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Psychiatric Services

  • Volume 50
  • Number 10
  • October 1999

Taking Issue

Column

Departments

Article

Publication date: 01 October 1999

Pages1297–1302

OBJECTIVE: This three-year study examined the impact of closing a state psychiatric hospital in 1991 on service utilization patterns and related costs for clients with and without serious mental illness. METHODS: The cohort consisted of all individuals ...

https://doi.org/10.1176/ps.50.10.1297

Publication date: 01 October 1999

Pages1303–1308

OBJECTIVE: The study examined health care utilization and costs among patients treated for bipolar-spectrum disorders in an insured population. METHODS: Computerized data on prescriptions and on outpatient and inpatient diagnoses from a large health plan ...

https://doi.org/10.1176/ps.50.10.1303

Publication date: 01 October 1999

Pages1309–1315

OBJECTIVE: Data from a national sample of patients with a primary diagnosis of a substance use disorder were analyzed to examine whether having a comorbid psychiatric diagnosis—a dual diagnosis—was associated with increased costs of health services over a ...

https://doi.org/10.1176/ps.50.10.1309

Publication date: 01 October 1999

Pages1316–1320

OBJECTIVE: The population of Veterans Affairs (VA) substance abuse treatment programs in 1990 and 1994 was examined to determine which factors—program legitimacy or cost—accounted for program closure and change. Legitimacy is a concept in institutional ...

https://doi.org/10.1176/ps.50.10.1316

Publication date: 01 October 1999

Pages1321–1325

Although practice guidelines for the treatment of persons with severe mental illness recommend involving family members in all phases of the treatment process, in many states unclear confidentiality statutes and regulations may present a barrier. This ...

https://doi.org/10.1176/ps.50.10.1321

Publication date: 01 October 1999

Pages1326–1330

OBJECTIVE: The study evaluated the effectiveness of day treatment for poorly functioning patients with personality disorders who participated in day treatment consisting of analytically oriented and cognitive-behavioral therapy groups as part of a ...

https://doi.org/10.1176/ps.50.10.1326

Publication date: 01 October 1999

Pages1331–1340

OBJECTIVE: Clients in an assertive community treatment program and their clinicians were asked to rate clients' current difficulties in 13 quality-of-life areas to determine whether improvement in any area predicted reductions in hospitalization and ...

https://doi.org/10.1176/ps.50.10.1331

Publication date: 01 October 1999

Pages1341–1345

OBJECTIVE: The study examined the characteristics of residents living in a 450-bed intermediate care facility for persons with severe mental illness in Illinois and sought to determine the factors predicting their utilization of mental health services. ...

https://doi.org/10.1176/ps.50.10.1341

Publication date: 01 October 1999

Pages1346–1350

OBJECTIVE: Research on the impact of nicotine on schizophrenia and antipsychotic medications was reviewed to determine ways to improve treatment planning for patients with schizophrenia who smoke and to evaluate smoking cessation programs for this ...

https://doi.org/10.1176/ps.50.10.1346

Brief Report

Publication date: 01 October 1999

Pages1351–1353

The authors present a method for modeling cost data on three selective serotonin reuptake inhibitors (SSRIs)—fluoxetine, paroxetine, and sertraline—from a large clinical outcomes study in a university-affiliated mental health center. Using data from 2,779 ...

https://doi.org/10.1176/ps.50.10.1351

Publication date: 01 October 1999

Pages1354–1356

To help improve services for parents with psychotic disorders, patients with such disorders in three treatment agencies in Queensland, Australia, were surveyed about whether they were parents, how much contact they had with their offspring, and who ...

https://doi.org/10.1176/ps.50.10.1354

Publication date: 01 October 1999

Pages1357–1359

This cross-sectional survey determined the prevalence of motherhood among severely mentally ill women hospitalized in an inner-city facility and examined the demographic characteristics and perceived needs of the 32 mothers who were identified. Slightly ...

https://doi.org/10.1176/ps.50.10.1357

Publication date: 01 October 1999

Pages1359–1361

The Spielberger State-Trait Anxiety Index (STAI) and screening questions for anxiety disorders from the Structured Clinical Interview for DSM-IV Disorders were used to assess 146 alcohol-dependent patients on admission for inpatient treatment and just ...

https://doi.org/10.1176/ps.50.10.1359

Letter

Book Review

News & Notes

Publication date: 01 October 1999

Pages1372–1374https://doi.org/10.1176/ps.50.10.1372

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