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Psychiatric Services

Volume 51, Issue 5

May 2000

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Historical Article

May 2000

Fragmented Responsibility, Deteriorating Care

Roger Peele, M.D., clinical professor of psychiatry, George Washington University, Washington, D.C.

Page:557
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.557

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Department

May 2000

Page:563
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.563

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Column

May 2000

Personal Accounts: First-Person Accounts in the Journal's First Quarter-Century

Jeffrey L. Geller, M.D., M.P.H.

Pages:575–578
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.575

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May 2000

Datapoints: Estimates of Children and Adolescents With School-Related Behavioral Problems

Kevin D. Hennessy, Ph.D., and
Sharon Green-Hennessy, Ph.D.

Page:591
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.591

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Department

May 2000

Web Sites Worth Watching

Page:596
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.596

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Column

May 2000

Best Practices: Population Density as a Factor in the Rehospitalization of Persons With Serious and Persistent Mental Illness

John Husted, Ph.D., and
Amber Jorgens, B.A.

Pages:603–605
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.603

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May 2000

Rehab Rounds: Behavioral Management of Aggression Through Teaching Interpersonal Skills

Robert E. C. Frey, Ph.D., and
Jennifer Weller, M.A.

Pages:607–609
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.607

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Introduction by the column editors: Aggressive behavior is a major problem among mentally ill people—in the community as well as in institutions. Epidemiologic data indicate that aggressive behavior occurs more often among individuals with psychotic ...

Historical Article

May 2000

Trends in Community Mental Health Programs

Walter E. Barton, M.D.

Pages:611–615
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.611

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May 2000

Whatever Happened to Community Mental Health?

Steven S. Sharfstein, M.D.

Pages:616–620
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.616

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Other Article

May 2000

Utilization Management in a Large Managed Behavioral Health Organization

Alan Koike, M.D.,
Ruth Klap, Ph.D., and
Jürgen Unützer, M.D., M.P.H.

Pages:621–626
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.621

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OBJECTIVE: The utilization management process of a managed behavioral health organization was examined to determine the frequency and types of reviews and the extent to which rationing of service was achieved through the denial of services. METHODS: A ...

May 2000

A Review of Pharmacotherapy of Major Depression in Children and Adolescents

Paul J. Ambrosini, M.D.

Pages:627–633
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.627

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OBJECTIVE: The review examined the historical progression and current status of pharmacotherapy of child and adolescent major affective disorder. METHODS: A MEDLINE search was used to identify double-blind, placebo-controlled studies of child and ...

May 2000

Changes in Use of Valproate and Other Mood Stabilizers for Patients With Schizophrenia From 1994 to 1998

Leslie Citrome, M.D., M.P.H.,
Jerome Levine, M.D., and
Baerbel Allingham, M.S.

Pages:634–638
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.634

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OBJECTIVE: The study describes changes over time in the adjunctive use of valproate and other mood stabilizers—lithium, carbamazepine, and gabapentin—among hospitalized psychiatric patients with a diagnosis of schizophrenia. METHODS: For each calendar ...

May 2000

Effects of Substance Dependence on Outcomes of Patients in a Randomized Trial of Two Case Management Models

Barbara E. Havassy, Ph.D.,
Michael S. Shopshire, Ph.D., and
Lori A. Quigley, Ph.D.

Pages:639–644
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.639

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OBJECTIVE: The effectiveness of a community-based intensive clinical case management program was compared with that of a hospital-based expanded brokerage case management program for seriously mentally ill adults with and without substance dependence. ...

May 2000

Comparing Outcomes of Major Models of Police Responses to Mental Health Emergencies

Henry J. Steadman, Ph.D.,
Martha Williams Deane, M.A.,
Randy Borum, Psy.D., and
Joseph P. Morrissey, Ph.D.

Pages:645–649
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.645

Abstract
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OBJECTIVE: The study compared three models of police responses to incidents involving people thought to have mental illnesses to determine how often specialized professionals responded and how often they were able to resolve cases without arrest. METHODS: ...

May 2000

Comparing Quality of Mental Health Care for Public-Sector and Privately Insured Populations

Douglas L. Leslie, Ph.D., and
Robert A. Rosenheck, M.D.

Pages:650–655
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.650

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OBJECTIVE: This study examined the methodological difficulties of comparing quality of care in large health care systems. It demonstrated methods for measuring quality of mental health care and, using these measures, compared patients from Department of ...

May 2000

A Delphi Approach to Describing Service Models of Community Mental Health Practice

Matthew Fiander, B.A., and
Tom Burns, M.D., F.R.C.Psych.

Pages:656–658
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.656

Abstract
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OBJECTIVE: The activities of mental health practitioners are poorly understood and described because of a lack of generally accepted and understandable categories. Greater precision is needed for accountability, planning, and evaluation. The objective of ...

May 2000

Treatment of Acute Schizophrenia in Open General Medical Wards in Jamaica

Frederick W. Hickling, D.M.(Psych.), M.R.C.Psych.,
Mylie McCallum, R.N.,
Leon Nooks, R.N., and
Pamela Rodgers-Johnson, M.D., F.R.C.P.

Pages:659–663
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.659

Abstract
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OBJECTIVE: The study assessed the efficacy of treating acute psychotic illness in open medical wards of general hospitals. METHODS: The sample consisted of 120 patients with schizophrenia whose first contact with a psychiatric service in Jamaica was in ...

