bluuebunny/crossref_metadata_2025 huggingface dataset:
The certainty, uncertainty issue in manpower forecasting
Authors: Rowland Kendrith M.
Published: May 2007

The more certainty a business commands, the more likely it is to use intricate methods of analysis. One would suppose that businesses are operating under conditions of great uncertainty, judging from the lack of effective forecasting techniques; but maybe they aren't.
Changing compensation for top corporate executives
Authors: Richards Ernest J.
Published: May 2007

Salaries of a quarter of a million dollars or more are not rare in this country. Although‐such salaries are criticized from many directions, this level of pay is justifiable when executives' functions are considered, and the level is bound to increase in the period ahead.
The assessment center technique: A validation study
Authors: Jaffee Cabot , Bender Joe , Calvert O. Lynn
Published: May 2007

It may be that an assessment center predicts potential for higher level management even better than performance at the first level of supervision.
Productive behavior through the life course: An essay on the quality of life
Authors: Kahn Robert L.
Published: May 2007

Present patterns of productive activity are neither well recognized, optimal for society, nor in accordance with individual prefence. Although a great deal of attention has been given to meeting people's needs for income, medical care, and other services, the quality of their lives must also be defined by what they do for themselves and for others. In discovering present patterns of productive activity throughout the life course and optimizing those patterns, we will raise the quality of American life. To accomplish this task, two great changes are needed: we must recognize the full range of productive activities throughout the life course and give people the opportunity to modify the allocation of paid employment.
Strategic management of human resources in the multinational enterprise
Authors: Tung Rosalie L.
Published: May 2007

The efficient operation of a multinational enterprise is contingent upon the availability and effective utilization of numerous strategic resources—technology, capital, know‐how, and people. It is my contention that human power is a key ingredient to the successful operation of a multinational, without which all the other aforementioned resources could not be effectively and efficiently utilized or transferred from corporate headquarters to the various subsidiaries in the world; hence the need for multinationals to devote greater attention to the strategic management of human resources as part of the overall planning and control process in a firm. This article identifies the most common pitfalls to human resource planning in U.S. multinationals and offers guidelines for the development of a paradigm for the strategic management of human resources in the multinational enterprise.
Cooperation and change in union settings: Problems and opportunities
Authors: Schuster Michael
Published: May 2007

This article examines the increased levels of change and cooperation that have recently occurred in union settings. The article reports the results of interview data from 33 union/management relationships studied over a four‐ to seven‐year period. The types of change programs discussed include productivity sharing plans, (for example, Scanlon, Rucker, and Improshare plans), area and in‐plant labor/management committees, quality circles, and quality of work life projects. The focus of the article is on the problems of implementing cooperative strategies. These occur at three stages in the process: (1) establishing the cooperative framework; (2) establishing the boundaries between the cooperative and adversary processes; (3) factors interfering with continuing commitment. The author concludes with a discussion of the implications for government, management, and unions.
Gaining competitive advantage through human resource management practices
Authors: Schuler Randall S. , MacMillan Ian C.
Published: May 2007

Critical to a corporation's growth and prosperity is gaining and retaining competitive advantage. Although corporations may pursue many paths to this end, one that is frequently not recognized is capitalizing on superior human resource management. Currently, many companies recognize the growing importance of their human resources, but few are conceptualizing them in strategic terms—in ways to gain a competitive advantage. As a result, many companies forego the opportunity to seize competitive advantage through human resource practice initiatives. However, there are a few companies that do not forego the opportunity. We use them as examples to show how to systematically develop such advantages via a “target/thrust matrix.” The end results of this matrix have significant implications for both corporate strategy and personnel and human resource management.
Revitalization: The most difficult of all strategies
Authors: Miller James R.
Published: May 2007

American industry following World War II has enjoyed much success, primarily built on growth and easily consumed material and human resources. Since 1973, however, resources have become increasingly critical and problems increasingly complex. Organizations large and small are faced with dramatic change. Strategies for growth and decline are clearly understood. A little‐noted strategy, yet the most difficult of all strategies to implement, is that of revitalization. This article emphasizes the use of technology, middle managers, and interdisciplinary organization analysis as the necessary ingredients for American revitalization strategy success in the 1990s.
American renewal: Reconnecting citizens with public life
Authors: Chrislip David D.
Published: May 2007

American Renewal requires a profound shift in our conception of how change is prompted and sustained in communities. Part of the formula is constructive engagement of citizens in public life. Such engagement demands leadership capable of collaborating, as well as empowering citizens to perform many of the tasks of renewal themselves.
Hell no, we won't go! California's local pols confront term limits
Authors: Fay James , Christman Roy
Published: May 2007

An analysis of incumbency trends among California's local government office holders suggests a high degree of turnover, except in the largest cities and counties. Since the 1980s, however, incumbency rates among the substantially smaller number of female office holders have been higher than those for men, suggesting term limits could have a disproportionate effect on women, and possibly minorities, in local government.
Lessons from the states on unfunded mandates. Where there's a will, there's a way
Authors: Kelly Janet M.
Published: May 2007

