Psychiatric Services

The National Alliance for Research on Schizophrenia and Depression (NARSAD) celebrated its tenth anniversary this year. The organization raises and distributes funds for scientific research on brain disorders. As a member of NARSAD's scientific council ...

https://doi.org/10.1176/ps.48.12.1533

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Use of electroconvulsive therapy in the Medicare population between 1987 and 1992

Publication date: 01 December 1997

Pages1537–1542

OBJECTIVE: Use of electroconvulsive therapy (ECT) in the Medicare population was examined to document trends and variations in the rate of use, expenditures, and patterns of treatment. METHODS: Medicare part B enrollment and claims data were used for a 5 ...

https://doi.org/10.1176/ps.48.12.1537

Comparative outcomes of emotionally disturbed children and adolescents in a system of services and usual care

Publication date: 01 December 1997

Pages1543–1548

OBJECTIVE: This study compared six-month functional and symptom outcomes of children and adolescents with serious emotional disturbance who received services in an exemplary system of care with outcomes of children who received traditional care. The ...

https://doi.org/10.1176/ps.48.12.1543

Collaboration between hospital social work and pastoral care to help families cope with serious illness and grief

Publication date: 01 December 1997

Pages1549–1552

The authors describe an educational program for hospital chaplains based on a partnership between pastoral care and social work in a teaching hospital. The goal of the program is to train chaplains to use social work principles to maximize families' ...

https://doi.org/10.1176/ps.48.12.1549

Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment

Publication date: 01 December 1997

Pages1553–1561

OBJECTIVE: This study examines patient- and facility-related determinants of satisfaction with inpatient mental health services. METHODS: A random sample of veterans discharged from Department of Veterans Affairs inpatient units with primary diagnoses of ...

https://doi.org/10.1176/ps.48.12.1553

Disruptive behavior and the determinants of costs in the public mental health system

Publication date: 01 December 1997

Pages1562–1566

Efforts to increase the cost-effectiveness of public mental health systems are hindered by inadequate information about the determinants of use and cost. This paper reviews empirical research and theory suggesting that costs in the public health system ...

https://doi.org/10.1176/ps.48.12.1562

Ethical benefits and costs of coercion in short-term inpatient psychiatric care

Publication date: 01 December 1997

Pages1567–1570

OBJECTIVE: The study examined the outcome of psychiatric inpatient care in terms of patients' reports of ethical benefits, which were defined as fulfillment of the ethical principles of beneficence and autonomy, and ethical costs, which were defined as ...

https://doi.org/10.1176/ps.48.12.1567

Article

Correction

Publication date: 01 December 1997

Page1570

The article entitled "Substance Use Among Patients With a Psychotic Disorder in a Psychiatric Emergency Room" by Cynthia A. Claassen, Ph.D., Saundra Gilfillan, D.O., Paul Orsulak, Ph.D., and associates in the March 1997 issue (pages 353-358) contained ...

https://doi.org/10.1176/ps.48.12.1570

Standard olanzapine versus placebo and ineffective-dose olanzapine in the maintenance treatment of schizophrenia

Publication date: 01 December 1997

Pages1571–1577

OBJECTIVE: Two studies compared the efficacy of standard-dose oral olanzapine (5 to 15 mg a day) with placebo and with ineffective-dose olanzapine (1 mg a day) in maintenance therapy of schizophrenia. METHODS: The studies were 46-week double-blind ...

https://doi.org/10.1176/ps.48.12.1571

A spreadsheet method for calculating maximum caseload and intake capacity for CMHC psychiatrists

Publication date: 01 December 1997

Pages1578–1581

OBJECTIVE: A method was sought to help administrators of community mental health centers determine a level of psychiatric staffing that is both cost-efficient and ensures high quality of care. METHODS: A survey of staff psychiatrists was conducted at a ...

https://doi.org/10.1176/ps.48.12.1578

A 30-year progress report on a VA satellite psychiatric clinic program

Publication date: 01 December 1997

Pages1582–1583

This paper describes a program of rural satellite psychiatric clinics that has evolved within a Veterans Affairs medical center over the past three decades. The eight clinics are staffed by a single team that includes a psychiatrist, a psychiatric nurse, ...

https://doi.org/10.1176/ps.48.12.1582

Instability before discharge and previous psychiatric admissions as predictors of early readmission

Publication date: 01 December 1997

Pages1584–1586

In a retrospective chart review, the quality of care given 531 hospitalized veterans during an index admission was examined to determine whether patient characteristics or aspects of treatment differed between 243 patients readmitted within 30 days of ...

https://doi.org/10.1176/ps.48.12.1584

Care of long-term mentally ill patients by British general practitioners

Publication date: 01 December 1997

Pages1586–1588

In the United Kingdom, patients gain access to psychiatric care through general practitioners (GPs). The first of three studies conducted to assess the role of GPs in managing patients with long-term mental illness found that such patients were unevenly ...

https://doi.org/10.1176/ps.48.12.1586

The impact of welfare reform as perceived by users of mental health services in New York City

Publication date: 01 December 1997

Pages1589–1591

A total of 118 psychiatric outpatients, 43 percent of whom were foreign born, completed a 12-item questionnaire about the impact of the new federal welfare legislation. A majority of respondents were worried about the new law and believed that it would ...

https://doi.org/10.1176/ps.48.12.1589