Pressure from payers for cost containment and accountability is forcing clinicians to refine existing skills and develop new areas of competence. To adequately address patients' needs in the new health care environment, clinicians must master at least six ...

https://doi.org/10.1176/ps.48.5.653

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Homelessness, severe mental illness, and the institutional circuit

Publication date: 01 May 1997

Pages659–665

OBJECTIVE: Research on homelessness among persons with severe mental illness tends to focus on aspects of demand, such as risk factors or structural and economic forces. The authors address the complementary role of supply factors, arguing that "solutions"...

https://doi.org/10.1176/ps.48.5.659

Estimating psychiatric manpower requirements based on patients' needs

Publication date: 01 May 1997

Pages666–670

OBJECTIVE: To provide a better understanding of the complexities of estimating psychiatric manpower requirements, the authors describe several approaches to estimation and present a method based on patients' needs. METHODS: A five-step method for ...

https://doi.org/10.1176/ps.48.5.666

Determinants of mental health providers' expectations of patients' improvement

Publication date: 01 May 1997

Pages671–677

OBJECTIVE: Characteristics of individual mental health providers and of treatment settings were examined to determine their effects on providers' expectations about the improvement of patients with serious mental illness. METHODS: The sample consisted of ...

https://doi.org/10.1176/ps.48.5.671

A prospective study of violence by psychiatric patients after hospital discharge

Publication date: 01 May 1997

Pages678–681

OBJECTIVE: The study assessed the frequency of violence by patients two weeks after discharge from a psychiatric hospital and identified characteristics of patients with an increased risk of violence after discharge. METHODS: A structured form was used to ...

https://doi.org/10.1176/ps.48.5.678

Effects of diagnosis, demographic characteristics, and case management on rehospitalization

Publication date: 01 May 1997

Pages682–688

OBJECTIVES: A randomized controlled study was conducted to assess the effects of case management and patients' characteristics on the use of inpatient psychiatric services. METHODS: Inpatients discharged from Harlem Hospital Center in 1984-1985 were ...

https://doi.org/10.1176/ps.48.5.682

Psychiatric findings among child psychiatric inpatients grouped by public and private payment

Publication date: 01 May 1997

Pages689–693

OBJECTIVE: The study compared school-age psychiatric inpatients whose care was publicly funded with those whose care was privately funded to determine whether the public patients presented with more psychiatric risk factors and more psychiatric problems. ...

https://doi.org/10.1176/ps.48.5.689

Prevention of aggressive incidents on a closed psychiatric ward

Publication date: 01 May 1997

Pages694–698

OBJECTIVE: This study examined whether staff members' use of interventions for preventing patients' aggression reduced the number of incidents of aggression on a closed acute admissions ward of a psychiatric hospital in the Netherlands. METHODS: The ...

https://doi.org/10.1176/ps.48.5.694

Outcomes of inpatients treated on a VA psychiatric unit and a substance abuse treatment unit

Publication date: 01 May 1997

Pages699–704

OBJECTIVE: The utility of the Treatment Outcome Profile (TOP) for measuring the effectiveness of acute inpatient psychiatric and substance abuse treatment was tested, including its internal reliability, validity, and sensitivity to treatment gains. The ...

https://doi.org/10.1176/ps.48.5.699

Measurement of depression and anxiety for hospitalized depressed patients

Publication date: 01 May 1997

Pages705–707

Standard scales for measuring anxiety and depression did not distinguish between these two psychological constructs in a sample of 295 inpatients with major depressive disorder. Items from these scales were used to form new measures, based on the results ...

https://doi.org/10.1176/ps.48.5.705

A survey of professional activities of psychiatrists in South Africa

Publication date: 01 May 1997

Pages707–709

To obtain information about practicing psychiatrists in South Africa, a questionnaire was mailed in 1993 to all 378 registered psychiatrists, of whom 210 (55.6 percent) responded. After selected data for nonrespondents were obtained, information was ...

https://doi.org/10.1176/ps.48.5.707

Judges' assumptions about the appropriateness of civil and forensic commitment

Publication date: 01 May 1997

Pages710–712

The study examined judges' reasons for ordering pretrial forensic evaluation instead of civil commitment for persons with mental illness who are arrested. Fifty-five of 58 judges acknowledged having concerns about the adequacy of treatment or confinement ...

https://doi.org/10.1176/ps.48.5.710