Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Community Mental Health Centers: Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Mental Health Services: Organized services to provide mental health care.Mental Health: The state wherein the person is well adjusted.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Crisis Intervention: Brief therapeutic approach which is ameliorative rather than curative of acute psychiatric emergencies. Used in contexts such as emergency rooms of psychiatric or general hospitals, or in the home or place of crisis occurrence, this treatment approach focuses on interpersonal and intrapsychic factors and environmental modification. (APA Thesaurus of Psychological Index Terms, 7th ed)Psychiatric Nursing: A specialty concerned with the application of psychiatric principles in caring for the mentally ill. It also includes the nursing care provided the mentally ill patient.Hospitals, Psychiatric: Special hospitals which provide care to the mentally ill patient.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.United StatesCommunity Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Adolescent Health Services: Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.Child Health Services: Organized services to provide health care for children.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Psychotic Disorders: Disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations. (From DSM-IV, 1994)Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.United States Substance Abuse and Mental Health Services Administration: An agency of the PUBLIC HEALTH SERVICE concerned with the overall planning, promoting, and administering of programs pertaining to substance abuse and mental health. It is commonly referred to by the acronym SAMHSA. On 1 October 1992, the United States Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) became SAMHSA.Psychiatry: The medical science that deals with the origin, diagnosis, prevention, and treatment of mental disorders.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.LondonEnglandEmployment, Supported: Paid work for mentally or physically disabled persons, taking place in regular or normal work settings. It may be competitive employment (work that pays minimum wage) or employment with subminimal wages in individualized or group placement situations. It is intended for persons with severe disabilities who require a range of support services to maintain employment. Supported employment differs from SHELTERED WORKSHOPS in that work in the latter takes place in a controlled working environment. Federal regulations are authorized and administered by the U.S. Department of Education, Office of Special Education and Rehabilitative Services.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Health Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Assertiveness: Strongly insistent, self-assured, and demanding behavior.Great BritainInsurance, Psychiatric: Insurance providing benefits to cover part or all of the psychiatric care.Professional-Patient Relations: Interactions between health personnel and patients.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Psychiatric Status Rating Scales: Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Schizophrenia: A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.Interprofessional Relations: The reciprocal interaction of two or more professional individuals.Mentally Ill Persons: Persons with psychiatric illnesses or diseases, particularly psychotic and severe mood disorders.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Psychotherapy: A generic term for the treatment of mental illness or emotional disturbances primarily by verbal or nonverbal communication.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Reproductive Health Services: Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.New HampshireAttitude to Health: Public attitudes toward health, disease, and the medical care system.

*  Schools consider ways to deal with mental health disorders - Connecticut Post

... education for parents about mental health issues, collaborations between schools and community mental health services, and more ... In the Greenwich public school district, there is a full complement of mental health support staff, including Spanish-speaking ... showed evidence of mental health problems or socialization issues. [...] the notion of asking educators to shoulder this burden ... There are a number of beefed-up, overlapping approaches, but there needs to be the availability of services for students that ...
ctpost.com/local/article/Schools-consider-ways-to-deal-with-mental-health-4323947.php

*  Choice as governance in community mental health services

Choice, community mental health, community mental health reform, day center, free-choice system, implementation, participants' ... 1. Frames for choice and market characteristics - a Swedish case study of community mental health services in change. Öppna ... 2. Freedom of choice or cost efficiency?: the implementation of a free-choice market system in community mental health services ... freedom of choice systems, community mental health services Nationell ämneskategori Socialt arbete Identifikatorer. URN: urn: ...
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*  Evaluation in Practice: A Sourcebook of Program Evaluation Studies from ... - Google Books

... and Mental Health Administration, National Institute of Mental Health, 1979 - Community mental health services - 288 pages ... Maimonides Community Mental Health Center. Publisher. Department of Health, Education, and Welfare, Public Health Service, ... AND PURPOSE involved keypunch Maimonides measures ment Mental Health Center mental health programs mental health services ... and Mental Health Administration, National Institute of Mental Health, 1979. ...
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*  SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES Volunteer Opportunities - VolunteerMatch

