Biomedical subjects

J F Borus

Publications and source records attributed to J F Borus.

At least 55 records · Page 3Linked to original sources

PubMed1978

The transition to practice seminar.

The author discusses the lack of organized faculty attempts to facilitate psychiatric residents' transition to professional practice. Interviewed residents suggested that faculty discontinue their "benign neglect" of the transition and provide information and discussion regarding the realities of different types of practice. He describes the six-session seminar he developed at Massachusetts General Hospital, which focuses on the process of transition from residency to practice, emphasizes the role of faculty as decision facilitators, and explores the costs and benefits of different types of psychiatric practice.

Curriculum↗

PubMed1978

Issues critical to the survival of community mental health.

The author delineates some of the critical issues that face community mental health, with the opportunity for either growth and further development or regression into a decentralized type of custodial care. These issues include clarifying boundaries and priorities, caring for chronically ill deinstitutionalized patients, providing differentiated care, collaborating with the community, relating to the rest of psychiatry and medicine, defining the community psychiatrist's role, maintaining psychiatric manpower, undertaking evaluation research, and achieving stable funding. Psychiatry's response to these issues will help determine the resolution of this crisis and the future viability and direction of community mental health.

Chronic Disease↗

PubMed1976

Neighborhood health centers as providers of primary mental-health care.

The 19 Boston neighborhood health centers with mental-health programs were studied to investigate the delivery of mental-health services as part of a primary health-care system. Staff-time utilization data show these programs focus on the provision of primary mental-health services to neighborhood residents and indirect consultative and collaborative services to general health staff to co-ordinate health care. Forty-eight per cent of referrals for mental-health services were patients first identified and referred by general health staff. Children constituted a disproportionately high percentage of the patients served (43 per cent), and 22 per cent of the services were outreach visits, primarily in patients' homes. Quantitative studies are necessary to confirm my qualititative findings that the conjoint health and mental-health delivery site at the neighborhood level increases the accessibility and psychologic acceptability of mental-health services and enhances case finding, successful referral, and co-ordination of primary health care.

Boston↗

PubMed1976

Kibbutz and city children: a comparative study of syntactic and articulatory abilities.

This study investigated whether there were any significant differences between the syntactic and articulatory development of kibbutz and city children in Israel. Ninety children between the ages of three and four and a half years were administered a Hebrew adaptation of the Northwestern Syntax Screening Test and a Hebrew articulation test. Receptive and expressive language ability at this age were found to be superior among kibbutz children. There was no significant difference in the overall number of articulation errors made: however, there was a significantly higher rate of sibilant disorders among the kibbutz children.

Age Factors↗

PubMed1976

Consumer-professional collaboration for evaluation in neighborhood mental health programs.

Neighborhood mental health programs are challenged with the scientific and fiscal necessity of evaluating their services. Since most such programs are joint endeavors of neighborhood residents (usually a consumer board) and nonneighborhood professionals, such evaluative efforts require the sanction and collaboration of both groups to be maximally effective. However, the authors point out that collaboration is often strained by lack of trust and conflicts of interest. Study design may fail to consider neighborhood values, with the result that the provision of services is impeded, consumers are frightened or coerced, the role of paraprofessionals is threatened, and the consumer board's responsibilities to the neighborhood are ignored. The authors discuss those four issues and suggest ways of resolving them.

Community Health Services↗

PubMed1975

The coordination of mental health services at the neighborhood level.

The neighborhood health center is becoming a major locus of mental health care delivery. Because of their strategic position at the neighborhood level, mental health care systems in the comprehensive health center locus have been able to develop linkages with both general health and community mental health systems to provide a broad continuum of coordinated health and mental health care. Four models identified in a survey of 19 neighborhood mental health programs are described. The authors suggest that persistent problems in coordination of care between neighborhood mental health and other caregiving systems would be considerably alleviated by a fiscal reimbursement scheme that rewarded integration rather than fragmentation of care.

Community Health Centers↗

PubMed1973