PubMed Health⌕ Search

Biomedical subjects

P R Ahr

Publications and source records attributed to P R Ahr.

8 recordsLinked to original sources
PubMed1994

Reliability and concurrent validity of the level of care and utilization survey.

A level-of-care instrument was developed for individuals with severe mental illness. A random sample of 300 patients residing in two state hospitals and a state-operated nursing home was used to test the concurrent validity and reliability of the instrument. Analysis indicated excellent test-retest reliability, good split-half reliability, adequate internal consistency, and reasonable concurrent validity. Thus, the questionnaire may provide a base for clinicians and administrators responsible for designing programs and health-care systems of treatment in the least restrictive environment possible.

Hospitalization↗
PubMed1988

Arrest rates among young adult psychiatric patients treated in inpatient and outpatient settings.

Within a statewide random sample of 611 young adult patients who received public inpatient, outpatient, and community residential care, 38 percent were found to have been arrested at least once in their adult lifetimes. Thirty-five percent had been arrested for felonies and 18.9 percent for violent crimes. Analyses by five major diagnostic groups showed that patients with a primary diagnosis of drug or alcohol abuse had the greatest overall frequency of arrests and also the greatest frequency of arrests for burglary, offenses against public order such as peace disturbance or loitering, and probation and parole violations. No significant differences between diagnostic groups were found for arrests for violent crimes. Characteristics that predicted which patients would be arrested in the year after receiving mental health services were a greater number of lifetime felony arrests, younger age, being black or a member of another minority group, and more years since first receiving public mental health care.

Adult↗
PubMed1988

CMHCs: muted impact.

Explore the source record for details and available documents.

Community Mental Health Centers↗
PubMed1987

Who really treats the severely impaired young adult patient? A comparison of treatment settings.

To make informed decisions about allocation of resources between state hospitals and community services, it is necessary to have comparable data on patients being served in both kinds of settings. Using a random sample of 611 severely impaired young adult patients with major mental illnesses, a study in Missouri compared those who were treated in state-operated facilities with those treated in private, not-for-profit community mental health centers that received state funds. A major finding was that young adult patients were more likely to be treated in a state-operated facility, and that 89 percent of inpatient admissions of this group were made to state-operated facilities. Compared with patients seen in the centers, those served by state facilities were more likely to have histories of arrests or violence, to be minority-group members, to be poor or unemployed, to have a diagnosis of schizophrenia, and to come from more urbanized areas. Of the 26 percent of the sample defined as chronic patients, 73 percent were treated at state-operated facilities.

Adolescent↗
PubMed1986

Clinicians' assessments of the service needs of young adult patients in public mental health care.

The level of functioning, treatment needs, and expected degree of compliance of 327 young adult patients who had a major psychiatric or substance abuse disorder were assessed retrospectively by the clinicians who provided their primary care in Missouri's public mental health system in 1982. Forty-eight percent of the patients were rated as having poor to grossly impaired functioning. Outpatient counseling, alcohol and drug abuse treatment, and outpatient crisis intervention were the most frequently named treatment needs. The most impaired patients were thought to be in greatest need of medication and crisis intervention, but to be most likely to comply with recommendations for outpatient counseling and psychotherapy. The authors believe that clinicians' assessments of needs of young adult psychiatric patients can serve as the basis of a model system of care.

Adolescent↗
PubMed1985

State mental health directors' priorities for mental health care.

The National Association of State Mental Health Program Directors surveyed all state mental health directors, through a series of mail questionnaires, to determine their national priorities for mental health care in the 1980s. In a ranking of 62 issues, the directors considered the top two priorities to be providing services and support programs in the community for the chronically mentally ill. Other highly ranked priorities included developing community residential programs, assuring continuation and funding of programs in a period of financial retrenchment, and developing a continuum of services for children and adolescents. A cluster analysis showed that within the overall group four different patterns of priorities emerged: issues related to certification and accreditation, to expansion of community programs both with and without a decrease in institution-based care, and to financial accountability.

Attitude of Health Personnel↗
PubMed1981

Measuring the relationship of public psychiatric admissions to rising unemployment.

The results of a correlational analysis of the relationship between monthly state unemployment statistics and admissions to eight Missouri Department of Mental Health facilities are presented. Over a period of 100 months, readmissions, rather than new admissions, showed the strongest positive relationship to unemployment. A second study-a retrospective analysis of admissions before and after a major increase in unemployment-supported the results of the correlational analysis. A third analysis of subset of the original sample, comprised of patients unemployed at the time of admission, suggests that public facilities are more accessible to the unemployed during times of economic adversity. The findings on the relationship of readmission rates to the state of the economy have important implications for policy on deinstitutionalization. The planning, development, and evaluation of community care programs should include consideration of employment data.

Deinstitutionalization↗