Bureaucracy, size, and staff expectations for client independence in halfway houses.
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Biomedical subjects
Publications and source records attributed to B Segal.
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The echocardiographic findings in a 73-year-old woman with constrictive calcified pericarditis are presented. The diagnosis was confirmed by physical examination, chest X-rays and cardiac catheterization. The echocardiogram demonstrated abnormal motion of the interventricular septum and of the left ventricular posterior wall, multiple thickened echoes of the posterior pericardium, and a localized dense band of anterior pericardial echoes, which corresponded to the calcification seen on the chest X-ray.
Enlightened and progressive care of the mentally ill is closer to reality with the creation of the psychiatric halfway house. The halfway house is not an institutional edifice but a residential facility located in the community and indistinguishable from the other neighboring dwellings. The feature which sets apart the halfway house programmatically is its provision of a housing unit with some services for ex-hospital patients. Human incarceration continues to be a major enforcement instrument for the control of deviant behavior. Mental illness, as one type of poorly understood behavior, is for the most part controlled by institutionalizing the mentally ill person in a large dehumanized total institution such as the state mental hospital. Although major reforms are underway in many total institutions to humanize treatment procedures, innovative alternatives to custodial care are gaining impetus in the community. One such fascinating and rapidly expanding treatment innovation is the psychiatric halfway house. This presentation represents the results and implications of a comparative study of twenty such programs in the United States.
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This study examined the relationship between ethanol elimination and race, specifically exploring differences among Alaskan Natives, American Indians, and whites. Native Americans, believed to be of recent Asian origin, were expected to eliminate alcohol faster than whites. The data suggested that both Native American men and women eliminated alcohol faster than whites. A relationship was also found between age, gender, and rate of alcohol elimination. The implications of these findings were reviewed and specific needs for future research were noted.
High rates of physical and sexual abuse have been found among Alaska Native women entering a residential treatment program in Fairbanks, Alaska. Little information, however, has been available that describes the nature of such abuse and its relationship to treatment outcome. This article describes the extent of such abuse and reviews factors involved in its onset. The implications of the findings are discussed with an emphasis on how they can be applied to enhance treatment outcome.