Psychiatric Services
- Volume 49
- Number 12
- December 1998
Taking Issue
Column
Article by New Investigators
Publication date: 01 December 1998
Pages1559–1562OBJECTIVE: This study examined the impact on spending for episodes of mental health and substance abuse treatment of a managed behavioral health care carve-out program implemented by the Massachusetts Group Insurance Commission in July 1993. METHODS: ...
https://doi.org/10.1176/ps.49.12.1559Publication date: 01 December 1998
Pages1563–1567OBJECTIVE: The study examined utilization, payments, and quality indicators for treatment of major depressive disorder before and after the 1993 implementation of a behavioral health care carve-out plan for Massachusetts state employees who received ...
https://doi.org/10.1176/ps.49.12.1563Publication date: 01 December 1998
Pages1568–1572OBJECTIVE: To help homeless persons with comorbid psychiatric and substance use disorders gain access to community services, in 1993 the Center for Mental Health Services implemented the five-year Access to Community Care and Effective Services, or ACCESS ...
https://doi.org/10.1176/ps.49.12.1568Publication date: 01 December 1998
Pages1573–1578OBJECTIVE: Cost and utilization patterns of substance abuse and mental health treatment under private, employer-sponsored, managed behavioral health care plans were examined. METHODS: Data were from claims made in 1995 in 93 behavioral health care plans ...
https://doi.org/10.1176/ps.49.12.1573Publication date: 01 December 1998
Pages1579–1584The study analyzed the experience of the Los Angeles County Department of Mental Health with implementation of new contractual arrangements for services for patients with severe mental illness. The arrangements shifted the financial risk for treatment to ...
https://doi.org/10.1176/ps.49.12.1579Other Article
Publication date: 01 December 1998
Pages1585–1589OBJECTIVE: Two policy issues related to intensive case management programs were examined: limiting caseload size to ensure that services are intensive and providing intensive services to the same clients in perpetuity. METHOD: The Denver Acuity Scale, ...
https://doi.org/10.1176/ps.49.12.1585Publication date: 01 December 1998
Pages1590–1593OBJECTIVE: The study examined the effect of clozapine treatment on the health care costs and health status of people with schizophrenia who are supported by public funds. METHODS: Thirty-three patients with schizophrenia hospitalized in a state facility ...
https://doi.org/10.1176/ps.49.12.1590Publication date: 01 December 1998
Pages1594–1600OBJECTIVE: Changes in the health care environment have placed a greater responsibility on psychiatrists to deliver basic primary care services. The study assessed baseline knowledge and attitudes about clinical preventive medical services among ...
https://doi.org/10.1176/ps.49.12.1594Publication date: 01 December 1998
Pages1601–1608OBJECTIVE: Using data from an epidemiological survey, the study compared existing definitions of severe mental illness and serious emotional disturbance among children and adolescents to demonstrate the range of prevalence rates resulting from application ...
https://doi.org/10.1176/ps.49.12.1601Brief Report
Publication date: 01 December 1998
Pages1609–1611A total of 641 randomly selected Australian veterans of the Vietnam War were interviewed about their use of health care in the previous two weeks to determine what factors contributed to health care consumption. Seventy-three variables were examined by ...
https://doi.org/10.1176/ps.49.12.1609Publication date: 01 December 1998
Pages1612–1614Thirty-three HIV-positive women, 12 of whom were pregnant, participated in semistructured interviews to define areas of psychosocial need. Eighty-eight percent of the subjects reported current unemployment. A history of substance abuse was reported by 82 ...
https://doi.org/10.1176/ps.49.12.1612Publication date: 01 December 1998
Pages1615–1617Individuals with both mental illness and alcohol or drug use disorders present distinctive treatment and human service problems, including increased risk for psychiatric hospitalization in community hospitals. Using national hospital discharge abstract ...
https://doi.org/10.1176/ps.49.12.1615Unusual Case Report
Publication date: 01 December 1998
Pages1618–1619This report documents cases of suicide attempts by two persons with Down's syndrome. The patients experienced dysphoric affect and feelings of hopelessness about unmet needs associated with their disability. During the course of a major depressive episode,...
https://doi.org/10.1176/ps.49.12.1618Letter
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