Journal of mental health administration最新文献_第3页

Housing costs for adults who are mentally ill and formerly homeless. 患有精神疾病和以前无家可归的成年人的住房费用。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02832663

B Dickey, E Latimer, K Powers, O Gonzalez, S M Goldfinger

引用次数: 38

The ethical challenges of a randomized controlled trial of involuntary outpatient commitment. 非自愿门诊承诺的随机对照试验的伦理挑战。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790478

M S Swartz, B J Burns, L K George, J Swanson, V A Hiday, R Borum, H R Wagner

{"title":"The ethical challenges of a randomized controlled trial of involuntary outpatient commitment.","authors":"M S Swartz, B J Burns, L K George, J Swanson, V A Hiday, R Borum, H R Wagner","doi":"10.1007/BF02790478","DOIUrl":"https://doi.org/10.1007/BF02790478","url":null,"abstract":"Involuntary outpatient commitment (OPC) is a civil justice procedure intended to enhance compliance with community mental health treatment, to improve functioning, and to reduce recurrent dangerousness and hospital recidivism. The research literature on OPC indicates that it appears to improve outcomes in rates of rehospitalization and length of stay. However, all studies to date have serious methodological limitations because of selection bias; lack of specification of target populations; unclear operationalization of OPC; unmeasured variability in type, frequency, and intensity of treatment; as well as other confounding factors. To address limitations in these studies, the authors designed a randomized controlled trial (RCT) of OPC, combined with community-based case management, which is now under way in North Carolina. This article describes ethical dilemmas in designing and implementing an RCT of a legally coercive intervention in community-based settings. These ethical dilemmas challenge the experimental validity of an RCT but can be successfully addressed with careful planning and negotiation.","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/BF02790478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472176","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: 19

A new look at an old issue: people with mental illness and the law enforcement system. 一个老问题的新视角:精神疾病患者和执法系统。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02898510

N Wolff, R J Diamond, T W Helminiak

引用次数: 19

Institutional factors of nursing homes that predict the provision of mental health services. 养老院的制度因素预测心理健康服务的提供。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790479

N G Castle, D Shea

引用次数: 4

Immediate outcomes of substance use treatment within a state psychiatric hospital. 在州立精神病院接受药物滥用治疗的直接结果。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02898508

S E Herman, B BootsMiller, L Jordan, C T Mowbray, W G Brown, N Deiz, H Bandla, M Solomon, P Green

{"title":"Immediate outcomes of substance use treatment within a state psychiatric hospital.","authors":"S E Herman, B BootsMiller, L Jordan, C T Mowbray, W G Brown, N Deiz, H Bandla, M Solomon, P Green","doi":"10.1007/BF02898508","DOIUrl":"https://doi.org/10.1007/BF02898508","url":null,"abstract":"Outcomes of an integrated inpatient treatment program for persons with serious mental illness and substance use disorders are examined in relationship to five stages of treatment--stabilization, engagement, persuasion/awareness, active treatment, and relapse prevention. The study used a randomized design with participants assigned to an integrated mental health and substance abuse treatment program or standard psychiatric hospital treatment. At discharge, participants in the integrated treatment program indicated more active engagement in treatment and greater awareness of mental health issues, substance use issues, and the 12-step program than those who received standard hospital treatment. Participants in the integrated treatment program also saw their treatment as being more effective and had more motivation to stay healthy and sober. The integrated treatment program was not equally effective at each treatment stage with all participants. The implications of the program's success overall and at each treatment stage are discussed.","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/BF02898508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20059980","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: 19

The legislative structuring of insanity acquittee policies. 精神错乱无罪释放政策的立法建构。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02898511

D M Linhorst

引用次数: 2

Conceptualizing services research on outpatient commitment. 门诊承诺的概念化服务研究。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02832664

J Draine

引用次数: 6

An economic and clinical rationale for changing utilization review practices for outpatient psychotherapy. 改变门诊心理治疗使用审查实践的经济和临床依据。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02832667

K D Hennessy, S Green-Hennessy

引用次数: 4

The market for residential and day schools for children with severe emotional disturbance. 面向有严重情绪障碍儿童的寄宿学校和走读学校市场。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790482

C S Spencer, D Shelton, R G Frank

引用次数: 7

Sedative-hypnotic use by the elderly: effects on hospital length of stay and costs. 老年人使用镇静催眠药:对住院时间和费用的影响。

Journal of mental health administration Pub Date : 1997-01-01 DOI: 10.1007/BF02790484

E J Yuen, M H Zisselman, D Z Louis, B W Rovner

{"title":"Sedative-hypnotic use by the elderly: effects on hospital length of stay and costs.","authors":"E J Yuen, M H Zisselman, D Z Louis, B W Rovner","doi":"10.1007/BF02790484","DOIUrl":"https://doi.org/10.1007/BF02790484","url":null,"abstract":"Sedative-hypnotic medications are often used to treat anxiety and sleep disorders, although they may not be used appropriately. Relationships between hospital length of stay (LOS), costs, and levels of sedative-hypnotic use were examined. Charts of 856 elderly patients were reviewed for sedative hypnotic use and categorized into three groups: those whose use exceeded Health Care Financing Administration (HCFA) guidelines, those who used sedative-hypnotic medications but did not exceed HCFA guidelines, and those who did not receive any sedative-hypnotic medications. Patients whose sedative-hypnotic use exceeded guidelines had longer LOS (21.5 exceeding guidelines vs. 12.3 within guidelines vs. 6.7 no use, p < or = .001) and higher costs ($29,245 exceeding guidelines vs. $15,219 within guidelines vs. $7,516 no use, p < = or .001.) Even after controlling for severity of illness and comorbid conditions, differences in LOS and costs persisted. This study indicates that sedative-hypnotic medications are frequently prescribed to elderly patients, often in doses exceeding proposed guidelines, and are associated with longer hospital stays and higher hospital costs.","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/BF02790484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19989966","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: 8