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Psychiatric Services

  • Volume 46
  • Number 8
  • August 1995

Publication date: 01 August 1995

Pages764–765

Foreword from Dr. Sharfstein: In this era of managed care, utilization review, and concerns about costs, a clinician-reviewer who knows little about a case may make a decision that profoundly affects the course of a patient's treatment. Although Dr. ...

https://doi.org/10.1176/ps.46.8.764

Publication date: 01 August 1995

Pages769–774

The structure and content of general psychiatric residency education must be redesigned to ensure the continued relevance of the profession of psychiatry as managed care and cost containment become more influential in the health care delivery system. The ...

https://doi.org/10.1176/ps.46.8.769

Publication date: 01 August 1995

Pages774–777

OBJECTIVE: Psychiatric residents frequently prescribe medication for patients who are in psychotherapy with another clinician. This study examined the extent and characteristics of communication between psychiatric residents and psychotherapists who ...

https://doi.org/10.1176/ps.46.8.774

Publication date: 01 August 1995

Pages778–784

OBJECTIVE: To determine the extent of use of outpatient commitment, a survey was undertaken of each state and the District of Columbia. METHODS: One of the authors, an attorney, reviewed pertinent state statutes, then conducted telephone interviews with ...

https://doi.org/10.1176/ps.46.8.778

Publication date: 01 August 1995

Pages785–789

OBJECTIVE: This study examined differences in factors associated with violence toward others by female and male patients evaluated in a psychiatric emergency service. METHODS: A sample of 812 psychiatric patients recruited in the emergency service of an ...

https://doi.org/10.1176/ps.46.8.785

Publication date: 01 August 1995

Pages790–795

OBJECTIVE: This study examined associations between four types of major psychopathology--schizophrenia, schizoaffective disorder, and bipolar and unipolar affective disorders--and history of violent crime. The effects of demographic variables, substance ...

https://doi.org/10.1176/ps.46.8.790

Publication date: 01 August 1995

Pages796–800

OBJECTIVE: The study was a preliminary exploration of the relatively new phenomenon of arresting psychiatric inpatients for offenses committed in the hospital. METHODS: A retrospective record review at two New York state hospitals identified all 73 ...

https://doi.org/10.1176/ps.46.8.796

Publication date: 01 August 1995

Pages801–806

OBJECTIVE: This study estimated rates of eligibility for treatment with clozapine among clients in a public mental health system using criteria with various degrees of restrictiveness. METHODS: A stratified, random cluster sample of 293 clients was ...

https://doi.org/10.1176/ps.46.8.801

Publication date: 01 August 1995

Pages807–813

OBJECTIVES: Members of Ypsilon, a Dutch family organization for relatives of patients with schizophrenia or chronic psychosis, were surveyed to determine whether patients whose families were involved in the organization were representative of all patients ...

https://doi.org/10.1176/ps.46.8.807

Publication date: 01 August 1995

Pages813–818

OBJECTIVE: Several recent studies confirm elevated rates of human immunodeficiency virus infection among acute and chronic mentally ill adults in large urban areas. This research sought to characterize risk for HIV infection among adults with chronic ...

https://doi.org/10.1176/ps.46.8.813

Publication date: 01 August 1995

Pages819–822

OBJECTIVE: This study evaluated the cost-benefits of a staff communications training program designed to improve patient management skills and relieve staff stress. METHODS: The interpersonal communications program, based on the Carkhuff model, was ...

https://doi.org/10.1176/ps.46.8.819

Publication date: 01 August 1995

Pages823–826

A total of 238 patients who attended a mental health service in Ilorin, Nigeria, over a one-month period were interviewed to assess the routes they took to psychiatric care. Ninety-five patients reported that they had first contacted traditional or ...

https://doi.org/10.1176/ps.46.8.823

Publication date: 01 August 1995

Pages826–828

The authors describe development of an automated system to provide caregivers in a regional mental health service in Calgary, Alberta, with access to information about persons with chronic mental illness served by the system. All participating ...

https://doi.org/10.1176/ps.46.8.826

Publication date: 01 August 1995

Pages828–831

Evidence that antisocial personality disorder occurs in association with mental retardation is presented through case reports of six mildly to moderately retarded men who received a diagnosis of antisocial personality disorder. The men were identified ...

https://doi.org/10.1176/ps.46.8.828

Publication date: 01 August 1995

Pages831–833

As one of several strategies to improve attendance and reduce the size of the waiting list at a child psychiatric clinic serving urban, multiproblem clients, parents were required to attend a free pretreatment orientation group meeting. The rate of missed ...

https://doi.org/10.1176/ps.46.8.831

Publication date: 01 August 1995

Pages833–835

A combined medical-psychiatric inpatient unit at a general medical center in Brooklyn, New York, provides inpatient psychiatric treatment to members of the Orthodox Jewish sect of the Lubavitcher Hassidim, who are generally reluctant to accept treatment ...

https://doi.org/10.1176/ps.46.8.833

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