Psychiatric Services
- Volume 53
- Number 12
- December 2002
Taking Issue
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Columns
Publication date: 01 December 2002
Pages1537–1538Introduction by the column editor: A multicultural understanding of human behavior has become critical for clinicians in our society, as the traditional idea of U.S. culture as a "melting pot" becomes more like the Canadian metaphor of a "cultural mosaic."...
https://doi.org/10.1176/appi.ps.53.12.1537Special Section
Publication date: 01 December 2002
Pages1547–1555OBJECTIVE: The authors investigated whether there are disparities in the rates of specialty mental health care for Latinos and African Americans compared with non-Latino whites in the United States. METHODS: Data were analyzed from the 1990-1992 National ...
https://doi.org/10.1176/appi.ps.53.12.1547Publication date: 01 December 2002
Pages1556–1562OBJECTIVES: The major objectives of this study were to examine the prevalence of mental disorders and the use of mental health services among Latino adolescents who were receiving services in at least one of five public sectors of care in San Diego ...
https://doi.org/10.1176/appi.ps.53.12.1556Publication date: 01 December 2002
Pages1563–1568This article describes a case study in which epidemiologic research findings were translated for multiple stakeholders and applied to reduce disparities in mental health services for Mexican Americans in Fresno County, California. The aims of this ...
https://doi.org/10.1176/appi.ps.53.12.1563Publication date: 01 December 2002
Pages1569–1573Given the persistent underutilization of mental health services by Latino persons, the mental health research agenda for this population should be shaped by a single practical issue: how to get quality mental health services to Latino consumers and their ...
https://doi.org/10.1176/appi.ps.53.12.1569Other Articles
Publication date: 01 December 2002
Pages1574–1579OBJECTIVE: The authors studied the clinical outcomes of suicidal adolescents who were treated within a rapid-response outpatient model in a setting in which a ten-day wait was usually required before outpatient treatment could be started, leaving ...
https://doi.org/10.1176/appi.ps.53.12.1574Publication date: 01 December 2002
Pages1580–1585OBJECTIVE: Relatives play a vital role in caring for patients with severe mental illness but receive inadequate support from psychiatric services. Evidence suggests that although intensive case management is directed primarily at patients, relatives may ...
https://doi.org/10.1176/appi.ps.53.12.1580Publication date: 01 December 2002
Pages1586–1591OBJECTIVE: Mental health care reform has brought an increasing emphasis on community care, with concomitant reductions in inpatient psychiatric resources. Hospitalization remains a necessary and integral component of the mental health care system, but it ...
https://doi.org/10.1176/appi.ps.53.12.1586Publication date: 01 December 2002
Pages1592–1598OBJECTIVE: This study sought to identify demographic and clinical variables that predict use of behavioral health services among persons with substance dependence. METHODS: Interviews were conducted with 1,893 adults who endorsed items on the National ...
https://doi.org/10.1176/appi.ps.53.12.1592Publication date: 01 December 2002
Pages1599–1604OBJECTIVES: Some state mental health systems have implemented capitated managed care as a strategy for lowering mental health care costs. There has been concern that this strategy has left vulnerable populations at risk of not being able to obtain ...
https://doi.org/10.1176/appi.ps.53.12.1599Publication date: 01 December 2002
Pages1605–1611OBJECTIVE: Employers can influence treatment decisions by adjusting characteristics of the structure of the benefits they offer, such as copayments. The authors estimated the relationship between copayment levels for substance abuse treatment and both the ...
https://doi.org/10.1176/appi.ps.53.12.1605Publication date: 01 December 2002
Pages1612–1616OBJECTIVE: Persons with schizophrenia who are addicted to cocaine experience more psychiatric and substance abuse relapses and worse long-term outcomes than persons with only one of these conditions. This study examined whether individuals with cocaine ...
https://doi.org/10.1176/appi.ps.53.12.1612Publication date: 01 December 2002
Pages1617–1622OBJECTIVE: Health care facilities are increasingly implementing policies that ban smoking. A concern has been raised that these policies may have a negative impact on smokers who are mentally ill or substance dependent. The authors conducted a literature ...
https://doi.org/10.1176/appi.ps.53.12.1617Brief Report
Publication date: 01 December 2002
Pages1623–1625Active and important physical disorders are common among public-sector psychiatric patients and are frequently undetected. A total of 289 patients who were consecutively admitted to a public psychiatric hospital were screened for physical disorders and ...
https://doi.org/10.1176/appi.ps.53.12.1623Publication date: 01 December 2002
Pages1626–1629This study assessed characteristics of psychiatric patients for whom financial considerations affected the provision of "optimal" treatment. Psychiatrists reported that for 33.8 percent of 1,228 patients from a national sample, financial considerations ...
https://doi.org/10.1176/appi.ps.53.12.1626Publication date: 01 December 2002
Pages1629–1631Physician documentation, Current Procedural Terminology (CPT) coding, and compliance with federal billing regulations are essential given the government's significant efforts to address fraud and abuse and the grave financial and legal consequences of ...
https://doi.org/10.1176/appi.ps.53.12.1629