Psychiatric Services
- Volume 49
- Number 11
- November 1998
Taking Issue
Column
Publication date: 01 November 1998
Pages1419–1421Introduction by the column editors:Many barriers must be overcome for the successful dissemination and adoption of model programs in mental health (). Generally, the more complex and demanding of resources the model program is, the more obstacles are ...
https://doi.org/10.1176/ps.49.11.1419Article
Publication date: 01 November 1998
Pages1429–1433Market forces are reshaping health care, transforming it from a public service into a product that is sold in a highly competitive marketplace. This transformation has been particularly disruptive for hospital departments of psychiatry and medical centers ...
https://doi.org/10.1176/ps.49.11.1429Publication date: 01 November 1998
Pages1434–1439OBJECTIVE: Sociodemographic features, phenomenology, and psychiatric comorbidity of 30 subjects reporting pathological gambling behavior were examined. METHODS: Twenty-three men and seven women were recruited by advertisement and word-of-mouth. They all ...
https://doi.org/10.1176/ps.49.11.1434Publication date: 01 November 1998
Pages1440–1444OBJECTIVE: A critical component of inpatient treatment for persons with severe psychiatric disorders is an evaluation of their social impairments. Most existing methods for such evaluations involve staff input and can be both time-consuming and expensive. ...
https://doi.org/10.1176/ps.49.11.1440Publication date: 01 November 1998
Pages1445–1451Objectives: The study examined the match between mental health needs and physician fee-for-service reimbursements for mental health care within age and gender groups and health planning regions in Ontario, Canada. METHODS: Indicators of need (mental ...
https://doi.org/10.1176/ps.49.11.1445Publication date: 01 November 1998
Pages1452–1457OBJECTIVE: To help predict aggressive and violent behaviors, the frequency and types of these behaviors in acute psychiatric inpatient settings were examined, and potential interactions between staffing and patient mix and rates of the behaviors were ...
https://doi.org/10.1176/ps.49.11.1452Publication date: 01 November 1998
Pages1458–1461OBJECTIVE: Violent incidents in inpatient psychiatric settings were examined among a group of repeatedly violent patients to better understand the clinical and occupational health significance of repeated violence. METHODS: Data on violent incidents were ...
https://doi.org/10.1176/ps.49.11.1458Publication date: 01 November 1998
Pages1462–1467OBJECTIVE: Rates of completion, complications, and outcome were examined in a sample of poorly functioning patients who participated in a group-oriented day treatment program for patients with personality disorders. METHODS: The study was a naturalistic ...
https://doi.org/10.1176/ps.49.11.1462Publication date: 01 November 1998
Pages1475–1480Physician-assisted suicide can now be officially and legally carried out for psychiatric patients in the Netherlands who request it, provided that criteria are met. The authors describe two recent cases of psychiatric patients whose suicides were assisted ...
https://doi.org/10.1176/ps.49.11.1475Open Forum
Publication date: 01 November 1998
Pages1481–1483Managed care and, specifically, the need to conform to medical necessity requirements have had a dramatic effect on medical and psychiatric practice, especially on psychotherapy. The author describes the progression of the concept of medical necessity ...
https://doi.org/10.1176/ps.49.11.1481Brief Report
Publication date: 01 November 1998
Pages1483–1485The study examined whether closing of a methadone maintenance clinic in Israel on the Sabbath was associated with adverse patient outcomes. One take-home dose of methadone was given to all patients for that day regardless of whether they had earned take-...
https://doi.org/10.1176/ps.49.11.1483Publication date: 01 November 1998
Pages1485–1487The charts of 343 Eskimos seen at a community mental health center in northwestern Alaska were reviewed, and data on demographic characteristics, DSM-III-R diagnoses, and history of suicide attempts were collected. Substance use disorders were the most ...
https://doi.org/10.1176/ps.49.11.1485Publication date: 01 November 1998
Pages1488–1490A training program for mental health staff was collaboratively developed and delivered by family caregivers and professionals. It addressed calls for less blaming attitudes toward families and increased contact between professionals and families. Two ...
https://doi.org/10.1176/ps.49.11.1488Publication date: 01 November 1998
Pages1491–1492Family support organizations such as the Quebec Alliance for the Mentally Ill (AMI-Quebec) provide services for mentally ill individuals and their families. Despite possible benefits, there is often a lengthy period between identification of mental ...
https://doi.org/10.1176/ps.49.11.1491Letter
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