Find SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES volunteering opportunities at VolunteerMatch! ... Volunteer with SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES. ... SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES ... To provide quality mental health services to all, regardless of their ability to pay Read more ...
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*  Plan to boost GP mental health role fails to win Govt support - doctorportal | doctorportal

1 billion of Commonwealth funding from public hospitals to primary health providers and community-based mental health services. ... A leaked copy of the long-awaited National Mental Health Commission review of mental health care, obtained by the ABC's 7.30 ... review of the mental health system to boost the role of GPs and Primary Health Networks in providing mental health care by ... 1 billion of Commonwealth funding from acute hospitals to community-based mental health services from 2017-18. ...
https://doctorportal.com.au/plan-to-boost-gp-mental-health-role-fails-to-win-govt-support/

*  Press Release: Community Mental Health Services Partnership

Community Partnership Expands Reach of Mental Health Services to Underserved. Freedom House Recovery Center and Mental Health ... About Mental Health America of the Triangle. Originally named The Mental Health Association in Orange County, MHAT began in ... In 2010, MHAT affiliated with the national advocacy organization Mental Health America, to amplify its impact in the community ... mental health and substance use disorder services which were provided to 10,000 adults and children in its service area last ...
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*  Morris, Gabrielle S. [WorldCat Identities]

Mother of Community Mental Health Services. Regarding her involvement in the development of mental health services; early days ... Norman B Mental health services Mexican Americans Oral history Orr, Verne, Politics and government Reagan, Ronald Rosenberg ... Also includes information on her service as lecturer in community service, Mills College, 1949-59 ... role as director of community services in State Department of Mental Hygiene; passage of Short-Doyle Act; political career of ...
worldcat.org/identities/lccn-n86821810/

*  Petition · Abolish use of formal psychiatric diagnostic systems like ICD & DSM · Change.org

... in areas as diverse as psychotherapy services, community mental health services, substance misuse, and marital counselling) ... Unlike other areas of public health, mental health in those societies with the most developed services appears to be the ... Developing the knowledge base and services in this manner would give mental health services and practitioners a better chance ... Shapiro, S., Skinner, E.A., Kessler, L.G. (1984) Utilization of health and mental health services. Three epidemiologic ...
https://change.org/p/royal-college-of-psychiatrists-abolish-use-of-formal-psychiatric-diagnostic-systems-like-icd-dsm

*  Psychiatric / Mental Health Services Technician - Community

Their long list of free services includes career profiles, career videos, salary data, college profiles, information on majors ...
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*  Eyerly Ball Community Mental Health Services in Ames, IA - YellowBot

Eyerly Ball Community Mental Health Services at 2521 University Blvd, Ames, IA 50010 ... Medicaid medical Medicare mental health Mental Health Centers Mental Health Service Mental Health Services outpatient clinic ... What the community has to say about Eyerly Ball Community Mental Health Services Add Photo or Video User Photos & Videos. Be ... Eyerly Ball Community Mental Health Services. Address. 2521 University Blvd Ames IA 50010 Phone. (515) 598-3300 Visit:. ...
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*  Mental Health Services

Friendship Houses also provide New York State licensed Adult Behavioral Health Home and Community Based Services (BH HCBS), ... Mental Health Services. Since 1976, JASA has offered geriatric mental health services in recognition that older adults have ... GERIATRIC MENTAL HEALTH OUTREACH CENTERS. JASA maintains a New York State-licensed outpatient mental health clinic in the Bronx ... Mental Health Services in Senior Centers JASA is part of a new New York City Department for the Aging (DFTA) initiative to ...
jasa.org/community/mental-health-services