The recent and ongoing debate over unfunded mandates, rhetoric aside, may have prompted a re‐examination of our intergovernmental system, forming the basis for a more responsible federalism.
Writing home‐rule charters in michigan. Current practices in constitution making
Authors: Hannah Susan B.
Published: May 2007

Systematic examination of recent charter review commissions in Michigan may offer lessons for similar bodies formed elsewhere. Elements of success include a well framed mission, minimal conflict and adequate staff support.
Isothermal crystallization kinetics of polypropylene with silane functionalized multi‐walled carbon nanotubes
Authors: Zhou Zhen , Wang Shifeng , Lu Lan , Zhang Yong , Zhang Yinxi
Published: May 2007

Multi‐walled carbon nanotubes (MWNTs) were functionalized with a silane coupling agent. The MWNTs were first coated with inorganic silica by a sol‐gel process and then grafted with 3‐methacryloxypropyltrimethoxysilane (3‐MPTS). The effect of raw MWNTs and silane‐functionalized MWNTs on the crystallization behavior of poly(propylene) (PP) was investigated by means of polarized optical microscopy, differential scanning calorimetry, and wide‐angle X‐ray diffraction. Results obtained from isothermal crystallization experiments indicate that 3‐MPTS functionalization affects the crystallization and melting behavior of PP/MWNTs composites remarkably, which can be attributed to the fact that 3‐MPTS functionalization of MWNTs leads to a uniform dispersion of MWNTs in PP matrix resulting in the good nucleating effect of MWNTs. © 2007 Wiley Periodicals, Inc. J Polym Sci Part B: Polym Phys 45: 1616–1624, 2007
Reducing fragmentation observed in the matrix‐assisted laser desorption/ionization time‐of‐flight mass spectrometric analysis of triacylglycerols in vegetable oils
Authors: Gidden Jennifer , Liyanage Rohana , Durham Bill , Lay Jackson O.
Published: May 2007

Edible oils consist primarily of triacylglycerols (TAGs). Matrix‐assisted laser desorption/ionization time‐of‐flight (MALDI‐TOF) mass spectra of the oils are typically dominated by sodium adducts of these TAGs but also show prominent fragment ions (that do not contain sodium), which can interfere with analytical measurements of other components in oils. The fragments seemingly correspond to the loss of a fatty acid moiety from the sodiated TAGs as a sodium salt: RCOONa. However, a previous study suggested that the fragments actually arise from nearly complete fragmentation of unseen protonated TAGs. These authors suggested that the fragmentation occurs so rapidly and completely that protonated TAGs are not normally observed in the spectra of these oils. In this paper, we present evidence to support their theory and also demonstrate an approach to eliminate these interfering ions from the MALDI‐TOF mass spectra via addition of a base to the matrix/sample mixture. The added base does not impede formation of the sodiated TAGs, but does significantly reduce the amount of fragments observed. We propose that this occurs by depleting the H+ ions from the matrix, thus preventing the formation of significant numbers of protonated TAGs in the first place. For measurements by MALDI‐TOF, the relative abundances of the fragment ions are related to the strength of the base, and can be almost completely eliminated. However, in longer time‐scale experiments such as in post‐source decay and Fourier transform mass spectrometry, sodiated and non‐sodiated diacylglycerol (DAG)‐like fragments are present in spectra, regardless of whether or not a base is added to the sample. Copyright © 2007 John Wiley & Sons, Ltd.
Combined approach for high‐throughput preparation and analysis of plasma samples from exposure studies
Authors: Briem Sveinn , Martinsson Stefan , Bueters Tjerk , Skoglund Erika
Published: May 2007

In drug discovery today, drug exposure is determined in preclinical efficacy and safety studies and drug effects are related to measured concentrations rather than to the administered dose. This leads to a strong increase in the number of bioanalytical samples, demanding the development of higher throughput methods to cope with the increased workload. Here, a combined approach is described for the high‐throughput preparation and liquid chromatography/tandem mass spectrometry (LC/MS/MS) analysis of drug levels in plasma samples from the preclinical efficacy and safety studies, i.e. exposure studies. Appropriate pharmacokinetic (PK) compartmental models were fitted to data from PK screening studies in the rat, which were subsequently used to simulate the expected plasma concentrations of the respective exposure studies. Information on the estimated drug concentrations was used to dilute the samples to appropriate concentration levels. A Tecan Genesis RSP liquid handling system was utilized to perform automated plasma sample preparation including serial dilution of standard solutions, dilution of plasma samples, addition of internal standard solution and precipitation with acetonitrile. This robotic sample preparation process permitted two studies of 1–96 samples each to be run simultaneously. To ensure the performance of this method the accuracy and precision for diazepam were examined. Two novel drugs were used to illustrate the suggested approach. In conclusion, our method for sample preparation of exposure samples, based on the combined use of PK simulations, a liquid handling system and a fast LC/MS/MS method, increased the throughput more than three times and minimized the errors, while maintaining the required accuracy and precision. Copyright © 2007 John Wiley & Sons, Ltd.
Death in traditional Bulgarian culture
Authors: Saldzhiev Hristo
Published: May 2007

