Psychiatric Services

OBJECTIVE: This review examines the effectiveness of supported employment for people with severe mental illness. METHODS: A comprehensive search was made for quantitative studies, primarily in the published literature. RESULTS: Seven descriptive studies, ...

https://doi.org/10.1176/ps.48.3.335

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Considerations for research on consumer empowerment and psychosocial interventions

Publication date: 01 March 1997

Pages347–352

Consumer empowerment is a political movement that, among many goals, seeks to diminish the stigma and discrimination experienced by people with severe and persistent psychiatric disorders. This paper reviews research strategies that address the ...

https://doi.org/10.1176/ps.48.3.347

Substance use among patients with a psychotic disorder in a psychiatric emergency room

Publication date: 01 March 1997

Pages353–358

OBJECTIVE: This study used laboratory tests to identify current drug and alcohol users among psychotic patients seeking treatment in an urban psychiatric emergency room. Rates of clinician-suspected use and self-reported use were compared, as were ...

https://doi.org/10.1176/ps.48.3.353

JCAHO mental health care network accreditation as a performance improvement project

Publication date: 01 March 1997

Pages359–363

In June 1995 the Southeastern Area of the Massachusetts Department of Mental Health became the third health care network, and first mental health care network, to be accredited by the Joint Commission on the Accreditation of Healthcare Organizations (...

https://doi.org/10.1176/ps.48.3.359

Implementing outcomes management systems in mental health settings

Publication date: 01 March 1997

Pages364–368

Outcomes management has received considerable attention in the literature on mental health services delivery. However, relatively little practical information is available on how to implement an outcomes management system in the mental health care ...

https://doi.org/10.1176/ps.48.3.364

Creating integrated service systems for homeless persons with mental illness: the ACCESS Program. Access to Community Care and Effective Services and Supports

Publication date: 01 March 1997

Pages369–373

The Access to Community Care and Effective Services and Supports (ACCESS) demonstration program was initiated in 1993 by the U.S. Department of Health and Human Services as part of a national agenda to end homelessness among persons with serious mental ...

https://doi.org/10.1176/ps.48.3.369

Service system performance and integration: a baseline profile of the ACCESS demonstration sites. Access to Community Care and Effective Services and Supports

Publication date: 01 March 1997

Pages374–380

OBJECTIVE: Networks of agencies at the 18 demonstration sites in the Access to Community Care and Effective Services and Supports (ACCESS) program for homeless persons with serious mental illness were surveyed to profile baseline levels of systems ...

https://doi.org/10.1176/ps.48.3.374

Homeless mentally ill clients' and providers' perceptions of service needs and clients' use of services

Publication date: 01 March 1997

Pages381–386

OBJECTIVE: Clients' and providers' perceptions of clients' needs were compared in 18 community treatment programs participating in the Access to Community Care and Effective Services and Supports program of the Center for Mental Health Services, a ...

https://doi.org/10.1176/ps.48.3.381

Client and site characteristics as barriers to service use by homeless persons with serious mental illness

Publication date: 01 March 1997

Pages387–390

Clients entering the Access to Community Care and Effective Services and Supports (ACCESS) program for homeless mentally ill persons in 18 U.S. communities identified barriers to service use. The most frequent barrier was not knowing where to go for a ...

https://doi.org/10.1176/ps.48.3.387

The rate of public shelter admission among Medicaid-reimbursed users of behavioral health services

Publication date: 01 March 1997

Pages390–392

This study examined the rate of admission to public shelters between 1990 and 1992 among persons who received Medicaid-reimbursed inpatient and outpatient psychiatric services and inpatient substance abuse services in Philadelphia between 1985 and 1993. ...

https://doi.org/10.1176/ps.48.3.390

Underdiagnosis of PTSD and substance use disorders in hospitalized female veterans

Publication date: 01 March 1997

Pages393–395

Discharge diagnoses of 31 female veterans and 31 male veterans hospitalized at a large urban VA medical center were examined to elucidate possible biases in clinicians' diagnostic practices. Only one woman in the sample was diagnosed as having ...

https://doi.org/10.1176/ps.48.3.393

An updated national survey on seclusion and restraint

Publication date: 01 March 1997

Pages395–397

A survey of the use of seclusion and restraint during 1994 was conducted at 124 state psychiatric hospitals to update data from a survey of 108 such hospitals conducted for 1991. Rates of patients' placement in seclusion and restraint, hours spent in ...

https://doi.org/10.1176/ps.48.3.395

State hospitals' responses to the sexual behavior of psychiatric inpatients

Publication date: 01 March 1997

Pages398–399

To determine state psychiatric hospitals' responses to sexual behavior among inpatients, the authors sent a questionnaire to the directors of 86 state facilities. Eighty-eight percent of the 57 respondents considered sexual behavior to be a clinical ...

https://doi.org/10.1176/ps.48.3.398