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Psychiatric Services

Volume 55, Issue 6

June 2004

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Taking Issue

June 2004

Are We Ready to Ration Psychiatric Medications?

William M. Glazer, M.D., department of psychiatry, Massachusetts General Hospital, Boston

Page:611
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.611

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Departments

June 2004

June 2004: This Month's Highlights

Page:617
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.617

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Columns

June 2004

Practical Geriatrics: Psychiatry and Spirituality at the End of Life: A Case Report

Jonathan Holt, M.D.

Pages:618–622
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.618

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June 2004

Economic Grand Rounds: The Problem: How Many Patients Live in Residential Care Facilities?

Martin Fleishman, M.D., Ph.D.

Pages:620–622
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.620

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June 2004

Emergency Psychiatry: Assessment of Geriatric Patients in the Psychiatric Emergency Service

Ole J. Thienhaus, M.D., and
Melissa P. Piasecki, M.D.

Pages:639–642
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.639

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June 2004

Personal Accounts: Cresting

Valerie Fox

Pages:641–642
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.641

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June 2004

State Mental Health Policy: Less Is More: Virginia's Performance Outcomes Measurement System

Michael B. Blank, Ph.D.,
J. Randy Koch, Ph.D., and
Barbara J. Burkett, Ph.D.

Pages:643–645
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.643

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Other Articles

June 2004

An Examination of Leading Mental Health Journals for Evidence to Inform Evidence-Based Practice

Martha Shumway, Ph.D., and
Tetine L. Sentell, Ph.D.

Pages:649–653
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.649

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OBJECTIVE: This study examined whether data needed to inform evidence-based practice can be found in leading mental health journals. METHODS: Research studies described in articles that were published in 12 leading mental health journals in 1999 were ...

June 2004

Course of Patients With Histories of Aggression and Crime After Discharge From a Cognitive-Behavioral Program

Michael Kunz, M.D.,
Kathy F. Yates, Ph.D.,
Pal Czobor, Ph.D.,
Steve Rabinowitz, M.S.W.,
Jean-Pierre Lindenmayer, M.D., and
Jan Volavka, M.D., Ph.D.

Pages:654–659
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.654

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OBJECTIVE: Patients exhibiting aggressive or criminal behavior present a challenge to treaters and caregivers. After discharge from an inpatient facility, such patients are at high risk of rehospitalization and rearrest. A long-term behaviorally based ...

June 2004

The STIRR Model of Best Practices for Blood-Borne Diseases Among Clients With Serious Mental Illness

Stanley Rosenberg, Ph.D.,
Mary Brunette, M.D.,
Thomas Oxman, M.D.,
Bryan Marsh, M.D.,
Allen Dietrich, M.D.,
Kim Mueser, Ph.D.,
Robert Drake, M.D., Ph.D.,
Will Torrey, M.D., and
Robert Vidaver, M.D.

Pages:660–664
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.660

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OBJECTIVE: Persons with severe mental illness have a markedly elevated risk of several blood-borne infections, including HIV, hepatitis B, and hepatitis C. Prevention, early detection, and treatment of these disorders are crucial interventions for high-...

June 2004

A Prospective Study of Assault Against Staff by Youths in a State Psychiatric Hospital

Eileen P. Ryan, D.O.,
Virginia Sparrow Hart, Ph.D.,
Deborah L. Messick, R.N.,
Jeffrey Aaron, Ph.D., and
Mandi Burnette, B.S., M.A.

Pages:665–670
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.665

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OBJECTIVE: This study examined the frequency and nature of violence directed at staff in a state inpatient psychiatric hospital for children and adolescents. METHODS: A total of 215 assaults that occurred over a two-month period were examined by using ...

June 2004

Multiple Stakeholder Agreement on Desired Outcomes for Adolescents' Mental Health Services

Ann F. Garland, Ph.D.,
Caroline M. Lewczyk-Boxmeyer, M.S.,
Elaine N. Gabayan, B.S., and
Kristin M. Hawley, Ph.D.

