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Psychiatric Services

Volume 49, Issue 7

July 1998

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Taking Issue

July 1998

Confronting Violence

Lisa Dixon, M.D., M.P.H.,, Committee on Psychopathology of the Group for the Advancement of Psychiatry,
David Adler, M.D.,,
Jeff Berlant, M.D., Ph.D.,,
Rebecca Dulit, M.D.,,
James Ellison, M.D., M.P.H.,,
John Montgomery, M.D.,,
Antonia New, M.D.,,
Samuel Siris, M.D.,,
William Sonis, M.D.,, and
J. Scott Stanley, M.D., chair;

Page:865
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.865

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Column

July 1998

Law & Psychiatry: Discrimination in Psychiatric Disability Coverage and the Americans With Disabilities Act

Paul S. Appelbaum, M.D.

Pages:875–881
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.875

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July 1998

Managed Care : What Our Students Teach Us About Managing Care Ethically

James E. Sabin, M.D.

Pages:879–881
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.879

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July 1998

Clinical Computing: Treatment for All: The Computer as a Patient Assistant

John H. Greist, M.D.

Pages:887–889
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.887

First Page
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July 1998

Rehab Rounds : Predicting Rehabilitation Outcome Among Patients With Schizophrenia

Andrew D. Ferdinandi, Ph.D.,
Vatt Yoottanasumpun, M.S.,
Simcha Pollack, Ph.D., and
Paul C. Bermanzohn, M.D.

Pages:907–909
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.907

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Introduction by the column editors: Efforts to identify variables that predict outcomes among clients with serious and persistent mental illness span a quarter of a century (,,). Within the realm of psychiatric rehabilitation, vocational performance ...

Article

July 1998

Linking Inpatients With Schizophrenia to Outpatient Care

Mark Olfson, M.D., M.P.H.,
David Mechanic, Ph.D.,
Carol A. Boyer, Ph.D., and
Stephen Hansell, Ph.D.

Pages:911–917
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.911

Abstract
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OBJECTIVE: This study focused on inpatients with schizophrenia or schizoaffective disorder who were scheduled to begin outpatient care with clinicians who had not previously treated them. The authors evaluated the effects of communication between the ...

July 1998

Family Caregivers' Criticism of Patients With Schizophrenia

Christine A. Harrison, Ph.D.,
Mark R. Dadds, Ph.D., and
Glen Smith, Ph.D.

Pages:918–924
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.918

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OBJECTIVE: Relationships were examined between patients' negative symptoms, family caregivers' knowledge of schizophrenia, caregivers' attributions about the cause of patients' symptoms, and caregivers' response to the symptoms. METHODS: A sample of 84 ...

July 1998

Group Treatment for Smoking Cessation Among Persons With Schizophrenia

Jean Addington, Ph.D.

Pages:925–928
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.925

Abstract
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People with schizophrenia smoke more than the general population and more than other psychiatric diagnostic groups. The rate of smoking in the general population is 30 percent, and reported rates for people with schizophrenia range between 62 percent and ...

July 1998

Customer Satisfaction and Self-Reported Treatment Outcomes Among Psychiatric Inpatients

William R. Holcomb, Ph.D.,
Jerry C. Parker, Ph.D.,
Gregory B. Leong, M.D.,
Jeffrey Thiele, M.D., and
John Higdon, Ph.D.

Pages:929–934
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.929

Abstract
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OBJECTIVE: Relationships among different dimensions of patient satisfaction and selected demographic, clinical, and outcome variables were explored in a sample of severely ill people receiving inpatient psychiatric services. METHOD: The sample consisted ...

July 1998

Relationship of Cocaine and Other Substance Dependence to Well-Being of High-Risk Psychiatric Patients

Barbara E. Havassy, Ph.D., and
Paul G. Arns, Ph.D.

Pages:935–940
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.935

Abstract
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OBJECTIVE: The co-occurrence of substance dependence disorders was determined in a sample of 160 frequently hospitalized adults with severe mental illness, and the relationship between substance dependence and psychosocial functioning and well-being was ...

July 1998

Clinicians' Decision Making About Involuntary Commitment

Nancy B. Engleman, Ph.D.,
David A. Jobes, Ph.D.,
Alan L. Berman, Ph.D., and
Laura I. Langbein, Ph.D.

Pages:941–945
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.941

Abstract
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OBJECTIVE: Clinicians' decision making about involuntary commitment was examined, with a focus on the effects of patient and clinician characteristics and bed availability on decisions to detain patients, the first step in involuntary commitment. METHODS: ...

July 1998

Comparative Outcomes and Costs of Inpatient Care and Supportive Housing for Substance-Dependent Veterans

John A. Schinka, Ph.D.,
Elie Francis, M.D.,
Patrick Hughes, M.D.,
Leif LaLone, M.A., and
Christopher Flynn, M.D.

Pages:946–950
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.946

Abstract
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OBJECTIVE: This study examined the differential effectiveness and costs of three weeks of treatment for patients with moderately severe substance dependence assigned to inpatient treatment or to a supportive housing setting. Supportive housing is ...

