Psychiatric Services

Introduction by the column editors: Readiness for rehabilitation has been viewed as a function of the phase of a disabling mental illness, with readiness increasing as a person passes from an acute phase to a more stable phase (). Other practitioners ...

https://doi.org/10.1176/ps.50.11.1411

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Best Practices: Managing Performance Indicators for Physicians in Community Mental Health Centers

James G. Baker, M.D., M.B.A.

Publication date: 01 November 1999

Pages1417–1419https://doi.org/10.1176/ps.50.11.1417

Departments

Web Sites Worth Watching

Publication date: 01 November 1999

Page1420https://doi.org/10.1176/ps.50.11.1420

Article

Co-Occurring Severe Mental Illness and Substance Use Disorders: A Review of Recent Research

Publication date: 01 November 1999

Pages1427–1434

OBJECTIVE: Understanding the complex diagnostic and treatment issues posed by the co-occurrence of severe mental illness and substance use disorders has become a necessary exercise in current psychiatric practice. The authors reviewed research studies ...

https://doi.org/10.1176/ps.50.11.1427

Heading Off Boundary Problems: Clinical Supervision as Risk Management

Publication date: 01 November 1999

Pages1435–1439

The effective management of risk in clinical practice includes steps to limit harm to clients resulting from ethical violations or professional misconduct. Boundary problems constitute some of the most damaging ethical violations. The authors propose an ...

https://doi.org/10.1176/ps.50.11.1435

Maintaining Treatment Boundaries in Small Communities and Rural Areas

Publication date: 01 November 1999

Pages1440–1446

Psychiatrists and other mental health professionals practicing in small communities and rural areas encounter unique situations and customs that may complicate the task of maintaining treatment boundaries. Boundary adjustments are frequently required that ...

https://doi.org/10.1176/ps.50.11.1440

Principles Underlying a Model Policy on Relationships Between Staff and Service Recipients in a Mental Health System

Publication date: 01 November 1999

Pages1447–1452

OBJECTIVE: The authors participated in a work group to produce a model policy addressing the boundaries of relationships between staff and recipients of service in a public mental health system that provides and regulates services in a variety of ...

https://doi.org/10.1176/ps.50.11.1447

Availability and Performance of Psychiatric Acute Care Facilities in California From 1992 to 1996

Susan H. Garritson, D.N.S., M.B.A.

Publication date: 01 November 1999

Pages1453–1460

OBJECTIVE: The acute care psychiatric hospital industry has been challenged by managed care, government policies, and marketplace competition to control rising costs. This study examined changes in the availability and performance of acute care ...

https://doi.org/10.1176/ps.50.11.1453

Clinical Prediction of Assaultive Behavior Among Male Psychiatric Patients at a Maximum-Security Forensic Facility

Publication date: 01 November 1999

Pages1461–1466

OBJECTIVE: Patient characteristics associated with the clinical prediction of assaultive behavior in a forensic psychiatric hospital were compared with characteristics associated with actual assaultive behavior. METHODS: Treating psychiatrists at a New ...

https://doi.org/10.1176/ps.50.11.1461

Hallucinations, Delusions, and Thought Disorder Among Adult Psychiatric Inpatients With a History of Child Abuse

Publication date: 01 November 1999

Pages1467–1472

OBJECTIVE: The relationship between three positive symptoms of schizophrenia—hallucinations, delusions and thought disorder—and childhood physical and sexual abuse among psychiatric inpatients was investigated. METHODS: From the records of 100 consecutive ...

https://doi.org/10.1176/ps.50.11.1467

APA Achievement Awards

Gold Award: The Wellspring of the Clubhouse Model for Social and Vocational Adjustment of Persons With Serious Mental Illness

Fountain House, New York City

Publication date: 01 November 1999

Pages1473–1476https://doi.org/10.1176/ps.50.11.1473

Gold Award: Prevention of Jail and Hospital Recidivism Among Persons With Severe Mental Illness

Project Link, Department of Psychiatry, University of Rochester, Rochester New York

Publication date: 01 November 1999

Pages1477–1480https://doi.org/10.1176/ps.50.11.1477

Significant Achievement Awards

Hamilton-Wentworth Health Service Organization Mental Health Program, St. Joseph's Hospital, Hamilton, Ontario

Publication date: 01 November 1999

Pages1481–1485https://doi.org/10.1176/ps.50.11.1481

Institute on Psychiatric Services Anniversary

The First APA Mental Hospital Institute: A Reminiscence

Robert L. Robinson

Publication date: 01 November 1999

Pages1486–1488https://doi.org/10.1176/ps.50.11.1486

Brief Report

Consumer Perceptions of Involuntary Outpatient Commitment

Publication date: 01 November 1999

Pages1489–1491

This study examined beliefs about the provisions of outpatient commitment and their effects among 306 people with severe and persistent mental illness who were awaiting a period of outpatient commitment. More than 80 percent of the respondents perceived ...

https://doi.org/10.1176/ps.50.11.1489

Assessment of Suicide Risk 24 Hours After Psychiatric Hospital Admission

Publication date: 01 November 1999

Pages1491–1493

Of 69 patients admitted to a hospital because of suicide risk, 30 (44 percent) were completely free of suicidal ideation 24 hours after admission. Scores on the Scale for Suicide Ideation at the time of admission distinguished patients who continued to ...

https://doi.org/10.1176/ps.50.11.1491

Detection and Treatment of Depression in a VA Primary Care Clinic

Publication date: 01 November 1999

Pages1494–1495

The Veterans Health Administration clinical guideline for major depressive disorder was used in screening 574 male veterans treated in primary care settings in the Department of Veterans Affairs health care system. Thirteen percent (N=73) screened ...

https://doi.org/10.1176/ps.50.11.1494

Demographic and Clinical Characteristics of Emotionally Disturbed Children Being Raised by Grandparents

Publication date: 01 November 1999

Pages1496–1498

Among 233 youths treated at a community mental health center, 51 were living with their grandparents. Youths who lived with grandparents were more likely to be male, African American, and younger. Frequent psychiatric diagnoses included oppositional ...

https://doi.org/10.1176/ps.50.11.1496