Psychiatric Services
- Volume 45
- Number 4
- April 1994
Article
Publication date: 01 April 1994
Pages308–310The model described above indicates that local mental health professionals can join together to design a system that can control costs and improve accessibility, continuity, and, ultimately, quality of care. Although the system is more expensive than one ...
https://doi.org/10.1176/ps.45.4.308Publication date: 01 April 1994
Pages329–330A single patient receiving comprehensive psychiatric care from Baycrest Centre may be identified in the community, may be offered services at home, may receive family intervention, or may be admitted to a more intensive level of acute care without being ...
https://doi.org/10.1176/ps.45.4.329Publication date: 01 April 1994
Pages333–337Community mental health programs are facing increasing demands to treat and rehabilitate seriously mentally ill patients even as they encounter shortages and burnout of qualified psychiatrists. The authors propose practical and flexible step-by-step ...
https://doi.org/10.1176/ps.45.4.333Publication date: 01 April 1994
Pages338–343Objective: This study compared the housing and neighborhood conditions of persons with serious mental illness with those of the general population. Methods: Data were derived from two surveys: the Community Care Survey administered in 1988-1989 in ...
https://doi.org/10.1176/ps.45.4.338Publication date: 01 April 1994
Pages343–346Objective: The authors conducted a national survey of community mental health centers to determine their policies and practices about screening patients for tardive dyskinesia and obtaining informed consent for use of neuroleptic drugs. Methods: Clinical ...
https://doi.org/10.1176/ps.45.4.343Publication date: 01 April 1994
Pages347–350Objective: The authors attempted to identify factors that commonly contributed to the decision to rebospitalize patients who made heavy use of mentalbealtb services. Methods: The case notes of 50 patients with frequent readmissions to the South Australian ...
https://doi.org/10.1176/ps.45.4.347Publication date: 01 April 1994
Pages351–354This paper describes the rationale, development, and implementation of a countywide scattered-site crisis bed program for seriously emotional disturbed youngsters. The program was developed by an interagency coalition consisting of representatives of the ...
https://doi.org/10.1176/ps.45.4.351Publication date: 01 April 1994
Pages355–358The U. S. Congress enacted the Patient Self-Determination Act in the wake of the Supreme Court's 1990 decision in the case of Nancy Cruzan, which concerned discontinuing life-sustaining medical treatment for a decisionally incapacitated patient. This ...
https://doi.org/10.1176/ps.45.4.355Publication date: 01 April 1994
Pages359–361Objectives: The study examined whether patients who responded to an antidepressant in one episode of depression responded to the same agent in a subsequent episode. It also sought to determine whether in a subsequent episode clinicians prescribed an ...
https://doi.org/10.1176/ps.45.4.359Publication date: 01 April 1994
Pages362–365In 1989 New York State extended regulation of controlled substances to benzodiazepines. To study the effects on patients, the authors examined characteristics of patients who came to a psychiatric outpatient clinic seeking benzodiazepines during the year ...
https://doi.org/10.1176/ps.45.4.362Publication date: 01 April 1994
Pages366–369The psychiatric literature suggests that religion and spiritual issues are significant and meaningful forces in the lives of patients with mental disorders, particularly when they confront suicide. Yet scales assessing suicidal risk almost entirely fail ...
https://doi.org/10.1176/ps.45.4.366Publication date: 01 April 1994
Pages369–371in 1847 Samuel M. Smith, M.D., was appointed professor of medical jurisprudence and insanity at the Willoughhy Medical College of Columbus, Ohio, making him the first person to chair a department of psychiatry at an American medical school. Using ...
https://doi.org/10.1176/ps.45.4.369Publication date: 01 April 1994
Pages378–380Downsizing at a large state hospital in Maryland was associated with qualitative changes in the resident population, including a higher density of disruptive or disturbed patients on all operating wards and a reciprocal decrease in the proportion of ...
https://doi.org/10.1176/ps.45.4.378Past Issues
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