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Psychiatric Services

Volume 50, Issue 8

August 1999

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Taking Issue

August 1999

Reduced Life Expectancy and Serious Mental Illness

Paul Barreira, M.D., deputy commissioner, Massachusettes Department of Mental Health, Boston

Page:995
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.995

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Column

August 1999

Alcohol & Drug Abuse: Practical Guidelines for the Treatment of Substance Abusers With Adult Attention-Deficit Hyperactivity Disorder

Frances R. Levin, M.D.,
Suzette M. Evans, Ph.D., and
Herbert D. Kleber, M.D.

Pages:1001–1003
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1001

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August 1999

Personal Accounts: Who Is Responsible for My Treatment? The Triangle of Psychiatrist, Patient, and Medicine

Robert N. Franz, B.S.

Pages:1005–1006
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1005

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August 1999

Economic Grand Rounds: Psychiatric Provider Practice Management Companies: Adding Value to Behavioral Health Care?

Meredith B. Rosenthal, Ph.D.,
Ronald D. Geraty, M.D.,
Richard G. Frank, Ph.D., and
Haiden A. Huskamp, Ph.D.

Pages:1011–1013
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1011

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August 1999

Best Practices: Restructuring Health Care Practice

Frank T. Rafferty, M.D.

Pages:1015–1016
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1015

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Departments

August 1999

Web Sites Worth Watching

Page:1019
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1019

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In collaboration with the staff of the APA library, Psychiatric Services offers a monthly listing of mental-health-related Web sites and other sites of interest. The list will change monthly as new sites are identified, existing sites add new features, ...

Article

August 1999

Prevalence, Assessment, and Treatment of Pathological Gambling: A Review

Nancy M. Petry, Ph.D., and
Christopher Armentano, M.S.W.

Pages:1021–1027
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1021

Abstract
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OBJECTIVE: Although pathological gambling is an increasing problem, many mental health providers are unfamiliar with its diagnosis and treatment. To improve recognition and treatment of pathological gambling, the authors reviewed the literature on its ...

Correction

August 1999

Page:1027
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1027

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Article

August 1999

Outcomes of Employment Discrimination Charges Filed Under the Americans With Disabilities Act

Kathryn Moss, Ph.D.,
Michael Ullman, M.A.,
Barbara E. Starrett, M.H.A.,
Scott Burris, J.D., and
Matthew C. Johnsen, Ph.D.

Pages:1028–1035
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1028

Abstract
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OBJECTIVE: The outcomes of employment discrimination charges filed under the Americans With Disabilities Act (ADA) by individuals with psychiatric disabilities and those with other disabilities were compared. METHODS: Data obtained from the Equal ...

August 1999

Life Expectancy and Causes of Death in a Population Treated for Serious Mental Illness

Bruce P. Dembling, Ph.D.,
Donna T. Chen, M.D., M.P.H., and
Louis Vachon, M.D.

Pages:1036–1042
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1036

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OBJECTIVE: This cross-sectional mortality linkage study describes the prevalence of specific fatal disease and injury conditions in an adult population with serious mental illness. The large sample of decedents and the use of multiple-cause-of-death data ...

August 1999

The Goals and Limitations of Israel's Psychiatric Case Register

Pesach Lichtenberg, M.D.,
Zeev Kaplan, M.D.,
Alexander Grinshpoon, M.D.,
Dina Feldman, M.A., and
Daniella Nahon, B.A.

Pages:1043–1048
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1043

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The Israeli Ministry of Health maintains a psychiatric case register that includes basic demographic and clinical information for all psychiatric hospital admissions since 1950. Currently, the case register includes information about some 130,000 people ...

August 1999

Involuntary First Admission of Patients With Schizophrenia as a Predictor of Future Admissions

Shmuel Fennig, M.D.,
Jonathan Rabinowitz, D.S.W., and
Silvana Fennig, M.D.

Pages:1049–1052
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1049

Abstract
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OBJECTIVE: The extent to which the legal status of a first psychiatric admission—voluntary or involuntary—predicted the legal status and number of future admissions was examined among patients with schizophrenia. METHODS: Data on all patients in Israel ...

August 1999

Patient Satisfaction and Administrative Measures as Indicators of the Quality of Mental Health Care

Benjamin G. Druss, M.D., M.P.H.,
Robert A. Rosenheck, M.D., and
Marilyn Stolar, M.A.

Pages:1053–1058
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1053

Abstract
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OBJECTIVE: Although measures of consumer satisfaction are increasingly used to supplement administrative measures in assessing quality of care, little is known about the association between these two types of indicators. This study examined the ...

August 1999

Diagnoses of Patients Treated With ECT: A Comparison of Evidence-Based Standards With Reported Use

Richard C. Hermann, M.D., M.S.,
Susan L. Ettner, Ph.D.,
Robert A. Dorwart, M.D., M.P.H.,
Nancy Langman-Dorwart, M.P.H., and
Stephen Kleinman, M.D.

Pages:1059–1065
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1059

Abstract
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OBJECTIVE: This study assessed the extent to which patients treated with electroconvulsive therapy (ECT) had diagnoses for which ECT is an efficacious treatment according to evidence-based standards. METHODS: ECT use among all beneficiaries of a large New ...

