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Biomedical subjects

J S Verinis

Publications and source records attributed to J S Verinis.

At least 19 recordsLinked to original sources

The effect of an orientation-to-treatment group on the retention of alcoholics in outpatient treatment.

Seventy-five poor inner city alcoholics were exposed to a 1/2-hour videotape orienting them to treatment. When compared to a similar group that did not see the videotape, the orientation group attended more clinic sessions in the following month. A greater percentage of them made more than 10 visits, were still active after the month, and went on to inpatient rehabilitation. The orientation group is an effective, cost efficient way of increasing patient follow through with treatment.

Adult↗

Treatment outcome for impoverished alcoholics in an abstinence-based program.

Positive patient characteristics have been assumed important in determining treatment outcome for the abstinence-based method of addiction treatment. Thus far, controlled and uncontrolled studies of the abstinence-based method have examined predominantly employed, White, and married populations of alcoholics. We present a treatment outcome study of the abstinence-based method of treatment in unemployed, Black, and unmarried population of alcoholics. The negative patient characteristics of our study did not predict an unfavorable outcome in comparison to those in other studies that included positive patient characteristics.

Adult↗

Increasing alcoholic patients' aftercare attendance.

Of a sample of 100 patients on an inpatient alcohol rehab unit, 50 were assigned to a weekly group therapy session in the aftercare clinic. Those inpatients with aftercare clinic exposure prior to discharge were more likely to return for aftercare. In a second study of 100 inpatients the effect of having a counselor who would continue to follow them in aftercare was explored. Half the sample had a counselor whose primary assignment was in the aftercare clinic and thus could work with them on a continuing basis. The other half had a counselor whose primary assignment was on the inpatient unit and would not be able to continue with them. Counselor continuity had no impact on aftercare follow through.

Adult↗

Alcoholics initial expectancies of and attitudes toward treatment.

In one study, 100 poor inner-city alcoholics were asked about their expectancies of the counselor's behavior in an initial interview. The majority expected a medically oriented, supportive, active interviewer who asked them about emotional issues. Eighty percent reported a disconfirmation of at least one expectancy postinterview. In a second study, patient's receptivity to treatment was assessed. That sample was found to accept the need for treatment and to have confidence in the counseling process as well as to be moderately tolerant of the stigma of being alcoholic and interpersonally open. Neither the degree of expectancy disconfirmation or receptivity to treatment predicted patient's subsequent clinic attendance in this patient sample.

Adult↗

Outpatient care participation and six-month status: results with an inner city impoverished alcoholic veterans population.

One hundred and thirty-seven impoverished, inner city, predominately Black alcoholic veterans were divided into four groups based on the frequency of their attendance at an outpatient clinic. They were assessed 6 months after their joining the clinic. In general, many variables reflecting lessened alcohol consumption were connected with greater amounts of clinic attendance. In most instances a month or more of attendance at the clinic appeared necessary before the positive changes started to occur.

Adult↗

The effect of pre-bed care on alcoholic patients' behavior during inpatient treatment.

Sixty-five alcoholic patients admitted to an inpatient rehabilitation unit were studied regarding the effect of an outpatient pre-bed care participation program on subsequent behavior. There were no differences in on-ward behavior between the pre-bed care and direct admission patients. However, the pre-bed care patients were less likely to leave the inpatient unit AMA and more likely to still be active in aftercare treatment 6 months after discharge.

Adaptation, Psychological↗

Improvement in men inpatients in an alcoholism rehabilitation unit: a week-by-week comparison.

The Brief Symptom Inventory (BSI), a 53-item psychiatric symptom checklist, was administered to 57 alcoholic inpatients on days 2, 10, 18 and 26 of their 28-day stay in an alcoholism rehabilitation unit at a Veterans Administration hospital. The results of the test show a steady decline in the patients' psychiatric symptomatology from week 1 to week 4 with the most dramatic improvement evidenced between weeks 1 and 2.

Adult↗

Characteristics of patients who continue with alcohol outpatient treatment.

