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Psychiatric Services

  • Volume 43
  • Number 6
  • June 1992

Article

Publication date: 01 June 1992

Pages577–579

Introduction by Dr. Bachrach: The idea that patients and former patients might themselves be involved in service delivery has become increasingly popular in recent years. Once viewed as an expression of patient protest without clinical merit, self-help ...

https://doi.org/10.1176/ps.43.6.577

Publication date: 01 June 1992

Pages591–598

Research on schizophrenia has suggested an association between relapse of patients and high expressed emotion (EE), defined as criticism, hostility, or emotional overinvolvement of at least one family member. In international studies, however, the ...

https://doi.org/10.1176/ps.43.6.591

Publication date: 01 June 1992

Pages599–603

Data from 9,055 adult intakes performed over two and a half years of a managed mental health care demonstration project in a large U.S. city were used as indirect measures of quality of care. The level of care to which patients were initially assigned was ...

https://doi.org/10.1176/ps.43.6.599

Publication date: 01 June 1992

Pages603–607

The shift to dangerousness-oriented civil commitment criteria has led to speculation that mentally ill persons who do not meet those criteria are being hospitalized under criminal commitment statutes. Using data on patients' psychiatric symptoms at ...

https://doi.org/10.1176/ps.43.6.603

Publication date: 01 June 1992

Pages608–611

Findings from a large-scale national study of clients admitted to publicly funded drug treatment programs between 1979 and 1981 were used to determine whether cocaine use by current and former methadone patients could be predicted. The sample for this ...

https://doi.org/10.1176/ps.43.6.608

Publication date: 01 June 1992

Pages612–615

An emergency psychiatry-mobile crisis program was established in 1987 in Charleston, South Carolina, linking professionals from the mental health center, the university, and the local police department. The program has two goals: to provide emergency ...

https://doi.org/10.1176/ps.43.6.612

Publication date: 01 June 1992

Pages617–621

Psychiatric emergencies faced by adolescents are often linked to developmental issues such as separating from parents, establishing attachments to peers, and developing autonomy. in a vulnerable adolescent, a stressful developmental event may trigger a ...

https://doi.org/10.1176/ps.43.6.617

Publication date: 01 June 1992

Pages622–624

Evaluation and treatment of the assaultive adolescent is an important but difficult process. From a psychodynamic perspective, the author reviews factors associated with adolescent violence, including alcohol and substance use, depression and suicidality, ...

https://doi.org/10.1176/ps.43.6.622

Publication date: 01 June 1992

Pages625–629

A family with an adolescent must transform itself from a predominantly nurturant unit to one that can tolerate and encourage the adolescent's need to separate. When an adolescent presents with symptoms that disrupt the developmental process, the clinician ...

https://doi.org/10.1176/ps.43.6.625

Publication date: 01 June 1992

Pages630–633

In 1990 the Robert Wood Johnson Foundation's Mental Health Services Program for Youth awarded grants to eight state-community partnerships to develop systems of care for mentally ill children and adolescents. The authors describe approaches to system ...

https://doi.org/10.1176/ps.43.6.630

Publication date: 01 June 1992

Pages634–637

A consensus that divorce constitutes a major disruption and disequilibrium in the lives of nearly all children is emerging. Reactions vary at different developmental stages. Divorce poses a very specific hazard to the normal adolescent process of ...

https://doi.org/10.1176/ps.43.6.634

Publication date: 01 June 1992

Pages644–646

Previous studies of detection of alcoholism by primary medical care-givers have found discovery rates to be at best 50 percent (2-6). In this study, mental health clinicians-in-training recognized alcohol-related symptoms in almost 70 percent of patients. ...

https://doi.org/10.1176/ps.43.6.644

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