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Psychiatric Services

Volume 50, Issue 4

April 1999

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Taking Issue

April 1999

Why Are Community Psychiatrists Silent on Managed Care?

Arthur T. Meyerson, M.D., professor and vice-chair, department of psychiatry, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark

Page:447
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.447

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Column

April 1999

Law & Psychiatry: The Americans With Disabilities Act and Community-Based Treatment Law

John Petrila, J.D., LL.M.

Pages:473–480
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.473

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April 1999

Personal Accounts: A Psychiatrist Recalls Life as a Foster Child

Francine Cournos, M.D.

Pages:479–480
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.479

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April 1999

Clinical Computing: Challenges of the World Wide Web

Milton P. Huang, M.D., and
Norman E. Alessi, M.D.

Pages:483–491
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.483

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April 1999

Datapoints: Psychiatric Patients and HIV

Joyce Y. Chung, M.D.,
Ana P. Suarez, M.P.H.,
Deborah A. Zarin, M.D., and
Harold Alan Pincus, M.D.

Page:487
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.487

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April 1999

Managed Care: Canada: A Kinder, Gentler Health Care System?

K. Roy MacKenzie, M.D.

Pages:489–491
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.489

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Article

April 1999

Frontier Ethics: Mental Health Care Needs and Ethical Dilemmas in Rural Communities

Laura Weiss Roberts, M.D.,
John Battaglia, M.D., and
Richard S. Epstein, M.D.

Pages:497–503
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.497

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Roughly 15 million of the 62 million rural U.S. residents struggle with mental illness and substance abuse. These rural dwellers have significant health care needs but commonly experience obstacles to obtaining adequate psychiatric services. Important but ...

April 1999

Use of Psychiatrists, Psychologists, and Master's-Level Therapists in Managed Behavioral Health Care Carve-Out Plans

Roland Sturm, Ph.D., and
Ruth Klap, Ph.D.

Pages:504–508
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.504

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OBJECTIVE: Outpatient claims data from a managed behavioral health company for 1996 were examined to determine the extent to which patients received services from different types of mental health care providers. METHODS: Claims data for 1996 were obtained ...

April 1999

Family and Client Perspectives on Alternative Residential Settings for Persons With Severe Mental Illness

Rose Marie Friedrich, M.A., R.N.,
Brenda Hollingsworth, M.A.,
Elizabeth Hradek, M.A., R.N.,C.S.,
H. Bruce Friedrich, Ph.D., and
Kennith R. Culp, Ph.D., R.N.

Pages:509–514
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.509

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OBJECTIVE: The housing preferences of persons with severe mental illness living in three types of community residences were examined, as were their perceptions of problems in these settings and the relationships between clients' and family members' ...

April 1999

Predictors of Residential Independence Among Outpatients With Schizophrenia

Faith B. Dickerson, Ph.D.,
Norman Ringel, M.A., and
Frederick Parente, Ph.D.

Pages:515–519
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.515

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OBJECTIVE: Many outpatients with schizophrenia receive support or supervision in their place of residence, but the predictors of residential independence are not clearly understood. The purpose of this study was to identify factors that predict the degree ...

April 1999

The Educational Needs of Families of Mentally Ill Adults: The South Carolina Experience

K. Ouidette Gasque-Carter, L.I.S.W., A.C.S.W., and
Mary B. Curlee, L.M.S.W., A.C.S.W.

Pages:520–524
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.520

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OBJECTIVE: Family members of patients at South Carolina State Hospital in Columbia were surveyed to learn their needs for education, skill building, and support. METHODS: A random sample of 80 families participated in a telephone survey in 1995 to obtain ...

April 1999

Psychosocial Rehabilitation Services in Community Support Systems: A Review of Outcomes and Policy Recommendations

Richard Barton, Ph.D.

Pages:525–534
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.525

Abstract
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OBJECTIVE: This review examines the place of psychosocial rehabilitation services within community support systems in light of the need for mental health service systems to develop policies to direct the use of limited resources. METHODS: Literature ...

April 1999

Two-Year Outcomes of Psychosocial Rehabilitation of Black Patients With Chronic Mental Illness

F. M. Baker, M.D., M.P.H.,
Judy Stokes-Thompson, M.S.W.,
Orlando A. Davis, M.D.,
Rachael Gonzo, M.S.W., and
Earl S. Hishinuma, Ph.D.

Pages:535–539
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.535

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OBJECTIVE: Outcome as measured by psychosocial functioning was examined in a two-year follow-up study of 46 patients with chronic mental illness, 44 of whom were African American, who participated in an intensive psychosocial rehabilitation program based ...

April 1999

Homeless Veterans' Satisfaction With Residential Treatment

Wesley J. Kasprow, Ph.D., M.P.H.,
Linda Frisman, Ph.D., and
Robert A. Rosenheck, M.D.

Pages:540–545
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.540

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OBJECTIVE: Because little is known about homeless individuals' satisfaction with mental health services or the association between satisfaction and measures of treatment outcome, the study examined those issues in a group of homeless veterans. METHODS: ...

April 1999

Measuring Client Satisfaction With Assertive Community Treatment

Gary J. Gerber, Ph.D., and
Pamela N. Prince, M.A.

Pages:546–550
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.546

Abstract
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OBJECTIVE: A mailed survey was used to measure satisfaction of seriously mentally ill clients with services provided by an assertive community treatment team. METHODS: A detailed 35-item questionnaire was mailed in 1995 to all 174 clients of the ...

