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Biomedical subjects

H S Moffic

Publications and source records attributed to H S Moffic.

At least 19 recordsLinked to original sources
PubMed2000

Training psychiatric residents in managed care.

The controversy about managed care in general is reflected in the challenges of training psychiatric residents in managed care. Some consensus is emerging that all programs should provide some amount of such education. Moreover, some principles and strategies seem to exist that any program can adapt and use, including neutral attitude, connecting managed care to related educational endeavors, emphasizing cost-effectiveness as a primary value, providing a basic seminar series, and approaching a core patient group using managed care management.

Attitude of Health Personnel↗
PubMed1999

Post-traumatic stress reactions following motor vehicle accidents.

Despite improvements in road conditions, vehicle safety and driver education, over 3 million persons are injured in motor vehicle accidents each year. Many of these persons develop post-traumatic stress symptoms that can become chronic. Patients with post-traumatic stress disorder experience disabling memories and anxiety related to the traumatic event. Early identification of these patients is critical to allow for intervention and prevent greater impairment and restriction. The family physician is in an ideal position to identify, treat or refer patients with traumatic responses to traffic accidents. The physician's awareness of patient characteristics and pre-accident functioning allows him or her to critically evaluate symptoms that may begin to interfere with the resumption of daily activities.

Accidents, Traffic↗
PubMed1996

The history and future of cross-cultural psychiatric services.

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 one recognizing that cultural beliefs, mores, peer pressure, family expectations, and other ingredients operate in unique combinations in various cultures and ethnic groups. These social and cultural factors can and will impact treatment modalities and outcomes. Literature reviewed herein illustrates the progressive stages of awareness and incorporation of cultural differences and the many ways they impact treatment. Unfortunately, the rise in managed, rationed health care threatens the future of this progression. It is essential that culturally-based managed care programs be developed and funded to ensure the availability of cost-effective treatment, through an integrated system of services, to patients of all cultural and economic backgrounds.

Cultural Diversity↗
PubMed1993

Managed care and academic psychiatry.

Managed care, with its emphasis on cost effectiveness, case review, and treatment guidelines, has become a major influence on the delivery of mental health care and on the field of psychiatry. Given the importance of academic psychiatry in producing future psychiatrists and shaping their attitudes toward managed care, two separate surveys of chairs of 125 medical school departments of psychiatry were conducted. The surveys, completed in 1989-90 and 1991-92, indicate a trend toward accepting the usefulness and importance of managed care.

Academic Medical Centers↗
PubMed1990

The longitudinal use of the Global Assessment Scale in multiple-rater situations.

The Global Assessment Scale was used by multiple clinicians to rate 108 chronically mentally ill outpatients for 18 months. With prior training, high interrater reliability was obtained. Analysis suggests that fluctuations in patients' scores were not attributable to measurement error due to the sequential ratings of multiple clinicians. Moreover, GAS means were inversely correlated with decompensations over the study period. Results indicate that the DMS-III-R recommended use of the GAS in multiple-rater outpatient facilities can be both reliable and clinically useful when supported by thorough staff training.

Adult↗
PubMed1987

Insight and injury.

Explore the source record for details and available documents.

Combined Modality Therapy↗
PubMed1984

Paraprofessionals and psychiatric teams: an updated review.

Paraprofessionals and psychiatric teams are vital, interrelated, and complex components of the mental health care system. However, the literature on them is meager and contradictory. The authors begin the literature update by defining the relevant terms and describing the evolution of paraprofessionals and psychiatric teams. New developments indicate that paraprofessionals are able to perform many basic treatment tasks as members of psychiatric teams and that they are highly adaptable to addressing the service delivery gaps that have occurred during deinstitutionalization and in the treatment of schizophrenia. Advances in the training, structure, and process of psychiatric teams are discussed, and the authors cite new criteria for cost- and treatment-effective teams. With these developments, the authors discuss the problems still faced by paraprofessionals and psychiatric teams.

Allied Health Personnel↗
PubMed1983

Boom areas: implications for mental health care systems.

Areas of rapidly shifting population are a perennial phenomenon. Such occurrences offer particular challenges to mental health services. The boom areas which have developed recently in the southwestern rim of the United States have highlighted certain inadequacies in our mental health system. The Houston Consortium, a multi-institutional endeavor, offers one model for addressing these problems. This model emphasizes innovative educational programs geared to local service needs.

Health Occupations↗
PubMed1983

Attitudes in the development of public sector clinicians.

Attitudes have been a neglected variable in the development of public sector clinicians. Clinicians of differing disciplines may commonly possess attitudes which would affect their role in the public sector. The Houston Consortium assessed some of these attitudes in their students and faculty. The results may have heuristic implications for improving mental health care.

Attitude of Health Personnel↗
PubMed1983

Sociocultural guidelines for clinicians in multicultural settings.

With the increasing cultural pluralism of the United States, clinicians are more likely to encounter patients from a variety of sociocultural backgrounds. Since this background influences the presentation of disorders and response to treatment, it behooves clinicians to possess guidelines for culturally appropriate practice. The answer is not necessarily in detailed knowledge of specific cultures. Rather, as clinicians we need to know how to consider language variations, the culture of our patients, and our own cultural backgrounds. Sensitivity to such issues may enhance the treatment of all patients.

Communication↗
PubMed1983

Attitudes in the provision of public sector health and mental health care.

The development of comprehensive health and mental health services depends on a number of factors. One overlooked factor, especially for the public sector, seems to be the attitudes of the health care providers. In an attempt to address this and related issues, the Houston Consortium was designed as a prototype training model. As part of that endeavor, the attitudes of mental health trainees toward the poor, interdisciplinary interaction, and community mental health were assessed. While the ethnic identity of the students had some influence, the major findings concerned the discipline of the students. Social work students, in particular, seemed to possess or be able to develop attitudes relevant to a prominent role in primary health care.

Attitude of Health Personnel↗