Hospital & community psychiatry最新文献_第4页

Polydipsia, hyponatremia, and water intoxication among psychiatric patients. 精神病人的多饮、低钠血症和水中毒。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1073

J K Patel

引用次数: 8

A comparison of videocameras and official incident reports in detecting inpatient assaults. 监测住院病人攻击的摄像机和官方事件报告的比较。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1144

M L Crowner, G Peric, F Stepcic, E Van Oss

引用次数: 20

Outpatient suicides. 门诊病人自杀。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1147-a

P Marcus

引用次数: 0

Expressed emotion by residential care operators and residents' symptoms and quality of life. 由安老营办商及住客的症状及生活品质所表达的情绪。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1141

K S Snyder, C J Wallace, K Moe, R P Liberman

引用次数: 44

Treating the impulsive patient. 治疗冲动病人。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1075

W McCown, G R VandenBos

引用次数: 1

A mental health capitation program: I. Patient outcomes. 一项精神卫生人头项目:I.患者结果。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1090

R E Cole, S K Reed, H M Babigian, S W Brown, J Fray

{"title":"A mental health capitation program: I. Patient outcomes.","authors":"R E Cole, S K Reed, H M Babigian, S W Brown, J Fray","doi":"10.1176/ps.45.11.1090","DOIUrl":"https://doi.org/10.1176/ps.45.11.1090","url":null,"abstract":"OBJECTIVE\u0000The Monroe-Livingston demonstration project's capitation payment system (CPS) was evaluated to determine whether capitated funding of mental health care, compared with fee-for-service funding, could reduce hospitalization rates and improve functioning and symptoms for severely and persistently mentally ill adults without increasing the total cost of care.\u0000\u0000\u0000METHODS\u0000The experiment was a communitywide prerandomized clinical trial involving 422 patients. Patients who were randomized into the experimental group were eligible for enrollment in a capitated funding program administered by one of five community mental health centers. Those randomized into the control group received standard fee-based services. Follow-up interviews with patients one and two years after enrollment in the study assessed changes in symptoms and functioning. Data files of the membership corporation that coordinated community mental health services for the CPS provided measures of study patients' use of inpatient mental health services.\u0000\u0000\u0000RESULTS\u0000During the two-year follow-up period, patients in the experimental group had significantly fewer hospital inpatient days than patients in the control group, but the two groups had no significant differences in functioning or level of symptoms.\u0000\u0000\u0000CONCLUSIONS\u0000The CPS successfully maintained severely ill patients in the community but did not improve their functioning or level of symptoms.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 11","pages":"1090-6"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.11.1090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18833806","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: 49

A mental health capitation program: II. Cost-benefit analysis. 一项心理健康人头方案:成本效益分析。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1097

S K Reed, K D Hennessy, O S Mitchell, H M Babigian

{"title":"A mental health capitation program: II. Cost-benefit analysis.","authors":"S K Reed, K D Hennessy, O S Mitchell, H M Babigian","doi":"10.1176/ps.45.11.1097","DOIUrl":"https://doi.org/10.1176/ps.45.11.1097","url":null,"abstract":"Objective: Total monetized and nonmonetized costs and benefits to society of the Monroe-Livingston demonstration project's capitated payment system (CPS) were analyzed.Methods: Total costs and benefits of care for individuals who were prerandomized to an experimental group (of whom about 57 percent were enrolled in the CPS) were compared with those for a control group who received traditional fee-for-service care. Separate two-year results are presented for continuous patients, who were enrolled in a comprehensive CPS plan (N = 201) and for intermittent patients, who were enrolled in a partial plan (N = 155).Results: All groups showed improvements on many psychosocial measures over the two years. Continuous patients in the experimental group experienced less hospitalization, more case management and transportation services, and higher levels of victimization and were more likely to live in unsupervised settings than continuous patients in the control group. Total annual per patient costs for care of continuous patients ranged from $74,000 to more than $100,000, largely reflecting differences in rates of hospitalization. Experimental subjects in the partial capitation condition differed from the control group in this plan on fewer measures; both groups reported high levels of case management and social support services and relatively lower levels of supervised housing.Conclusions: The CPS resulted in major improvements in the community's services for persons with serious mental illness and reduced the proportion of care provided in the state hospital.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 11","pages":"1097-103"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.11.1097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18833807","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: 47

