi.org/10.1176/ps.40.9.878

Publication date: 01 September 1989

Pages887–889

Although it is clear from research studies that some patients with borderline personality disorder improve following pharmacological treatment, their response to drugs may be unpredictable. Neuroleptics and carbamazepine may reduce impulsivity in some ...

https://doi.org/10.1176/ps.40.9.887

Publication date: 01 September 1989

Pages905–907

Dr. Mance, this month's guest expert, is assistant professor of psychiatry at Emory University School of Medicine in Atlanta and coprincipal investigator at the Emory site for the National Institute of Mental Health's multicenter study of treatment ...

https://doi.org/10.1176/ps.40.9.905

Publication date: 01 September 1989

Pages909–915

In a review of the current literature on inpatient psychotherapy, the authors discuss shortened length of stay and the interdisciplinary team approach as factors affecting psychotherapy in the inpatient setting. They examine the literature in the ...

https://doi.org/10.1176/ps.40.9.909

Publication date: 01 September 1989

Pages916–920

A central goal of policies aimed at improving care of the chronic mentally ill is better service coordination and integration. The author examines four current policy strategies—continuous care teams, local mental health authorities, integrated ...

https://doi.org/10.1176/ps.40.9.916

Publication date: 01 September 1989

Pages921–927

The presence or absence of neuroleptic-induced pseudoparkinsonism, the presence or absence of akathisia, and plasma levels of haloperidol are used to distinguish five types of haloperidol-resistant psychotic patients. The five types are patients receiving ...

https://doi.org/10.1176/ps.40.9.921

Publication date: 01 September 1989

Pages927–932

The treatment outcomes of 60 chronic mentally ill patients who received services at Community Care, a private-sector residential care program, were analyzed. In addition to psychiatric services, the program offers instruction in living skills and ...

https://doi.org/10.1176/ps.40.9.927

Publication date: 01 September 1989

Pages932–936

A case study of the community mental health work force in Nebraska over a seven-year period beginning in 1981 examined changes in the professional makeup, overall staffing levels, extent of professional training, and number of medical staff in both ...

https://doi.org/10.1176/ps.40.9.932

Publication date: 01 September 1989

Pages937–942

In May 1987 the Veterans Administration established the Homeless Chronically Mentally Ill Veterans Program at 43 sites to provide outreach, health care, and residential rehabilitation services. Intake assessment data on 10,529 homeless veterans screened ...

https://doi.org/10.1176/ps.40.9.937

Publication date: 01 September 1989

Pages943–946

Twelve predominantly psychotic patients who were at high risk for relapse and rehospitalization participated in a treatment regime that combined medication and supportive and insight-oriented group therapy. The group was studied over a 44-month period ...

https://doi.org/10.1176/ps.40.9.943

Publication date: 01 September 1989

Pages947–951

A variety of demographic and clinical data collected on 142 new patients treated in an adult psychiatric outpatient clinic were analyzed to determine factors that discriminated between patients who terminated treatment prematurely during the first eight ...

https://doi.org/10.1176/ps.40.9.947

Publication date: 01 September 1989

Pages960–962

This paper has described some inhospital strategies for dealing with problems caused by the delayed release of forensic patients. It is hoped that the paper will stimulate others to develop creative methods of addressing these problems. Clinicians working ...

https://doi.org/10.1176/ps.40.9.960

Publication date: 01 September 1989

Pages963–964

Although many therapists in the public sector might feel overwhelmed, anxious, or defeated by the unpredictable and difficult situations of the patients they encounter, others find a way to feel involved and challenged by these situations. The public-...

https://doi.org/10.1176/ps.40.9.963

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