Life and death were once inextricably linked in Bulgarian culture: healers of the body were also spiritual leaders in their communities. In the days of the ancient Greeks, the healer worked to soften suffering and stave off death, while the spiritual counsellor sought to understand suffering and help make death meaningful. The twentieth century saw the growing separation of medicine and religious beliefs and practice. Yet the two realms are still intertwined, as a new body of research on spirituality and health is demonstrating. Because relieving suffering is more than just relieving pain, some students of medicine in some countries are learning to take spiritual as well as medical histories of their patients. A spiritual history must take account of the culture in which it arises. Here the author draws on the Pagan and Christian beliefs affecting perceptions of death in Bulgarian culture. Copyright © 2007 John Wiley & Sons, Ltd.
Cover Picture: Avenues into Complex Materials: Cooperative Projects of the Natural, Engineering, and Biosciences (Small 6/2007)
Authors: Schneider Jörg J. , Dettenwanger Franz
Published: May 2007

The cover picture is a jigsaw‐puzzle‐styled collage of artwork that originates from microscopic pictures of nano‐, micro‐, and mesocalar structured objects, many of which have been studied under the auspices of the VolkswagenStiftung research program “Complex Materials”. This special issue of Small presents a variety of articles from international research collaborations funded by this program, which highlights the need for such collaboration to further advances in this exciting field of technology.
Cognitive function in young adults following intrauterine growth restriction with abnormal fetal aortic blood flow
Authors: Tideman E. , Maršál K. , Ley D.
Published: May 2007

Objective

Intrauterine growth restriction (IUGR) is a recognized risk factor for neurological deficits later in life. Abnormal fetal blood flow in the presence of IUGR helps to distinguish fetuses with true growth impairment from those that are small but normally grown. This study aimed to evaluate the influence of IUGR with abnormal fetal blood flow on cognitive function and psychological development in young adults.

Methods

Cognitive capacity (Wechsler adult intelligence scale‐III (WAIS‐III)) and psychological development (symptom check‐list and Wender Utah rating scale) were evaluated at 18 years of age in 19 subjects who had had IUGR (abnormal fetal blood flow in the descending aorta and birth weight small‐for‐gestational age) and in 23 control subjects who had had normal fetal aortic blood flow and birth weight appropriate‐for‐gestational age (AGA). School grades at 16 years of age were also recorded.

Results

The IUGR subjects had significantly lower results at 18 years of age in the combined subtests of the WAIS‐III measuring executive cognitive functions (P = 0.03) and lower school grades at 16 years of age (P = 0.03) compared with the AGA group. IUGR subjects did not exhibit significantly more psychological distress symptoms.

Conclusion

IUGR with abnormal fetal blood flow is associated with impaired executive cognitive function in young adults. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.
Crisis intervention with adults
Authors: Morley Wilbur E.
Published: May 2007

“Oh, I've been doing crisis intervention for years,” is not an unusual remark; such comments are often made, however, by persons with little knowledge or understanding of the specific techniques utilized in a definitive crisis intervention approach.
The politics of leadership and decision making
Authors: Harshbarger Dwight
Published: May 2007

Leadership and decision making in mental health programs take place in a complex environment of competing interests that must be understood by the middle manager.
The manager as evaluator
Authors: Attkisson C. Clifford
Published: May 2007

Because evaluation is fundamental to the management process, and because managers must obtain reliable information about the service organization and its environment in order to be effective, the manager must progressively shape the quality and specificity of information that is available.
Can a middle manager still be a clinician?
Authors: Slaby Andrew E.
Published: May 2007

The unique training and experience of clinicians in mental health make them the most appropriate professionals for management positions. Continuing experience in direct service is a valuable asset to clinical managers, even though managers face considerable obstacles in attempting to reserve time for clinical work.
Values, culture, and delivery of mental health services
Authors: Wagenfeld Morton O. , Wagenfeld Jeanne K.
Published: May 2007

The delivery of mental health services in rural areas may be ineffective because of client or provider barriers. The nature of these barriers is discussed, and more culturally appropriate modes of service delivery are suggested.
Appalachia's “forgotten warriors”: Outreach services for vietnam veterans
Authors: Giles Steven
Published: May 2007

The Veterans Health Care Amendment Act of 1979 (PL‐96‐22) Spawned the rapid development of a new program by the Veterans' Administration. Nationwide, about ninety Vet Center Programs are delivering service to the estimated 20 to 50 percent of Vietnam veterans who are continuing to suffer symptoms of post‐traumatic stress disorder. Development of this public health service in Appalachia presents many challenges: A high proportion of combat veterans are concentrated in rural areas where traditional mental health services are limited.
The physician in the alcoholism treatment center
Authors: Seixas Frank A.
Published: May 2007

In the small world that treats alcholism as a disease, the physician plays a role justified by both history and logic.
Indian alcoholism programs and native american culture
Authors: Stratton Ray
Published: May 2007

