{"title":"Measuring treatment outcome for adults and adolescents: reliability and validity of BASIS-32.","authors":"F L Hoffmann, K Capelli, X Mastrianni","doi":"10.1007/BF02832665","DOIUrl":"https://doi.org/10.1007/BF02832665","url":null,"abstract":"<p><p>This article examines the reliability and validity for adults and adolescents of Behavioral and Symptom Identification Scale (BASIS-32), a 32-item patient-report instrument designed to facilitate psychiatric outcome assessment of adult inpatient populations. This study extends the original analysis of the psychometric properties of BASIS-32 to a different site, using a self-report rather than interview format and samples of both adult and adolescent patients. Responses to the BASIS-32 are reported for two groups of patients consecutively admitted between 1991 and 1994: adults over 18 years old (n = 462) and adolescents between 12 and 18 (n = 244). Results of this investigation confirm the utility of BASIS-32 as an easily administered and scored self-report outcome assessment tool for adult psychiatric patients. Its utility for adolescent patients was not as clearly demonstrated.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 3","pages":"316-31"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02832665","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20175756","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}
{"title":"The appropriate role for the state hospital.","authors":"J R Belcher, B R DeForge","doi":"10.1007/BF02790481","DOIUrl":"https://doi.org/10.1007/BF02790481","url":null,"abstract":"<p><p>This article explores the role of the state hospital in providing long-term care. It is argued that long-term care is an important part of a mental health system, specifically for people with severe mental illness. The state hospital can be made to function more efficiently and also provide needed long-term care.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 1","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790481","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19992003","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}
L A Jason, J R Ferrari, B Smith, P Marsh, P A Dvorchak, E J Groessl, M E Pechota, M Curtin, P D Bishop, E Kot, B S Bowden
{"title":"An exploratory study of male recovering substance abusers living in a self-help, self-governed setting.","authors":"L A Jason, J R Ferrari, B Smith, P Marsh, P A Dvorchak, E J Groessl, M E Pechota, M Curtin, P D Bishop, E Kot, B S Bowden","doi":"10.1007/BF02832666","DOIUrl":"https://doi.org/10.1007/BF02832666","url":null,"abstract":"<p><p>Adult men (n = 132; 92% of the population) with histories of alcohol/drug use disorders were interviewed upon their entry to 11 Oxford Houses located in the state of Illinois. Individuals still in residence at a six-month follow-up (n = 48) were reinterviewed; prior to the follow-up interview, 42 men had left voluntarily and 42 men had been evicted for abuse or disruptive behavior. The men remaining in residence tended to be older (M age = 37 years), were disproportionately African American (56%), and were less pessimistic about their future. At the intake interview, individuals who would be evicted reported a lower expectation for abstinence social support from the other residents in Oxford House. The Oxford House model of social support for recovery from alcohol and drug dependence appears to help some residents maintain sobriety.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 3","pages":"332-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02832666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9119499","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}
{"title":"Physical illness among all discharged psychiatric inpatients in a national case register.","authors":"J Rabinowitz, M Mark, M Popper, D Feldman","doi":"10.1007/BF02790483","DOIUrl":"https://doi.org/10.1007/BF02790483","url":null,"abstract":"<p><p>Previous studies have found that although psychiatric patients tend to have more physical illness than the rest of the population, it frequently goes unrecognized and untreated in psychiatric settings. This study investigated rates of reported physical illness among hospitalized psychiatric patients in preparation for national reform in mental health services. Data from the Israeli National Psychiatric Case Registry were analyzed on reported physical illness among all 38,714 psychiatric discharges during 1989-1991. Physical illness was reported for 10.62% of patients under age 25, 14.04% of patients 25 to 44, 34.27% of patients 45 to 65, and 61.26% of patients 65 and older. Rates differed among hospitals. Reported physical illness was considerably lower than expected as compared with other studies. Underdiagnosis is suggested as a possible explanation. Study results were used to add differential payment for physical comorbidity under the new National Health Insurance Law. Other corrective measures are discussed.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 1","pages":"82-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790483","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472177","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}
