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Biomedical subjects

M R Berren

Publications and source records attributed to M R Berren.

15 recordsLinked to original sources
PubMed1999

Health care utilization by persons with severe and persistent mental illness.

Claims for physical health care among 220 Medicaid enrollees with severe mental illness and 166 Medicaid enrollees who were not enrolled in the public mental health system were compared. Claims for the mentally ill group were 18 percent less than for the group without severe mental illness. Twenty-eight percent of claims for mentally ill patients were for treatment in emergency rooms and ambulances, compared with 11 percent for patients without mental illness; 26 percent of claims for patients without mental illness were for care in outpatient surgical and outpatient hospital settings, compared with 14 percent for mentally ill patients. Results suggest inefficient use of the health care system by mentally ill patients and highlight the need for coordination of care.

Adult↗
PubMed1990

The seriously mentally ill: another perspective on treatment resistance.

There is a subpopulation of the seriously mentally ill who remain acute care recidivists, rarely becoming engaged in follow-up treatment. It has been argued that these individuals are system, rather than treatment resisters. The perceptions they have of their problems are often in conflict with staff evaluations, or with what the system has to offer. In the present study, patients who dropped out of residential care against staff's advice were compared to patients who remained in treatment. The results suggest that the greater the difference between the perceptions a patient and therapist have concerning the patient's problem, the greater the likelihood of the patient dropping out of treatment.

Adult↗
PubMed1990

Homeless mentally ill patients in the community: results of a general hospital emergency room study.

Previous inattention to the specific circumstances of homeless mentally ill individuals in general hospital settings is discussed. Homeless mentally ill individuals who presented for emergency psychiatric care in a public general hospital setting exhibited distinctive patterns of service utilization and showed evidence of being a uniquely disabled, rootless, and impoverished subgroup of mentally ill individuals. The characteristics of homeless users of general hospital psychiatric services may provide some important clues to system-wide deficits in community-based care for the members of this population.

Adult↗
PubMed1988

The homeless mentally ill in Tucson: implications of early findings.

Homeless persons who received emergency psychiatric screening in a public general hospital exhibited patterns of gross geographic mobility. They did not uniformly avail themselves of community services, such as soup kitchens, and there were marked sex differences within the sample.

Adult↗
PubMed1988

Involuntary outpatient commitment in Arizona: a retrospective study.

In July 1983 Arizona's commitment statutes were revised to allow the courts to order involuntary outpatient treatment for the mentally ill. Using retrospective data from medical and court records, patients at a county hospital in Tucson for whom involuntary commitment was sought before outpatient commitment was available were compared with similar groups of patients after outpatient commitment was instituted. Patients ordered to receive outpatient treatment did not differ significantly in diagnosis or reason for commitment from patients committed to inpatient treatment before the change in the law. However, shorter inpatient stays were reported after outpatient commitment became available. In addition, the percentage of patients who voluntarily maintained an active relationship with community treatment centers six months after commitment increased significantly after outpatient commitment was instituted.

Adult↗
PubMed1984

Statewide outcome evaluation: an introduction to the special issue.

In this introductory article to the special issue, the author (1) gives an historical account of how the special issue came into being, (2) proposes a model that identifies the major issues to be concerned with while doing statewide outcome evaluation, and finally, (3) gives a brief introduction to the articles that follow.

Community Mental Health Services↗
PubMed1984

The paradoxical impact of a commitment statute on prediction of dangerousness.

Forty psychiatrists in Arizona were asked to rate the dangerousness to self or others of 16 patients described in case histories and to recommend an appropriate course of action. Half the psychiatrists were given the state defining dangerousness to use in responding. Psychiatrists who used the statute summary were less consistent in their predictions of dangerousness than were those who did not use it, especially when the patient had a history of violence. The concept of cognitive dissonance is used to partially explain this paradoxical finding.

Arizona↗
PubMed1982

A typology for the classification of disasters: implications for intervention.

A model that can be used to plan for disaster intervention services is presented. The model, which is based upon an ability to classify disasters, presents four dichotomous categories for intervention: (1) psychotherapeutic vs. educational, (2) individual vs. systems, (3) prevention vs. treatment, and (4) direct vs. indirect. The article presents a rationale for determining which intervention, or combination, would be appropriate for any given disaster, based on its classification.

Adaptation, Psychological↗
PubMed1981

A study of the causes of conflict between psychiatrists and psychologists.

Although there has been much discussion of the current professional conflicts between psychiatrists and psychologist, few studies have attempted to empirically evaluate how the professions view their roles and responsibilities within the mental health system. In this study a questionnaire was sent to psychiatrists, psychologist, social workers, and nurses in various mental health settings. They were asked to evaluate how large a role psychiatrists and psychologists played in 11 everyday activities, how competent the two professions were to perform the activity, and how much responsibility each should ideally have in carrying out the activity. The results showed that the two professions differ in their perceptions of their competence to perform several activities central to the mental health system. Based on the findings, the author suggest some ways to resolve the conflicts between the two professions.

Attitude of Health Personnel↗
PubMed1980

A typology for the classification of disasters.

A model that can be used to classify various types of dasasters is presented. The model allows for disasters to be classified along five criteria: (1) type of disaster (acts of God as opposed to man made), (2) duration of disaster, (3) degree of personal impact, (4) potential for occurrence, and (5) control over future impact. The point is made that the model can be utilized in identification of crucial elements of a disaster. The identification of such elements will, in turn, assist the human service provider in planning intervention activities that make sense in light of consequences (and potential future consequences) suffered by victims.

Adolescent↗