Many cultural elements have been incorporated in alcoholism programs for the Native American population.
Dimensions of therapeutic outcome in treatment
Authors: Jones Renée K. , Rundell O. H. , Gregory Dick
Published: May 2007

Alcoholism appears to be manifested in several dimensions that are statistically independent, rather than being a single entity falling along a continuum from abstinence to excessive alcohol use.
Cost‐outcome methodology in assessment
Authors: Rundell O. H. , Jones Renée K. , Gregory Dick
Published: May 2007

Cost‐outcome analysis is somewhat like growing old. You know there are many problems associated with it, but it does not seem bad at all when you consider the alternative (Sharp, 1979).
Managing the difficult patient in the community residence
Authors: White Henry S.
Published: May 2007

Seven types of difficult patients are frequently encountered in community residences. Special techniques to treat them sometimes become necessary.
Maximizing the potential of board and care homes
Authors: Lamb H. Richard
Published: May 2007

The persons in this environment have come to what one might call “adaptation by decompression.” They have found a place of asylum from life's pressures but at the same time a place where there is support, structure, and some treatment, especially in the form of psychotropic medications.
Toward harmonious community care placement
Authors: Segal Steven P. , Baumohl Jim
Published: May 2007

Community care holds the potential for achieving the goal of a truly individualized service by matching environmental resources with client need.
Exclusionary zoning: The unseen threat
Authors: Kressel Laurence
Published: May 2007

Proponents of deinsitutionalization and community care must become familiar with local systems of land use control in order to devise strategies for breaking down unreasonable zoning barriers. Legislatures and federal and state courts that have actively promoted normalization goals also provide the forums for attacking exclusionary zoning.
The cost of community residential services
Authors: Piasecki Joseph R.
Published: May 2007

The convergence of growing demand for residential services and increasing requirements for fiscal accountability focus attention on facility costs and programmatic alternatives for cost‐effective services.
Challenging themes in community residential care systems
Authors: Budson Richard D.
Published: May 2007

Intriguing questions arise—systems, programmatic, diagnostic, and ethical—in our quest to provide an ideal of care to a broad spectrum of patients, some of whom are very disabled and difficult to manage in a community setting.
Family management training in the community care of schizophrenia
Authors: Falloon Ian R. H. , Boyd Jeffrey L. , McGill Christine W. , Strang John S. , Moss Howard B.
Published: May 2007

Families and schizophrenic patients receiving the family intervention program cope more effectively with adversity, change family attitudes and behavior, are less excitable, reduce critical attitudes toward the patient, and show significantly reduced risk for patient relapse.
The psychoeducational family treatment of schizophrenia
Authors: Anderson Carol M. , Hogarty Gerard , Reiss Douglas J.
Published: May 2007

Families can be a resource for the long‐term management of schizophrenia if they are given support and information. Before sacrificing these families on the altar of “expedient separation,” it would seem ethically if not scientifically imperative to maintain and support this primary resource for patients.
The seductiveness of primary prevention
Authors: Richard Lamb H. , Zusman Jack
Published: May 2007

Building competence is a worthy goal in and of itself. There is, however, no evidence that it prevents mental disorder.
The world of work: A site for mental health promotion
Authors: Akabas Sheila H.
Published: May 2007

Most adults spend about half their waking hours in the world of work. Can mental health providers really achieve prevention without becoming involved in that world?
Mental health promotion and the CMHC: Opportunities and obstacles
Authors: Adler Peter T.
Published: May 2007

More mental health promotion and primary prevention programs have emanated from CMHCs than from any other source, but the obstacles are formidable.
An instrument for differentiating programs in prevention: Primary, secondary, and tertiary
Authors: Perlmutter Felice Davidson , Vayda Andrea M. , Woodburn Paul K.
Published: May 2007

An instrument developed to identify critical dimensions in prevention programs and to clarify complex issues underlying design of such programs is described.
Collaborative research in primary prevention: The practitioner‐researcher relationship
Authors: Weirich Thomas W. , Hermalin Jared A.
Published: May 2007

The contemporary context of prevention services makes collaboration between practitioners and researchers very important. Guidelines for productive collaboration are presented.
Serving the young adult chronic patient in the 1980s: Challenge to the general hospital
Authors: Egri Gladys , Caton Carol L. M.
Published: May 2007

The impact of the size and nature of the young adult patient population on the general hospital system is illustrated by recent research reports.
Social breakdown in young adults: Keeping crises from becoming chronic
Authors: Gruenberg Ernest M.
Published: May 2007

Chronic disability is not an inevitable consequence of chronic mental disorders. The risk of developing chronic disability is dependent upon the response of the Psychosocial environment, including the pattern of clinical care.
Psychopharmacology: Special considerations
Authors: Klein Donald F.
Published: May 2007

The impact of psychotropic medications on the course of illness varies depending on premorbid functioning. The effect on relapse rate of low‐dosage maintenance needs to be examined in the hopes of minimizing its side effects.
Community treatment of the young adult patient
Authors: Stein Leonard I. , Test Mary Ann
Published: May 2007

