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Biomedical subjects

L R Faulkner

Publications and source records attributed to L R Faulkner.

61 records · Page 4Linked to original sources

The CMHC as a setting for residency education.

The authors review four approaches chairmen of departments of psychiatry have used to attempt to ensure quality resident education in CMHCs they do not control. Several examples are presented of administrative problems that may develop in this type of relationship. Based on this material and the author's experience, a four stage administrative process is presented which emphasized clear identification of goals and objectives, negotiation of a relationship that is beneficial to both the development and the CMHC, development of a written contract, and careful monitoring and evaluation of its progress. Designing a relationship in this fashion offers maximum opportunity for programmatic success.

Academic Medical Centers↗

Administrative relationships between community mental health centers and academic psychiatry departments.

The authors reviewed the administrative relationships between academic departments of psychiatry and community mental health centers (CMHCs). By telephone, they surveyed the chairpersons of 110 departments of psychiatry with approved psychiatric residency programs and found that 87 (79%) had some type of administrative relationship with a comprehensive CMHC. Almost two-thirds of the chairpersons of these departments considered the CMHC to be of major importance to their educational programs. Only 8 (7%) of the 110 departments had discontinued their relationship with a CMHC. Most of the chairpersons whose departments were involved with a center were optimistic about the future of their programs in CMHCs.

Attitude of Health Personnel↗

Problems in the recognition and treatment of patients with dual diagnoses.

BACKGROUND: This study was to find if the dually diagnosed in a teaching psychiatric hospital were being adequately identified and treated. METHOD: The records of 200 adult inpatients were reviewed for psychiatric diagnoses, the presence of a history of substance abuse, and the kinds of treatment rendered those patients. RESULTS: Forty-three percent of the patients admitted were found to have a history of substance abuse, but 31.4% of these had a history of substance abuse in the record without a formal diagnosis. Major depression (26.6%) and schizophrenia (18.7%) were the most frequent diagnoses. Half of the patients received no documented treatment for substance abuse. The most common intervention was education by the nursing staff. CONCLUSIONS: There is a clear need for better recognition and treatment of the dually diagnosed patient.

Adult↗