Pages:671–676
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.671

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OBJECTIVES: This study identified desired outcomes for adolescent mental health services according to various stakeholders—adolescents, parents, and therapists—and examined agreement across these groups of stakeholders. Potential correlates of agreement, ...

June 2004

Variations in Use of Second-Generation Antipsychotic Medication by Race Among Adult Psychiatric Patients

Diane M. Herbeck, M.A.,
Joyce C. West, Ph.D., M.P.P.,
Ilze Ruditis, L.C.S.W.,
Farifteh F. Duffy, Ph.D.,
Diana J. Fitek, B.A.,
Carl C. Bell, M.D., and
Lonnie R. Snowden, Ph.D.

Pages:677–684
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.677

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OBJECTIVE: This study examined variations in the use of second-generation antipsychotic medication among African-American and non-Hispanic white patients in a national sample of adults who were treated by psychiatrists. METHODS: This study used data from ...

June 2004

Effects of Patient and Health-System Characteristics on Community Tenure of Discharged Psychiatric Inpatients

Ronny Bruffaerts, M.A.,
Marc Sabbe, M.D., Ph.D., and
Koen Demyttenaere, M.D., Ph.D.

Pages:685–690
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.685

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OBJECTIVE: The purpose of this study was to identify the differential effect of patient and health-system characteristics on length of stay in the community among recidivist psychiatric patients. METHODS: Data on demographic and clinical characteristics ...

June 2004

Prevalence of Psychiatric Disorders Among National Health Insurance Enrollees in Taiwan

I-Chia Chien, M.D., M.H.A.,
Yiing-Jenq Chou, M.D., Ph.D.,
Ching-Heng Lin, M.S.,
Shin-Huey Bih, M.D., and
Pesus Chou, Ph.D.

Pages:691–697
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.691

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OBJECTIVE: About 96 percent of all residents of Taiwan were enrolled in the National Health Insurance (NHI) program in 2000. This study used claims data from the NHI database to determine the prevalence of and the demographic characteristics that are ...

June 2004

Patient Safety Forum: Consumer and Advocacy Perspectives

Virginia L. Green

Carol Carothers, and
Peter Driscoll, M.S.W.

Dollie Hunt-Wilson

Christine Siegfried, M.S.S.W., and
Jenifer Wood, Ph.D.

Pages:698–702
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.698

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Editor's Note: To encourage attention to medical errors in psychiatry, Psychiatric Services introduced the Patient Safety Forum in December 2003. Expert discussants are invited to address important questions in this area. Benjamin Grasso, M.D., is guest ...

Brief Report

June 2004

Clinicians' Adherence to an Algorithm for Pharmacotherapy of Depression in the Texas Public Mental Health Sector

Tawny L. Bettinger, Pharm.D.,
M. Lynn Crismon, Pharm.D.,
Madhukar H. Trivedi, M.D.,
Bruce Grannemann, M.A., and
Steven P. Shon, M.D.

Pages:703–705
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.703

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This study evaluated clinicians' adherence to the major depressive disorder algorithm of the Texas Implementation of Medication Algorithms (TIMA) as a component of usual care in the Texas public mental health system. Data were collected from two Texas ...

June 2004

Use of Psychotropic Medications by Youths in Therapeutic Foster Care and Group Homes

Alfiee M. Breland-Noble, Ph.D.,
Eric B. Elbogen, Ph.D.,
Elizabeth M. Z. Farmer, Ph.D.,
Melanie S. Dubs, B.A.,
H. Ryan Wagner, Ph.D., and
Barbara J. Burns, Ph.D.

Pages:706–708
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.706

Abstract
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This article examines the use of psychotropic medications among youths in residential community-based placements. Data are from a study funded by the National Institute of Mental Health of therapeutic foster care (June 1999 through May 2001) and group ...

June 2004

Use of Psychiatric and Medical Health Care by Veterans With Severe Mental Illness

Hayden B. Bosworth, Ph.D.,
Patrick S. Calhoun, Ph.D.,
Karen M. Stechuchak, M.S., and
Marian I. Butterfield, M.D., M.P.H.

