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M Plutzky

Publications and source records attributed to M Plutzky.

5 recordsLinked to original sources
PubMed1988

Using the axis V scale to evaluate therapeutic outcome of psychiatric treatment.

This study examined whether the Axis V scale of DSM-III was a useful instrument for coding and evaluating psychiatric patients' response to treatment. It compared outpatients' functional responses to treatment, measured by the Axis V scale used to assess current functioning, with their symptomatic changes. It found that the Axis V scale provided a different dimension of patients' outcome than the symptomatic one. Overall, only 19% of the patients were rated on Axis V as improved functionally, at discharge, as compared to 55% rated as improved symptomatically. However, as outpatients completed more treatment sessions, increasingly larger percentages were rated as improved on the Axis V scale, ranging from 8.5% improved functionally after completing 1-5 sessions to 44.5% improved after 41+ sessions. Symptomatic ratings plateaued after 6-10 sessions, with 80% of the patients being rated as improved symptomatically after completing treatment, no matter how many more treatment sessions they received before discharge. The report discusses the implications of these findings for assessment of psychiatric patients' treatment needs, goals of their treatment programs, and evaluation of treatment outcomes.

Ambulatory Care↗
PubMedDate not supplied

Psychiatric problems of the 1970's.

This paper describes some of the social trends of the 1970's that may be affecting patterns of psychiatric needs and presents data showing their impact. It suggests possible psychiatric and sociopolitical responses to meet these needs. Patients were studied in the outpatient and inpatient services of the Shands Teaching Hospital and Student Mental Health Services at the University of Florida. The main findings were that single youth, both females and especially males, were requiring less help since the winding down of American participation in the Vietnam War, perhaps indicating that youth are feeling less alienated from the national effort. Black women are seeking help more than ever before, probably because the black liberation movement has offered them hope that psychiatry can help them. Despite the women's liberation movement, white women still remain the largest group of psychiatric outpatients, as they were in the 1950's and 1960's.

Adult↗