Programs serving the chronically mentally ill in Dance County, Wisconsin involve assertive outreach to the patient and the community.
Treatment by objectives: A partial hospital treatment program
Authors: Neffinger G. G. , Schiff J. W.
Published: May 2007

A program of treatment by objectives focusing on identified problem areas is employed in a day treatment setting.
GAP: A treatment approach for the young adult chronic patient
Authors: Schacter Miriam , Goldberg William
Published: May 2007

A growth advancement program (GAP) designed specifically for young adults employs a combination of group and activity therapy.
Behavioral management of childhood diabetes
Authors: Johnson Suzanne Bennett
Published: May 2007

This chapter focuses on the behavioral aspects of managing childhood diabetes, describing innovative and traditional roles for the behavioral scientist.
Some observations on forensic issues in community mental health
Authors: Pollack Seymour , Gross Bruce H. , Weinberger Linda E.
Published: May 2007

Mental health professionals in the community mental health system must become more aware of the forensic issues that can be raised in their everyday practice.
Principles of forensic psychiatry for reaching psychiatric‐legal opinions: Application
Authors: Pollack Seymour , Gross Bruce H. , Weinbergerr Linda E.
Published: May 2007

In the application of psychiatric‐legal decision making, standards for determining mental problems related to prevailing legal criteria in the justice system must be examined and, if at all possible, improved.
The concept of dangerousness for legal purposes
Authors: Pollack Seymour , Gross Bruce H. , Weinberger Linda E.
Published: May 2007

One reason for the controversy over the identification of individuals as legally dangerous is the inadequate operational definition used by those involved in such identification.
Making clinical decisions after Tarasoff
Authors: Southard Marvin J. , Gross Bruce H.
Published: May 2007

Much to the confusion of mental health professionals, Tarasoff has been misrepresented as simply establishing a duty to warn. Clinicians are offered a clear schema for understanding the practical implications of this decision and for implementing it in their practice.
Psychiatric care of the deinstitutionalized patient
Authors: Cotton Paul G.
Published: May 2007

Psychiatric care of the Deinstitutionalized patient involves a stepwise approach that allows clarity and sequencing of the important issues in the care plan.
New directions in deinstitutionalization planning
Authors: Bachrach Leona L.
Published: May 2007

The need for systems‐oriented planning strategies is being increasingly recognized and a sophisticated body of literature on the essentials of comprehensive deinstitutionalization planning is beginning to emerge.
California — tranformation of mental health care: 1957–1982
Authors: Barter James T.
Published: May 2007

California has shown the way to transform mental health care from institutions to a community‐based system.
California's transformation: Can we learn from the pioneer?
Authors: James J. Frank
Published: May 2007

Lessons can be learned from the successes and problems that California experienced during its transformation of mental health services.
The dollar follows the patient, not the dollars
Authors: Treffert Darold A.
Published: May 2007

While systems have been appropriately developed wherein the dollars follow the patient, unfortunately, for a variety of reasons, the dollars have stopped following the dollars. The hope that savings generated by these new systems would be reinvested in the care, especially of chronic mental patients, has not been realized.
The Georgia experience: Unifying state and local services around the balanced service system model
Authors: Miles Donald G.
Published: May 2007

Despite demands over many years for a unified public mental health system, there is still considerable opposition, especially from professional associations.
Toward a unified system of care: The Pima County approach
Authors: Beigel Allan , Santiago Jose M. , Levenson Alan I.
Published: May 2007

Leaders of individual community mental health programs must relate to each other through a carefully balanced division of power, funding, personal ambition, institutional goals, and academic interests. In addition to communicating frequently, each of these leaders must develop a power base, without being subservient to any of the others or attempting to dominate the others unduly, and must envision the entire system, rather than seeing it from a provincial point of view.
Toward humane mental health services: When system needs conflict with patient needs
Authors: Scherl Donald J.
Published: May 2007

When systems need to change, who gets hurt?.
The epidemiology of chronic mental illness
Authors: Shore James H.
Published: May 2007

Patterns of care for the chronically mentally ill are changing across the country. However, the obstacles to success still remain formidable. This chapter focuses on the questions „Who are these people?”︁ and „Where do we find them?”︁.
The young adult chronic patient and the legal system: A systems analysis
Authors: Bloom Joseph D. , Faulkner Larry , Shore James H. , Rogers Jeffrey L.
Published: May 2007

As a consequence of deinstitutionalization, contacts between mentally ill persons and the criminal justice system have increased. Treatment services need to keep pace with this development.
Integrating productive activities into aftercare programs for chronic patients: The oregon linc model
Authors: Faulkner Larry R. , Terwilliger Wesley B. , Cutler David L.
Published: May 2007

Oregon's LINC program for chronic patients shows how productive activities can be integrated into a comprehensive aftercare program. The spectrum of LINC activities in each segment of the support network is described, with special emphasis on the productive activities.
The young adult chronic patient: Affective responses to treatment
Authors: Harris Maxine , Bergman Helen C.
Published: May 2007

