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Psychiatric Services

  • Volume 49
  • Number 8
  • August 1998

Taking Issue

Column

Article

Publication date: 01 August 1998

Pages1029–1033

Objective and methods: Suicide is a significant cause of death among patients with schizophrenia and schizoaffective disorder, affecting some 10 to 15 percent of these patients. This study examined annual suicide rates over a two-year period (1993-1995) ...

https://doi.org/10.1176/ps.49.8.1029

Publication date: 01 August 1998

Pages1034–1038

OBJECTIVE: Clozapine has been shown to be a cost-effective treatment for refractory psychosis among patients started on the medication in a hospital setting. The study examined service utilization and costs associated with clozapine treatment initiated in ...

https://doi.org/10.1176/ps.49.8.1034

Publication date: 01 August 1998

Pages1039–1042

OBJECTIVE: Sources of entitlement income were examined in a sample of homeless adults to determine whether certain subgroups more consistently obtain entitlement income and are more likely to continue receiving it over time. METHODS: From a baseline ...

https://doi.org/10.1176/ps.49.8.1039

Publication date: 01 August 1998

Pages1043–1048

Objectives: Levels of agreement about medication compliance in a large cohort of seriously mentally ill veterans and their clinicians were examined to determine whether agreement increased with exposure to enhanced treatment programs emphasizing ...

https://doi.org/10.1176/ps.49.8.1043

Publication date: 01 August 1998

Pages1049–1053

OBJECTIVE: Multivariate statistical methods were used to identify patient-related variables that predicted length of stay in a single psychiatric facility. The study investigated whether these variables remained stable over time and could be used to ...

https://doi.org/10.1176/ps.49.8.1049

Article by New Investigators

Publication date: 01 August 1998

Pages1054–1058

OBJECTIVE: Service costs and utilization patterns of children in carved-out behavioral health care plans were examined and compared with those of adults. METHODS: Twelve-month data on utilization and costs of behavioral health care from one managed ...

https://doi.org/10.1176/ps.49.8.1054

Publication date: 01 August 1998

Pages1059–1066

Research on public opinion has seldom been incorporated into the debate about appropriate coverage of mental health and substance abuse treatment services in health insurance plans. However, several surveys have been conducted to probe for voters' ...

https://doi.org/10.1176/ps.49.8.1059

Publication date: 01 August 1998

Pages1067–1071

OBJECTIVE: This study examined the factors that determine whether mental health services provided under contracts with private providers are more cost-efficient than services provided directly by public mental health agencies. METHODS: Data on service ...

https://doi.org/10.1176/ps.49.8.1067

Publication date: 01 August 1998

Pages1072–1078

OBJECTIVE: The treated prevalence of bipolar disorder was examined in a large staff-model health maintenance organization (HMO) in western Washington state. METHODS: Automated data for all 294,284 adults enrolled in the HMO or treated by HMO providers ...

https://doi.org/10.1176/ps.49.8.1072

Publication date: 01 August 1998

Pages1079–1081

Data from the four most recent biennial inventories of mental health organizations and general hospital mental health services conducted by the U.S. Department of Health and Human Services (1988 through 1994) were used to examine utilization of specialty ...

https://doi.org/10.1176/ps.49.8.1079

Brief Report

Publication date: 01 August 1998

Pages1081–1083

The authors describe the case of a patient with treatment-resistant schizophrenia who became pregnant after switching from conventional neuroleptic medications to clozapine, an atypical antipsychotic medication that does not cause hyperprolactinemia. ...

https://doi.org/10.1176/ps.49.8.1081

Publication date: 01 August 1998

Pages1084–1085

Functioning in activities of daily living of 40 psychiatric inpatients with mental retardation was compared with that of nonhospitalized control subjects matched for sex, age, and level of intellectual impairment. After excluding data for six quadriplegic ...

https://doi.org/10.1176/ps.49.8.1084

Publication date: 01 August 1998

Pages1086–1088

The reliability of psychiatric diagnoses made remotely by telecommunication was examined. Two trained interviewers each interviewed the same 30 psychiatric inpatients using the Structured Clinical Interview for DSM-III-R. Fifteen subjects had two in-...

https://doi.org/10.1176/ps.49.8.1086

Publication date: 01 August 1998

Pages1088–1090

Deaths of patients in state psychiatric hospitals in the New York City area during heat waves and control periods from 1950 to 1984 were compared with those in the overall New York City population during the same periods. Psychiatric patients had twice ...

https://doi.org/10.1176/ps.49.8.1088

Publication date: 01 August 1998

Pages1091–1093

In the era of managed care, agencies that provide mental health care can cope with the increasing volume of patients and the increasing severity of their conditions by having a variety of mental health professionals provide services. A model for ...

https://doi.org/10.1176/ps.49.8.1091

Letter

Book Review

Past Issues

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