Psychiatric Services
- Volume 46
- Number 3
- March 1995
Publication date: 01 March 1995
Pages233–238OBJECTIVE: The authors outline a minimal set of outcome indicators to assess the effects of specialized treatment for people with severe mental illness and substance use disorders and report on use of these indicators in a longitudinal study of such ...
https://doi.org/10.1176/ps.46.3.233Publication date: 01 March 1995
Pages238–242Research on psychiatric hospital admissions shows that a small group of patients use a disproportionate amount of inpatient services. In the late 1980s Washington State developed initiatives to target outpatient community mental health services to ...
https://doi.org/10.1176/ps.46.3.238Publication date: 01 March 1995
Pages243–247Developmentally disabled clients with a concomitant mental illness are often underserved or inappropriately treated because of interorganizational barriers, leading to unnecessary hospitalization and lengthy delays in community placement. To overcome ...
https://doi.org/10.1176/ps.46.3.243Publication date: 01 March 1995
Pages248–251OBJECTIVE: This study assessed the long-term course of substance abuse and dependence among severely mentally ill patients. METHODS: A prospective, naturalistic, seven-year follow-up of severely mentally ill outpatients (most with schizophrenia and ...
https://doi.org/10.1176/ps.46.3.248Publication date: 01 March 1995
Pages252–256Many models of managed care have been criticized as inflexible and intrusive, including those in which decisions about level of care are made by third-party reviewers, in-house staff, or other clinicians not involved in the patient's treatment. The ...
https://doi.org/10.1176/ps.46.3.252Publication date: 01 March 1995
Pages256–259OBJECTIVE: This paper is intended to help American clinicians and investigators further their understanding of the clinical use of clozapine by reviewing experience with the drug in Russia, where it was introduced 17 years before it became available in ...
https://doi.org/10.1176/ps.46.3.256Publication date: 01 March 1995
Pages260–265OBJECTIVE: This study explored the relationship between the functional skills of clients with severe mental disorder and the benefits to the client and society as reflected by residential and vocational status, self-efficacy, self-esteem, and life ...
https://doi.org/10.1176/ps.46.3.260Publication date: 01 March 1995
Pages265–268OBJECTIVE: Maintenance electroconvulsive therapy (maintenance ECT) has emerged as an alternative treatment for patients who relapse repeatedly or cannot tolerate psychotropic medications. The pattern of maintenance ECT use in two university-affiliated ...
https://doi.org/10.1176/ps.46.3.265Characteristics and service use of long-term members of self-help agencies for mental health clients
Publication date: 01 March 1995
Pages269–274OBJECTIVE: This study examined the characteristics of long-term members of self-help agencies managed and staffed by mental health clients, why they sought help from the agencies, and how they differed from clients of community mental health agencies. ...
https://doi.org/10.1176/ps.46.3.269Publication date: 01 March 1995
Pages275–280OBJECTIVE: Research shows that many chronic psychiatric patients are at risk for infection by the human immunodeficiency virus (HIV). This study investigated the effects of a behavioral skills training program designed to prevent HIV infection among ...
https://doi.org/10.1176/ps.46.3.275Publication date: 01 March 1995
Pages281–282Retrospective chart review was used to compare the demographic characteristics and psychiatric diagnoses of 150 consecutive female patients seen in psychiatric consultation in the emergency service at a Veterans Affairs medical center between 1987 and ...
https://doi.org/10.1176/ps.46.3.281Publication date: 01 March 1995
Pages283–284An after-hours crisis intervention program staffed by psychiatric residents between 5 p.m. and 11:30 p.m. on weekdays was developed in the general emergency room at a Veterans Affairs hospital to reduce inpatient psychiatric admissions. The program ...
https://doi.org/10.1176/ps.46.3.283Publication date: 01 March 1995
Pages285–287To examine patterns of use of acute walk-in services by substance abusers, the authors studied demographic characteristics and type of substance abuse among 1,838 patients treated at a Veterans Affairs substance abuse triage unit. They found that African-...
https://doi.org/10.1176/ps.46.3.285Publication date: 01 March 1995
Pages287–289Forty-two severely emotionally disturbed adolescents discharged after a brief hospitalization for an acute psychiatric episode were assigned to two groups--one for whom clinicians recommended continued intensive treatment in an inpatient, residential, or ...
https://doi.org/10.1176/ps.46.3.287Publication date: 01 March 1995
Pages289–291A case of a woman with visual hallucinations in the absence of other organic or psychiatric findings--symptoms consistent with a diagnosis of Charles Bonnet syndrome--is reported. The women was HIV positive, although asymptomatic for conventional ...
https://doi.org/10.1176/ps.46.3.289Article
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