Brief Report

April 1999

State Policy and Funding of Services to Families of Adults With Serious and Persistent Mental Illness

Lisa Dixon, M.D., M.P.H.,
Howard Goldman, M.D., Ph.D., and
Abdighani Hirad, B.S.

Pages:551–553
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.551

Abstract
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A survey of state mental health programs was conducted to determine the extent to which states are facilitating the delivery of services to families of adults with severe and persistent mental illness. Of the 44 responding states, 73 percent did not have ...

April 1999

Service Use by Elderly Patients After Psychiatric Hospitalization

Enola K. Proctor, M.S.W., Ph.D.,
Nancy Morrow-Howell, M.S.W., Ph.D.,
Eugene Rubin, M.D., Ph.D., and
Matthew Ringenberg, M.S.W.

Pages:553–555
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.553

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The extent and source of services used by older adults discharged to a community setting after a psychiatric hospitalization were examined in a prospective follow-up study. Patients were asked about service use in structured telephone interviews one month ...

April 1999

HIV Risk Factors Among People With Severe Mental Illness in Urban and Rural Areas

Mary F. Brunette, M.D.,
Stanley D. Rosenberg, Ph.D.,
Lisa A. Goodman, Ph.D.,
Kim T. Mueser, Ph.D.,
Fred C. Osher, M.D.,
Robert Vidaver, M.D.,
Patricia Auciello, M.S.,
George L. Wolford, Ph.D., and
Robert E. Drake, M.D., Ph.D.

Pages:556–558
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.556

Abstract
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No studies have reported HIV risk behavior in rural populations with severe mental illness. A total of 84 rural patients with severe mental illness in New Hampshire and 158 urban patients in Baltimore were interviewed about their HIV risk behavior in the ...

April 1999

Health Care Utilization by Persons With Severe and Persistent Mental Illness

Michael R. Berren, Ph.D.,
José M. Santiago, M.D.,
Michael R. Zent, Ph.D., and
Charles P. Carbone, B.A.

Pages:559–561
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.559

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Claims for physical health care among 220 Medicaid enrollees with severe mental illness and 166 Medicaid enrollees who were not enrolled in the public mental health system were compared. Claims for the mentally ill group were 18 percent less than for the ...

April 1999

Development and Validation of a Measure of Patients' Knowledge About Schizophrenia

Haya Ascher-Svanum, Ph.D.

Pages:561–563
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.561

Abstract
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The Knowledge About Schizophrenia Questionnaire (KASQ), a 25-item multiple-choice test, was developed to assess patients' knowledge about their illness and its management. A total of 136 inpatients participated in four studies, including one cross-...

Letter

April 1999

Ewald Horwath, M.D., and
Francine Cournos, M.D.

Page:564
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.564

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April 1999

Anthony L. Pelonero, M.D.,
James L. Levenson, M.D., and
Anand K. Pandurangi, M.D.

Pages:564a–564
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.564a

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April 1999

Physician-Assisted Suicide

Francis T. Varghese, M.B.B.S., F.R.A.N.Z.C.P., and
Brian J. Kelly, Ph.D., F.R.A.N.Z.C.P.

Pages:564b–565
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.564b

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April 1999

Physician-Assisted Suicide

Barbara A. Olevitch, Ph.D.

Pages:565–566
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.565

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April 1999

Physician-Assisted Suicide

Ron L. P. Berghmans, Ph.D.

Page:566
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.566

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April 1999

Physician-Assisted Suicide

Robert A. Schoevers, M.D.,
Frank P. Asmus, M.D., and
Willem Van Tilburg, M.D., Ph.D.

Pages:566a–566
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.566a

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April 1999

Medication Compliance

E. Fuller Torrey, M.D.

Pages:566b–567
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.566b

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April 1999

Medication Compliance

Virginia Aldigé Hiday, Ph.D.,
Jeffrey W. Swanson, Ph.D., and
H. Ryan Wagner, Ph.D.

Page:567
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.567

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April 1999

A Note on Competition and Profit in Medical Care

Frank T. Rafferty, M.D.

Pages:567a–568
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.567a

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April 1999

Placebos in Research

Rajnish Mago, M.D.,
Richard Petty, M.D., and
Paul Root Wolpe, Ph.D.

Page:568
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.568

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Book Review

April 1999

Cost-Outcome Methods for Mental Health

Barbara Dickey, Ph.D.

Pages:569–570
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.569

First Page
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April 1999

Youth Violence: Prevention, Intervention, and Social Policy

Carl C. Bell, M.D.

Pages:570–571
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.570

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Book Review: Treating Couples and Families

April 1999

Case Studies in Couple and Family Therapy: Systemic and Cognitive Perspectives Essential Skills in Family Therapy: From the First Interview to Termination Burnout in Families: The Systemic Costs of Caring The Practical Practice of Marriage and Family Therapy: Things My Training Supervisor Never Told Me

William Vogel, Ph.D.

Pages:571–572
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.571

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Book Review

April 1999

Trauma Recovery and Empowerment: A Clinician's Guide for Working With Women in Groups

Anne C. Bauer, M.D.

Pages:572–573
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.572

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April 1999

Intensive Outpatient Treatment for the Addictions

Mark C. Radosta, L.I.C.S.W.

Pages:573–574
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.573

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April 1999

Wasted: A Memoir of Anorexia and Bulimia

Davina Miller, M.S.W., L.I.C.S.W.

Page:574
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.574

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News & Notes

April 1999

Pages:575–577
Published Online:1 April 1999

https://doi.org/10.1176/ps.50.4.575

First Page
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