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Biomedical subjects

L Gabinet

Publications and source records attributed to L Gabinet.

8 recordsLinked to original sources
PubMed1989

Effect of liaison psychiatry on attitudes toward psychiatry, rate of consultation, and psychosocial documentation.

Prior literature suggested that psychiatric liaison on medical wards would produce a more positive attitude towards psychiatry, more psychosocial chart documentation, and a higher consultation request rate. Over 3 years, liaison was conducted on two medical wards, and its effect was contrasted with two control (consultation only) medical wards. Liaison activities were more favorably received by consultees than consultation alone and increased the consultation request rate, but produced no change in psychosocial documentation. Additional effectiveness of liaison activities might be achieved through direct, focused interventions, and through active involvement of senior medical faculty.

Attitude of Health Personnel↗
PubMed1986

A protocol for assessing competence to parent a newborn.

Abuse of infants in the first year of life is a common phenomenon in pediatric wards. Many of these abuses result from chronic psychologic or cognitive deficits in the mother that could be identified before she takes her newborn home from the hospital. Research has shown that assessment of competence to parent during the perinatal period can identify a large proportion of parents whose babies will be abused. Thus early identification of risk and appropriate intervention may help avert child abuse in some cases. This article presents a protocol for evaluating the ability of new mothers to care for their newborns. Relevant factors include parents' history, current functioning, knowledge about infant care, capacity to learn, and support system. Suggestions about how to integrate the various pieces of data are also provided. Diagnoses and recommended dispositions of 97 cases referred to the author for evaluation are also included, along with guidelines for writing reports to juvenile authorities.

Child Abuse↗
PubMed1983

Child abuse treatment failures reveal need for redefinition of the problem.

This article seeks to prove that current modalities for treating child abuse are not solving the problem because many high risk and abusive families do not get help, and because these identified families represent only a small part of the population at risk for child abuse. The paper presents statistics obtained by the Cleveland Parenting Program for the Prevention of Child Abuse on the numbers of high risk parents who refuse treatment, and others who fail to profit when therapy is undertaken: sociopathic/addictive, grossly immature or infantile, and mildly retarded/infantile personalities. Psychotic, moderately or severely retarded, and hard core premeditated abusers were also considered untreatable with the Parenting Program modality. The article goes on to delineate a larger population that is at risk of child abuse because of the parents' early experiences of violence as well as other emotional and educational deprivations. The article concludes with the argument that primary prevention of child abuse can really only be addressed effectively in the context of programs designed to help both groups: people identified as being at risk, and the larger, unidentified, at risk population.

Adult↗
PubMed1983

Shared parenting: a new paradigm for the treatment of child abuse.

The thesis of this article is that child abuse can be most effectively prevented by recasting it as a part of a larger problem of inadequately parented families. Services for these families may be offered for voluntary participation. They need not be thought of as treatments since they would be designed to prevent rather than treat injuries. The goal of the services would be to improve the childrearing experiences of children in two ways: by helping their parents to function more effectively and providing whatever elements of parental functioning (nurture, education, discipline, or protection) which the natural parents could not give. The proposed facilities would provide supplemental parenting and other services for children as necessary. Facilities would include outreach into the homes, family drop-in centers, family half-way houses for parents who can take care of their children only with onsite supervision, and residential facilities and foster homes at which natural parents would be encouraged to visit and participate. The majority of child abuses occur when there is stress on parents who are inadequate because they themselves have received deficient parenting. The proposed services would relieve stress on parents. This sharing of parental responsibilities between the natural parents and the sharing parents encountered in the proposed facilities would provide children with more adequate parenting than they could receive from their natural parents alone. This would give them a chance to grow into adequate, nonabusive parents and thus interrupt the generational cycle of abuse.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗
PubMedDate not supplied

The identification of psychiatric morbidity by internists and subsequent selection for psychiatric referral.

Past literature raises the question as to the degree of identification of psychiatric morbidity among medical inpatients. A psychosocial information scale was used to rate charts of seventeen inpatients who later received a psychiatric consultation and seventeen who did not during the index admission. More psychosocial items were generally present in the charts with those patients receiving later psychiatric consultation overall and specifically in the areas of psychiatric chief complaint, history of behavior change and past psychiatric history. It was concluded that many patients with psychiatric morbidity on medical wards were not so identified and this was a prime reason for their non-referral, although several of the sub-groups of such patients could benefit from psychiatric treatment. Non-psychiatrists were urged to adopt a more holistic approach to medicine with emphasis on continuity of care to insure comprehensive diagnosis and management.

Humans↗