*  Supporting mental health services in the recession | Community Care

Streamline referrals from GPs to mental health services.. ● Acute hospitals should provide mental health services leading to ... Supporting mental health services in the recession. By Jeremy Dunning on November 27, 2009 in Adults, Mental Health, Pay and ... National director for mental health Professor Louis Appleby told the Mental Health Network's annual conference last month that ... The NHS Confederation's Mental Health Network, which represents mental health trusts, is surveying members about the impact of ...
communitycare.co.uk/2009/11/27/supporting-mental-health-services-in-the-recession/

*  AuSable Valley Community Mental Health Services in Tawas City, MI 48763 - MLive.com

AuSable Valley Community Mental Health Services at 1199 Harris Ave, Tawas City, MI 48763 ... AuSable Valley Community Mental Health Services Information about this business (1) Community Mental Health Services. We ... AuSable Valley Community Mental Health Services. Address. 1199 Harris Ave Tawas City MI 48763 Phone. (989) 362-8636 Visit:. ... Be the first MLive.com user to add photos or videos of AuSable Valley Community Mental Health Services ...
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*  Ausable Valley Community Mental Health Services in West Branch, MI 48661 - MLive.com

Ausable Valley Community Mental Health Services at 511 Griffin Rd, West Branch, MI 48661 ... What the community has to say about Ausable Valley Community Mental Health Services Information about this business (1) ... Ausable Valley Community Mental Health Services. Address. 511 Griffin Rd West Branch MI 48661 Phone. (989) 345-5540 ... Be the first MLive.com user to add photos or videos of Ausable Valley Community Mental Health Services ...
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*  Mental health services 'preoccupied' by risk management | Community Care

Mental health services "preoccupied" by risk management. June 14, 2005 in Adults, Children, Mental Health, Social care leaders ... "community health centres".. The centres would provide information and support focusing on. physical and mental health and ... argues that mental health services have become preoccupied with. risk management, medication and the small group of people who ... A network of walk-in community health centres offering advice. and access to specialist services ought to be developed as part ...
communitycare.co.uk/2005/06/14/mental-health-services-preoccupied-by-risk-management/

*  Characteristics of severely mentally ill patients in and out of contact with community mental health services. - PubMed - NCBI

Characteristics of severely mentally ill patients in and out of contact with community mental health services.. Barr W1. ... Community mental health nurses have been criticized for failing to prioritize work with people with a severe or enduring mental ... of 253 community-based patients with a severe or enduring mental illness was divided into those with mental health service ... Whilst the study provides limited evidence that community mental health nurses are targeting people with the most serious ...
https://ncbi.nlm.nih.gov/pubmed/10840253

*  Emergency Mental Health Services in the Community by Mi - Buy Book Online at Boomerang Books

Buy Emergency Mental Health Services in the Community by Michael Phelan (9780521034555) from Boomerang Books, Australia's ... Emergency Mental Health Services in the Community. Michael Phelan. Geraldine Strathdee. Graham Thornicroft. Format: Paperback ... Book Reviews - Emergency Mental Health Services in the Community by Michael Phelan. » Have you read this book? We'd like to ... Other Editions - Emergency Mental Health Services in the Community by Michael Phelan. Hardback (October 1995) ...
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*  Mental health service for veterans rolled out across Wales | Community Care

Mental health service for veterans rolled out across Wales. By Jeremy Dunning on March 5, 2010 in Adults, Mental Health ... A pilot project to support armed services personnel experiencing mental health problems as a result of their service will be ... The new service, which will cost £485,000 a year, will mean veterans who experience mental health problems will have a ... In England, the government has set up six pilots to provide community mental health support for veterans and plans to roll this ...
communitycare.co.uk/2010/03/05/mental-health-service-for-veterans-rolled-out-across-wales/

*  Community members highlight youth and mental health services during budget hearing | Multnomah County

Dozens of community members testified at Multnomah County's third and final budget hearing in Gresham regarding Chair Kafoury's ... Community members highlight youth and mental health services during budget hearing. Angelica Delgado tells the story of how ... Many community members highlighted programs addressing youth and mental health services as top priorities they want the board ... The budget also maintains core services and increases support for the mental health crisis system, affordable housing, criminal ...
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*  Mental health services are crucial to our schools | Herald Community Newspapers | www.liherald.com

