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Biomedical subjects

R L Anders

Publications and source records attributed to R L Anders.

11 recordsLinked to original sources

Characteristics of long-term mentally ill patients: policy implications.

This study examined the records of all psychiatric patients who were hospitalized over one year in a public sector institution. The 88 patients primarily were men, hospitalized under a penal code, Hawaiian or other ethnic minority, and unmarried. Over 74% were hospitalized under a penal code. The State is moving toward a capitated managed care environment for the seriously and persistently mentally ill. With the majority of the patients who are hospitalized under a penal code, changes in the public policy concerning their care is needed. If no changes are made, all of the existing hospital beds potentially could be filled with forensic patients.

Adult

State university collaboration to transform practice in public sector psychiatric nursing.

In 1986 and again in 1988, Hawaii was ranked by the Torrey report as being 51st in the nation in caring for its persistent and seriously mentally ill. After several years of being ranked last in the nation, and with the threat of a consent decree from the U.S. Department of Justice, the state of Hawaii made a commitment to improve the psychiatric mental health care of its citizens. The state's Department of Health, in September 1990, contracted with the University of Hawaii's School of Nursing to provide joint appointment faculty to consult with the nursing staff and to provide the department's chief of nursing. Working together with the joint appointment faculty, the permanent staff began the journey toward creating a state-of-the-art facility. The article discusses how change of such magnitude has been created.

Hawaii