Pages:708–710
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.708

Abstract
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Risk behaviors and health care use among 396 initially hospitalized veterans with severe mental illnesses were examined. Health care use was abstracted from Veterans Affairs databases (March 1998 to June 2000) for one year after hospital discharge. ...

June 2004

The Health and Well-Being of Black Mothers Who Care for Their Adult Children With Schizophrenia

Sandy M. Magaña, Ph.D., M.S.W.,
Jan S. Greenberg, Ph.D., M.S.W., and
Marsha M. Seltzer, Ph.D.

Pages:711–713
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.711

Abstract
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This study compared the mental and physical health of two groups of black mothers aged 55 years and older: those who were providing care for their adult child with schizophrenia or schizoaffective disorder (N=30) and those who did not have a child with ...

June 2004

Psychiatrists' Attitudes About and Informed Consent Practices for Antipsychotics and Tardive Dyskinesia

Debbie Carol Schachter, M.D., M.Sc., and
Irwin Kleinman, M.D.

Pages:714–717
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.714

Abstract
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This study provided representative data about the attitudes and behaviors of psychiatrists with respect to obtaining informed consent for antipsychotic medications. A cross-sectional representative survey of 617 psychiatrists, stratified by age and gender,...

June 2004

Reactions of Staff Members to the Relocation of a Psychiatric Department to a New Building

Ilya Kagan, M.A., R.N.,
Ronit Kigli-Shemesh, M.A., R.N., and
Yoram Bar-Tal, Ph.D.

Pages:717–719
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.717

Abstract
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This study, which was conducted in Israel, examined staff members' reactions to the relocation of three closed psychiatric wards to a new building. Participants' (N=61) levels of uncertainty were significantly higher before the relocation than they were ...

Letters

June 2004

The Disease Analogy and Substance Abuse

Marcia Scott, M.D.

Page:720
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.720

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June 2004

The Disease Analogy and Substance Abuse

Douglas B. Marlowe, J.D., Ph.D., and
David S. DeMatteo, J.D., Ph.D.

Pages:720-a–720
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.720-a

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Book Reviews: How Accidents, Alcohol, and Madness Affect the Family: Three Accounts

June 2004

Being With Rachel: A Story of Memory and Survival Even Dogs Go Home to Die: A Memoir Rescuing Patty Hearst: Memories From a Decade Gone Mad

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

Pages:721–723
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.721

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Book Reviews

June 2004

The Handbook of Child and Adolescent Systems of Care: The New Community Psychiatry

Peter Metz, M.D., and
Manisha Punwani, M.D.

Pages:723–724
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.723

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June 2004

The Postpartum Effect: Deadly Depression in Mothers

Vidushi Babber, M.D.

Page:724
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.724

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June 2004

You Are Not a Stranger Here

Harriet P. Lefley, Ph.D.

Pages:724-a–725
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.724-a

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June 2004

Clinical Practice of Cognitive Therapy With Children and Adolescents: The Nuts and Bolts

Elizabeth E. Wagner, Ph.D.

Pages:725–726
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.725

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June 2004

Addiction and Change: How Addictions Develop and Addicted People Recover

Judith Faberman, L.I.C.S.W., L.A.D.C.I.

Page:726
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.726

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June 2004

Spirituality and the Black Helping Tradition in Social Work

Carolyn Jacobs, M.S.W., Ph.D.

Pages:726-a–727
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.726-a

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June 2004

Predators: Pedophiles, Rapists, and Other Sex Offenders: Who They Are, How They Operate, and How We Can Protect Ourselves and Our Children

Fabian M. Saleh, M.D.

Pages:727–728
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.727

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June 2004

The Psychodynamics and Psychology of Gambling: The Gambler's Mind, Volume 1

Jon E. Grant, J.D., M.D.

Page:728
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.728

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June 2004

The Seven Beliefs: A Step-by-Step Guide to Help Latinas Recognize and Overcome Depression

Rodrigo Munoz, M.D.

Pages:728-a–728
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.728-a

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News & Notes

June 2004

Pages:730–731
Published Online:1 June 2004

https://doi.org/10.1176/appi.ps.55.6.730

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