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Biomedical subjects

I D Goldstrom

Publications and source records attributed to I D Goldstrom.

4 recordsLinked to original sources

The construct validity of the ischemic score of Hachinski for the detection of dementias.

Two hundred forty-one nursing home patients from the National Nursing Home Survey Pretest were assessed using the Ischemic Score of Hachinski. Medical chart diagnoses were used to classify those with and without dementia. The Mini-Mental State Examination was used to assess the accuracy of the medical-chart diagnoses of dementia. The Ischemic Score failed to differentiate multi-infarct dementia from other types of dementias. Instead, the difference between the two dementia groups was in the direction opposite that predicted by Hachinski.

Aged↗

Mental health services use by elderly adults in a primary care setting.

This study examined the use of general health, mental health, and other medical specialty services by elderly persons 65 and older with mental disorders and compares them with adults 45 to 64 and 18 to 44. Data were collected at the Bunker Hill Health Center (BHHC), a Boston neighborhood health center providing a broad range of ambulatory medical and specialty mental health services. Results show that the 5-year rate of mental disorder diagnoses for elderly individuals is not significantly different from persons 45 to 64, although it is higher than the rate for young adults 18 to 44. Not only were elderly adults less likely to see a mental health specialist, but when they did, their use of mental health specialty services was usually lower.

Adult↗

A descriptive analysis of community support program case managers serving the chronically mentally ill.

This article presents a description of case managers who serve community-based chronically mentally ill (CMI) persons through the Community Support Program (CSP). Information is presented on case managers' demographic characteristics, education, job training, job history, current job activities, and locus of employment. Data were generated through the Case Manager Background Questionnaire, a 23-item self-administered instrument developed in conjunction with the CSP, a pilot Federal-State collaboration project designed to explore strategies for improving the delivery of community-based mental health and related services to the CMI. Results of the study suggest that a typical CSP case manager is white, female and in the mid-thirties. Case managers are a highly educated group; nearly one-half have graduate degrees and about two-thirds have participated in an in-service or continuing education program. Currently, two out of three CSP case managers are employed at Community Mental Health Centers and about one-third of their time is spent in direct service provision. While CSP case managers have been working at their present location for about one and one-half years, they have been in the community-based mental health system for about four years, and with the mentally disabled an average of seven years. A critical issue emerging from this analysis is the need for future research on the relationships among job training, education, job functions, and service delivery.

Adult↗

Conducting state and local health needs assessments. Designs and strategies.

A comprehensive set of five needs assessment techniques designed to facilitate informed decisions about mental health services planning at the state or local level are presented. These include: (1) estimating the size of the target population based on statistical extrapolations from prevalence rates or inferences from indirect indicators; (2) surveys of institution-based populations; (3) surveys of service providers; (4) client-targeted surveys; and (5) surveys of key informants. Each technique is discussed in terms of its unique design considerations, strengths and weaknesses, the phase's association with its application, and estimated resource requirements. Mental health needs assessments can be conducted in a cost-effective manner, especially important in an era when rational decisions about the allocation of scarce resources are essential.

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