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At least 19 recordsLinked to original sources

Interaction patterns between psychiatric aides and patients.

The present study investigated the manner in which psychiatric aides used their time when not involved in staff meetings or off-ward activities. Aides' behaviors on two shifts were observed during times they had the greatest likelihood of interacting with patients. It was found that aides were most likely to be observed in the Nursing Station on both shifts. Aides typically had a specific purpose for interacting with patients when they were on the wards. It was concluded that increased structuring of patient-aide interactions was necessary along with more stringent guidelines regarding the use of the Nursing Station.

Employee Performance Appraisal

Relationship of staff development activity to opinions about mental illness.

When 1971 and 1974 student psychiatric aides, staff psychiatric aides, and professionals at Topeka State Hospital in Kansas were given the five-factor Opinions about Mental Illness Scale as pre- and posttests, no significant differences were found in scores of the student aide groups. Significant differences, however, were found among 1974 student aides, staff aides, and professionals, with students scoring higher than professionals (p less than .05) on factors A-authoritarianism, D-social restrictiveness, and E-interpersonal etiology. Staff aides scored higher than professionals on factor B-benevolence, factor A-authoritarianism (p=.005), and factor D-social restrictiveness (p=.05). Implications for nursing are discussed.

Attitude of Health Personnel

[The clinico-epidemiological bases of mental hygiene care for the patients of a general polyclinic].

On the basis of the general somatic polyclinic servicing 26,000 adults a study was made of the clinico-epidemiological bases of the organization of the out-of-dispensary psychiatric aid. Overall 4,785 patients were examined by means of questionnaires and counselling, clinical, clinico-epidemiological and clinico-catamnestic methods. 38% of the patients did not manifest any mental disorders or were at risk for their development; 21% of the patients were attributed to a group of "potential risk"; 34 to a group of prenosological disorders; 4.8% to a group in need of the psychiatrist's advice; 2.1% made up a group registered at the dispensary. The nosological structure of mental disorders was studied to reveal that the number of patients with borderline mental conditions, seen at the polyclinic, exceeded that registered at the dispensary. The fundamental principles of the out-of-dispensary psychiatric aid to the patients have been developed: 1--early identification, 2--rational therapeutic interaction, 3--necessity and sufficiency. The use of the differentiated forms and methods of specialized out-of-dispensary psychiatric aid allowed the efficiency of medical and prophylactic measures to be increased and the duration of the temporary loss of work fitness due to mental diseases to be reduced by not less than 68%. It is concluded that the development of the analogous forms of the out-of-dispensary psychiatric aid is advisable and effective.

Hospitals, General

[Psychiatric first aid by telephone--"the telephone of trust"].

From the experiences of the telephone system for psychiatric advice "Telephone of Trust" installed in CSSR in 1964, and a closer observation of the telephone point which has been operating in Brno since 1965 (with over 48 calls to its name already) recommendations are being made regarding the eventual installation and operation of these telephone points, the usefulness of which, in the sense of advice in cases of "problems in life", has already been demonstrated, for primary and secondary prevention of psychic disorders, crisis intervention and psycho-hygiene.

Crisis Intervention

The training of paraprofessionals as behavior modifiers: a review.

Paraprofessionals are increasingly being employed in the mental health field. While much interest has focused on their roles and functioning, little systematic attention has been devoted to an examination of training practices. Because a particularly compatible relationship may exist between paraprofessionals and the behavioral model of intervention, this review focuses on the training and use of paraprofessionals as behavior modifiers. Paraprofessional populations reviewed include psychiatric aides and nurses, college students, inpatients, and community and indigenous workers. The review concludes that a strong case can be made for the administrative feasibility of training and utilizing diverse groups of paraprofessionals as behavior modifiers. The lack of consistent, solid outcome evidence prohibits a conclusion relative to the effectiveness of these paraprofessionals at this point in time. Numerous researchable questions concerning the effectiveness of various forms of training with paraprofessionals, optimal length of training for various purposes, training resistances, etc., are unanswered. Beyond this, a serious lack of communication of the basic process of training is revealed, and the perhpas questionable roles paraprofessionals are being trained for is discussed.

Allied Health Personnel

Medical management of AIDS patients. Psychiatric disturbances.

Despite the complexity and magnitude of the psychiatric disturbances associated with HIV illness, a good deal is understood about their clinical presentation. Techniques for psychopharmacologic and psychotherapeutic management have been well established and are readily available. The expertise developed for management of psychiatric disturbances in other medical illnesses applies quite well to HIV-related conditions. Although the HIV epidemic challenges us with new difficulties, our experience with other illnesses provides us with a basis to respond.

Acquired Immunodeficiency Syndrome