Population density and rehospitalization for the seriously and persistently mentally ill.
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Biomedical subjects
Publications and source records attributed to J R Husted.
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This article reviews recent research related to impaired insight in schizophrenia and its consequences for cognitive, behavioral, legal, and treatment compliance issues affecting this population. It discusses efforts to find the neurobiological basis for lack of insight and the various structures or circuits of the brain that have been implicated. In the search for a more reliable and valid measure of insight for treatment decisions, the development of various assessment instruments is summarized. Impaired insight is shown to be related to a poorer course of the illness and noncompliance with necessary treatment. The implications of these findings for treatment decisions, legal interventions, and ongoing treatment monitoring are discussed.
This study was designed to uncover differences in interpretation and implementation of civil commitment laws. Such problems in interpretation may contribute to mentally ill persons remaining untreated and potentially joining the thousands of homeless mentally ill persons in our communities or the incarcerated mentally ill persons in our prisons and jails. The study examines differences in the assessments of the severity of mental illness, and the appropriateness and judged feasibility for commitment in different commitment categories, made by emergency room admitting personnel, police officers, and families of mentally ill persons. The results demonstrate that police are significantly less likely than families or mental health professionals to perceive mental disability or a need for involuntary commitment on any grounds. Professional psychiatric staffs were much more likely than the other two groups to consider commitment in all three cases as legally feasible. Family ratings of appropriateness for commitment based on the presented symptomatology are similar to those of professionals. However, they are significantly less likely than professionals to judge the cases as legally feasible for commitment, and they interpret the laws similarly to the police raters in believing that commitment laws will not allow involuntary hospitalizations. Consequences and implications of these differences are discussed.
This article reviews the results of a survey of California law enforcement agencies, designed to assess the experience of these agencies with mentally ill offenders (MIOs) and the training of their officers to interact with this population. The results suggest that most law enforcement officers are given insufficient training to identify, manage, and appropriately refer the MIOs they are increasingly likely to encounter. The data indicate that, in contrast to their training and expectations, peace officers are as likely to be called to a mental illness crisis as to a robbery. The MIO is likely to be arrested for nonviolent misdemeanors and to be screened by officers with little of the training or knowledge needed to divert them to appropriate mental health treatment. Respondents report that increased communication and cooperation between law enforcement and mental health professionals is the single greatest improvement needed for handling mental illness crises.
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This study explores the relationship between male sexual behavior and personality factors, as measured by the MMPI and Sensation Seeking Scale. Subjects were 20 male volunteers, ages 19-58, with a history of long-term sexual relationships. Subjects kept a daily record of sexual behaviors. Frequency of these behaviors was correlated with MMPI and Sensation Seeking (SSS) subscales. Results indicate that both introversion and depression show significant correlations with autoerotic stimulation and arousal, but not with heterosexual activity. There is no significant correlation demonstrated between hypomania and sexual activity. The Boredom Susceptibility subscale of the SSS correlated significantly with the number of sexual partners.
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A FREE OPERANT PROCEDURE WAS USED TO DETERMINE WHETHER OR NOT ONE RAT COULD DISCRIMINATE: (1) between the presence and absence of a second rat, and (2) between two other rats of the same species and sex. The subjects were four male Wistar rats. The discriminatory response was a bar press and food was used as reinforcement during training. Although there were wide individual differences in rate of learning, all subjects learned to make both discriminations.