Hospital & community psychiatry最新文献_第9页

Congressional briefing calls attention to mental health needs of African Americans. 国会简报呼吁关注非裔美国人的心理健康需求。

Hospital & community psychiatry Pub Date : 1994-08-01

引用次数: 0

State purchasing cooperatives for psychotropic medication. 精神药品国家收购合作社。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.741

M S Swartz, A B Santos

引用次数: 0

Behavioral group therapy. 行为团体治疗。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.829

A Kopelowicz, R P Liberman

引用次数: 10

What CMHCs can learn from two states' efforts to capitate Medicaid benefits. cmhc可以从两个州对医疗补助福利的努力中学到什么?

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.777

J B Christianson, D Z Gray

引用次数: 23

Continuous quality improvement: conceptual foundations and application to mental health care. 持续质量改进:概念基础及其在精神卫生保健中的应用。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.789

G D Chowanec

引用次数: 26

Jail recidivism and receipt of community mental health services. 监狱累犯和接受社区精神健康服务。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.793

P Solomon, J Draine, A Meyerson

{"title":"Jail recidivism and receipt of community mental health services.","authors":"P Solomon, J Draine, A Meyerson","doi":"10.1176/ps.45.8.793","DOIUrl":"https://doi.org/10.1176/ps.45.8.793","url":null,"abstract":"Objective: The authors' aim was to test the relationship between receipt of desired community mental health services by homeless mentally ill forensic clients and whether the clients returned to jail within six months.Methods: Mentally ill homeless clients leaving jail were randomly assigned to three service conditions: intensive case management provided by an assertive community treatment team, intensive case management provided by individual case managers, and referral to a community mental health center. Data on whether clients' service needs were met were analyzed using discriminant function and chi square analyses.Results: Thirty-two percent of the 105 clients interviewed at six months were reincarcerated during the six-month study period. Jail recidivism was related to receipt of fewer services that clients reported they needed, specifically to receipt of fewer services for developing independent living skills. Service condition was not significantly related to return to jail.Conclusions: Case management, a flexible community-based service that does not lend itself to clearly prescribed procedures, may easily deteriorate into providing monitoring rather than rehabilitative services for forensic clients and thus may facilitate reincarceration.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 8","pages":"793-7"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.8.793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18981652","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: 41

Characteristics of African-American and white patients with panic disorder and agoraphobia. 非裔美国人和白人惊恐障碍和广场恐惧症患者的特征。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.798

S Friedman, C M Paradis, M Hatch

{"title":"Characteristics of African-American and white patients with panic disorder and agoraphobia.","authors":"S Friedman, C M Paradis, M Hatch","doi":"10.1176/ps.45.8.798","DOIUrl":"https://doi.org/10.1176/ps.45.8.798","url":null,"abstract":"Objective: The authors explored the clinical characteristics and treatment response of African-American and white patients with panic disorder and agoraphobia who presented for treatment at an anxiety disorders clinic.Methods: One hundred white and 43 African-American patients were evaluated using a structured interview and completed a variety of standardized rating scales. In addition, data regarding clinical characteristics, psychiatric history, childhood history, life stressors, and treatment outcome were obtained by chart review. The incidence of isolated sleep paralysis was also assessed in a subsample of patients.Results: The two groups had no significant differences in psychiatric symptoms. African-American patients were more likely to use a medical emergency room, to have had childhood separations, and to have had parents who abused substances. They also reported less separation anxiety, school phobia, and affective illness in family members. In addition, African Americans, both patients and nonclinical control subjects, were more likely to report that they experienced repetitive episodes of isolated sleep paralysis. Treatment outcome was moderately successful among both African-American patients and white patients.Conclusions: Although African-American and white patients show similar symptoms of panic disorder, African-American patients had more unnecessary psychiatric hospitalizations, a higher rate of medical emergency room visits, a higher incidence of isolated sleep paralysis, greater likelihood of childhood trauma, and a greater number of life stressors. Addressing these issues in treatment is critical in reducing the dropout rate and maintaining successful treatment.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 8","pages":"798-803"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.8.798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18981653","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

Wilhelm Griesinger and the concept of community care in 19th-century Germany. 威廉·格里辛格与19世纪德国的社区护理概念。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.818

W Rössler, A Riecher-Rössler, U Meise

引用次数: 13

Current perspectives on multiple personality disorder. 当前对多重人格障碍的看法。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.827

I Coté

引用次数: 0

Making clozapine available. 提供氯氮平。

Hospital & community psychiatry Pub Date : 1994-08-01 DOI: 10.1176/ps.45.8.831-a

A S Young, J V Vaccaro

引用次数: 0