Hospital & community psychiatry最新文献_第8页

The Medicaid program and the Clinton plan: implications for mental health services. 医疗补助计划和克林顿计划:对心理健康服务的影响。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.883

J A Buck, C Koyanagi

引用次数: 4

Risperidone's cost. Risperidone’s费用。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.937

R Eilers

引用次数: 1

Psychiatric hospitalization of adolescents for conduct disorder. 青少年行为障碍的精神病住院治疗。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.925

J Lock, G D Strauss

{"title":"Psychiatric hospitalization of adolescents for conduct disorder.","authors":"J Lock, G D Strauss","doi":"10.1176/ps.45.9.925","DOIUrl":"https://doi.org/10.1176/ps.45.9.925","url":null,"abstract":"Objective: The authors' goal was to review current published literature on the psychiatric hospitalization of adolescents with a diagnosis of conduct disorder.Methods: The English-language literature from 1980 to 1991 cited in the MEDLINE database was searched using the key words conduct disorder, adolescent psychiatric hospitalization, psychiatric hospitalization criteria, adolescent psychiatric inpatient hospitalization, and adolescent psychiatric admissions.Results: A diagnosis of conduct disorder or presenting symptoms and behaviors consistent with that diagnosis are commonly reported for adolescent psychiatric admissions. Estimates of the percentage of admissions to psychiatric inpatient treatment facilities of adolescents with conduct disorder or symptoms consistent with that disorder range from 30 to 70 percent. There are no research-based criteria for hospitalization of adolescents for conduct disorder, and systematic studies of the outcome of psychiatric hospitalization for this group have not been published. Comorbid psychiatric diagnoses and similar behavioral symptoms in conduct disorder and comorbid disorders complicate inpatient treatment of adolescents with conduct disorder.Conclusions: Studies of the outcome of psychiatric hospitalization of adolescents for conduct disorder are needed to determine the appropriate use of this modality.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 9","pages":"925-8"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.9.925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18984091","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

Health maintenance organizations, health care reform, and persons with serious mental illness. 健康维护组织、医疗改革、严重精神疾病患者。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.898

J B Christianson, F C Osher

{"title":"Health maintenance organizations, health care reform, and persons with serious mental illness.","authors":"J B Christianson, F C Osher","doi":"10.1176/ps.45.9.898","DOIUrl":"https://doi.org/10.1176/ps.45.9.898","url":null,"abstract":"Implementation of the Clinton Administration's proposed Health Security Act could significantly increase the number of seriously mentally ill persons enrolled in health maintenance organizations (HMOs). Studies of the mental health status and outcomes of seriously mentally ill persons treated in HMOs show conflicting findings and provide little guidance about the likely effect of the Health Security Act on this population. However, implementation of the Health Security Act would be likely to influence the treatment of seriously mentally ill persons by altering the activities of state and local governments in the financing and delivery of care, facilitating the integration of public and private services, and encouraging development of additional service capacity. To clarify HMOs' likely role in providing services to seriously mentally ill persons under health care reform, more research is needed on the current service capacity of HMOs, on treatment approaches and outcomes in different HMO models, on whether seriously mentally ill persons would be likely to choose HMOs from among health plan options, and on whether higher-income HMO enrollees would seek care outside HMO provider networks.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 9","pages":"898-905"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.9.898","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18984150","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

A credo for ethical managed care in mental health practice. 精神卫生实践中伦理管理护理的信条。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.859

J E Sabin

引用次数: 30

A brief scale to help identify outpatients' level of need for community support services. 一个简短的量表，以帮助确定门诊病人对社区支持服务的需求水平。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.935

S S Kazarian, L W Joseph

引用次数: 9

Health care reform: a reality check. 医疗改革:现实检验。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.849

S Satel

引用次数: 0

President Clinton's proposal for health care reform: key provisions and issues. 克林顿总统关于医疗改革的建议:关键条款和问题。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.871

T F Plaut, B S Arons

{"title":"President Clinton's proposal for health care reform: key provisions and issues.","authors":"T F Plaut, B S Arons","doi":"10.1176/ps.45.9.871","DOIUrl":"https://doi.org/10.1176/ps.45.9.871","url":null,"abstract":"Shortly after his election in 1992, President Clinton appointed a health care reform task force to develop a proposal for providing health care benefits for all American citizens and legal residents. Between February and May 1993 the Interdepartmental Working Group, composed of more than 30 working groups addressing specific health care issues, prepared options for the task force. The Health Security Act was introduced in November 1993. Besides universal coverage and a basic benefit package, provisions included health insurance reform, regional alliances for structuring competition among health insurance plans, consumer choice of health plans, and provisions for Medicaid beneficiaries. Proposed mental health and substance abuse provisions included coverage of intensive nonresidential services, medical management, evaluation and assessment services, and case management. Initial limitations on coverage of inpatient mental health services and psychotherapy would be removed by 2001. The Clinton plan also called for integration of public mental health and substance abuse services into the full range of health services offered by local health plans. Major issues that will have to be resolved if health care legislation is to be enacted include whether regional alliances should be mandatory and whether employers should be required to contribute to insurance premiums.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 9","pages":"871-6"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.9.871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18987702","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

A quality improvement program in a state hospital during a period of downsizing. 公立医院在缩减规模期间的质量改进计划。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.929

L D Hanes, J M Butz, J H Leonard

引用次数: 1

Health care reform based on an empowerment model of recovery by people with psychiatric disabilities. 以精神残疾者康复授权模式为基础的医疗保健改革。

Hospital & community psychiatry Pub Date : 1994-09-01 DOI: 10.1176/ps.45.9.913

D B Fisher

引用次数: 144