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Psychiatric Services

Volume 49, Issue 4

April 1998

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Taking Issue

April 1998

Is For-Profit Managed Care an Oxymoron?

Page:415
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.415

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Column

April 1998

Managed Care: A Physician-Owned and -Operated Behavioral Managed Care Company

Ira S. Halper, M.D.,
Anthony M. D'Agostino, M.D.,
Michael A. Young, Ph.D., and
Robert L. Rogers, B.A.

Page:427
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.427

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April 1998

Economic Grand Rounds: Estimation of Costs of Public Psychiatric Treatment

Tom Trauer, Ph.D.,
Robert A. Duckmanton, M.Psychol., and
Edmond Chiu, F.R.A.N.Z.C.P., A.M.

Pages:440–442
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.440

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April 1998

Datapoints: Referrals to Psychiatrists

Brennan D. Peterson, B.S.,
Harold Alan Pincus, M.D.,
Ana Suarez, M.P.H., and
Deborah A. Zarin, M.D.

Page:449
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.449

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April 1998

Law & Psychiatry: Managed Care's Responsibility for Decisions to Deny Benefits: The ERISA Obstacle

Paul S. Appelbaum, M.D.

Pages:461–472
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.461

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April 1998

Clinical Computing: The Computer as Clinician Assistant: Assessment Made Simple

John H. Greist, M.D.

Pages:467–472
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.467

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April 1998

Personal Accounts: A College Reunion in the Psychiatric Emergency Room

Jeanne Steiner, D.O.

Pages:471–472
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.471

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Article

April 1998

Outpatient Utilization Patterns of Integrated and Split Psychotherapy and Pharmacotherapy for Depression

William Goldman, M.D. ,
Joyce McCulloch, M.S. ,
Brian Cuffel, Ph.D. ,
Deborah A. Zarin, M.D. ,
Ana Suarez, M.P.H. , and
Barbara J. Burns, Ph.D.

Pages:477–482
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.477

Abstract
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OBJECTIVE: This exploratory study examined utilization and costs among depressed patients in two treatment models—integrated treatment, in which psychotherapy and pharmacotherapy were provided by a psychiatrist, and split treatment, in which ...

April 1998

Persons With Severe Mental Illness in Jails and Prisons: A Review

H. Richard Lamb, M.D., and
Linda E. Weinberger, Ph.D.

Pages:483–492
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.483

Abstract
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OBJECTIVE: The presence of severely mentally ill persons in jails and prisons is an urgent problem. This review examines this problem and makes recommendations for preventing and alleviating it. METHODS: MEDLINE, Psychological Abstracts, and the Index to ...

April 1998

A Strategic Approach to the Psychiatric Workforce Dilemma

Larry R. Faulkner, M.D.,
James H. Scully, M.D., and
James H. Shore, M.D.

Pages:493–497
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.493

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To help build consensus in the field of psychiatry about future psychiatric manpower needs, a 13-step strategic approach to the workforce issue is described. The steps include recognizing the importance of the assumptions that underlie workforce ...

April 1998

A National Survey of “Consumer Empowermen”at the State Level

Jeffrey L. Geller, M.D., M.P.H.,
Julie-Marie Brown, M.D., M.P.H.,
William H. Fisher, Ph.D.,
Albert J. Grudzinskas, J.D., and
Thomas D. Manning, J.D.

Pages:498–503
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.498

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OBJECTIVE: A national survey was conducted to determine the extent of consumer empowerment in the public mental health system. METHODS: A questionnaire was sent to mental health authorities in all U.S. states and territories asking whether consumer ...

April 1998

Scheduled Intermittent Hospitalization for Psychiatric Patients

Joan Doty Dilonardo, R.N., M.S.N., C.S.,
Catherine Ecock Connelly, R.N., D.N.Sc.,
Lee Gurel, Ph.D.,
Rita Furst Seifert, Ph.D.,
Kathleen Kendrick, R.N., M.S., and
Stephen I. Deutsch, M.D., Ph.D.

Pages:504–509
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.504

Abstract
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OBJECTIVE: The effect of scheduled intermittent hospitalization on the hospital utilization, community adjustment, and self-esteem of persons with serious and persistent mental illness was examined in an experimental study. METHODS: Fifty-seven male ...

April 1998

Use of Psychotropic Medications for Persons With Mental Retardation Who Live in Oklahoma Nursing Homes

Scott Spreat, Ed.D., and
James Conroy, Ph.D.

Pages:510–512
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.510

Abstract
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OBJECTIVE: The study examined the use of psychotropic medications to treat persons with mental retardation living in nursing homes in Oklahoma. METHODS: Data were gathered on all 1,056 individuals funded through the Oklahoma mental retardation service ...

April 1998

Moving Psychiatric Patients From Hospital to Community: Views of Patients, Providers, and Families

Heather L. Holley, M.A., Ph.D.,
Phyllis Hodges, M.Sc., and
Betty Jeffers, B.A.

Pages:513–517
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.513

Abstract
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OBJECTIVE: Differences in the perspectives of severely and persistently ill patients, their family members, and clinical care providers on key aspects of community-based care were examined to help inform community service planning and development. METHODS:...

April 1998

Changes in the Process of Care for Medicaid Patients With Schizophrenia in Utah's Prepaid Mental Health Plan

Michael K. Popkin, M.D.,
Nicole Lurie, M.D., M.S.P.H.,
Willard Manning, Ph.D.,
Jeffrey Harman, M.S.,
Allan Callies, M.S.,
Donald Gray, Ph.D., and
Jon Christianson, Ph.D.