Brief Report

May 2000

The Cost of Access to Mental Health Services in Managed Care

Ellen Weissman, M.D., M.P.H.,
Karen Pettigrew, Ph.D.,
Stuart Sotsky, M.D., M.P.H., and
Darrel A. Regier, M.D., M.P.H.

Pages:664–666
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.664

Abstract
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Managed care has controlled the cost of specialty mental health services, but its impact on access to care is not well described. In a retrospective design, the study used empirical data to demonstrate a direct relationship between managed care plans' ...

May 2000

Subjective Experiences of Clozapine Treatment by Patients With Chronic Schizophrenia

Jack Waserman, M.D., F.R.C.P.C., and
Margarita Criollo, M.Sc., M.D.

Pages:666–668
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.666

Abstract
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A 37-item survey covering a variety of somatopsychic domains was constructed to explore patients' subjective response to treatment with clozapine. The survey was administered to 130 patients with diagnoses of chronic schizophrenic or schizoaffective ...

Correction

May 2000

Page:668
Published Online:1 May 2000

https://doi.org/10.1176/ps.51.5.668

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Brief Report

May 2000

An Assessment of Clinical Practice of Clozapine Therapy for Veterans

Martha Sajatovic, M.D.,
C. Raymond Bingham, Ph.D.,
David Garver, M.D.,
Luis F. Ramirez, M.D.,
Gary Ripper, M.A.,
Frederic Blow, Ph.D., and
Laurent S. Lehmann, M.D.

Pages:669–671
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.669

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Clozapine therapy for 2,996 patients with treatment-refractory schizophrenia was examined over a five-year period in the Veterans Affairs health care system. Patients were assessed with the Brief Psychiatric Rating Scale (BPRS) and the Abnormal ...

May 2000

Acceptability of Telepsychiatry to a Rural Population

Barbara M. Rohland, M.D.,
Shadi S. Saleh, M.P.H.,
James E. Rohrer, Ph.D., and
Paul A. Romitti, Ph.D.

Pages:672–674
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.672

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Sixty-seven residents of a rural Midwestern state were surveyed by telephone to determine which factors influence their willingness to receive mental health services through live, two-way audio and video transmission. Two-thirds of the survey respondents ...

May 2000

Unusual Case Report: Nonpharmacologic Effects of Sildenafil

David Mintz, M.D.

Pages:674–675
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.674

Abstract
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Sildenafil (Viagra), by virtue of its conflict-laden symbolic meanings, may be particularly likely to have psychosocial consequences, either therapeutic or disruptive. The author presents two cases of men in their mid-seventies who took sildenafil and who ...

Letter

May 2000

The High Cost of Care

Vicki Fox Wieselthier

Page:676
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.676

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May 2000

The High Cost of Care

Stephen Durrenberger, M.D., and
Jose de Leon, M.D.

Pages:676-a–676
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.676-a

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May 2000

Involuntary Hospitalization or Aversive Incarceration?

Richard C. Christensen, M.D., M.A.

Pages:676-b–677
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.676-b

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May 2000

"Patient" versus "Client"

Richard Kensinger, L.S.W., A.C.S.W.

Page:677
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.677

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May 2000

"Patient" versus "Client"

Charles H. Cahn, M.D.

Pages:677-a–677
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.677-a

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May 2000

"Patient" versus "Client"

Verinder Sharma, M.B., B.S., F.R.C.P.(C.),
Diane Whitney, M.D., F.R.C.P.(C.),
Shahé S. Kazarian, Ph.D., C.Psych., and
Rahul Manchanda, M.D., F.R.C.P.(C.)

Pages:677-b–678
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.677-b

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May 2000

The Corporate Life

Leonard L. Glass, M.D.

Page:678
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.678

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May 2000

The Corporate Life

Arthur Lazarus, M.D.

Pages:678-a–678
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.678-a

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May 2000

Separating Subculture From Psychopathology

Mihaela Boran, M.D., and
Ramaswamy Viswanathan, M.D., D.Sc.

Pages:678-b–678
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.678-b

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May 2000

Ideas of Reference About Newscasters

Stephen G. Noffsinger, M.D., and
Fabian M. Saleh, M.D.

Page:679
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.679

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Book Review

May 2000

The Role of the State Hospital in the Twenty-First Century

Richard C. Lippincott, M.D.

Pages:680–683
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.680

First Page
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May 2000

Psychotherapy Indications and Outcomes

Norman A. Clemens, M.D.

Page:683
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.683

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May 2000

Learning Psychotherapy: A Time-Efficient, Research-Based, and Outcome-Measured Training Program

Barton J. Blinder, M.D., Ph.D., and
Visant A. Sanathara, B.A., B.S.

Page:684
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.684

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May 2000

ADHD in Adolescents: Diagnosis and Treatment

Jason H. Edwards, Ph.D.

Pages:684-a–685
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.684-a

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May 2000

Physician Sexual Misconduct

Michael Myers, M.D.

Pages:685–686
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.685

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May 2000

Behind Closed Doors: Gender, Sexuality, and Touch in the Doctor/Patient Relationship

Richard S. Epstein, M.D.

Page:686
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.686

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May 2000

Taming the Tyrant: Treating Depressed Adults

Suzane Renaud, M.D.

Pages:686-a–687
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.686-a

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May 2000

Hearing Voices: A Common Human Experience

Nafisa Ghadiali, M.D.

Page:687
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.687

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News & Notes

May 2000

Pages:688–689
Published Online:1 May 2000

https://doi.org/10.1176/appi.ps.51.5.688

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