{"title":"Risk of juvenile justice systems referral among children in a public mental health system.","authors":"A Vander Stoep, C C Evens, J Taub","doi":"10.1007/BF02790504","DOIUrl":"https://doi.org/10.1007/BF02790504","url":null,"abstract":"<p><p>This study established the risk of police referral among a cohort of children who were recipients of public mental health services. Investigators used secondary data to calculate the incidence of criminal referral among 645 children, ages 10 to 17, who entered community-based public mental health programs in King County, Washington. Children receiving public mental health services were nearly three times more likely to be referred to the juvenile justice system compared to children of similar age and gender in the general population. Relative risks were particularly high for younger children (10-13 years) and for children of Hispanic, Native American, and Caucasian origin. Understanding the characteristics and experiences of children who use multiple-service systems has important implications for services delivery. In addressing the needs of youth who have both mental illness and criminal involvement, age- and culturally specific interventions and advocacy efforts are warranted.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 4","pages":"428-42"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293920","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}
{"title":"Comment on Belcher and DeForge's \"The appropriate role for the state hospital system\".","authors":"M F Hogan","doi":"10.1007/BF02790508","DOIUrl":"https://doi.org/10.1007/BF02790508","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 4","pages":"472-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293924","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}
{"title":"Use of the Child and Adolescent Functional Assessment Scale to predict service utilization and cost.","authors":"K Hodges, M M Wong","doi":"10.1007/BF02832662","DOIUrl":"https://doi.org/10.1007/BF02832662","url":null,"abstract":"<p><p>The Child and Adolescent Functional Assessment Scale (CAFAS) is a multidimensional measure of impairment that assesses the extent of interference in day-to-day functioning secondary to emotional, behavioral, or substance use problems. Respondents were 984 youths, aged 5 to 17, who were referred for mental health services. They were assessed at intake and at 6 and 12 months postintake with a battery of measures administered by evaluation staff who were independent of treatment. Utilization indicators included restrictiveness of care, total cost, number of bed days, and total number of days of service received. The CAFAS total score at intake was a significant predictor of service utilization and cost determined at 6 and 12 months postintake. The CAFAS score was also the best predictor when compared with other measures of psychopathology. Only the CAFAS and presence of conduct disorder contributed to the prediction of service utilization and cost at 12 months.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 3","pages":"278-90"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02832662","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9114699","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}
{"title":"Use of psychiatric services by homeless veterans.","authors":"J Stovall, J A Flaherty, B Bowden, M Schoeny","doi":"10.1007/BF02790485","DOIUrl":"https://doi.org/10.1007/BF02790485","url":null,"abstract":"<p><p>Patients treated in a Department of Veterans Affairs (VA) emergency room were evaluated to delineate the differences in use of services between homeless and domiciled veterans who have mental disorders. Data were obtained and compared on DSM-III-R diagnoses, number of hospitalizations, lengths of stay, and outpatient visits in the preceding year. Homeless veterans with mental disorders were significantly more likely to have emergency visits and psychiatric admissions in the preceding 12 months than were the domiciled veterans. However, the average length of stay was shorter for the homeless group. These differences must be accounted for in the design of programs targeting homeless veterans with mental illness.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 1","pages":"98-102"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02790485","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9101938","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}
{"title":"Assessing parenting competency in individuals with severe mental illness: a comprehensive service.","authors":"T Jacobsen, L J Miller, K P Kirkwood","doi":"10.1007/BF02898513","DOIUrl":"https://doi.org/10.1007/BF02898513","url":null,"abstract":"<p><p>Determining the parenting capabilities of individuals with severe mental disorders who are alleged perpetrators of child abuse or neglect is a profoundly difficult task. This article discusses the methodological shortcomings of some widely used assessment strategies and outlines the components of a comprehensive parenting competency evaluation for individuals with severe mental illness. Procedures identifying both risk factors associated with abuse or neglect and protective influences against child maltreatment are summarized. These procedures are illustrated by describing a Chicago-based parenting assessment team for parents with severe mental disorders.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"24 2","pages":"189-99"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02898513","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9482156","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}
{"title":"Outcomes assessment in clinical practice","authors":"O. Massey","doi":"10.1007/BF02521032","DOIUrl":"https://doi.org/10.1007/BF02521032","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"23 1","pages":"492-493"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51653430","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}