The aim of the study was to compare the management of suicide attempts by patients in Sweden and Italy with a view to providing a perspective on differences in treatment. Two consecutive samples of suicide attempters ...
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The aim of the study was to compare the management of suicide attempts by patients in Sweden and Italy with a view to providing a perspective on differences in treatment. Two consecutive samples of suicide attempters from Huddinge (n=97) and Padua (n=100) were studied in trans of sociodemographic characteristics previous care, referral, medical and psychiatric care, hospitalization, aftercare and short-term compliance. In Italian somatic management of acute suicidal crises, there are more physicians specializing in anesthesia or internal medicine working in ambulances and emergency wards, and there is a heavier emphasis on somatic care. Swedish management procedures seem to entail more medical examinations and biohumoral tests. Moreover, the procedures at the Swedish hospital give priority to early psychiatric intervention, and admission to psychiatric inpatient care is more frequent. However, it is not normal practice in emergency psychiatric care at either of the centers for specialists to serve in the immediate liaison consultation. There are differences in assessment and treatment between the two countries that may provide a perspective on their procedures, implying that current procedures for managing patients belonging to groups identified as "high-risk" in terms of suicide may be modified. (C) 2000 Elsevier Science Inc.
This article introduces the trends in deinstitutionalization, the limitations of previous research, and the design and research questions of the Central State Hospital (CSH) closing studies. Previously, the central en...
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This article introduces the trends in deinstitutionalization, the limitations of previous research, and the design and research questions of the Central State Hospital (CSH) closing studies. Previously, the central engine of deinstitutionalization has been the downsizing, and not the closing, of facilities to decrease available beds. Only 14 state hospitals closed between 1970 and 1990, However since 1990, 40 hospitals have closed. Moreover beginning in 1993,for the first time since deinstitutionalization began funding for sate psychiatric facilities was less than for community-based services. Previous research on both the downsizing and closing of hospitals has focused predominantly on relatively short-term clinical and social outcomes of patients. The current study is a multidisciplinary longitudinal, multiple-stakeholder study of the closing of a state-run, long-term care facility in Indiana. The articles that follow focus on the clinical, psychological, social, and attitudinal outcomes for patients, workers, families, and the public following the closing of CSH.
Abstract The concepts and organizing principles underlying facilities for assessing psychiatric emergencies are discussed. It is argued that the analogy with medical/surgical emergencies is, in many cases, inappropria...
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Matrix organization theory is proposed as a vehicle for reorganizing human services deliuery systems. A private psychiatric hospital situation is used to illustrate the application of these concepts. Similarities and ...
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In the Fall 1985 issue of the Journal of Mental Health Administration, we presented an article entitled "Tardive Dyskinesia: Facts the Mental Health Administrator May Not Know".1 In that article, tardive dys...
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In the Fall 1985 issue of the Journal of Mental Health Administration, we presented an article entitled "Tardive Dyskinesia: Facts the Mental Health Administrator May Not Know".1 In that article, tardive dyskinesia (TD) was clinically described;the scope of the TD problem was outlined from a legal, monetary and patient welfare point of view, and a cost-beneficial TD monitoring system was briefly delineated. The object of the article was to familiarize the hospital administrator with TD so that steps could be taken to protect patient welfare and prevent successful litigation against the mental health facility or staff under the administrator's charge. Over the past year, TD has continued to remain a contemporary and confrontational issue related to mental health patient care. Indeed, some authors and authorities have recently questioned the mental health facility's and the psychiatric profession's equivocal response to the problem of TD from the larger perspectives of sociological analysis and quality patient care. Brown and Funk2 conclude "...monitoring by forces external to the healthcare delivery system may be necessary to ensure effective and equitable solutions." The force of this statement is succinctly described by Munetz and Schulz3 who conclude that only by acknowledging and overcoming defensiveness related to TD-schizophrenia and antipsychotic drugs-can rational systems and standards of care be implemented from within rather than externally by the courts. Wolf and Brown4 note the critical role of a strong administrative decision to implement TD monitoring in order to overcome resistance. In addition to the fact that TD is not dissipating and that short of a quality TD monitoring system the mental health administrator is rolling the dice regarding patient welfare and successful litigation, the administrator should be aware of several important auxillary issues. These issues are written informed consent (for the use
Today, the professional health care administrative model is more commonly followed than the medical administrative model in public mental hospitals. As this change has occurred over the last fifteen years, it is predi...
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