解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Persons with developmental disabilities and mental health needs present a complex and potentially rewarding challenge to workers in both developmental disabilities (DD) and mental health (MH) fields. These individuals may be shuttled between (DD) and (MH) systems. Effective care requires the person obtain services fro...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1025030720808
更新日期:1997-10-01 00:00:00
abstract::This report describes a domestic violence program in an urban Indian health center. The failure of office-based interventions and the importance of developing interventions that are sensitive to the needs of this population are discussed. Successful interventions including home visits and a domestic violence group tha...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1025051325351
更新日期:1997-08-01 00:00:00
abstract::In an effort to bridge the gap between service need and service utilization, an urban based, university affiliated children's psychiatric outpatient clinic has implemented a program which provides mental health services in inner city schools. When compared with the central clinic populations (N = 304), the school samp...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1025033326743
更新日期:1997-06-01 00:00:00
abstract::The focus of the present study was to examine the extent of noncompliance in psychiatric aftercare in an integrated hospital and community mental health service. Characteristics of those patients who were noncompliant were explored in order to facilitate the prediction of treatment noncompliance at the point of discha...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1022461026275
更新日期:1997-02-01 00:00:00
abstract::With cultural issues prominent in the United States today and with ongoing rapid changes in health care management and delivery, this paper discusses the shift from a genetic-type psychiatry (i.e., assuming that humans the world over are no different, and will react to given stressors in life in the same manner) to on...
journal_title:Community mental health journal
pub_type: 历史文章,杂志文章,评审
doi:10.1007/BF02251069
更新日期:1996-12-01 00:00:00
abstract::Women who are diagnosed with a major mental illness, who have a history of drug or alcohol abuse, and who have been episodically homeless are also likely to have been the victims of sexual or physical abuse. Treatment for these women needs to incorporate an active program of trauma recovery. A program of trauma-based ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02249455
更新日期:1996-08-01 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::The development of innovative alternatives to nursing homes is critical, especially in the context of OBRA mandates and the growing geriatric population. This article examines the experience of one urban country in Washington State in providing supported housing for the OBRA-affected mentally ill elderly. The signific...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02249751
更新日期:1996-04-01 00:00:00
abstract::Rural mental health care reform has failed to recognize that service utilization and access is guided by the meanings and explanations that rural dwellers ascribe to symptoms and treatments for mental illness. These meanings and explanations are described here as local knowledge. It is argued that planning for reform ...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF02189439
更新日期:1995-12-01 00:00:00
abstract::Recent legislation in California mandated the development of an outcome measure suitable for measuring changes in quality of life associated with treatment in the public mental health system. The measure, known as the California Adult Performance Outcome Survey (CAPOS), relies on clinician and client reports of object...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02188613
更新日期:1995-10-01 00:00:00
abstract::Preliminary evidence suggests that mental health consumers can successfully serve as peer companions, case management aides, case managers, job coaches, and drop-in center staff. However, few empirical investigations have addressed the use of consumers to train mental health professionals. This project employed a rand...
journal_title:Community mental health journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF02188749
更新日期:1995-06-01 00:00:00
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::The use of Medicaid for mental health services by the severely mentally ill is examined using paid Medicaid claims for clients of Community Support Programs in Wisconsin. The extent to which clients participate in Medicaid, the types and amounts of mental health services, and the costs of services are discussed. A nar...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02188591
更新日期:1994-12-01 00:00:00
abstract::The authors describe uses for a 17-item instrument that efficiently measures the functioning level of chronically mentally ill persons living in the community. The Multnomah Community Ability Scale is designed to be completed by case managers who work with chronically mentally ill consumers. The instrument is sensitiv...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02189063
更新日期:1994-10-01 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::Vocational integration in mental health is part of a national initiative to make quality, community-based work a possibility for persons with psychiatric disabilities. While effective delivery of these services requires trained staff, preparing professionals to provide relevant vocationally oriented services is comple...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02188624
更新日期:1994-04-01 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::The hardships of war affect all members of society. Those most acutely affected are service members and their families. Civilian service personnel mobilized within an active reserve component experience a disruption of life style which can cause stress. Service members are trained to be effective soldiers, but very li...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754412
更新日期:1993-10-01 00:00:00
abstract::Individuals with mental illness and mental retardation often fall between system and agency service cracks. This paper describes some of the barriers individuals and communities confront in developing new or expanding existing services to meet the needs of this population. It then describes how one community initiated...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00761032
更新日期:1993-08-01 00:00:00
abstract::This study tracks the 761 community mental health centers which received federal grants as of 1981 and assesses their status 10 years after the shift to Block Grant financing. Contrary to what had been predicted (Biegel, 1982), the vast majority of centers remained open (88.3%), a small proportion were involved in mer...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00756335
更新日期:1993-04-01 00:00:00
abstract::One hundred and twenty-two adult outpatients, 81 women and 41 men, in a community mental health center responded to a survey of history of sexual assault and abuse. Overall, 48% reported they had been sexually assaulted or abused, 59% of women and 24% of men. Forty-two percent of women and 17% of men reported they had...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00760631
更新日期:1993-02-01 00:00:00
