Psychiatric Services
- Volume 46
- Number 8
- August 1995
Publication date: 01 August 1995
Pages764–765Foreword 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.46.8.764Redefining the general psychiatrist: values, reforms, and issues for psychiatric residency education
Publication date: 01 August 1995
Pages769–774The 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.46.8.769Publication date: 01 August 1995
Pages774–777OBJECTIVE: 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.46.8.774Publication date: 01 August 1995
Pages778–784OBJECTIVE: 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.46.8.778Publication date: 01 August 1995
Pages785–789OBJECTIVE: 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.46.8.785Publication date: 01 August 1995
Pages790–795OBJECTIVE: 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.46.8.790Publication date: 01 August 1995
Pages796–800OBJECTIVE: 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.46.8.796Publication date: 01 August 1995
Pages801–806OBJECTIVE: 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.46.8.801Publication date: 01 August 1995
Pages807–813OBJECTIVES: 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.46.8.807Publication date: 01 August 1995
Pages813–818OBJECTIVE: 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.46.8.813Publication date: 01 August 1995
Pages819–822OBJECTIVE: 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.46.8.819Publication date: 01 August 1995
Pages823–826A 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.46.8.823Publication date: 01 August 1995
Pages826–828The 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.46.8.826Publication date: 01 August 1995
Pages828–831Evidence 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.46.8.828Publication date: 01 August 1995
Pages831–833As 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.46.8.831Publication date: 01 August 1995
Pages833–835A 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