Abstract:
:We previously showed that a multifaceted intervention designed to contain costs of prescribing selective serotonin reuptake inhibitors (SSRIs) at a Veterans Affairs hospital resulted in substantial projected savings. Intervention components included clinician education and pharmacy and computer information process changes. We now report on effects of altering the intervention to promote prescribing of generic fluoxetine. Over 30 months, fluoxetine's market-share increased from 12 to 32% of all SSRIs prescribed. A total of $2,500,000 in cost avoidance resulted from substituting generic for brand fluoxetine, and $600,000 resulted from increases in market-share of fluoxetine. The results highlight the robustness and flexibility of the intervention approach.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Dobscha SK,Winterbottom LM,Snodgrass LSdoi
10.1007/s10597-006-9062-7subject
Has Abstractpub_date
2007-02-01 00:00:00pages
75-84issue
1eissn
0010-3853issn
1573-2789journal_volume
43pub_type
杂志文章abstract::Although case management is an important component of treatment for persons with major mental illnesses, little is known about who works in case management, what functions are performed and how much occupational stress case managers experience. Mental health care managers (CM's) throughout the state of Oregon (N = 216...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02188761
更新日期:1995-04-01 00:00:00
abstract::Our aim was to examine adolescent predictors (family- and school-related factors, substance use, and psychiatric disorders) for drug crime offending. The initial study population consisted of 508 former adolescent psychiatric inpatients aged between 13 and 17 years. Of them, 60 (12%) had committed a drug crime by youn...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00708-2
更新日期:2020-09-10 00:00:00
abstract::This study examines which issues public psychiatrists perceive as having most impacted their careers over the past five years and whether this impact was experienced differently by psychiatrists in varying regions of the country. The author sent a questionnaire to all members of the American Association of Community P...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/b:comh.0000040660.71767.9d
更新日期:2004-10-01 00:00:00
abstract::The community-based mental health organizations known as "Clubhouses" have existed since the 1940s in the United States, and the model has since spread to many countries. The present study investigates the psychological and social trajectories of 33 members of Clubhouse Paris, the first Clubhouse in France. The study ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00654-z
更新日期:2020-06-05 00:00:00
abstract::Single and multiple correlates for premature termination and duration of treatment were examined for 13,450 clients seem in 17 community mental health facilities. Predictor variables included seven demographic characteristics of clients and five characteristics of service (type of personnel seeing clients, assignment ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01411075
更新日期:1976-01-01 00:00:00
abstract::Goal attainment scaling is a program evaluation technique that measures program success using individualized client goals rather than the same measuring instrument for all clients. Although the reliability of the goal attainment scales is generally acceptable, such scales have not exhibited satisfactory validity. Also...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00778605
更新日期:1978-01-01 00:00:00
abstract::Many if not most scenarios for reform of the U.S. health care system imply that health maintenance organizations (HMOs) will continue their rapid growth. Some advocates argue that a comprehensive health care system should offer services to the severely mentally ill on the same basis as the physically ill. Others note ...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF02188884
更新日期:1994-06-01 00:00:00
abstract::This retrospective study examines treatment outcomes associated with atypical antipsychotic medications in areas of 1) treatment response; 2) employment; 3) living arrangements; and 4) hospitalization rates. The study included a random sample of adults with serious mental illness, who participated in treatment for at ...
journal_title:Community mental health journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1023/a:1022618922208
更新日期:2003-04-01 00:00:00
abstract::This report describes an evaluation study of a volunteer monitoring program designed to improve the quality of life in group homes for adults with mental retardation. Special attention is given to the evaluation researchers' efforts to collaborate with the volunteer monitors to develop valid measures and a research de...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02188873
更新日期:1994-02-01 00:00:00
abstract::This study presents a survey of state statutes which restrict the civil rights of persons with a mental illness or who have been declared mentally incompetent. Five civil rights (jury service, voting, holding public office, marriage, and parenting) are examined. The results of the 1999 study are compared with the resu...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1014543104471
更新日期:2002-04-01 00:00:00
abstract::A conceptual model for reducing substance use within the context of outpatient psychiatric treatment is described. The proposed model incorporates four themes from the psychological treatment literature: treatment intensity, stages of change, motivational interventions, and harm reduction. The five steps of the model ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02249430
更新日期:1996-06-01 00:00:00
abstract::State mental health authorities have a leadership role in implementing evidence-based practices (EBPs), but few instruments are available to assess the impact of this role. We describe the development of the State Mental Health Authority Yardstick (SHAY), a behaviorally anchored instrument designed to assess state-lev...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-009-9181-z
更新日期:2009-06-01 00:00:00
abstract::Little is known about whether, compared to terrorism survivors who relocated to another area, better long-term outcome occurs in terrorism survivors who remain in the community, which may offer social support and formal services as well as ongoing trauma reminders and adversities. A cross-sectional telephone survey of...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0160-5
更新日期:2018-05-01 00:00:00
abstract::Schizophrenia is viewed by most as having a neuropsychological component, with deficits primarily occurring in the areas of attention/concentration, memory, and executive functioning. These deficits often contribute to difficulties in everyday living and social functioning. The purpose of this study is to examine the ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1019860428856