Demographic data were collected on 121 patients who were screened and accepted by the outpatient selection of the West Side VA alcohol rehabilitation program. Patients who engaged in active outpatient treatment (26%) were more likely to be: employed at night, sober at the time of the screening, and living within 40 blocks of the hospital. Referring the patient to another facility for detoxification and admitting him to the inpatient section of the rehabilitation program decreased the chances that he would continue with outpatient care.

Adult↗

Personality characteristics of drug addicts and alcoholics on the Millon Clinical Multiaxial Inventory.

The Million Clinical Multiaxial Inventory (MCMI) was administered to 106 alcoholics and 100 addicts in separate VA inpatient rehabilitation treatment programs. The alcoholics scored higher on the personality style scales of Avoidant, Passive-Aggressive, Schizotypal, Borderline and Paranoid, while the opiate addicts scored higher on the Narcissistic personality disorder scale. Separate cluster analyses for both groups further revealed common personality styles among both groups. Several MCMI scales showed significant correlations with age, but in no case were the effects attributed to age larger than 5% of the total variance. The MCMI may alert clinicians to subtle similarities and differences between and among alcoholics and opiate addicts.

Adult↗

Agreement between alcoholics and relatives when reporting follow-up status.

Forty-five patients and their relatives were interviewed by telephone regarding their posttreatment status. Questions were asked concerning such areas as drinking, health, employment, family relationships, legal trouble, and AA involvement. In 80% of the cases, there was almost exact agreement between the alcoholic and his relative in all areas. In the remaining cases, the relative described the alcoholic as engaging in excessive drinking and disruptive behavior while the alcoholic denied or minimized these behaviors. The discrepancy between the alcoholic's and the relative's report varied according to area asked about.

Alcohol Drinking↗

Ward atmosphere as a factor in irregular discharge from an alcohol rehabilitation unit.

A 20-bed alcohol rehabilitation unit with a high patient retention rate had the experience of a sudden increase in irregular discharges. Administration of the Ward Atmosphere Scale developed by Rudolph Moos showed a drop in various therapeutic aspects of the ward environment that paralleled the increase in irregular discharges. These results were discussed with staff, and soon after the number of irregular discharges diminished. The Ward Atmosphere Scale was readministered and showed a move toward a more therapeutic atmosphere. The reasons for these fluctuations are discussed.

Alcoholism↗

Evidence for organicity in concrete vs. overinclusive thought-disordered schizophrenics.

Matched 20 overinclusive schizophrenics, 13 schizophrenics with a concrete thought disorder, defined in terms of performance errors on a conceptual ability test, and 11 brain-damaged patients on age, education, vocabulary proficiency, severity of illness and length of hospitalization. Ss then were given the Combined Test Battery for Organicity. No differences were found between the overinclusive and concrete schizophrenics on any measure of organicity. The Organic Test Battery had poor concurrent validity in distinguishing between brain-damaged and schizophrenic patients. Schizophrenics with a concrete thought disorder have a relatively rare condition that continues to defy explanation, though on the basis of past research an organic involvement seems to be the most parsimonious explanation.

Adult↗

Using the Ward Atmosphere Scale to help change the treatment environment.

The Moos Ward Atmosphere Scale was administered on a 45-bed psychiatric unit in a Veterans Administration Hospital to assess how staff, patients, and observers viewed the ward and to clarify what goals staff had and what changes they wished to make. Comparisons of staff's ratings of the existing milieu and of what an ideal milieu should be showed they wiched to improve the ward in the areas of patient involvement, support, spontaneity, order and organization, program clarity, and staff control; methods for making such changes became apparent. When the scale was administered again seven months later, respondents' ratings indicated that in general there had been substantial positive changes in all six areas. The authors believe the Moos scale is an invaluable aid in making and measuring change in a ward environment.

Attitude of Health Personnel↗

Maternal and child pathology in an urban ghetto.

A group of 80 black, urban ghetto mothers, 40 which a behaviorally disturbed child and 40 with no identified disturbed child, was evaluated by the MMPI. The literature reports a relationship between maternal pathology and child disturbance for middle- and working-class families. The present study, however, showed no such relationship between these two variables in ghetto families.

Adult↗