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Psychiatric Services

Volume 49, Issue 6

June 1998

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Taking Issue

June 1998

The Need for Depot A typical Antipsychotics in the U.S.

Winston W. Shen, M.D.,, professor of psychiatry, St. Louis University School of Medicine, St. Louis, Missouri

Page:727
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.727

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Article

June 1998

State Health Care Reform: Maryland's Medicaid Reform: Design and Development

Karen Anderson Oliver, Ph.D.

Pages:735–738
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.735

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Column

June 1998

State Health Care Reform: Maryland's Medicaid Reform: A Provider's Perspective

Fred C. Osher, M.D.

Pages:741–746
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.741

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June 1998

Economic Grand Rounds: Maryland's Medicaid Reform: Will the Gain Outweigh the Pain?

Alisa B. Busch, M.D.

Pages:743–746
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.743

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June 1998

Datapoints: The Structure of Psychiatrists' Outpatient Practice

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

Page:747
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.747

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June 1998

Personal Accounts: The Downside of the Family-Organized Mental Illness Advocacy Movement

Sylvia Caras

Pages:763–764
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.763

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June 1998

A Family Advocate's Reply : Why Consumers and Family Advocates Must Work Together

William Emmet

Pages:764–765
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.764

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June 1998

Practical Geriatrics: Cultural Sensitivity and Aging

Marion Zucker Goldstein, M.D., and
Kim Griswold, M.D., M.P.H.

Pages:769–771
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.769

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Article

June 1998

Policy Reform Dilemmas in Promoting Employment of Persons With Severe Mental Illnesses

John H. Noble, Ph.D.

Pages:775–781
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.775

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Recent evaluations by the U.S. General Accounting Office and the National Alliance for the Mentally Ill of reemployment efforts of the federal-state vocational rehabilitation program found that services offered by state vocational rehabilitation agencies ...

June 1998

A Randomized Controlled Study of the Effectiveness of Intensive Outpatient Treatment for Cocaine Dependence

Edward Gottheil, M.D., Ph.D.,
Stephen P. Weinstein, Ph.D.,
Robert C. Sterling, Ph.D.,
Allan Lundy, Ph.D., and
Ronald D. Serota, M.D.

Pages:782–787
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.782

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OBJECTIVE: A randomized controlled study design was used to compare the effectiveness of intensive outpatient treatment with individual outpatient counseling and a combination of individual and group outpatient counseling for cocaine-dependent patients. ...

June 1998

Prevalence of Physical Illness Among Psychiatric Inpatients Who Die of Natural Causes

Sheku G. Kamara, Ph.D.,
Paul D. Peterson, Ph.D., and
Jerry L. Dennis, M.D.

Pages:788–793
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.788

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OBJECTIVE: The state psychiatric hospital is experiencing an increase in medically sick and aging patients who die of natural causes while hospitalized. This study explored the "medicalization" of the state hospital by examining the prevalence of medical ...

June 1998

Assessing the Quality of Psychiatric Hospital Care: A German Approach

Heinrich Kunze, M.D., and
Stefan Priebe, M.D.

Pages:794–796
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.794

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OBJECTIVE: The German Ministry of Health commissioned a nonprofit organization to develop a tool for assessing the quality of psychiatric hospital care. METHODS: The authors were members of an expert group established to develop an assessment tool that ...

June 1998

The Effects of Animal-Assisted Therapy on Anxiety Ratings of Hospitalized Psychiatric Patients

Sandra B. Barker, Ph.D., and
Kathryn S. Dawson, Ph.D.

Pages:797–801
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.797

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OBJECTIVE: Animal-assisted therapy involves interaction between patients and a trained animal, along with its human owner or handler, with the aim of facilitating patients' progress toward therapeutic goals. This study examined whether a session of animal-...

June 1998

Outcome for People With Schizophrenia Before and After Medicaid Capitation at a Community Agency in Colorado

Richard Warner, M.B., D.P.M., and
Peter Huxley, Ph.D.

Pages:802–807
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.802

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OBJECTIVE: To investigate the effect of a capitated funding mechanism for the psychiatric care of Medicaid recipients, a study of outcome, satisfaction, and service utilization among adults with schizophrenia and schizoaffective disorder was conducted at ...

June 1998

Cost-Effectiveness of Television, Radio, and Print Media Programs for Public Mental Health Education

Linda S. Austin, M.D., and
Katharine Husted, M.S.

Pages:808–811
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.808

Abstract
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Mass media campaigns to influence public attitudes and behaviors in the area of mental health must consider cost-effectiveness, which is based on actual costs, the number of people reached (exposures), and the impact of the program on the individual. Cost ...

June 1998

Treatment of Inhalant-Induced Psychotic Disorder With Carbamazepine Versus Haloperidol

Carlos A. Hernandez-Avila, M.D.,
Hector A. Ortega-Soto, M.D.,
Antonio Jasso, M.D.,
Cecilia A. Hasfura-Buenaga, Psic., and
Henry R. Kranzler, M.D.

Pages:812–815
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.812

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OBJECTIVE: The efficacy and adverse effects of carbamazepine and haloperidol were compared in the treatment of inhalant-induced psychotic disorder. METHODS: Forty male patients admitted to an acute psychiatric unit for treatment of inhalant dependence and ...

June 1998

Content and Curriculum in Psychoeducation Groups for Families of Persons With Severe Mental Illness

David E. Pollio, Ph.D.,
Carol S. North, M.D., and
Douglas A. Foster, M.S.W.

