Hospital & community psychiatry最新文献

Controlled drinking. 控制的喝酒。

Hospital & community psychiatry Pub Date : 2023-10-27 DOI: 10.4135/9781483365817.n337

R. Erickson

引用次数: 24

Multiple personality. 多重人格。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1240

K A Nakdimen

引用次数: 0

Opportunities for psychiatrists in managed care organizations. 管理式医疗机构给精神科医生的机会。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1206

A Lazarus

引用次数: 10

Clinical and treatment correlates of access to Section 8 certificates for homeless mentally ill persons. 无家可归的精神病患者获得第8节证书的临床和治疗相关因素。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1196

L Dixon, N Krauss, P Myers, A Lehman

{"title":"Clinical and treatment correlates of access to Section 8 certificates for homeless mentally ill persons.","authors":"L Dixon, N Krauss, P Myers, A Lehman","doi":"10.1176/ps.45.12.1196","DOIUrl":"https://doi.org/10.1176/ps.45.12.1196","url":null,"abstract":"Objective: The study assessed how clients' housing preference and other variables were related to the acquisition of Section 8 certificates, facilitating independent living, for homeless persons with severe mental illness who were being served by an experimental assertive community treatment team.Methods: For 77 clients, demographic and clinical differences between receivers and nonreceivers of certificates were examined, and correlates of time from referral to the team to completion of the Section 8 application were analyzed. Reasons clients did not receive certificates and housing outcomes were summarized in relation to client preference.Results: The 34 clients who received certificates (44 percent) had significantly less psychopathology after three months than did nonreceivers and tended to have affective disorders rather than schizophrenia. Of the 43 nonreceivers, the two largest groups were 19 clients who did not want certificates and ten clients who wanted certificates but whom staff considered unable to live safely in an unsupervised apartment. The mean +/- SD length of time for application for a certificate was 5.7 +/- 5.8 months. Longer time to apply was significantly associated with having schizophrenia, having the team as a representative payee, and showing increased psychotic symptoms at referral and at three months.Conclusions: The study suggests that it is possible to honor the housing preferences of the majority of homeless persons with severe mental illness if adequate resources are provided. However, staff may view persons who have schizophrenia and more symptoms as needing more supervision than those clients prefer. Homeless mentally ill persons may also take longer than more symptomatic persons to pursue independent living through a Section 8 certificate.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 12","pages":"1196-200"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.12.1196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18867109","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: 21

Psychiatrists' and patients' views on drug information sources and medication compliance. 精神科医生和患者对药物信息来源和用药依从性的看法。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1235

L A Warner, K Silk, W H Yeaton, D Bargal, J Janssen, E M Hill

引用次数: 8

Folie à deux in identical twins. 一对同卵双胞胎的疯狂。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1238

C Harmon, L Rames

引用次数: 13

Effects of alcohol on symptoms in alcoholic and nonalcoholic patients with schizophrenia. 酒精对酒精性和非酒精性精神分裂症患者症状的影响

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1229

J W Tsuang, J B Lohr

引用次数: 13

Outcomes assessment and psychiatric services. Committee on Psychopathology, Group for the Advancement of Psychiatry. 结果评估和精神科服务。精神病理学委员会，精神病学促进会。

Hospital & community psychiatry Pub Date : 1994-12-01

R A Dorwart, D Adler, J Berlant, L Dixon, J Docherty, J Ellison, H Goldman, M Sageman, S Siris, W A Sonis

引用次数: 0

Characteristics of private-sector managed care for mental health and substance abuse treatment. 私营部门管理的精神卫生和药物滥用治疗保健的特点。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1201

D W Garnick, A M Hendricks, J D Dulski, K E Thorpe, C Horgan

{"title":"Characteristics of private-sector managed care for mental health and substance abuse treatment.","authors":"D W Garnick, A M Hendricks, J D Dulski, K E Thorpe, C Horgan","doi":"10.1176/ps.45.12.1201","DOIUrl":"https://doi.org/10.1176/ps.45.12.1201","url":null,"abstract":"Objective: This study examined diversity during the late 1980s in managed care programs for mental health, alcohol abuse, and drug abuse to identify ways in which research can generate more meaningful data on the effectiveness of utilization review programs.Methods: Telephone interviews were conducted with representatives of utilization review programs for employee health insurance plans in 31 firms that employed 2.1 million people in 1990. Questions addressed qualifications of personnel, clinical criteria to authorize care, integration with employee assistance plans, penalties for not complying with utilization review procedures, outpatient review, and carve out of mental health and substance abuse review.Results: Large variations in utilization review programs were found. Programs employed a range of review personnel and used a variety of clinical criteria to authorize care. More than two-thirds did not carve out mental health and substance abuse review from medical-surgical review. Some firms' employee assistance plans were integrated with utilization review programs, while others remained unintegrated. Penalties for not following program procedures varied widely, as did review of outpatient services.Conclusions: Because of trends toward even more diversity in utilization review programs in the 1990s, research that identifies the specific features of managed care programs that hold most promise for controlling costs while maintaining quality of care will increasingly be needed.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 12","pages":"1201-5"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.12.1201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18867110","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: 22

Borderline personality disorder from the patient's perspective. 从病人的角度来看是边缘型人格障碍。

Hospital & community psychiatry Pub Date : 1994-12-01 DOI: 10.1176/ps.45.12.1215

S G Miller

引用次数: 55