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Psychiatric Services

  • Volume 45
  • Number 8
  • August 1994

Article

Publication date: 01 August 1994

Pages749–764

The nature of the effort required of a holistic practice with severely and chronically mentally ill persons, integrating, on a practical level, a complex field of information and influences, can already be seen in the earliest social work aftercare ...

https://doi.org/10.1176/ps.45.8.749

Publication date: 01 August 1994

Pages759–764

Methadone maintenance programs are ideal sites for the screening and ongoing treatment of tuberculosis because of their high rate of patient retention and the high incidence of infection with tuberculosis among the patients they treat. In addition to ...

https://doi.org/10.1176/ps.45.8.759

Publication date: 01 August 1994

Pages761–764

Rochester mental health providers and planners are convinced that capitation is an effective financing mechanism that allows care to be tailored to the needs of the individual and that can drive development of needed services. Some of the problems ...

https://doi.org/10.1176/ps.45.8.761

Publication date: 01 August 1994

Pages769–776

This study compared homelessness in New York City and London to examine the relative roles of individual pathology and structural forces in causing homelessness, the effect of sociopolitical and cultural differences on policy decisions toward solving ...

https://doi.org/10.1176/ps.45.8.769

Publication date: 01 August 1994

Pages777–781

If the Clinton health care reform package becomes law, community mental health centers will face challenges similar to those recently encountered by centers in several states under new Medicaid initiatives to capitate payments for mental health care. The ...

https://doi.org/10.1176/ps.45.8.777

Publication date: 01 August 1994

Pages782–788

Objective: The treatment of suicidal patients contributes to escalating mental health expenditures. Fiscal realities necessitate that cost-containment measures be implemented wherever possible. The authors reviewed the literature to delineate factors that ...

https://doi.org/10.1176/ps.45.8.782

Publication date: 01 August 1994

Pages789–793

Continuous quality improvement (CQ1), a philosophy and a set of techniques for managing the quality of services in health care, involves procedures for defining an organization's goals and work processes and applying quantitative measures of quality ...

https://doi.org/10.1176/ps.45.8.789

Publication date: 01 August 1994

Pages793–797

The authors' aim was to test the relationship between receipt of desired community mental health services by homeless mentally ill forensic clients and whether the clients returned to jail within six months. Methods: Mentally ill homeless dients leaving ...

https://doi.org/10.1176/ps.45.8.793

Publication date: 01 August 1994

Pages798–803

Objective: The authors explored the clinical characteristics and treatment response of African-American and white patients with panic disorder and agoraphobia who presented for treatment at an anxiety disorders clinic. Methods: One hundred white and 43 ...

https://doi.org/10.1176/ps.45.8.798

Publication date: 01 August 1994

Pages804–808

This study examined the characteristics of families who dropped out and families who maintained contact with a children's psychiatric outpatient clinic through various phases of intake and treatment. Methods: One year after intake, the authors examined ...

https://doi.org/10.1176/ps.45.8.804

Publication date: 01 August 1994

Pages808–813

The study's aim was to document the economic assistance in the form of money, in-kind contributions, and time spent in caregiving by families of adults with both severe mental illness and substance use disorders. Methods: A total of 1l9 families of adults ...

https://doi.org/10.1176/ps.45.8.808

Publication date: 01 August 1994

Pages814–817

Although many clinicians agree in principle that work is central to personal identity and mental health, issues related to patients' experiences in the workplace have not been a central focus in clinical practice in psychiatry. However, the link between ...

https://doi.org/10.1176/ps.45.8.814

Publication date: 01 August 1994

Pages818–822

Wilhelm Griesinger, a 19th-century German physician, can be considered one of the founders of the concept of community-based care for mentally ill patients. In an era when such patients typically spent most of their lives in asylums in remote rural areas, ...

https://doi.org/10.1176/ps.45.8.818

Publication date: 01 August 1994

Pages823–825

Our study points to the importance of researchers' reporting their methodologies, definitions, and classffication systems in enough detail to permit interfacility comparisons. Researchers need to know the numenators and denominators used to calculate fall ...

https://doi.org/10.1176/ps.45.8.823

Publication date: 01 August 1994

Pages827–829

Having "multiple personalities" does not always mean one has multiple personality disorder. In some cases, multiple personality disorder is hysterical on feigned, or encouraged by therapists or activist groups. In other cases, it is a manifestation of a ...

https://doi.org/10.1176/ps.45.8.827

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