Psychiatric Services
- Volume 50
- Number 1
- January 1999
Taking Issue
Special Report
Column
Article
Publication date: 01 January 1999
Pages51–55Managed care in the public sector remains a poorly defined concept. It is currently understood largely through case examples, an approach of limited usefulness because each managed care initiative is shaped by local forces and is constantly changing. The ...
https://doi.org/10.1176/ps.50.1.51Publication date: 01 January 1999
Pages56–61Despite efforts over the last 30 years to promote diversion from jail for individuals with serious mental illness who have engaged in criminal behavior, few jail diversion programs have been adequately studied. To guide development of jail diversion ...
https://doi.org/10.1176/ps.50.1.56Publication date: 01 January 1999
Pages62–68OBJECTIVE: The types and amounts of crime experienced by persons with severe mental illness were examined to better understand criminal victimization in this population. METHODS: Subjects were 331 involuntarily admitted psychiatric inpatients who were ...
https://doi.org/10.1176/ps.50.1.62Publication date: 01 January 1999
Pages69–74The Texas Medication Algorithm Project is a program designed to improve the quality of care of persons with serious mental disorders across sites in the Texas public mental health system and to create a uniform clinical environment from which cost ...
https://doi.org/10.1176/ps.50.1.69Publication date: 01 January 1999
Pages75–80Although substance abuse has reached epidemic proportions among people with schizophrenia, relatively little is known about the critical elements of effective treatment of substance abuse in this population. The authors discuss common assumptions about ...
https://doi.org/10.1176/ps.50.1.75Publication date: 01 January 1999
Pages81–84OBJECTIVE: Long-term patients who resided in county-operated psychiatric nursing homes in a county in Norway as of November 15, 1989, were visited by researchers in 1996 to assess how they perceived their living situations and how they had adjusted to a ...
https://doi.org/10.1176/ps.50.1.81Publication date: 01 January 1999
Pages85–90OBJECTIVE: Aggressive behavior directed against self and others was examined in a sample of patients with schizophrenia during their first hospitalization and during any subsequent hospitalizations over the next two years. METHODS: The charts of 138 ...
https://doi.org/10.1176/ps.50.1.85Publication date: 01 January 1999
Pages91–94OBJECTIVE: Signs and symptoms of nicotine withdrawal and alterations in psychopathology were evaluated among acutely ill psychiatric patients admitted to a hospital with a smoking ban. It was hypothesized that smokers would experience symptoms of ...
https://doi.org/10.1176/ps.50.1.91Publication date: 01 January 1999
Pages95–98Recent legislation prohibiting the awarding of Social Security Disability Insurance benefits to people whose disability is based on drug and alcohol abuse has effectively eliminated the Social Security Administration's practice of assigning representative ...
https://doi.org/10.1176/ps.50.1.95Brief Report
Publication date: 01 January 1999
Pages99–101Police departments in the 194 U.S. cities with a population of 100,000 or more were surveyed in 1996 to identify strategies they used to obtain input from the mental health system about dealing with mentally ill persons. A total of 174 departments ...
https://doi.org/10.1176/ps.50.1.99Publication date: 01 January 1999
Pages101–103Clozapine is generally used for patients meeting criteria for treatment resistance. In this study clozapine was given to 19 patients with schizophrenia who did not meet these criteria and whose symptoms were mild to moderate in severity. Clozapine was ...
https://doi.org/10.1176/ps.50.1.101Publication date: 01 January 1999
Pages104–106Outcomes of clients with severe mental illness in a psychosocial and vocational rehabilitation program modeled after the Program for Assertive Community Treatment were tracked through record review to determine if clients' employment gains were sustained ...
https://doi.org/10.1176/ps.50.1.104Publication date: 01 January 1999
Pages107–108The author describes the development and evaluation of the Psychiatric Discomfort Scale, a self-report instrument that provides a quantitative measurement of patients' discomfort with psychiatric symptoms that change over time. Initially, a 60-item ...
https://doi.org/10.1176/ps.50.1.107Publication date: 01 January 1999
Pages109–112Three types of treatment—behavioral skills training, a 12-step recovery model, and intensive case management—provided to 132 clients at four facilities were identified as being robustly or not robustly implemented, depending on whether core elements of ...
https://doi.org/10.1176/ps.50.1.109Letter
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