... mental health services.. Why isn't students' mental health targeted with the same intensity and seriousness as their physical ... Mental health services are crucial to our schools. Posted Thursday, January 17, 2013 12:46 pm ... If we as a community and a society expand our acceptance and understanding of mental health issues, it will help remove that ... This is especially important because mental health isn't just a school issue, it's a community issue. Once students leave the ...
liherald.com/valleystream/stories/Mental-health-services-are-crucial-to-our-schools,45515

*  Susquehanna Valley Community Mental Health Services - Home

Susquehanna Valley Community Mental Health Services is dedicated to bringing quality mental health services to people who might ... To provide quality mental health services to people, regardless of their ability to pay. We strive to treat each individual ... Copyright 2015 Susquehanna Valley Community Mental Health Services. All rights reserved.. Web Hosting by Yahoo ... Susquehanna Valley Community Mental Health Services Home ... Award-winning mental health services for children, adolescents ...
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*  Legislative Research Commission, In-Home and Community Based Mental Health Services for Youth Committee, North Carolina General...

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*  Star Trek (2009) / Headscratchers - TV Tropes

The vast majority of service members never set foot in their branch's academy. That figure includes the officer corps. Given ... questions despite having all his mental faculties intact. Mirror Universe Pike was killed in a mutiny, though in that universe ... Nero's torture has probably had very serious side-effects to his health. ... Community. *Ask The Tropers. *Trope Launch Pad. *Trope Finder. *You Know That Show ...
tvtropes.org/pmwiki/pmwiki.php/Headscratchers/StarTrek2009

*  Colitis Help - Forums and Discussions - MedHelp

This community is a place to find others who share your interest in colitis. The purpose of the community is to share support ... It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, ... We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or ... Colitis Community. Colitis is swelling (inflammation) of the large intestine, which is also known as the colon. ...
medhelp.org/forums/Colitis/show/1360?page=1

*  The Awareness Center, Inc. (International Jewish Coaltion Against Sexual Assault): The Cruelest Crime - Sexual Abuse Of...

Most communities have some resources, such as rape crisis centers or family counseling services, that offer assistance. Peer- ... criminal behavior and mental illness. The behavior we study always has a history of it in early childhood." Nothing can erase ... except for health reasons, say no and tell someone," says Alice Ray-Keil, director of the Committee for Children in Seattle, ... Experts say that such reporting is directly proportional to the number of educational programs operating in a community. ...
theawarenesscenter.blogspot.com/1984/12/the-cruelest-crime-sexual-abuse-of.html

