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Psychiatric Services

Volume 54, Issue 4

April 2003

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Taking Issue

April 2003

Ask Patients and Caregivers About Continuity of Care

Lee H. Beecher, M.D., clinical associate professor, department of psychiatry, University of Minnesota, Minneapolis, and president, Minnesota Physician-Patient Alliance, St. Louis Park

Page:425
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.425

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Departments

April 2003

This Month's Highlights

Page:435
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.435

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Columns

April 2003

Law & Psychiatry: Dangerous Persons, Moral Panic, and the Uses of Psychiatry

Paul S. Appelbaum, M.D.

Pages:441–442
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.441

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April 2003

Datapoints: Trends by Race and Gender in Suicide Attempts Among U.S. Adolescents, 1991-2001

Sean Joe, M.S.W., Ph.D., and
Steven C. Marcus, Ph.D.

Page:454
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.454

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April 2003

Economic Grand Rounds: Medical Expenditures Among Children With Psychiatric Disorders in a Medicaid Population

David S. Mandell, Sc.D.,
James P. Guevara, M.D., M.P.H.,
Anthony L. Rostain, M.D., and
Trevor R. Hadley, Ph.D.

Pages:465–467
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.465

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April 2003

Child & Adolescent Psychiatry: Accessing Medicaid's Child Mental Health Services: The Experience of Parents in Two States

Rafael M. Semansky, M.P.P., and
Chris Koyanagi

Pages:475–476
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.475

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April 2003

Personal Accounts: Mistaken Identity

Susan White

Pages:479–481
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.479

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April 2003

Managed Care: Strengthening the Consumer Voice in Managed Care: VII. The Georgia Peer Specialist Program

James E. Sabin, M.D., and
Norman Daniels, Ph.D.

Pages:497–498
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.497

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Other Articles

April 2003

Factors That Explain How Policy Makers Distribute Resources to Mental Health Services

Patrick W. Corrigan, Ph.D., and
Amy C. Watson, Ph.D.

Pages:501–507
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.501

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Advocates hope to influence the resource allocation decisions of legislators and other policy makers to capture more resources for mental health programs. Findings from social psychological research suggest factors that, if pursued, may improve advocacy ...

April 2003

An Economic Review of Compliance With Medication Therapy in the Treatment of Schizophrenia

Patricia Thieda, M.A.,
Stephen Beard, M.S.,
Anke Richter, Ph.D., and
John Kane, M.D.

Pages:508–516
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.508

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OBJECTIVES: The authors examined published economic evaluations of schizophrenia and antipsychotic therapies to determine the role of compliance with medication therapy in the economic cost of schizophrenia. METHODS: The authors reviewed studies published ...

April 2003

This Couldn't Happen to Me: Boundary Problems and Sexual Misconduct in the Psychotherapy Relationship

Donna M. Norris, M.D.,
Thomas G. Gutheil, M.D., and
Larry H. Strasburger, M.D.

Pages:517–522
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.517

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Drawing on their own consultative experience illustrated by case vignettes and with support from the professional literature, the authors discuss the perennial problematic issue of boundary violations and sexual misconduct, aiming at an audience of both ...

April 2003

Traumatic Life Events and PTSD Among Women With Substance Use Disorders and Schizophrenia

Jean S. Gearon, Ph.D.,
Stacey I. Kaltman, Ph.D.,
Clayton Brown, Ph.D., and
Alan S. Bellack, Ph.D.

Pages:523–528
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.523

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OBJECTIVE: The authors assessed the prevalence of traumatic life events and posttraumatic stress disorder (PTSD) among women with schizophrenia or schizoaffective disorder and co-occurring substance abuse or dependence. The association between PTSD and ...

April 2003

Managerial and Environmental Factors in the Continuity of Mental Health Care Across Institutions

Greg A. Greenberg, Ph.D., and
Robert A. Rosenheck, M.D.

Pages:529–534
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.529

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OBJECTIVE: The authors examined the association of continuity of care with factors assumed to be under the control of health care administrators and environmental factors not under managerial control. METHODS: The authors used a facility-level ...

April 2003

Ethnic Matching of Clients and Clinicians and Use of Mental Health Services by Ethnic Minority Clients

Stephen Ziguras, Ph.D.,
Steven Klimidis, Ph.D.,
James Lewis, B.Sc. (Hons.), and
Geoff Stuart, Ph.D.

Pages:535–541
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.535

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OBJECTIVES: Research in the United States has indicated that matching clients from a minority group with clinicians from the same ethnic background increases use of community mental health services and reduces use of emergency services. This study ...

April 2003

Trends in Discharge Disposition, Mortality, and Service Use Among Long-Stay Psychiatric Patients in the 1990s

Mayur M. Desai, Ph.D., M.P.H., and
Robert A. Rosenheck, M.D.

Pages:542–548
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.542

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OBJECTIVE: This study examined changes in discharge disposition, mortality, and service use among three cohorts of highly vulnerable long-stay psychiatric patients in the Department of Veterans Affairs (VA) mental health system during the 1990s, a period ...

April 2003

Patients' Views of Causes of Aggression by Patients and Effective Interventions

Ellen C. Fagan-Pryor, M.S.N., R.N.,
Linda Cade Haber, D.S.N., R.N.,
David Dunlap, Ph.D.,
Judith Lynn Nall, M.S.A., R.N.,
Gail Stanley, and
Russell Wolpert, B.A.