abstract::Two aspects of social support, availability and adequacy, were assessed for 729 severely mentally ill adults enrolled in seven state-supported Community Support Services (CSS) programs as part of repeated questionnaire surveys nine months apart. Perceived quality of life interviews with the clients were also conducted...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00761058
更新日期:1992-10-01 00:00:00
abstract::Assessing and responding to suicidal risk among inmates is discussed based on a comprehensive literature review and personal experience. Sections detailing jail conditions, suicide risk factors, reasons for self-harm, and practical responses are included. Intoxication, isolation, and the initial 24 hours of incarcerat...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00755798
更新日期:1992-08-01 00:00:00
abstract::Clinical encounters with three outpatients at a CMHC who were managed with alternating periods of voluntary or uncoerced and involuntary or coerced treatment are presented. The two periods of coerced community treatment--of eight months and then two to four years duration--produced positive results quite distinct from...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754275
更新日期:1992-04-01 00:00:00
abstract::This contribution summarizes the background leading up to the goals of and the experience gained from a major national initiative to expand and improve collaborative activities between state departments of mental health and university departments of psychiatry through regional conferences, national workshops, ongoing ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752666
更新日期:1991-12-01 00:00:00
abstract::Traditionally, any program in the middle of the continuum of care--between inpatient and outpatient treatment on the dimensions of intensity and expense--has been called day treatment. This conception has yielded a diversity of programs, some of which are nebulously articulated and poorly understood. Day treatment sho...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00752813
更新日期:1991-04-01 00:00:00
abstract::Descriptive demographic, clinical and interview data from clients of an outpatient mental health clinic for older adults are presented. These clients are better educated and have a more frequent history of marital difficulties than older adults in general. Although a significant minority received V code and Adjustment...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752716
更新日期:1991-02-01 00:00:00
abstract::Evaluating the impact of early intervention as a means to prevent or ameliorate developmental disabilities has been a long standing problem and the issue of effectiveness continues to be debated. This study explored the utility of Goal Attainment Scaling as a planning and evaluation tool whereby intervention outcomes ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752717
更新日期:1991-02-01 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::There is a subpopulation of the seriously mentally ill who remain acute care recidivists, rarely becoming engaged in follow-up treatment. It has been argued that these individuals are system, rather than treatment resisters. The perceptions they have of their problems are often in conflict with staff evaluations, or w...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752774
更新日期:1990-06-01 00:00:00
abstract::A study was conducted to ascertain the potential effect of recent federal protection and advocacy legislation (Public Law 99-319) on the lives of mentally ill children. Findings indicate a strong potential, especially regarding efforts to improve community based services. Implications for mental health professionals a...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00755387
更新日期:1989-07-01 00:00:00
abstract::Italy's mental health law of 1978 provided for the gradual phasing out of psychiatric hospitals (PH) and the creation of comprehensive community-based systems. However, these changes have taken place at different times and in different forms. There are now three different organizational and care models operating in It...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752444
更新日期:1989-04-01 00:00:00
abstract::Research on race and diagnosis initially focused on black-white differences in depression and schizophrenia. Statistics showing a higher treated prevalence of schizophrenia and a lower prevalence of depression for blacks seemed to support the claim that blacks did not suffer from depression. Others argued, however, th...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00755677
更新日期:1989-01-01 00:00:00
abstract::The service systems which assist the long-term mentally ill to function in the community have been routinely described as fragmented and uncoordinated. The development and implementation of case management has been seen as one response to this dysfunctional system. This article examines case management from the perspe...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00757139
更新日期:1988-10-01 00:00:00
abstract::This report describes a one-year experience with a new program of group therapy for Southeast Asians who were treated in a psychiatric program for Indochinese refugees. Cultural factors involving communication styles, respect for authority, and traditional social relationships greatly influence the group process. Soci...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00756658
更新日期:1988-07-01 00:00:00
abstract::We describe the addition of medication monitoring to the duties of nurses working as case managers in a day treatment program for the chronically mentally ill. The nurses used their medical and behavioral knowledge to form a more complete picture of the patient than either a visiting psychiatrist or a case-manager who...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00755055
更新日期:1988-04-01 00:00:00
abstract::In regular medicine if a patient goes to a doctor to be treated for a rat bite, the physician cleans the bite, dresses it, gives antibiotics, and gives a tetanus shot. The physician practicing social medicine would give our imaginary patient the same treatment but would go a step further; he would arrange for someone ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754433
更新日期:1987-10-01 00:00:00
abstract::Changes in activity patterns of 12 case managers over the first year of an intensive community support program are described and a method and format for the collection and analysis of time budget data in case management are presented. During the first six months of the program case managers recorded the predominant ac...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752824
更新日期:1987-04-01 00:00:00
abstract::A national survey of community mental health center psychiatrists was designed to assess the extent to which they experience professional burnout. 214 psychiatrists responded to the survey. The largest single group of respondents (23.4%) was attracted to community mental health primarily by normative values (e.g., "se...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00769840
更新日期:1987-01-01 00:00:00
abstract::In reviewing the public mental health services of 11 California counties during a period of fiscal retrenchment, we found several common trends: a greater focus on the severely mentally disabled; an increase in utilization of hospital-based care, residential treatment, day treatment, and case management services; and ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00756983
更新日期:1986-10-01 00:00:00