A strategy for enhancing the clinical utility of the psychiatric record.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M R Mattson.
Explore the source record for details and available documents.
The nation's mental health and substance abuse problems are well documented. What's lacking is quantitative data showing who is most in need of care and where those persons reside. This article underscores the importance of gathering this strategic information and using it as a planning tool.
The activities and interests of quality assurance programs have changed dramatically in recent years, in response to the government's, the public's, and the health care field's concerns with spiraling health care costs and diminishing health care funds. Using the recent literature on quality assurance in the mental health field, the author discusses how a changing political and social climate has affected the evolution of quality assurance programs--who runs them and who participates in them, what activities they encompass, their methodological challenges, how they have coped with their new responsibilities, and what lies ahead for them.
The reasons for psychiatric hospitalization are not always taught clearly and formally to psychiatric residents; screening criteria employed in utilization review can be a tool for helping residents gather data and make decisions about the admission or continued stay of patients. On the admitting and inpatient units of the Payne Whitney Psychiatric Clinic, residents use sets of criteria for admission and for continued stay, with accompanying guidelines and clinical examples, as part of their training. The authros outline principles used in developing the criteria, including the belief that they should be applicable independent of diagnosis. They suggest that in a teaching hospital screening criteria should be taken as standards, and that they should be developed as part of the educational program and only then introduced into utilization review.
Explore the source record for details and available documents.
A total of 7.2% of the patients in a private psychiatric hospital were placed in seclusion during a one-year study. These 63 patients had a more frequent diagnosis of schizophrenia and manic-depressive illness, manic type, than a comparison group. Significant intergroup differences in age and length of hospitalization became insignificant when the seclusion patients under 20 were excluded. Although seclusion was often used to protect patients, others, and property, the most frequent reason was to maintain a therapeutic environment. This study pointed toward a staff tendency to see the "problem" of the patient's behavior as being solved by seclusion rather than viewing seclusion as an intensive care environment in which the patient's behavior and treatment could be morec arefully monitored.