Community mental health service: Community mental health services (CMHS), also known as Community Mental Health Teams (CMHT) in the United Kingdom, support or treat people with mental disorders (mental illness or mental health difficulties) in a domiciliary setting, instead of a psychiatric hospital (asylum). The array of community mental health services vary depending on the country in which the services are provided.Woodhull Medical and Mental Health CenterMental disorderNational Collaborating Centre for Mental Health: The National Collaborating Centre for Mental Health (NCCMH) is one of several centres of the National Institute for Health and Care Excellence (NICE) tasked with developing guidance on the appropriate treatment and care of people with specific conditions within the National Health Service (NHS) in England and Wales. It was established in 2001.Ontario Correctional ServicesPsychiatric and mental health nursing: Psychiatric nursing or mental health nursing is the specialty of nursing that cares for people of all ages with mental illness or mental distress, such as schizophrenia, bipolar disorder, psychosis, depression or dementia. Nurses in this area receive more training in psychological therapies, building a therapeutic alliance, dealing with challenging behavior, and the administration of psychiatric medication.Two Rivers Psychiatric Hospital: Two Rivers Behavioral Health System is a psychiatric hospital located in Kansas City, Missouri.Eco-Runner Team Delft: Eco-Runner Team DelftList of Parliamentary constituencies in Kent: The ceremonial county of Kent,Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.Self-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Global Health Delivery ProjectClosed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.DSM-IV Codes (alphabetical): __FORCETOC__Treatment Improvement Protocols: Treatment Improvement Protocols (TIPs) are a series of best-practice manuals for the treatment of substance use and other related disorders. The TIP series is published by the Substance Abuse and Mental Health Services Administration (SAMHSA an agency of the U.Cross-cultural psychiatry: Cross-cultural psychiatry, transcultural psychiatry, or cultural psychiatry is a branch of psychiatry concerned with the cultural context of mental disorders and the challenges of addressing ethnic diversity in psychiatric services. It emerged as a coherent field from several strands of work, including surveys of the prevalence and form of disorders in different cultures or countries; the study of migrant populations and ethnic diversity within countries; and analysis of psychiatry itself as a cultural product.Society for Education Action and Research in Community Health: Searching}}Royal London Hospital for Integrated MedicineRed Moss, Greater Manchester: Red Moss is a wetland mossland in Greater Manchester, located south of Horwich and east of Blackrod. (Grid Reference ).Referral (medicine): In medicine, referral is the transfer of care for a patient from one clinician to another.García Olmos L, Gervas Camacho J, Otero A, Pérez Fernández M.Halfdan T. MahlerHealth policy: Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific health care goals within a society."World Health Organization.Public Health Act: Public Health Act is a stock short title used in the United Kingdom for legislation relating to public health.Workplace safety in healthcare settings: Workplace safety in healthcare settings usually involves patients being aggressive or violent towards healthcare professionals, or staff members being aggressive against each other. Patient-on-professional aggression commonly involves direct verbal abuse, although deliberate and severe physical violence has been documented.National Cancer Research Institute: The National Cancer Research Institute (NCRI) is a UK-wide partnership between cancer research funders, which promotes collaboration in cancer research. Its member organizations work together to maximize the value and benefit of cancer research for the benefit of patients and the public.Biologically based mental illness: One of three major definitions used in state parity laws.An Analysis of the Definitions of Mental Illness Used in State Parity LawsRock 'n' Roll (Status Quo song)Religion and schizophrenia: == Background ==Document-centric collaboration: Document-centric collaboration is a new approach to working together on projects online which puts the document and its contents at the centre of the process.Martin Weaver: Martin Weaver is a psychotherapist, author and media writerNew Hampshire Route 102: in Hudson

(1/814) Patient readmission and support utilization following anterior temporal lobectomy.

The aim of this study was to examine factors precipitating patient readmission, following anterior temporal lobectomy (ATL) for refractory epilepsy. A second aim was to explore the use of hospital outpatient and community support services ('outpatient services') by this patient population. These aims served the more general goal of identifying patients most likely in need of services additional to those routinely provided by our Seizure Surgery Follow-up and Rehabilitation Programme. The medical records of 100 consecutive ATL patients were retrospectively examined for the incidence and diagnoses precipitating acute readmission, and the utilization of additional outpatient services. Twenty-one patients (21%) required readmission post-ATL, totalling 47 readmissions between them. Psychiatric diagnoses were the most prevalent (53%), including anxiety, depression and/or post-ictal psychosis. Epileptological diagnoses were the other main precipitant (28%). Additional outpatient services were predominantly utilized for ongoing psychological support. Of the 21 patients requiring readmission, 10(10%) also needed additional outpatient services. These patients were predominantly female or unemployed, in contrast to male or employed patients who tended to require readmission only. Seventeen patients (17%) were maintained within the community using additional outpatient services only. Characteristics of these patients included disrupted family dynamics, limited social networks, and/or a psychiatric history. These patients were also more frequently beyond the 24-month follow-up period of the programme. A profile of patients most in need of additional support services can be constructed to assist team planning of proactive management strategies for the rehabilitation phase of ATL.  (+info)

(2/814) Mental health care in Cambodia.

