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Psychiatric Services

  • Volume 44
  • Number 10
  • October 1993

Article

Publication date: 01 October 1993

Pages937–942

Many concerns have been raised about the special problems of providing care for severely mentally ill persons in a reformed health care system based on managed competition. The authors describe what will likely be basic features of the reformed system and ...

https://doi.org/10.1176/ps.44.10.937

Publication date: 01 October 1993

Pages943–950

Objective: To better understand the strengths and weaknesses of systems of services for seriously mentally ill individuals in Canada and the United States, the quality and cost of services in the province of British Columbia (population 3.2 million) were ...

https://doi.org/10.1176/ps.44.10.943

Publication date: 01 October 1993

Pages951–958

Interest in the relationship between social class and schizophrenia has diminished in recent years. However, these issues can usefully be reconsidered in light of increased recognition that schizophrenia has a protean course, that deinstitutionalization ...

https://doi.org/10.1176/ps.44.10.951

Publication date: 01 October 1993

Pages958–962

Uninsured and underinsured persons in the United States have limited access to health and mental health care and often enter the health care system via hospital emergency rooms. This pattern is even more pronounced among ethnic minorities, particularly ...

https://doi.org/10.1176/ps.44.10.958

Publication date: 01 October 1993

Pages963–966

In April 1992 the health ministers of all Australian states, territories, and the federal government endorsed Australia's first National Mental Health Policy. The major principles outlined in the policy include protecting consumers' rights, setting ...

https://doi.org/10.1176/ps.44.10.963

Publication date: 01 October 1993

Pages967–973

The legal concept of the right of psychiatric patients to treatment in the least restrictive alternative has come to mean treatment anywhere but in the state hospital, as illustrated in two large communities in Ohio and Massachusetts. Oversimplified ...

https://doi.org/10.1176/ps.44.10.967

Publication date: 01 October 1993

Pages973–976

The number of state hospital beds nationwide has been reduced to 40 per 100,000 population; in California, nonforensic state hospital beds have decreased to 8.3 per 100,000. The main effects of this reduction are becoming more evident. Most seriously ...

https://doi.org/10.1176/ps.44.10.973

Publication date: 01 October 1993

Pages977–980

The types of social welfare benefits available for mentally ill patients, including Social Security, Social Security Disability insurance, Supplemental Security income, Aid to Families With Dependent Children, Medicare, and Medicaid, are briefly described,...

https://doi.org/10.1176/ps.44.10.977

Publication date: 01 October 1993

Pages981–985

Retrenchments in federal financing, more stringent residency accreditation standards, fewer psychiatric residents, and other factors are putting increased pressure on psychiatric residency training programs to collaborate with or even merge with other ...

https://doi.org/10.1176/ps.44.10.981

Publication date: 01 October 1993

Pages985–990

The state of South Carolina is in the process of transforming its core services for people with severe and persistent mental illnesses to a community-based model. This paper describes the planning and on-going implementation of an alliance of academic ...

https://doi.org/10.1176/ps.44.10.985

Publication date: 01 October 1993

Pages1000–1001

Patients with borderline personality disorder provide an ideal sample for a study of impulsive sexual behavior and factors related to it in psychiatrically ill women. Even though impulsive sexual behavior is one of the DSM-III-R criteria for borderline ...

https://doi.org/10.1176/ps.44.10.1000

Publication date: 01 October 1993

Pages1002–1004

The utility of a given typology is based on the degree to which the resulting groups are relevant to the purpose intended. The results presented here indicate a structurally stable model that classified residents into well-defined groups particularly ...

https://doi.org/10.1176/ps.44.10.1002

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