Ensuring Services for Persons With Chronic Mental Illness Under National Health Care Reform

Hr, Lamb; Sm, Goldfinger; Greenfeld, Dorothy A.; Minkoff, Kenneth; Jc, Nemiah; Jj, Schwab; Ja, Talbott; Tasman, Allan; Ll, Bachrach

doi:10.1176/ps.44.6.545

1993

DOI: 10.1176/ps.44.6.545

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Ensuring Services for Persons With Chronic Mental Illness Under National Health Care Reform

Lamb Hr

Goldfinger Sm²,

Dorothy A. Greenfeld³

et al.

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Clinical care update schizophrenia and the life cycle

Adler

Pajer

Ellison

et al. 1995

Community Ment Health J

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We reframe the longitudinal treatment of persons with schizophrenia from the perspective of phases in adult development. This approach articulates the need for different interventions of varying intensities over the person's lifetime. The paper discusses the implications of an adult developmental perspective in managing pharmacologic treatment and psychosocial interventions, and in reallocating financial resources for improved long-term outcomes. This perspective is especially useful in the context of a comprehensive community mental health program permitting access to a continuum of services throughout the lifecycle.

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Clinical care update schizophrenia and the life cycle

Adler

Pajer

Ellison

et al. 1995

Community Ment Health J

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show abstract

Consultation–liaison Psychiatry in the Managed Care Arena

Gonzales¹,

Randel

1996

Psychiatric Clinics of North America

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Duurkoop

Dyck²

2003

Community Mental Health Journal

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In 1986, the traditional psychiatric hospital where 70% of Amsterdam's intramural treatment took place, was closed down. The progress of two groups of long-stay patients was followed by longitudinal cohort research for five years after their transferral to new small-scale facilities in Amsterdam. The ADL-functioning of the most severely handicapped clients improved and their psychiatric symptoms decreased, while no improvement was seen in the functioning of the more independent and less handicapped clients. Now, thirteen years after closure of the old hospital, the use of the psychiatric facilities by these clients is being evaluated. This evaluation makes clear that the improvement of the severely disabled patients depends on the intensity of care given. Apparently, the improvement in the new facilities is no guarantee for a further development into a less care-intensive environment. The less handicapped and more independent clients, however, could more easily be transferred to less care-intensive facilities.

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Ensuring Services for Persons With Chronic Mental Illness Under National Health Care Reform

Cited by 5 publications

References 0 publications

Clinical care update schizophrenia and the life cycle

Clinical care update schizophrenia and the life cycle

Consultation–liaison Psychiatry in the Managed Care Arena

Untitled

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