An effort is being made in Cambodia to involve grass-roots personnel in the integration of the care of the mentally ill into a broad framework of health services. This undertaking is examined with particular reference to the work of the Transcultural Psychosocial Organization.  (+info)

(3/814) Pathways to care for alcohol use disorders.

BACKGROUND: The aim of the present study was to examine access to care for people with alcohol use disorders. METHOD: An alcohol screening questionnaire was completed by 444 respondents in a community survey. During a designated week, 1009 patients presenting in primary care were assessed by their doctor and 773 of these completed the same questionnaire. Over a six month period 223 people with alcohol use disorders were identified using specialist addiction and psychiatric services, of whom 58 were admitted to hospital. One month prevalence rates of alcohol morbidity were determined for people aged between 16 and 64 years at all five levels in the pathways to care model. RESULTS: Around half the people with alcohol morbidity in the community never consulted their general practitioner and of those who did only half had their problem identified. Case recognition was particularly poor for women, young people and Asians. The main filter to people accessing specialist services came at the point of referral from primary care. This was especially marked for young people and for ethnic minorities. CONCLUSIONS: Strategies are required to improve the identification and treatment of alcohol morbidity in primary care. Deficits in access to specialist services for women, young people and ethnic minorities need to be addressed.  (+info)

(4/814) Assertive community treatment for people with severe mental illness: the effect on hospital use and costs.

OBJECTIVE: To determine the effect of the Program for Assertive Community Treatment (PACT) model on psychiatric inpatient service use in a population of non-emergency psychiatric patients with severe chronic mental illness, and to test for variations in this effect with program staffing levels and patient characteristics such as race and age. DATA SOURCES/STUDY SETTING: Data are taken from a randomized trial of PACT in Charleston, South Carolina for 144 patients recruited from August 1989 through July 1991. STUDY DESIGN: Subjects were randomly assigned either to one of two PACT programs or to usual care at a local mental health center. Effects on hospital use were measured over an 18-month follow-up period via multiple regression analysis. DATA COLLECTION METHODS: Data were obtained from Medicaid claims, chart reviews, subject, case manager, and family interviews; searches of the computerized patient and financial databases of the South Carolina Department of Mental Health and relevant hospitals; and searches of the hard copy and computerized financial databases of the two major local hospitals providing inpatient psychiatric care. PRINCIPAL FINDINGS: PACT participants were about 40 percent less likely to be hospitalized during the follow-up period. The effect was stronger for older patients. Lower PACT client/staff ratios also reduced the risk of hospitalization. No evidence of differential race effects was found. Given some hospital use, PACT did not influence the number of days of use. CONCLUSIONS: Controlling for other covariates, PACT significantly reduces hospitalizations but the size of this effect varies with patient and program characteristics. This study shows that previous results on PACT can be applied to non-emergency patients even when the control condition is an up-to-date CMHC office-based case management program.  (+info)

(5/814) Outcome of long stay psychiatric patients resettled in the community: prospective cohort study.

OBJECTIVE: To examine the outcome of a population of long stay psychiatric patients resettled in the community. DESIGN: Prospective study with 5 year follow up. SETTING: Over 140 residential settings in north London. SUBJECTS: 670 long stay patients from two London hospitals (Friern and Claybury) discharged to the community from 1985 to 1993. MAIN OUTCOME MEASURES: Continuity and quality of residential care, readmission to hospital, mortality, crime, and vagrancy. RESULTS: Of the 523 patients who survived the 5 year follow up period, 469 (89.6%) were living in the community by the end of follow up, 310 (59.2%) in their original community placement. A third (210) of all patients were readmitted at least once. Crime and homelessness presented few problems. Standardised mortality ratios for the group were comparable with those reported for similar populations. CONCLUSIONS: When carefully planned and adequately resourced, community care for long stay psychiatric patients is beneficial to most individuals and has minimal detrimental effects on society.  (+info)

(6/814) Improving staff nutritional practices in community-based group homes: evaluation, training, and management.

