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Psychiatric Services

  • Volume 41
  • Number 5
  • May 1990

Article

Publication date: 01 May 1990

Pages501–502

A fundamental issue normally addressed in assessing the capability for research development within practice professions is the availability of funding for both individuals and institutions. However, the issues discussed in this paper also require ...

https://doi.org/10.1176/ps.41.5.501

Publication date: 01 May 1990

Pages515–521

Electroconvulsive therapy (ECT) is a safe, rapidly acting, and very effective form of treatment for severe affective illness. In recent years the limitations of available psychopharmacotherapies and the pressures of cost containment appear to be ...

https://doi.org/10.1176/ps.41.5.515

Publication date: 01 May 1990

Pages521–525

Emergency shelters have become the backbone of the service delivery system to the homeless. Particularly in large shelters, crime is a pervasive aspect of life. But despite the dangers of shelter living, many residents do not flee; instead they develop ...

https://doi.org/10.1176/ps.41.5.521

Publication date: 01 May 1990

Pages526–531

Although deinstitutionalization has been linked with an increase in the number of mentally ill people who are homeless or in jails, several demonstration programs started during the past 30 years have shown that community-based services for the seriously ...

https://doi.org/10.1176/ps.41.5.526

Publication date: 01 May 1990

Pages531–536

Utilization review is now carried out by most hospitals and many health care agencies, government-sponsored local agencies, third-party party payers, and private companies, yet few practical explanations of the process are available. In this guide, the ...

https://doi.org/10.1176/ps.41.5.531

Publication date: 01 May 1990

Pages537–540

As part ofa survey of 260 Oregon family members with mentally ill relatives, respondents were asked about their experiences with civil commitment and their opinions about proposed modifications in the commitment statutes. Family members typically ...

https://doi.org/10.1176/ps.41.5.537

Publication date: 01 May 1990

Pages541–544

Treatment of poorly functioning schizophrenic patients with antidepressant medication may lead to a relatively rapid increase in their level of activity, autonomy, and assertiveness. Caregivers who had been accustomed to the patients' more blunted affect ...

https://doi.org/10.1176/ps.41.5.541

Publication date: 01 May 1990

Pages545–549

Administrators who have studied the relationship between facility staffing levels and quality of care have been frustrated by problems in defining case load and organizational structure. To help eliminate ambiguity, the authors propose criteria for ...

https://doi.org/10.1176/ps.41.5.545

Publication date: 01 May 1990

Pages549–551

Forty gay men who had recently learned that they were infected with human immunodeficiency virus (HIV) were interviewed to determine the frequency with which they voluntarily informed physicians, dentists, friends, family members, and current and past ...

https://doi.org/10.1176/ps.41.5.549

Publication date: 01 May 1990

Pages554–556

This case report highlights the importance of dissociation as a key element in the symptom expression of patients with combat-related PTSD. In addition, it suggests that multiple personality disorder can both origmate and emerge in adulthood.

https://doi.org/10.1176/ps.41.5.554

Publication date: 01 May 1990

Pages560–562

We anticipate that future policy and clinical practice will emphasize greater efficiency, cost containment, flexible incentive programs, greater understanding of the disability process, and strategies to optimally rehabulitate the severely disabled ...

https://doi.org/10.1176/ps.41.5.560

Publication date: 01 May 1990

Pages562–564

Without increasing our staff or relying on other agencies for long-term treatments, we have managed to combine effective crisis intervention with long-term continuous care for children and adolescents with severe psychopathology. Only 8.7 percent of our ...

https://doi.org/10.1176/ps.41.5.562

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