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Biomedical subjects

I N Berlin

Publications and source records attributed to I N Berlin.

At least 19 recordsLinked to original sources

A retrospective view of school mental health consultation.

General principles of mental health consultation as written about by Coleman and Maddux are enumerated. Historically, the refinement of these principles for school consultation was described in detail in the literature by Gerald Caplan and Irving Berlin. Common methods define the consultees' problems as work problems; the consultant views the consultees' difficulties as due to intrapsychic conflicts. Resolution of the consultees' difficulties requires the consultant to use methods that enhance the consultee's self-esteem and indirectly provide the consultee insight into the genesis of his or her problems. Thus, consultees are gradually better able to help the client with his or her difficulties. Training of child psychiatry residents in school consultation historically occurred in three divisions of child psychiatry. Training methods were quite similar. The history of consultation to school administrators at various levels, the issues that emerged, and methods of helping administrators to deal with these problems are elucidated. Special problems in dealing with school consultation on two American Indian reservations, especially that of gaining entrance into the school, are discussed.

Adolescent↗

The role of the community mental health center in prevention of infant, child and adolescent disorders: retrospect and prospect.

The Congressional Joint Commission on Mental Health of Children 1965-67 gathered and published a great deal of data on Prevention and Early Intervention that was subsequently ignored by Congress and the Administration. Community Mental Health Centers, since their beginnings in the mid 60's, have not been able to concern themselves with prevention because of the overwhelming demands for treatment of a very psychiatrically disturbed adult population. The closing of State Hospitals without provision for community resources to care for these severely disturbed individuals, for economic and political reasons, unfairly burdened community mental health centers. In the intervening years, a great deal more has been learned about primary, secondary, and tertiary prevention for infants, children and adolescents. This paper describes some of the new knowledge and indicates how much of our current knowledge could be used by Community Mental Health Centers to take advantage of the new funding available in many prevention areas. A few early intervention and prevention projects are described.

Adolescent↗

Suicide among American Indian adolescents: an overview.

Suicide has become a major concern of many Indian tribes and pueblos, as the rates in these tribes have increased dramatically in the last decade. One of the critical research questions is how to explain the vastly different rates of adolescent suicide among tribes. Research has identified some common patterns in experience and behavior among Indian adolescent suicides; these patterns are similar in many ways to those found in Los Angeles suicide research of Teicher (1979). Chronic versus acute stress factors in suicide are examined. Recent research has also identified a number of factors characterizing tribes with high suicide rates; these include failure to adhere to traditional ways of living, to traditional religion, and to clans and societies, and the resulting chaotic family structure and adult alcoholism. The roles of adoption of Indian children, boarding schools, and high unemployment in many tribes are also discussed. Suicide prevention and intervention programs are briefly described.

Adolescent↗

Resistance to mental health consultation directed at change in public institutions.

Mental health consultants need to be aware that institutions in a community are frequently resistant to change. Official agreement that change is necessary may still evoke resistance by those individuals most threatened in the agency. The consultant's awareness of how such resistance is manifest and used permits some educative counterefforts which may be effective. There is a brief review of the literature, and case examples are given of effective and noneffective consultation.

Community Mental Health Services↗

Developmental issues in the psychiatric hospitalization of children.

Rather than becoming repositories for the community's seriously disturbed children, children's psychiatric hospitals need to develop milieu programs that involve trained child care staff and developmentally oriented child mental health professionals. Treatment programs should address the developmental needs and abilities of the various age groups and the particular developmental deficits reflected in their psychopathologies and should include a variety of treatment elements.

Adolescent↗