Pages:816–822
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.816

Abstract
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OBJECTIVE: The study compared problems identified by participants in a workshop for families with a relative who had severe mental illness with topics addressed in published descriptions of multifamily psychoeducational interventions to determine whether ...

Brief Report

June 1998

Brief Reports : HIV-Related Risk Behaviors Among Psychiatric Inpatients in India

Mohit P. Chopra, D.P.M.,
Savithra Sri V. Eranti, M.D., and
Prabha S. Chandra, M.D.

Pages:823–825
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.823

Abstract
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The study explored patterns of risk behavior and knowledge about HIV and AIDS among patients in an inpatient psychiatric facility in south India. Fifty-nine consecutive patients admitted to a state psychiatric hospital were interviewed using a ...

June 1998

A Comparison of Psychotic and Nonpsychotic Substance Users in the Psychiatric Emergency Room

Saundra Gilfillan, D.O.,
Cynthia A. Claassen, Ph.D.,
Paul Orsulak, Ph.D.,
Thomas J. Carmody, Ph.D.,
Julie Bishop Sweeney, L.M.S.W.-A.C.P.,
John Battaglia, M.D., and
A. John Rush, M.D.

Pages:825–828
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.825

Abstract
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Current illicit drug and alcohol users were identified by laboratory evaluation of urine samples from nonpsychotic patients without a primary clinical diagnosis of a substance use disorder seen in a psychiatric emergency room. Urine screens revealed that ...

June 1998

Cost-Effectiveness of Clozapine Therapy for Severe Psychosis

S. Nassir Ghaemi, M.D.,
David M. Ziegler, M.A.,
Thomas J. Peachey, M.A., and
Frederick K. Goodwin, M.D.

Pages:829–831
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.829

Abstract
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The cost-effectiveness of using the atypical antipsychotic medication clozapine for severe psychosis was examined in a rural public-sector community mental health setting in Virginia. Based on a sample of 20 patients, use of clozapine resulted in ...

June 1998

Outcomes of Ultrarapid Opiate Detoxification Combined With Naltrexone Maintenance and Counseling

Jonathan Rabinowitz, D.S.W.,
Hagit Cohen, Ph.D., and
Moshe Kotler, M.D.

Pages:831–833
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.831

Abstract
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Combining naltrexone and clonidine under general anesthesia is being used to shorten opiate detoxification. This study determined the one-year relapse rate of persons detoxified using this ultrarapid method in conjunction with naltrexone maintenance and ...

Letter

June 1998

Efficacy vs. Effectiveness in Psychiatric Research

William Thomas Summerfelt, Ph.D., and
Herbert Y. Meltzer, M.D.

Page:834
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.834

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June 1998

Efficacy vs. Effectiveness in Psychiatric Research

Gerard E. Hogarty, M.S.W.

Pages:834-a–835
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.834-a

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June 1998

Dealing With Illiteracy

Helen Osborne, M.Ed., O.T.R./L.

Page:835
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.835

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June 1998

Dealing With Illiteracy

Glenn D. Grace, Ph.D., and
Richard C. Christensen, M.D.

Pages:835-a–835
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.835-a

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Book Review

June 1998

Managed Mental Health Care in the Public Sector: A Survival Manual

Steven S. Sharfstein, , M.D.

Page:836
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.836

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June 1998

Controversies in Managed Mental Health Care

Jeremy A. Lazarus, , M.D.

Pages:836-a–837
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.836-a

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June 1998

Surviving the Demise of Solo Practice: Mental Health Practitioners Prospering in the Era of Managed Care

Richard J. Moldawsky, , M.D.

Pages:836-b–836
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.836-b

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June 1998

Time-Managed Group Psychotherapy: Effective Clinical Applications

Albert J. Villapiano, , Ed.D., C.G.P.

Page:838
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.838

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June 1998

Intensive Short-Term Dynamic Psychotherapy: Theory and Technique Handbook of Solution-Focused Brief Therapy

Jay M. Pomerantz,, M.D.

Page:839
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.839

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June 1998

Psychological Assessment in Managed Care

John David Ball,, Ph.D.

Page:840
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.840

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June 1998

Mental Health Outcome Measures

Barbara Dickey,, Ph.D.

Pages:840-a–841
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.840-a

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June 1998

The Measurement and Management of Clinical Outcomes in Mental Health

David A. Pollack, M.D.

Pages:841–842
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.841

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June 1998

Legally Safe Mental Health Practice: Psycholegal Questions and Answers

Kathleen Thomsen Hall,, M.D.

Page:842
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.842

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June 1998

Symptom-Focused Psychiatric Drug Therapy for Managed Care

Neil S. Kaye,, M.D.

Pages:843–844
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.843

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June 1998

Psychopathology: The Evolving Science of Mental Disorder

William H. Wilson,, M.D.

Pages:843-a–843
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.843-a

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June 1998

Ego Development and Psychopathology

Daniel D. Storch,, M.D.

Page:844
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.844

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June 1998

Handbook of Medical Psychiatry

David Gitlin,, M.D.

Pages:844-a–845
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.844-a

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June 1998

Borderline Personality Disorder: Tailoring the Psychotherapy to the Patient

Phil S. Lebovitz,, M.D.

Pages:845–846
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.845

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June 1998

The Principles and Practice of Addictions in Psychiatry

Patricia Isbell Ordorica,, M.D.

Page:846
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.846

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June 1998

miscellany: Improving Inpatient Psychiatric Treatment in an Era of Managed Care

Pages:846-a–846
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.846-a

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News & Notes

June 1998

Pages:849–851
Published Online:1 June 1998

https://doi.org/10.1176/ps.49.6.849

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