The Psychiatric hospital最新文献

Comorbidity in an inpatient eating disordered population: clinical characteristics and treatment implications. 住院饮食失调人群的合并症:临床特征和治疗意义。

The Psychiatric hospital Pub Date : 1993-12-01

K J Zerbe, S R Marsh, L Coyne

{"title":"Comorbidity in an inpatient eating disordered population: clinical characteristics and treatment implications.","authors":"K J Zerbe, S R Marsh, L Coyne","doi":"","DOIUrl":"","url":null,"abstract":"Data are presented that describe the clinical characteristics of 96 patients treated at the C.F. Menninger Memorial Hospital, Topeka, Kansas, from November 1983 to June 1989. Their Axis I eating disorder diagnoses were as follows: 53 had diagnoses of bulimia; 21 had anorexia nervosa; 2 had both diagnoses; 17 had atypical disorders or eating disorders not otherwise specified; and 2 had a diagnosis of psychological factors affecting physical conditions. Seventy-three percent of the cohort were found to have either Axis I or Axis II disorders or both, comorbidity. Borderline personality disorder was found in 46% of the sample, although 20% of the patients with borderline disorders were diagnosed retrospectively. Depression was the largest comorbid Axis I diagnosis. Patient variables for sexual abuse, drug and alcohol addiction, purgative behaviors, and interpersonal relationships are also described. The authors conclude that a substantial subpopulation of eating disordered patients are significantly comorbid for other psychiatric illnesses. This high incidence of comorbidity may help explain the frequency of refractoriness of many eating disordered patients who do not respond to outpatient or short-term inpatient hospitalization. The authors recommend that additional research studies address the problems of the comorbid eating disordered patient and suggest that the findings be taken into account by clinicians and payers.","PeriodicalId":79749,"journal":{"name":"The Psychiatric hospital","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20995353","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: 0

Strategic implications of healthcare reform for mental health providers. 医疗改革对心理健康提供者的战略影响。

The Psychiatric hospital Pub Date : 1993-12-01

B J Hoeksema, D C Coddington

{"title":"Strategic implications of healthcare reform for mental health providers.","authors":"B J Hoeksema, D C Coddington","doi":"","DOIUrl":"","url":null,"abstract":"While most of the recent national attention on healthcare reform has focused on physicians, acute-care hospitals, and the insurance industry, what about mental healthcare providers? Where do psychiatric hospitals, psychiatrists, psychologists, and other mental healthcare professionals fit into the healthcare payment system of the future? For example, if the United States ends up with what is called universal access--a payment source for all Americans--will it include mental health benefits? The stakes are high; one quarter of the American population either has no health insurance or is covered by Medicaid. Many current reform proposals include tort reform; but how would it affect mental healthcare providers? Will managed care--primarily health maintenance organizations (HMOs) and preferred provider organizations (PPOs)--be a part of the reshaping of the United States healthcare system? This article has three objectives: To summarize the various healthcare reform proposals and provide a description of the key elements anticipated in the most likely reform package. To consider the strategic implications of payment reform for the mental healthcare industry. To identify strategies for mental healthcare providers that are likely to be useful regardless of the shape of healthcare reform.","PeriodicalId":79749,"journal":{"name":"The Psychiatric hospital","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20995352","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: 0

Treatment outcome and continuous quality improvement: two aspects of program evaluation. 治疗效果和持续质量改进:项目评估的两个方面。

The Psychiatric hospital Pub Date : 1993-12-01

J M Vermillion, S I Pfeiffer

引用次数: 0

Dramatic changes in care: the experience of one psychiatric hospital. 护理的巨大变化:一家精神病院的经验。

The Psychiatric hospital Pub Date : 1993-12-01

L Frank, S S Sharfstein

引用次数: 0

The sibling group: beginning to meet the needs of child siblings of psychiatrically hospitalized children. 兄弟姐妹组:开始满足精神病住院儿童兄弟姐妹的需求。

The Psychiatric hospital Pub Date : 1993-12-01

S R Geronimus, S E Mielke