A model for management and treatment of insanity acquittees. Psychiatric Security Review Board, State of Oregon. 精神错乱无辜者的管理和治疗模式。精神病学安全审查委员会，俄勒冈州。

Hospital & community psychiatry Pub Date : 1994-11-01

引用次数: 0

A national survey of jail diversion programs for mentally ill detainees. 一项针对精神疾病在押人员的监狱转移计划的全国性调查。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1109

H J Steadman, S S Barbera, D L Dennis

{"title":"A national survey of jail diversion programs for mentally ill detainees.","authors":"H J Steadman, S S Barbera, D L Dennis","doi":"10.1176/ps.45.11.1109","DOIUrl":"https://doi.org/10.1176/ps.45.11.1109","url":null,"abstract":"Objectives: The authors sought information on the number, structure, and effectiveness of programs aimed at diverting mentally ill inmates from the criminal justice system into the mental health treatment system.Methods: A working definition of a jail diversion program was developed. Mail surveys were distributed to 1,263 U.S. jails with a capacity of 50 or more detainees to ascertain the presence or absence of diversion programs. Telephone interviews with samples of respondents and nonrespondents to the mail survey yielded additional information about the programs' operation, funding, staffing, and directors' perceptions of their effectiveness.Results: Information obtained from the mail and telephone surveys indicated that only 52 U.S. jails with a capacity of 50 or more detainees had formal mental health diversion programs that fit the definition developed by the authors. Programs in larger jails served fewer violent felons than did those in smaller jails. Three-fourths of the programs were located in mental health agencies. Two-thirds of program directors considered the programs to be moderately or very effective.Conclusions: Only a small number of U.S. jails have diversion programs for mentally ill detainees, and objective data on their effectiveness are lacking. Systematic evaluations are needed to determine what types of programs work best for which types of detainees.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 11","pages":"1109-13"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.11.1109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18837161","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: 104

Four decades of mental health trends: an empirical analysis of Hospital and Community Psychiatry. 精神健康趋势的四十年:医院和社区精神病学的实证分析。

Hospital & community psychiatry Pub Date : 1994-10-01 DOI: 10.1176/ps.45.10.1034

K D Hennessy, R P Greenberg

{"title":"Four decades of mental health trends: an empirical analysis of Hospital and Community Psychiatry.","authors":"K D Hennessy, R P Greenberg","doi":"10.1176/ps.45.10.1034","DOIUrl":"https://doi.org/10.1176/ps.45.10.1034","url":null,"abstract":"Objective: The authors examined important trends and developments within the mental health field since the 1960s as reflected in articles published in Hospital and Community Psychiatry.Methods: A total of 798 articles were reviewed, representing all contributions to the journal in 1962, 1967, 1972, 1977, 1982, 1987, and 1992. Articles were classified into one of six categories, and empirical research articles were further classified by primary topic. In addition, all articles were indexed by primary setting (hospital, community, or both); academic credentials and gender of first author, and economic or public policy focus.Results: The number and percentage of empirical research articles increased over time, while articles describing programs and professional roles declined. Some changes were observed in the primary topics of empirical research. Other findings reflect a shift in the setting of articles from hospitals to the community and a growth in the percentage of women who were first authors and of authors with a Ph.D. degree.Conclusions: The documented growth of empirical research in psychiatry suggests a greater emphasis on methodological rigor in the design and implementation of mental health services. Moreover, increases noted in scholarly contributions by women and nonmedical professionals indicate a broadening of disciplinary perspective over time that is likely to strengthen psychiatric research and services.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 10","pages":"1034-9"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.10.1034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18827614","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