A demonstration deinstitutionalization project for young adult chronic patients has served multiply hospitalized patients through an aggressive psychosocial approach and focus on community involvement. Patients' affective responses to changing role and expectations are examined.
Disability in young adult chronic patients at discharge from a private psychiatric hospital
Authors: Crabtree Loren H.
Published: May 2007

Continuing deficits in functioning at the time of discharge from a private psychiatric hospital and their implications for inpatient and posldischarge programming are examined.
A flexible model of case management
Authors: Berzon Paula , Lowenstein Bruce
Published: May 2007

A flexible case management approach is used in the free‐standing program for young adult chronic patients in Rockland County.
Increasing medication compliance in young adult chronic psychiatric patients
Authors: Diamond Ronald J.
Published: May 2007

Medication compliance is a familiar problem in the treatment of chronic psychiatric patients, and it can present special difficulty in treatment of young adults. Compliance can be encouraged through enhanced communication with the patient.
The family consumer movement: A new force in service delivery
Authors: Hatfield Agnes B.
Published: May 2007

In the past few years, self‐help groups and a nationwide consumer movement for families of the mentally ill have developed at a rapid pace. This chapter raises some issues in treatment and service delivery on behalf of families.
An agenda for family intervention: Issues, models, and practice
Authors: Ryglewicz Hilary
Published: May 2007

Family intervention raises multiple issues regarding families' needs, roles, and rights as well as the theory and methodology of treatment. This chapter reviews five models of intervention and presents a basic agenda for work with families.
The wilderness challenge: An adjunctive treatment
Authors: Neffinger G. G. , Schiff J. W. , Abrams Sidney
Published: May 2007

The use of a wilderness experience for young adult patients as an adjunct to existing components of an acute day treatment program suggests a valuable avenue for exploration.
Concluding comments
Authors: Pepper Bert , Ryglewicz Hilary
Published: May 2007

In this chapter, the editors summarize the material covered in the volume.
The mental health professional and the normal adolescent
Authors: Hartlage Shirley , Howard Kenneth I. , Ostrov Eric
Published: May 2007

Mental health professionals view normal adolescents as being much more disturbed than they actually are.
Psychopathology and adolescent self‐image
Authors: Koenig Linda , Howard Kenneth I. , Offer Daniel , Cremerius Michael
Published: May 2007

Distinct patterns of self‐image characterize adolescents with different DSM‐III diagnoses.
Historical time and social change in adolescent experience
Authors: Boxer Andrew M. , Gershenson Harold P. , Offer Daniel
Published: May 2007

The adolescent experience is shaped in part by cultural changes and historical influences.
The clinic as a teaching and research center
Authors: Nasrallah Henry A.
Published: May 2007

Creative organization of services can provide excellent teaching and research opportunities in the psychiatric outpatient clinic setting.
Psychotropics: The drug treatment of mania and depression
Authors: Finn Richard
Published: May 2007

Research has made major contributions to our scientific knowledge of mood disorders, but the treatment of depression and mania is still a therapeutic art.
Homeless families: Single mothers and their children in Boston shelters
Authors: Bassuk Ellen L.
Published: May 2007

Homelessness in families seems to result from the combined effects of poverty, violence, and profound deprivation on a person's development and self‐esteem. Recent research results indicate that many homeless children are suffering from serious emotional problems.
Homeless battered women and their shelter network
Authors: Ryback Ronnie F. , Bassuk Ellen L.
Published: May 2007

Battered women have not been included in discussions of homeless persons, but they frequently become temporarily or permanently homeless when they leave the abusive relationship. Although not psychotic, many have serious motional problems requiring appropriate crisis and longer‐term interuentions.
Understanding medical complications of eating disorders
Authors: Bo‐Linn George W.
Published: May 2007

The medical complications of eating disorders can be so varied and subtle that one must always be alert.
Role of the nutritionist in eating disorders
Authors: Dwyer Johanna T.
Published: May 2007

This chapter briefly reviews the role of the nutritionist in dealing with patients suffering from eating disorders, as conceived by Spitzer (1980).
Atypical eating disorders
Authors: Blinder Barton J. , Goodman Stanley L.
Published: May 2007

This chapter describes eating disorders outside the most typical clinical presentations in female adolescents and young adult women. Of some importance is the association of eating disorders with some relatively rare conditions, and of specific relevance is Anorexia Nemosa in children and older females.
Pharmacological approaches to the treatment of eating disorders
Authors: Rockwell W. J. Kenneth
Published: May 2007

The treatment of Anorexia Neruosa and bulimia through the use of pharmacological approaches is described, using a variety of case studies.
Tube feeding: Is it ever necessary?
Authors: Larocca Félix E. F. , Goodner Sherry A.
Published: May 2007

Selections from a patient's writings to her therapist highlight the stages of recovery when nasogastric tube feeding was used in the treatment of a restrictive anorectic.
Psychodynamic ego‐state therapy for eating disorders
Authors: Torem Moshe S.
Published: May 2007