Pages:518–523
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.518

Abstract
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OBJECTIVE: Changes in the process of psychiatric care received by Medicaid beneficiaries with schizophrenia were examined after the introduction of capitated payments for enrollees of some community mental health centers (CMHCs) under the Utah Prepaid ...

Brief Report

April 1998

A Naturalistic Study of Clinical Use of Risperidone

Renée L. Binder, M.D.,
Dale E. McNiel, Ph.D., and
David A. Sandberg, Ph.D.

Pages:524–526
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.524

Abstract
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Follow-up data on 97 of the 101 patients at a university-based psychiatric hospital for whom risperidone had been prescribed between February 1994, when the medication was introduced, and October 1996 were reviewed an average of 102 weeks after the start ...

April 1998

A Syndrome of Increased Affect in Response to Risperidone Among Patients With Schizophrenia

E. Alexandra Ashleigh, M.D., and
Patricia D. Larsen, R.N.

Pages:526–528
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.526

Abstract
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Six of 13 outpatients with schizophrenia who participated in a ten-week open trial of risperidone had an initial good response to the medication followed by development of intolerable affect, including feelings of agitation and depression and periods of ...

April 1998

Practices Related to HIV Risk Assessment in General Hospital Psychiatric Units in New York State

James Walkup, Ph.D.,
James Satriano, Ph.D.,
Steve Hansell, Ph.D., and
Mark Olfson, M.D., M.P.H.

Pages:529–530
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.529

Abstract
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Semistructured interviews including questions about practices related to HIV risk assessment were conducted on 53 psychiatric units of general hospitals in New York State in 1992 and 1993. Few units have adopted practices across the board. Assessment of ...

April 1998

Effects of Psychoeducational Intervention for Married Patients with Bipolar Disorder and Their Spouses

John F. Clarkin, Ph.D.,
Daniel Carpenter, Ph.D.,
James Hull, Ph.D.,
Philip Wilner, M.D., and
Ira Glick, M.D.

Pages:531–533
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.531

Abstract
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The relative benefit of adding a structured psychoeducational intervention to standard medication treatment for married patients with bipolar disorder and their spouses was assessed. Patients were randomly assigned to receive either medication management ...

April 1998

Homelessness and Mental Illness in a Professional- and Peer-Led Cocaine Treatment Clinic

Marc Galanter, M.D.,
Helen Dermatis, Ph.D.,
Susan Egelko, Ph.D., and
George De Leon, Ph.D.

Pages:533–535
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.533

Abstract
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The combined problems of substance abuse, mental illness, and homelessness among the urban poor represent a major public health issue. The study evaluated 340 patients attending a cocaine day treatment program that integrates peer leadership and ...

Letter to the Editor

April 1998

Denial of Mental Illness

Mark R. Munetz, M.D.

Page:536
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.536

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April 1998

Denial of Mental Illness

Sam Sussman, Ph.D.

Pages:536-a–537
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.536-a

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April 1998

Primary Physicians and Adolescent Health Care

Helen D. Pratt, Ph.D.,
Elaine L. Phillips, Ph.D.,
Dilip R. Patel, M.D., and
Donald D. M. Tong, Ph.D.

Page:537
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.537

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Book Review

April 1998

Acute Care Psychiatry: Diagnosis and Treatment

W. Walter Menninger, M.D.

Page:538
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.538

First Page
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April 1998

The Therapeutic Alliance

Theodore B. Feldmann, M.D.

Pages:538-a–539
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.538-a

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Letter to the Editor

April 1998

Changing Character: Short-Term Anxiety-Regulating Psychotherapy for Restructuring Defenses, Affects, and Attachment

David Brizer, M.D.

Pages:539–540
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.539

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April 1998

Towards a Comprehensive Therapy for Schizophrenia

Mark R. Munetz, M.D.

Page:540
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.540

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April 1998

Specific Techniques for the Psychotherapy of Schizophrenic Patients

David Ray, M.D.

Pages:540-a–541
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.540-a

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Book Review

April 1998

Textbook of Transpersonal Psychiatry and Psychology

John J. Miller, M.D.

Pages:541–542
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.541

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April 1998

Treatment Strategies for Patients With Psychiatric Comorbidity

Varda Peller Backus, M.D.

Pages:542–543
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.542

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April 1998

Anger and Addiction: Breaking the Relapse Cycle: A Teaching Guide for Professionals

Ann Ward, B.A. Hons.

Pages:543–544
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.543

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April 1998

The Dually Diagnosed: A Therapist's Guide to Helping the Substance Abusing, Psychologically Disturbed Patient

Mark C. Radosta, L.I.C.S.W.

Page:544
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.544

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April 1998

Innovative Approaches for Difficult-to-Treat Populations

Barbara Lou Fenby, D.S.W., L.I.C.S.W.

Pages:544-a–545
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.544-a

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April 1998

More Alike Than Different: Treating Severely Dissociative Trauma Survivors

Burton C. Einspruch, M.D.

Pages:545–546
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.545

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April 1998

Frontiers of Cognitive Therapy

David A. Casey, M.D.

Page:546
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.546

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April 1998

Personality Characteristics of the Personality Disordered

Scott Stuart, M.D.

Page:547
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.547

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April 1998

Antidepressants: New Pharmacological Strategies

David Baron, D.O.

Pages:547-a–547
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.547-a

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News & Notes

April 1998

Pages:549–551
Published Online:1 April 1998

https://doi.org/10.1176/ps.49.4.549

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