OBJECTIVE: From 1978 to 1993, under favorable administrative and political conditions and protected by a court-ordered consent decree, a comprehensive community-based mental health system was established in western Massachusetts that entirely replaced ...

https://doi.org/10.1176/ps.46.6.569

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A qualitative approach to assessing the effects of system change on consumers, families, and providers

Publication date: 01 June 1995

Pages575–579

OBJECTIVE: In 1988 Vermont implemented a policy designed to reduce the state hospital census and expand community-based services. This qualitative study assessed perceptions of the policy's impact among mental health consumers, family members, and ...

https://doi.org/10.1176/ps.46.6.575

The first 18 months of mental health reform in Kansas

Publication date: 01 June 1995

Pages580–585

OBJECTIVE: The effects of the first 18 months of implementation of the Kansas Mental Health Reform Act were evaluated. The act designated community mental health centers as gatekeepers for admission to mental health services, created screening and ...

https://doi.org/10.1176/ps.46.6.580

Racial differences in treatment of psychiatric inpatients

Publication date: 01 June 1995

Pages586–591

OBJECTIVE: The study examined several aspects of inpatient psychiatric treatment to determine if differences existed between treatment of African-American and white patients. METHODS: Using a structured chart review, data were collected on 76 African-...

https://doi.org/10.1176/ps.46.6.586

Mental illness and substance use among sheltered homeless persons in lower-density population areas

Publication date: 01 June 1995

Pages592–595

OBJECTIVE: The prevalence of mental illness and substance abuse in homeless populations has been studied primarily in large urban areas. This study examines a sheltered homeless population in two counties of lower-density population, Dauphin and ...

https://doi.org/10.1176/ps.46.6.592

Base-rate estimates of criminal behavior by homeless mentally ill persons in New York City

Publication date: 01 June 1995

Pages596–601

OBJECTIVES: The study aimed to estimate the prevalence of homelessness among mentally disordered offenders entering the criminal justice and forensic mental health systems, to compare base rates of arrest for violent and nonviolent criminal charges among ...

https://doi.org/10.1176/ps.46.6.596

Modifying the PACT model: preserving critical elements

Publication date: 01 June 1995

Pages601–604

Few agencies have the resources to replicate the Program for Assertive Community Treatment (PACT) model pioneered in Madison, Wisconsin, which calls for around-the-clock, comprehensive treatment and rehabilitation services for persons with serious mental ...

https://doi.org/10.1176/ps.46.6.601

Characteristics of effective day treatment programming for persons with borderline personality disorder

Publication date: 01 June 1995

Pages605–608

Day treatment, or partial hospitalization, may have unique advantages for the treatment of patients with borderline personality disorder. Such treatment may offer patients the optimal level of intensiveness and containment, resulting in less regressive ...

https://doi.org/10.1176/ps.46.6.605

The relationship between nurses' limit-setting styles and anger in psychiatric inpatients

Publication date: 01 June 1995

Pages609–613

OBJECTIVE: Violence by patients in psychiatric settings is frequently associated with the quality of staff-patient interactions. Impulsivity has been identified as a high risk factor for anger and aggression. This study was designed to test the influence ...

https://doi.org/10.1176/ps.46.6.609

Psychiatric patients' explanations for assaults

Publication date: 01 June 1995

Pages614–615

Using videocameras, the authors detected 134 assaults by 40 of 113 patients treated over a 23-month period on a 14-bed intensive ward for violent psychiatric patients. After assailants were approached by an interviewer to obtain their explanations for the ...

https://doi.org/10.1176/ps.46.6.614

Training health professionals in the recognition and treatment of depression

Publication date: 01 June 1995

Pages616–618

A total of 423 health professionals, including physicians, psychologists, counselors, social workers, and nurses, attended a two- day program to increase awareness, recognition, and treatment of depression. In a preprogram opinion survey, nurses and ...

https://doi.org/10.1176/ps.46.6.616

Identifying anxiety disorders in adolescents hospitalized for alcohol abuse or dependence

Publication date: 01 June 1995

Pages618–620

In structured clinical interviews of 43 adolescents hospitalized for alcohol abuse or dependence, 17 subjects met criteria for an anxiety disorder, with social phobia (N = 9) and posttraumatic stress disorder (N = 7) most common. Of these 17 subjects, ...

https://doi.org/10.1176/ps.46.6.618

Characteristics of police referrals to a psychiatric emergency unit in Australia

Publication date: 01 June 1995

Pages620–622

The study examined characteristics of patients referred by police to a psychiatric emergency unit on the campus of a 400-bed psychiatric hospital in Adelaide, South Australia. Of all police referrals (N = 634) during a 21-month period, 437 cases were ...

https://doi.org/10.1176/ps.46.6.620