更新日期:2002-10-01 00:00:00
abstract::The purpose of this study was to explore perspectives on suicide prevention held by members of Christian faith-based organizations (FBOs). Eight focus groups were facilitated, and five major themes were identified: perceptions of responsibility, connection to suicidal persons, equipping for suicide prevention, collabo...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-018-0355-4
更新日期:2019-07-01 00:00:00
abstract::To determine the prevalence rates and characteristics of past-year mental health consultation for Ontario's adult (18 + years old) immigrant populations. The Canadian Community Health Survey (CCHS) 2012 was used to calculate the prevalence rates of past-year mental health consultation by service provider type. Charact...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0210-z
更新日期:2018-07-01 00:00:00
abstract::Violence inflicted by individuals with mental illness towards healthcare workers has received significant media attention. Though such incidents are relatively infrequent, they inspire reactive responses and contribute to further stigmatization of the mentally ill. Prevention of violence is an important challenge for ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1015905510120
更新日期:2002-08-01 00:00:00
abstract::People with HIV (PWH) who have mental health disorders (MHD) and substance use disorders (SUD) have lower HIV medication adherence, higher unsuppressed viral loads, and higher mortality rates than those who do not. Individuals who have triple diagnoses (HIV, MHD and SUD) are at an exponential risk for these adverse ou...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00756-8
更新日期:2021-01-02 00:00:00
abstract::Recovery from substance abuse and mental health disorders (dual-diagnosis) requires time, hard work and a broad array of coping skills. Empirical evidence has demonstrated the buffering role of social support in stressful situations. This paper investigates the associations among social support (including dual-recover...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1001982829359
更新日期:2000-10-01 00:00:00
abstract::Low-income and Latinos use the emergency department (ED) as a primary source of care. Also, the depression prevalence in ED patients is high, making the ED a compelling venue for depression screening and intervention. This study examined barriers and facilitators to depression treatment among low-income, predominantly...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-012-9547-5
更新日期:2013-08-01 00:00:00
abstract::This study explored the psycho-social factors associated with the mental health of uniformed personnel in Internally Displaced Persons' (IDP) camps in Nigeria. A quantitative research methodology was adopted using a descriptive survey. A total of 500 uniformed personnel, comprising of 311 males and 189 females in 5 ID...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00692-7
更新日期:2020-07-25 00:00:00
abstract::The main goal of this study was to explore the connections between the exposure of nurses in Israel to national terror and the levels of distress experienced due to ongoing terror attacks. The data were collected from 214 nurses from various parts of Israel who work in three types of heath services (mainly hospital de...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-013-9645-z
更新日期:2014-04-01 00:00:00
abstract::This pilot study explored the feasibility of providing integrated primary and psychiatric care in a primary care setting and compared preliminary outcomes to those from a traditional care model. The study population consisted of 23 patients who received integrated medical and psychiatric care in a primary care clinic ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-007-9117-4
更新日期:2008-06-01 00:00:00
abstract::HIV disease is an emerging community mental health concern. The need for specialized training to help community mental health professionals develop comprehensive knowledge and skills to serve this new population of clients is evident. The HIV clinical tutorial model is an innovative approach to continuing education ch...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752459
更新日期:1990-12-01 00:00:00
abstract::Current and coincident biomedical advances make this an opportune time to encourage research with subjects who have fluctuating cognitive impairments due to disorders like schizophrenia. Effecting research with a heterogeneous population who may have impaired decision-making capacity that diminishes their autonomy, wh...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018709606374
更新日期:1998-06-01 00:00:00
abstract::A necessary first step in the psychosocial treatment of persons with severe mental illness is helping them identify their goals. Unfortunately, goal assessment is often viewed as a categorical process in which individuals list needs for which they require services. Motivational interviews provide a more sophisticated ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1002757631131
更新日期:2001-04-01 00:00:00
abstract::This is a cross-sectional, population-based (n = 378,710) study using hospital discharge abstract data to determine the relative risk associated with having a dual diagnosis of mental illness and HIV/AIDS. The analysis addresses issues of gender, race, and age, as well as types of mental illness. Persons with a mental...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1017577827658
更新日期:2001-12-01 00:00:00
abstract::This study aimed to explore four mental health consumers' experiences of completing self-report outcome measures in a research project. Participants were recruited from a community mental health organisation in Melbourne and were interviewed upon completion of a mixed methods research study where they were asked to co...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0127-6
更新日期:2017-08-01 00:00:00
abstract::Supported employment (SE) is an evidence-based practice that helps people with severe mental disorders obtain competitive employment. The implementation of SE programs in different social contexts has led to adaptations of the SE components, therefore impacting the fidelity/quality of these services. The objective of ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-009-9207-6
更新日期:2010-02-01 00:00:00
abstract::The present study aimed to explore the relationship between cyber-bullying and psychological security, psychological loneliness, and age. In other words, it sought to identify the predictive power of these three variables on cyber-bullying among university students. Participants were 426 male and female Saudi universi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00455-z
更新日期:2020-04-01 00:00:00