We evaluated the effectiveness of a staff training and management package on nutritional practices in two community-based group homes serving adults with developmental disabilities. Food storage, menu development, and meal preparation were trained in a multiple baseline format, followed by supervisor feedback. All staff behaviors increased after training and were maintained for up to 1 year. Biological indices reflected collateral improvements in the health of consumers, and surveys of staff and parents established social validity.  (+info)

(7/814) Quality of care in mental health: the case of schizophrenia.

Scientific evidence supporting the efficacy of a range of treatments for persons with schizophrenia set the stage for the recent development of evidence-based quality-of-care indicators for this disorder. On the heels of these quality indicators, research has found that treatment services for many persons with schizophrenia are inadequate. Because most of these patients receive their care under public auspices (Medicaid, Medicare, and Veterans Affairs), public health policy can exert considerable influence to address these quality-of-care problems. Publicly funded managed care could promote evidence-based care. It also could coordinate specialty and primary care to improve early detection and general medical care for persons with schizophrenia.  (+info)

(8/814) Managed behavioral health care: a Medicaid carve-out for youth.

This DataWatch assesses the impact of a public sector-managed Medicaid mental health carve-out pilot for North Carolina youth. Access to, volume of, and costs of mental health/substance abuse services are reported. We compared a pilot managed care program, with an incentive to shift hospital use and costs to community-based services, with usual fee-for-service Medicaid. Aggregate data from Medicaid claims for youth (from birth to age seventeen) statewide are reported for five years. We found dramatic reductions in use of inpatient care, with a shift to intensive outpatient services, and less growth in mental health costs. These findings demonstrate that public sector-managed care can be viable and more efficient than a fee-for-service model.  (+info)



Centers


  • Community Mental Health Centers in the United States are moving from medical models of treatment to recovery-oriented models for people with psychiatric disorders. (ebay.de)
  • PCIRC is currently engaged with the California Mental Health Services Authority (CalMHSA) and the Plumas County Behavioral Health Department in integrating behavioral health and alcohol and drug services into community-based wellness centers. (chamberorganizer.com)

emergency services


  • Call emergency services. (wikihow.com)
  • If there is an emergency that needs immediate attention or is life-threatening, call emergency services . (wikihow.com)

Center


  • Outgoing President Lucille Casulli (left) and incoming President Pat Pope (right) presented a generous donation to Sonia Wadhwani and Meghan Daley of the Community Mental Health Center. (hudsonreporter.com)
  • San Fernando Valley Community Mental Health Center is a Counselor facility at 14624 Sherman Way Suite 303 in Van Nuys, CA. (wellness.com)
  • Services San Fernando Valley Community Mental Health Center offers counseling at 14624 Sherman Way Suite 303, Van Nuys, CA 91405 in Van Nuys, CA. (wellness.com)
  • Please call San Fernando Valley Community Mental Health Center at (818) 997-3968 to schedule an appointment in Van Nuys, CA and to get more information about the counseling services offered. (wellness.com)
  • Recovery-Oriented Service Delivery in a Community Mental Health Center Kaufman. (ebay.de)
  • and a Community Access Technology Center. (chamberorganizer.com)
  • Access to all health-related core program services are provided through three Family Resource & Community Wellness Center sites located respectively in Quincy, Greenville and Portola, each reflecting and responding to the individual identified needs of their communities. (chamberorganizer.com)

provide


  • Merging the categories of the ROSI with the categories of the self-assessment tool enabled the researcher to identify strengths and weaknesses in the services of Community House and provide recommendations to aid in its transition to a recovery model of treatment. (ebay.de)

Program


  • In addition, PCIRC serves as the fiscal agent to the local food banks and the Quincy Community Supper Program. (chamberorganizer.com)

offers


  • The mission of PCIRC is to function as a safety net provider of countywide services that offers individuals and families the opportunity to live to their own potential, and be treated with dignity and respect. (chamberorganizer.com)

local


  • In this investigation, action research methodology is applied using local and national tools to assess this process at Community House Mental Health Agency in King County, Washington. (ebay.de)