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Journal of mental health administration最新文献

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Residential alternatives to hospitalization for patients with severe and persistent mental illness: Should patients with comorbid substance abuse be excluded? 重度和持续性精神疾病患者住院治疗的替代方案:是否应排除合并药物滥用的患者?
Journal of mental health administration Pub Date : 2006-01-01 DOI: 10.1007/BF02521033
J. Herrell, W. Fenton, L. Mosher, S. Hedlund, Beth Lee
{"title":"Residential alternatives to hospitalization for patients with severe and persistent mental illness: Should patients with comorbid substance abuse be excluded?","authors":"J. Herrell, W. Fenton, L. Mosher, S. Hedlund, Beth Lee","doi":"10.1007/BF02521033","DOIUrl":"https://doi.org/10.1007/BF02521033","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51653439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Adolescent substance abuse: An empirical-based group preventive health paradigm. By J. S. Wodarski and M. D. Feit 青少年药物滥用:基于经验的群体预防保健范例。作者:j·s·沃达斯基和m·d·费特
Journal of mental health administration Pub Date : 1997-12-01 DOI: 10.1007/BF02790487
A. Shillington
{"title":"Adolescent substance abuse: An empirical-based group preventive health paradigm. By J. S. Wodarski and M. D. Feit","authors":"A. Shillington","doi":"10.1007/BF02790487","DOIUrl":"https://doi.org/10.1007/BF02790487","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52150246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Evaluating Treatment Environments: The Quality of Psychiatric and Substance Abuse Programs, 2nd edition, revised and expanded. By Rudolf H. Moos. 评估治疗环境:精神病学和药物滥用计划的质量，第二版，修订和扩展。鲁道夫·h·莫斯著。
Journal of mental health administration Pub Date : 1997-09-01 DOI: 10.1007/BF02790510
W. Edell
{"title":"Evaluating Treatment Environments: The Quality of Psychiatric and Substance Abuse Programs, 2nd edition, revised and expanded. By Rudolf H. Moos.","authors":"W. Edell","doi":"10.1007/BF02790510","DOIUrl":"https://doi.org/10.1007/BF02790510","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52150389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans Affairs. 退伍军人自杀风险因素:退伍军人事务部文化变迁中的风险管理。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02832668
M T Lambert, D R Fowler
{"title":"Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans Affairs.","authors":"M T Lambert,&nbsp;D R Fowler","doi":"10.1007/BF02832668","DOIUrl":"https://doi.org/10.1007/BF02832668","url":null,"abstract":"<p><p>Suicide risk management in the Department of Veterans Affairs (VA) health care system is particularly challenging because of both patient characteristics and aspects of the delivery system. The prototypical suicide-prone person is an older white male with alcoholism, depression, physical problems, and poor psychosocial support. This describes a large portion of the veteran patient population. Suicide risk factors that are common in VA patients include male gender, older age, diminished social environment support (exemplified by homelessness and unmarried status), availability and knowledge of firearms, and the prevalence of medical and psychiatric conditions associated with suicide. A variety of characteristics of the VA system complicate suicide management. Efforts under way to emphasize ambulatory care and decrease the VA culture of reliance on inpatient treatment heighten the importance of accurate suicide assessment. The authors recommend several strategies that VA administrators can consider for improving the assessment and management of veterans with long-term suicide risk factors.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02832668","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9119502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 54
Mental health costs, other public costs, and family burden among mental health clients in capitated integrated service agencies. 有资本综合服务机构精神卫生服务对象的精神卫生费用、其他公共费用和家庭负担。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02898512
D Chandler, T W Hu, J Meisel, M McGowen, K Madison
{"title":"Mental health costs, other public costs, and family burden among mental health clients in capitated integrated service agencies.","authors":"D Chandler,&nbsp;T W Hu,&nbsp;J Meisel,&nbsp;M McGowen,&nbsp;K Madison","doi":"10.1007/BF02898512","DOIUrl":"https://doi.org/10.1007/BF02898512","url":null,"abstract":"<p><p>This article explores the cost implications of the capitated integrated service agency (ISA) model for persons with severe and persistent mental illness. Two demonstration sites in California were chosen for a randomized comparison between an ISA model and usual care under the existing county service system. Each ISA demonstration program assumed fiscal and service responsibility for approximately 100 clients. Cost information was collected during a 3-year study period. The capitated ISAs reduced the previously skewed distribution of resources to clients and reduced family economic burden (in one site). However, they did not reduce law enforcement, health, and other nontreatment public costs. Although capitated funding enabled programmatic effectiveness and the shifting of services toward rehabilitation, it did not itself ensure such results.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02898512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9482155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Risk factors for juvenile justice system referral among children in a public mental health system. 青少年司法系统转诊儿童在公共精神卫生系统中的风险因素。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790505
C C Evens, A Vander Stoep
{"title":"Risk factors for juvenile justice system referral among children in a public mental health system.","authors":"C C Evens,&nbsp;A Vander Stoep","doi":"10.1007/BF02790505","DOIUrl":"https://doi.org/10.1007/BF02790505","url":null,"abstract":"<p><p>The objective of this study is to identify, through the use of secondary data, risk factors for juvenile justice system involvement among children entering a public mental health system. Data-sharing agreements between juvenile justice and mental health systems enabled investigators to examine criminal referrals among 645 children between the ages of 10 to 17 who entered community-based public mental health programs in King County, Washington, over the course of a single year. Univariate and logistic regression analyses were performed. Adjusting for age, gender, and ethnicity, children involved in the public mental health system who had juvenile justice referrals were more likely than children involved in the mental health system without juvenile justice referrals to have parents with a history of incarceration, to abuse drugs and/or alcohol, and to have experienced physical abuse. The study shows that some children who receive public mental health services are at particular risk of having an encounter with the juvenile justice system. Understanding the characteristics and experiences of youth who use multiple service systems has important implications for children's mental health services delivery.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790505","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 54