Pages:549–553
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.549

Abstract
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OBJECTIVE: The authors studied patients' perceptions of the causes of aggression by patients and their recommendations for interventions to prevent assaultive behavior. METHODS: A total of 92 inpatient and outpatient veterans, the majority of whom had a ...

April 2003

Characteristics of Subgroups of Individuals With Psychotic Illness and a Comorbid Substance Use Disorder

Helen Miles, B.Sc.(Hons.), M.Sc.,
Sonia Johnson, M.Sc., M.R.C.Psych.,
Sarah Amponsah-Afuwape, B.Sc.(Hons.), M.Sc.,
Emily Finch, M.D., M.R.C.Psych.,
Morven Leese, Ph.D., and
Graham Thornicroft, F.R.C.Psych., Ph.D.

Pages:554–561
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.554

Abstract
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OBJECTIVES: The co-occurrence of severe mental illness and substance use disorder, or dual diagnosis, is prevalent and is associated with significant clinical and social problems. Most studies have treated persons with a dual diagnosis as a homogeneous ...

Brief Report

April 2003

Diagnostic Profiles Associated With Use of Mental Health and Substance Abuse Services Among High-Risk Youths

Ann F. Garland, Ph.D.,
Gregory A. Aarons, Ph.D.,
Sandra A. Brown, Ph.D.,
Patricia A. Wood, M.P.H., M.A., and
Richard L. Hough, Ph.D.

Pages:562–564
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.562

Abstract
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This study examined use of mental health services by 947 high-risk youths in a publicly funded system of care to determine how single and comorbid diagnostic profiles (psychiatric and substance use disorders) were associated with use of a variety of types ...

April 2003

The Impact of Weight Gain on Quality of Life Among Persons With Schizophrenia

David B. Allison, Ph.D.,
Joan A. Mackell, Ph.D., and
Diana D. McDonnell, B.A.

Pages:565–567
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.565

Abstract
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Weight gain has been associated with the use of antipsychotic medications, and research has linked obesity with reduced quality of life. This study sought to assess the impact of weight gain on persons with schizophrenia who are taking antipsychotic ...

April 2003

Using Qualitative Methods to Distill the Active Ingredients of a Multifaceted Intervention

Carolyn Levinson Miller, M.P.H.,
Benjamin G. Druss, M.D., M.P.H., and
Robert M. Rohrbaugh, M.D.

Pages:568–571
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.568

Abstract
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Mental health studies frequently involve multifaceted psychosocial interventions. It may be difficult to isolate the active ingredients that make these interventions successful. This study examined the use of qualitative methods to better understand the ...

Frontline Reports

April 2003

A Private-Practice Model for Intensive Outpatient Services

Edward A. Wise, Ph.D.

Pages:572–573
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.572

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April 2003

Early Psychosis Identification and Intervention

Karen Tee, Ph.D.,
Tom S. Ehmann, Ph.D., and
G. William MacEwan, M.D.

Page:573
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.573

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Letters

April 2003

Combination Antipsychotic Therapy in Clinical Practice

George F. Parker, M.D.

Page:574
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.574

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April 2003

Combination Antipsychotic Therapy in Clinical Practice

Andre Tapp, M.D.

Pages:574-a–574
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.574-a

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April 2003

Dementia and Hormone Use

Nada L. Stotland, M.D., M.P.H.

Pages:574-b–575
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.574-b

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April 2003

Dementia and Hormone Use

Baqar A. Husaini, Ph.D.,
Majaz Moonis, M.D., and
Robert Levine, M.D.

Page:575
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.575

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April 2003

Outpatient Commitment: Laura's Law and the Rand Report

M. Susan Ridgely, J.D.

Pages:575-a–576
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.575-a

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April 2003

Dual Diagnosis and Treatment Compliance

John W. Tsuang, M.D., M.S.,
T. W. Fong, M.D., and
Andrew P. Ho, M.D.

Page:576
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.576

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Book Reviews

April 2003

Unequal Rights: Discrimination Against People With Mental Disabilities and the Americans With Disabilities Act Hollow Promises: Employment Discrimination Against People With Mental Disabilities

Albert J. Grudzinskas, J.D.

Pages:577–579
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.577

First Page
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April 2003

Outcome Measurement in Psychiatry: A Critical Review Essentials of Outcome Assessment

Neal Adams, M.D., M.P.H.

Pages:579–580
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.579

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April 2003

Disorders of Simulation: Malingering, Factitious Disorders, and Compensation Neurosis

Phillip J. Resnick, M.D.

Page:580
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.580

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April 2003

Treatment of Recurrent Depression

Barbara Gambill Sanders, M.S., M.S.W.

Pages:580-a–581
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.580-a

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April 2003

The Use of Personal Narratives in the Helping Professions: A Teaching Casebook

SuEllen Hamkins, M.D.

Page:581
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.581

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April 2003

The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients

Nancy Glimm, C.S.W.

Page:582
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.582

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April 2003

Stricken: Voices From the Hidden Epidemic of Chronic Fatigue Syndrome

Burton C. Einspruch, M.D., F.A.C.P.

Pages:582-a–583
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.582-a

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April 2003

The First Session With Children and Adolescents: Conducting a Comprehensive Mental Health Evaluation

Donald S. Gair, M.D.

Pages:583–584
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.583

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April 2003

Improving Therapeutic Communication: A Guide for Developing Effective Techniques

Leslie Hartley Gise, M.D.

Page:584
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.584

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News & Notes

April 2003

Pages:585–586
Published Online:1 April 2003

https://doi.org/10.1176/appi.ps.54.4.585

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