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Psychiatric Services

  • Volume 41
  • Number 3
  • March 1990

Article

Publication date: 01 March 1990

Pages267–269

The complexion of service delivery in psychiatry, particularly the roles and functions of allied health professionals, is evolving in response to economic, political, legal, and social changes. Understanding that change is inevitable, knowing that ...

https://doi.org/10.1176/ps.41.3.267

Publication date: 01 March 1990

Pages277–286

The relationship of culture to chronic mental illness is reviewed in a cross-national and cross-ethnic perspective. The author critically examines the argument, based on differential prognosis for serious mental illness in developing and industrial ...

https://doi.org/10.1176/ps.41.3.277

Publication date: 01 March 1990

Pages286–289

Changes in 358 initial diagnoses made by psychiatric consultants in a medical inpatient setting were examined. Initial diagnoses from five groups—major depression, adjustment disorder with depressed mood, dementia, delirium, and the somatoform disorders—...

https://doi.org/10.1176/ps.41.3.286

Publication date: 01 March 1990

Pages290–300

The authors review recent literature on four medical conditions that constitute important examples of organic mental disorders: AIDS dementia complex, cocaine abuse, cerebrovascular accident, and traumatic brain injury. These disorders are of particular ...

https://doi.org/10.1176/ps.41.3.290

Publication date: 01 March 1990

Pages301–305

Fifty-three homeless mentally ill patients were studied by two psychiatrists in a treatment setting in which data could be gathered from family members and other third parties as well. All the patients were severely mentally ill when the homelessness ...

https://doi.org/10.1176/ps.41.3.301

Publication date: 01 March 1990

Pages306–310

Data were collected on indicators of mental health status and substance abuse among 214 homeless and 250 domiciled but impoverished patients who sought care in a community medical clinic in a california beach community. Although both groups had a high ...

https://doi.org/10.1176/ps.41.3.306

Publication date: 01 March 1990

Pages311–313

Assessments at hospital admission of patients' potential for violence often rely on limited information, such as the patient's mental status, because detailed clinical and historical information may not be readily available. This study examined the ...

https://doi.org/10.1176/ps.41.3.311

Publication date: 01 March 1990

Pages314–318

Data from a multistate survey of board-and-care homes were used to compare the quality of the residential environment in homes for mentally disabled and develop-mentally disabled persons. Staffing levels, services, quality of the physical structure, ...

https://doi.org/10.1176/ps.41.3.314

Publication date: 01 March 1990

Pages319–321

DNR decisions on a psychiatric unit should reflect adequate staff CPR training and preparation, adequate medical consultation, a thorough assessment of the patient's competency, adequate surrogate decision-making if the patient is not competent, and ...

https://doi.org/10.1176/ps.41.3.319

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