Ethical problems in psychiatric research. 精神病学研究中的伦理问题。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02898516
N S Lehrman, V H Sharav
{"title":"Ethical problems in psychiatric research.","authors":"N S Lehrman,&nbsp;V H Sharav","doi":"10.1007/BF02898516","DOIUrl":"https://doi.org/10.1007/BF02898516","url":null,"abstract":"<p><p>This article raises questions about the morality and value of experiments conducted mainly on psychiatric patient-subjects whose mental capacity and judgment are often impaired, making them incapable of giving informed consent. Its focus is on experimental studies in which psychotic symptoms in patients with schizophrenia have been knowingly exacerbated by suddenly withdrawing medications that they needed, administering known psychosis-producing substances such as L-dopa and apomorphine, and ignoring the treatment needs of those serving as experimental controls in placebo studies. Concerns are raised about the draft \"Statement of Principles for Ethical Conduct\" by the American College of Neuropsychopharmacology. Questions are also raised about the adequacy of current safeguards, including federal regulations, peer review, and the trivialization of \"informed consent\" by institutional review boards that operate under veils of secrecy. Implications for mental health policy are discussed, and suggestions are made for improving safeguards and reducing risks.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02898516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20059902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
New ethical challenges to mental health services research in the era of community-based care. 社区护理时代精神卫生服务研究的新伦理挑战。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02898509
E R Wright, B A Pescosolido, R L Penslar
{"title":"New ethical challenges to mental health services research in the era of community-based care.","authors":"E R Wright,&nbsp;B A Pescosolido,&nbsp;R L Penslar","doi":"10.1007/BF02898509","DOIUrl":"https://doi.org/10.1007/BF02898509","url":null,"abstract":"<p><p>Research on the use and effectiveness of mental health services conducted across a wide variety of settings, under new and diverse state-based legal statutes, and requiring the linking of a variety of existing and proposed data sources raises a number of ethical considerations. These new conditions are reviewed in the context of federal regulations for the protection of human subjects and, in particular, informed consent. Illustrations, suggestions, and resources are offered from recent experiences in a longitudinal, multisource study of the impact of a hospital closing on individual consumers, families, workers, and system costs.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02898509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20059981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The transition to adulthood for youth who have serious emotional disturbance: developmental transition and young adult outcomes. 有严重情绪障碍的青少年向成年的过渡:发育过渡和青年结局。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790503
M Davis, A Vander Stoep
{"title":"The transition to adulthood for youth who have serious emotional disturbance: developmental transition and young adult outcomes.","authors":"M Davis,&nbsp;A Vander Stoep","doi":"10.1007/BF02790503","DOIUrl":"https://doi.org/10.1007/BF02790503","url":null,"abstract":"<p><p>This article reviews studies that depict the developmental transition from adolescence to young adulthood of persons who have experienced serious emotional disturbance (SED) as children or adolescents. The literature demonstrates that their plight in young adulthood is grave. Youth with SED enter the transition phase delayed in their developmental maturation and face additional challenges relative to their nondisabled peers. As a group, they are undereducated, underemployed, and have limited social supports. Homelessness, criminal activity, and drug use are prevalent. This article defines the transitional youth population, describes the developmental tasks of transition, and summarizes the results of longitudinal studies that have tracked functional outcomes of transitional youth into young adulthood. The discussion focuses on the relevance of these findings to service provision.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790503","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20296541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 157
Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program. 管理护理酒精门诊治疗项目中问题饮酒者的治疗参与和结果。
Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790477
T Hu, E M Hunkeler, C Weisner, E Li, D K Grayson, J Westphal, A T McLellan
{"title":"Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program.","authors":"T Hu,&nbsp;E M Hunkeler,&nbsp;C Weisner,&nbsp;E Li,&nbsp;D K Grayson,&nbsp;J Westphal,&nbsp;A T McLellan","doi":"10.1007/BF02790477","DOIUrl":"https://doi.org/10.1007/BF02790477","url":null,"abstract":"<p><p>This article uses Markov analysis to investigate patterns of treatment participation of 361 patients treated in the alcohol and drug abuse programs of a large group model Health Maintenance Organization (HMO) to examine how participation is related to abstinence. Findings indicate that 82% of the patients in treatment one month after intake were in treatment three months later, and treatment retention dropped to 46% by month 6. Findings also indicate that 74% of patients abstinent and in treatment at month 1 remained so at month 3. Abstinence at the first three-month interval was a strong predictor of abstinence at later time periods. A multivariate analysis showed that an expressed desire to stop alcohol use upon entry into treatment was the most consistent predictor of both treatment participation and abstinence at most time points. Treatment participation was also a significant predictor of abstinence.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790477","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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