Psychiatric Services

Complementary strategies based on behavioral approaches for cognitive rehabilitation have shown promise in a growing body of experiments (). Underlying these efforts is the belief that remediating abnormal cognitive functions will increase patients' ...

https://doi.org/10.1176/ps.49.1.34

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Clinical Computing: Computers and Organizational Change: A View From the Trenches

Lucius Ripley, M.D.

Publication date: 01 January 1998

Pages41–42https://doi.org/10.1176/ps.49.1.41

Special Report

Highlights of the 1997 Institute on Psychiatric Services

Publication date: 01 January 1998

Pages47–52https://doi.org/10.1176/ps.49.1.47

Column

Datapoints: The Impact of VA Reorganization on Patterns of Mental Health Care

Publication date: 01 January 1998

Page53https://doi.org/10.1176/ps.49.1.53

Article

A Ten-Year Review of the Validity and Clinical Utility of Depression Screening

Publication date: 01 January 1998

Pages55–61

OBJECTIVE: Use of depression screening instruments in primary care is controversial. The authors reviewed research studies published since the development of national practice guidelines to determine whether new evidence might favor screening. The review ...

https://doi.org/10.1176/ps.49.1.55

Psychiatrists' Duties in Discharging Sicker and Potentially Violent Inpatients in the Managed Care Era

Robert I. Simon, M.D.

Publication date: 01 January 1998

Pages62–67

Psychiatrists have certain clinical responsibilities and legal duties to patients treated in managed care settings. They include disclosure of all treatment options, the exercise of rights of appeal for any care they believe will materially benefit ...

https://doi.org/10.1176/ps.49.1.62

Outcomes of Homeless Mentally Ill Chemical Abusers in Community Residences and a Therapeutic Community

Publication date: 01 January 1998

Pages68–76

Objectives: The feasibility and effectiveness of treating homeless mentally ill chemical abusers in community residences compared with a therapeutic community were evaluated. METHODS: A total of 694 homeless mentally ill chemical abusers were randomly ...

https://doi.org/10.1176/ps.49.1.68

The Impact of a History of Childhood Abuse on Hospital Outcome of Affective Episodes

Publication date: 01 January 1998

Pages77–81

OBJECTIVE: Despite increased awareness of the prevalence of a history of childhood abuse among adults with psychiatric disorders, the implications for treatment and outcome are generally unknown. This study examined the impact of childhood sexual abuse (...

https://doi.org/10.1176/ps.49.1.77

Diagnosis and Management of Substance Use Disorders Among Inpatients With Schizophrenia

Publication date: 01 January 1998

Pages82–85

OBJECTIVE: The study examined the extent of clinical recognition of comorbid substance use disorders and the clinical management of these disorders among inpatients hospitalized for an acute exacerbation of schizophrenia. METHODS: Medical records of 42 ...

https://doi.org/10.1176/ps.49.1.82

Childhood Experiences and Current Adjustment of Offspring of Indigent Patients With Schizophrenia

Publication date: 01 January 1998

Pages86–90

OBJECTIVE: This study reports the childhood experiences, current life situation and level of adjustment, and prior mental health service use of offspring of indigent people with schizophrenia. METHODS: Sixty-eight patient-parents were asked for consent ...

https://doi.org/10.1176/ps.49.1.86

Field Test of a Tool for Level-of-Care Decisions in Community Mental Health Systems

Publication date: 01 January 1998

Pages91–97

OBJECTIVE: Tools for supporting decisions about placing clients in different levels of mental health care can facilitate several important functions, such as structuring service allocation, providing standards for quality assurance and concurrent review, ...

https://doi.org/10.1176/ps.49.1.91

Brief Report

Policies on Assisted Suicide in Dutch Psychiatric Facilities

Publication date: 01 January 1998

Pages98–100

Recent jurisprudence in the Netherlands challenges psychiatric hospitals to formulate policies on how to approach requests for assisted suicide. This study examined whether such policies exist in Dutch psychiatric hospitals and general hospitals with ...

https://doi.org/10.1176/ps.49.1.98

Which Primary Care Physicians Treat Depression?

Publication date: 01 January 1998

Pages100–102

The study attempted to determine the proportion of primary care physicians who treat depression and their characteristics. Data were from 677 respondents to a national survey of primary care physicians in Israel. Twenty-two percent always treated ...

https://doi.org/10.1176/ps.49.1.100

A Survey of County Boards' Views of Funding for Mental Retardation Versus Funding for Mental Illness

Barbara M. Rohland, M.S., M.D.

Publication date: 01 January 1998

Pages103–104

The state of Iowa mandates services for persons with mental retardation but not for those with mental illness, resulting in widely divergent spending for the two populations. Members of 98 of the 99 county boards of supervisors were interviewed to ...

https://doi.org/10.1176/ps.49.1.103

Unusual Case Report

A Patient With Mental Retardation and Possible Panic Disorder

Publication date: 01 January 1998

Pages105–106

The limited communication skills and varying behavior patterns of people with mental retardation make the diagnosis of psychiatric disorders a challenging task. The authors present the case of a patient with mild mental retardation and possible panic ...

https://doi.org/10.1176/ps.49.1.105