A new approach based on psychodynamic theory explores the use of ego states to explain causation as well as outline a treatment approach for eating disorders.
The epidemiology of anxiety
Authors: Reich James
Published: May 2007

Anxiety is ubiquitous, but anxiety disorders and their distribution can be studied following the tenets of medical epidemiology. The differential diagnosis of anxiety disorders is a most taxing discipline. This chapter presents the problems involved and several realistic solutions.
Identifying panic disorders
Authors: Barreto Eduardo , Amado Henry
Published: May 2007

Saleral disorders are encompassed in the clinical spectrum of anxiety. They are presented here according to current classification.
The national alliance for the mentally ill: History and ideology
Authors: Howe Carol W. , Howe James W.
Published: May 2007

The failure of the mental‐health‐care system has prompted the swift organization of families into a rapidly growing national self‐help movement—the National Alliance for the Mentally Ill.
Sources of distress among families of the hospitalized mentally ill
Authors: McElroy Evelyn M.
Published: May 2007

Families of the mentally ill may have negative experiences in the hospital setting that make them feel distrustful and alienated from the mental health profession in general.
Hope through research
Authors: Torrey E. Fuller
Published: May 2007

Schizophrenia is the most under‐researched major disease in the Western world.
Concluding comments
Authors: Hatfield Agnes B.
Published: May 2007

Consumer advocates are just beginning to realize how basic and deep‐seated are the needs for change in the mental health system.
The quilt‐work theory: A milieu approach
Authors: Goldberg Kenneth
Published: May 2007

Successful milieu treatment requires the creative modification of traditional theory and technique to the partial hospitalization program.

The Quilt‐Work Theory is a milieu approach to partial hospitalization treatment that explains why this modality is the treatment of choice for particular patients. The Quilt‐Work Theory enables the trained mental health professional to operate as a professional in a generalist team, by applying traditional concepts to this nontraditional treatment forum. When used, the Quilt‐Work Theory operates as the standard for making many day‐to‐day clinical and programmatic decisions.
The quilt‐work theory: Commentary
Authors: Wilner Milton
Published: May 2007

The Quilt‐Work Theory serves as a conceptual base that must be molded to the complex realities of the specific program.
The short‐term program: Commentary
Authors: Cutick Robert A.
Published: May 2007

The restorative program is compared to the palliative and rehabilitation models, with some core issues highlighted by reference to the literature on brief psychodynamic psychotherapy.
Behavioral treatment in partial hospitalization
Authors: Luber Raymond F.
Published: May 2007

A behavioral approach to partial hospitalization is based on several basic assumptions that help determine program content, assist in the selection of appropriate patients, and provide a foundation for treatment and treatment evaluation.
The day hospital/inn model
Authors: Gudeman Jon E.
Published: May 2007

In the day hospital/inn model of care, the functions of a traditional inpatient unit are differentiated but closely linked, with the day hospital serving as the focal point for diagnosis and treatment and an intensive care unit and “inn” providing backup services.
The evolution of a public psychiatric hospital and its system of care
Authors: Gudeman Jon E.
Published: May 2007

Once a specialized acute‐care hospital, the Massachusetts Mental Health Center now provides comprehensive treatment, rehabilitation, and supervised housing programs that are closely linked within a centrally administered system of care for those with serious mental illness.
The intensive care unit
Authors: Rood Laura
Published: May 2007

A short‐term service for those who are most severely ill, the intensive care unit provides twenty‐four‐hour nursing care and monitoring to help stabilize patients so that they can return to the day hospital for definitive treatment.
Emergency / outpatient services
Authors: Bennett Michael Isaiah
Published: May 2007

In an integrated system of care for persons with chronic mental illness, the emergency and outpatient department can control access to the system, expedite patient transfers, and help ensure continuity of care.
Housing for the mentally ill: How to find it, fund it, and fight for it
Authors: Zanditon Mildred
Published: May 2007

Flexibility and persistence, as well as a thorough knowledge of funding sources and cultivation of community support, are required to develop a comprehensive residential program for persons with chronic mental illness.
Clinical case management for the chronically mentally ill: A conceptual analysis
Authors: Harris Maxine , Bergman Helen C.
Published: May 2007

Clinical case management for chronic mental patients combines the clinical sensitivity and interpersonal skills of the psychotherapist with the creativity and action orientation of the environmental architect.
A treatment‐planning grid for clinical case managers
Authors: Harris Maxine , Bachrach Leona L.
Published: May 2007

Two variables are crucial to the development of treatment plans for chronic mental patients. Acceptance of the patient role and ability to form a therapeutic working alliance shape the clinical context within which treatment planning occurs.
The role of the family in delivering case management services
Authors: Intagliata James , Willer Barry , Egri Gladys
Published: May 2007

It is time for professionals to acknowledge the importance of the contribution family members make and to do whatever they can to enhance and support this contribution.
Commentary
Authors: Howe James W.
Published: May 2007

A relative of a mentally ill person and qualifies the preceding chapter.
Case management and continuity of care for the “revolving‐door” patient
Authors: Harris Maxine , Bergman Helen C.
Published: May 2007

Continuity of care is essential in providing chronic mental patients with meaningful services. It is also a positive force in the lives of the case managers and other professionals who come into contact with these patients.
The integrated clinically managed housing network
Authors: Crowel Raymond L.
Published: May 2007

In today's housing alternatives for the chronically mentally ill, the integration of case management and residential services is not only possible but actually necessary to promote patient welfare.
Financing case management: Making the money work
Authors: Lehman Anthony F.
Published: May 2007

The financing of case management for persons with chronic mental illness represents a particularly interesting and important challenge for the system of care.