August 1999

Suicidal Inpatients' Perceptions of Therapeutic and Nontherapeutic Aspects of Constant Observation

Rebecca Cardell, D.N.Sc., R.N., and
Carol Rogers Pitula, Ph.D., R.N.

Pages:1066–1070
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1066

Abstract
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OBJECTIVE: Constant observation is a staff-intensive, costly intervention that entails continuous supervision of suicidal inpatients until they no longer express suicidal intent or behavior. This study explored patients' experiences of constant ...

August 1999

Financial Incentives Influencing the Integration of Mental Health Care and Primary Care

Richard J. Goldberg, M.D.

Pages:1071–1075
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1071

Abstract
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Psychiatric problems are common in general medical practice and strongly influence utilization of medical care. Although several studies have demonstrated the positive clinical and financial impact of psychiatric interventions for medical patients, ...

Correction

August 1999

Page:1075
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1075

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Brief Report

August 1999

Sildenafil for Women Patients With Antidepressant-Induced Sexual Dysfunction

H. George Nurnberg, M.D.,
Paula L. Hensley, M.D.,
John Lauriello, M.D.,
Lynda M. Parker, M.D., and
Samuel J. Keith, M.D.

Pages:1076–1078
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1076

Abstract
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In an open study, sildenafil (Viagra) was prescribed for nine women outpatients who reported sexual dysfunction induced by antidepressant medication, primarily selective serotonin reuptake inhibitors. A 50 mg dose of sildenafil was prescribed, and ...

August 1999

Attitudes of AA Contact Persons Toward Group Participation by Persons With a Mental Illness

Greg Meissen, Ph.D.,
Thomas J. Powell, M.S.W, Ph.D.,
Scott A. Wituk,
Kathy Girrens, and
Shirley Arteaga

Pages:1079–1081
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1079

Abstract
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Alcoholics Anonymous groups are underused by persons with the dual diagnoses of mental illness and substance use disorder, and mental health professionals are cautious about referring them to AA because of fears that the AA group will discourage them from ...

August 1999

A Therapy Group on Spiritual Issues for Patients With Chronic Mental Illness

Nancy C. Kehoe, R.S.C.J., Ph.D.

Pages:1081–1083
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1081

Abstract
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The author describes experiences gained over 18 years of conducting a therapy group for chronically ill psychiatric patients that focuses on spiritual beliefs and values. The group is held in a day treatment center and is attended by both men and women, ...

August 1999

A Naturalistic Study of Risperidone Maintenance Treatment of Outpatients With Severe Mental Illness

James L. Megna, M.D., Ph.D., and
Mantosh Dewan, M.D.

Pages:1084–1086
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1084

Abstract
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In a naturalistic study of the effectiveness of atypical antipsychotics for the long-term outpatient treatment of persons with severe and persistent mental illness, 19 patients began taking risperidone and were prospectively evaluated. Nine patients ...

Letter

August 1999

Clozapine in Schizophrenia

June Judge

Page:1087
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1087

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August 1999

The Cost of Not Treating Serious Mental Illness

E. Fuller Torrey, M.D.

Pages:1087-a–1087
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1087-a

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August 1999

The Cost of Not Treating Serious Mental Illness

Daniel Callahan, Ph.D.

Pages:1087-b–1088
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1087-b

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August 1999

A Brief Review of Moonshine Use

Richard Montgomery, M.D., and
Ryan Finkenbine, M.D.

Page:1088
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1088

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Book Review

August 1999

Transforming Madness: New Lives for People Living With Mental Illness: Four Reviews Hope in Rehabilitation,Self-Help, and Peer Support The Value of Personal Experience With Illness for Helping Others Madness as a Normative Aspect of the Human Condition An Insider's View of the Mental Health System, With New Insights

Pages:1089–1092
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1089

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August 1999

Bipolar Disorders: Clinical Course and Outcome

Frederick K. Goodwin, M.D.

Pages:1092–1093
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1092

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August 1999

Contemporary Perspectives on Rational Suicide

Andrew Edmund Slaby, M.D., Ph.D.

Page:1093
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1093

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August 1999

Managed Care: State Regulation

Ethan S. Rofman, M.D.

Pages:1093-a–1094
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1093-a

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Book Review: Concise Guide to Marital and Family Therapy

August 1999

The Crowded Bed: An Effective Framework for Doing Couple Therapy 101 More Interventions in Family Therapy

William Vogel, Ph.D.

Pages:1094–1095
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1094

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Book Review

August 1999

How to Practice Brief Psychodynamic Psychotherapy: The Core Conflictual Relationship Theme Method

Robert Andre Kimmich, M.D.

Pages:1095–1096
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1095

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August 1999

The Long Hard Road Out of Hell

Kenneth E. Fletcher, Ph.D., and
Dorothy Packer-Fletcher, M.F.A.

Page:1096
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1096

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News & Notes

August 1999

Pages:1098–1099
Published Online:1 August 1999

https://doi.org/10.1176/ps.50.8.1098

First Page
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