Papers on Rural Psychiatry

July 1998

Rural Psychiatry : Functional Impairment Associated With Psychological Distress and Medical Severity in Rural Primary Care Patients

Alisabeth Thurston-Hicks, M.D.,
Susan Paine, M.P.H., and
Michael Hollifield, M.D.

Pages:951–955
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.951

Abstract
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OBJECTIVE: The study examined functional impairment associated with psychological distress and severity of medical illness in a rural primary care population and explored how functional impairment varied with psychological distress and chronic medical ...

July 1998

Analysis of Health Service Areas: Another Piece of the Psychiatric Workforce Puzzle

A. Peter Eveland, Ed.D.,
G. E. Alan Dever, Ph.D., M.T.,
Edward Schafer, Ph.D.,
Collette Sprinkel, M.A.,
Stephanie Davis, B.B.A., and
Michele Rumpf, B.A.

Pages:956–960
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.956

Abstract
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Planning for development of a national or regional psychiatrist workforce that is the appropriate size must consider numerous issues. They include the dynamics of workforce distribution, effects of managed care, reduction in potential residency slots, ...

July 1998

Five Papers on Psychiatry in Rural Areas: An Introduction

Norman C. Moore, M.D., and
William H. Nelson, M.D.

Page:957
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.957

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July 1998

Impact of Medicaid Managed Mental Health Care on Delivery of Services in a Rural State: An AMI Perspective

Margaret Stout

Pages:961–963
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.961

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In March 1995 Iowa implemented a statewide mental health carve-out program under a Medicaid Section 1915b waiver. A goal was to provide equal access across counties for Medicaid recipients by introducing a statewide network of service providers. Problems ...

July 1998

Rural Telepsychiatry

Frank W. Brown, M.D., M.B.A.

Pages:963–964
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.963

Abstract
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Telepsychiatry is the use of telecommunications technology to connect patients and health care providers, permitting effective diagnosis, education, treatment, consultation, transfer of medical data, research, and other health care activities. ...

July 1998

Linking Primary Care and Rural Psychiatry: Where Have We Been and Where Are We Going?

David Lambert, Ph.D., and
David Hartley, Ph.D.

Pages:965–967
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.965

Abstract
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Linking primary care with psychiatric care has long been promoted as a way to improve access to rural mental health services. The authors describe a national survey that identified 53 successfully linked programs, ranging from small local efforts to ...

July 1998

Rural Psychiatry in Developing Countries

R. Srinivasa Murthy, M.D.

Pages:967–969
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.967

Abstract
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During the last two decades several initiatives have been taken to improve psychiatric services in low-income rural areas in developing countries. They have included the formulation of national mental health programs and establishment of pilot programs ...

Letter

July 1998

Depression Among Pregnant Adolescents

Lisa Miller, Ph.D.

Page:970
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.970

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July 1998

Assaults on Staff

Michael Langenbach, M.D.

Pages:970-a–971
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.970-a

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July 1998

Assaults on Staff

Raymond B. Flannery, Ph.D.

Page:971
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.971

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Book Review: Enriching Therapy for Couples and Families

July 1998

Countertransference in Couples Therapy Marriage as a Search for Healing Empathic Accuracy Bipolar Disorder: A Family-Focused Treatment Approach

William Vogel, Ph.D.

Pages:972–973
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.972

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Book Review

July 1998

Out of the Shadows: Confronting America's Mental Illness Crisis

Leona L. Bachrach, Ph.D.

Pages:973–974
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.973

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July 1998

Progress in Clinical Psychiatry: Number 1

Joel S. Feiner, M.D.

Pages:974–975
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.974

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July 1998

Mental Illness in the Family: Issues and Trends

Harriet P. Lefley, Ph.D.

Pages:975–976
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.975

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July 1998

Comprehensive Emergency Mental Health Care

Donna M. Moores, M.D.

Page:976
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.976

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July 1998

Minefields in Their Hearts: The Mental Health of Children in War and Communal Violence

Lawrence Hartmann, M.D.

Page:977
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.977

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July 1998

Handbook of Psychiatric Genetics

Janet E. Johnson, M.D.

Pages:977-a–978
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.977-a

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July 1998

Ethics of Psychiatry: Insanity, Rational Autonomy, and Mental Health Care

Philip J. Candilis, M.D.

Pages:978–979
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.978

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July 1998

Injured Brains of Medical Minds: Views From Within

Sheldon Benjamin, M.D.

Page:979
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.979

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July 1998

Chronic Fatigue Syndrome: An Integrative Approach to Evaluation and Treatment

Gary Rodin, M.D.

Pages:979-a–980
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.979-a

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July 1998

Occupational Disorders: A Treatment Guide for Therapists

William Weitzel, M.D.

Page:980
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.980

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July 1998

Writing for Money in Mental Health

Richard A. Bernstein, M.D.

Pages:980-a–981
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.980-a

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July 1998

Mental Hospitals in India: Current Status and Role in Mental Health Care

Barati Phadke, M.D.

Page:981
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.981

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News & Notes

July 1998

Pages:982–984
Published Online:1 July 1998

https://doi.org/10.1176/ps.49.7.982

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