In promoting the goals of comprehensive case management, capitation payment systems offer some clear advantages over existing systems of reimbursement for units of service or episodes of care, which reinforce service fragmentation. Capitation, an integrative approach to funding the functions of case management within the context of all services, differs sharply from current fee‐for‐service approaches, which simply create new staff positions for “case managers.” There are, however, barriers to achieving a comprehensive prospectively funded case management model, which include inadequate data to project appropriate capitation rates accurately, vague standards of care for the chronically mentally ill, ongoing ambivalence about what levels of service effort and outcomes are acceptable, and a wide variety of resistances within existing service agencies. If these barriers can be overcome—a highly formidable task— then the mutually supportive concepts of comprehensive case management and capitation may lead to a far more cost‐effective system of care for chronic mental patients.
“I want to go to the circus”: A personal perspective on case management
Authors: Swayze Felicity V.
Published: May 2007

Clinicians must be able to identify and handle issues of transference and countertransference in a treatment environment where interactions must take place anywhere the situation demands.
The invisible village
Authors: Beels C. Christian
Published: May 2007

An agrarian metaphor for the care of the schizophrenic patient provides a useful strategy for presenting our work to the public and to ourselves.
The state mental hospital and public psychiatry
Authors: Bachrach Leona L.
Published: May 2007

Services offered to chronic mental patients in state mental hospitals of the future are likely to be determined by a variety of forces external to the hospitals themselves.
The maryland plan: A decade of university‐state collaboration
Authors: Weintraub Walter
Published: May 2007

The University of Maryland has integrated psychiatric residency training with the state hospital system to produce a high level of professional responsibility in the care of the state's mentally ill citizens.
Balancing legal realities: The courts, the legislature, and public psychiatry
Authors: Treffert Darold A.
Published: May 2007

The pursuit of patients' rights and the need for control create serious dilemmas that affect the choice of strategies in public psychiatry.
A comprehensive private‐practice approach to treating the chronically mentally ill
Authors: Deutschman Daniel A.
Published: May 2007

A private practitioner gives a personal account of discovering how to treat the long‐term psychiatric patient.
The future of the public system
Authors: Arce A. Anthony
Published: May 2007

The problems faced by public psychiatry in the present political and economic climate are outlined, and strategies at various levels of government are discussed.
A knowledge base for public psychiatry: Concluding comments
Authors: Bachrach Leona L.
Published: May 2007

Public psychiatry strategies must take their direction both from past experience and from newly designed research efforts.
Capitation in mental health: Potentials and cautions
Authors: Mechanic David , Aiken Linda H.
Published: May 2007

Capitation is increasingly advocated as a budgeting strategy to consolidate resources, develop services, focus responsibility, and manage care appropriately for the long‐term mentally ill. Devising capitation systems is complex, and innovators should proceed cautiously.
Mainstreaming the mentally ill in HMOs
Authors: Christianson Jon B. , Lurie Nicole , Finch Michael , Moscovice Ira
Published: May 2007

Administratively complex and politically sensitive issues can arise when mentally ill persons who are public program beneficiaries are enrolled in existing HMOs. The experiences of a demonstration program undertaken in Minnesota illustrate these issues.
Public child psychiatry training
Authors: Angell Richard H.
Published: May 2007

Public child psychiatry training in Oregon responds to the broad range of public services that continue to evolve on behalf of disturbed youth.
Public psychiatry in oregon and colorado: Programs with common roots
Authors: Neligh Gordon , Shore James H.
Published: May 2007

The Public psychiatry programs in Oregon and Colorado, Sharing common roots, demonstrate ways such programs can be developed to meet different local needs and conditions.
Psychotherapy with the elderly in public mental health settings
Authors: Cohen Carl I.
Published: May 2007

As public psychiatry programs for the elderly begin to emerge, we must refine our therapeutic theories and techniques in order to serve this population better.
Personality disorders: Theory and psychotherapy
Authors: Adler David A.
Published: May 2007

A framework for the psychotherapeutic treatment of individuals with personality disorders is presented utilizing psychodynamic concepts. The therapeutic process is illustrated by clinical examples that show how the issue of interactive fit applies to each phase of treatment.
The inpatient treatment of severe personality disorders: The borderline spectrum
Authors: Peters Charles P.
Published: May 2007

The inpatient treatment of severe personality disorders requires a multidisciplinary clinical approach based on an understanding of the patient's personality organization, predominant personality traits, and comorbid psychiatric disorders.