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Psychiatric Services

  • Volume 43
  • Number 9
  • September 1992

Article

Publication date: 01 September 1992

Pages869–871

The individualized plan developed for each client must change, grow, and adapt in response to the client's fluctuating needs. Interventions must focus on desired functional outcomes rather than on diagnosis and symptoms. Intervening on the planning, ...

https://doi.org/10.1176/ps.43.9.869

Publication date: 01 September 1992

Pages877–885

Studies published since 1988 describing the treatment of schizopbrenia are reviewed. Antipsychotic agents play a dominant role in treatment, but, except for clozapine, no one drug has been proved more effective than any other. Ineffective medication and ...

https://doi.org/10.1176/ps.43.9.877

Publication date: 01 September 1992

Pages885–890

In an open pilot study, 23 depressed adults infected with human immunodeficiency virus were treated using interpersonal therapy. Twenty subjects recovered from depression after a mean of 16 sessions. The authors discuss six aspects of interpersonal ...

https://doi.org/10.1176/ps.43.9.885

Publication date: 01 September 1992

Pages891–894

Women now constitute the fastest growing population of persons with AIDS in the U.S. The psychosocial problems of women with AlDS and HIV infection are underrecognized, and economic, personal, and social resources to meet their needs are often inadequate. ...

https://doi.org/10.1176/ps.43.9.891

Publication date: 01 September 1992

Pages895–899

To explore whether intensive case management would reduce discharged psychiatric inpatients' rates of rehospitalization and increase their use of out patient ambulatory care services, the authors assigned 435 patients discharged from a public general ...

https://doi.org/10.1176/ps.43.9.895

Publication date: 01 September 1992

Pages899–903

Eighty-three adults with severe mental disabilities participated in a study examining effects on life satisfaction of having nothing to do, receipt of a housing subsidy, and enrollment in an intensive case management program. The clients were divided into ...

https://doi.org/10.1176/ps.43.9.899

Publication date: 01 September 1992

Pages904–908

A total of 196 nonspecialty state hospitals in the U.S. each identified one patient—referred to as the hospital's "worst" recidivist—admitted to the hospital in 1 987 who bad the most lifetime admissions to that hospital. Persons admitted for mental ...

https://doi.org/10.1176/ps.43.9.904

Publication date: 01 September 1992

Pages909–911

Clozapine treatment for schizopbrenic patients living in the community requires strategies to ensure safe use of the medication and to foster patients=' emerging social and living skills. The authors describe a clozapine treatment program in a community ...

https://doi.org/10.1176/ps.43.9.909

Publication date: 01 September 1992

Pages912–914

Analysis of data from 82 Veterans Affairs medical centers showed that during a one-year period in 1987-88, VA psychiatric inpatients spent about 240,000 hours in seclusion or restraint, with about half of that time in mechanical restraints. The median ...

https://doi.org/10.1176/ps.43.9.912

Publication date: 01 September 1992

Pages915–919

Many patients, especially those who are elderly and who have chronic medical illnesses, choose to forgo cardiopulmonary resuscitation (CPR) in case of cardiac arrest. The right of mentally competent patients to refuse CPR is supported by ethicists, the ...

https://doi.org/10.1176/ps.43.9.915

Publication date: 01 September 1992

Pages920–923

Minimal architectural changes in a treatment environment can lead to significant improvements in bow the setting functions, with positive effects for staff patients, and families. When a mental health center located in an antiquated hospital in Jerusalem ...

https://doi.org/10.1176/ps.43.9.920

Publication date: 01 September 1992

Pages924–927

Clinical decision making in the treatment of families of individuals with prolonged mental illness can be affected by countertransference that is stimulated by the context of treatment as well as by the family being treated. For clinicians, ...

https://doi.org/10.1176/ps.43.9.924

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