C.M.H.C. management, governing board and program evaluation: a tripartite coalition.
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Biomedical subjects
Publications and source records attributed to D Baskin.
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A sample of 31 residents in an alcohol halfway house were evaluated upon admission and after a duration of time. An assessment of alcohol use, personality, and behavioral characteristics was conducted both initially and at the time of follow-up. The subjects were also compared based on the degree of successful outcome in the program. Differences between three outcome groups were found, indicating that the poor outcome group was younger, had a multiple-drug history, included more subjects who tended to drink with others, and had a greater number of blackouts while drinking. Suggestions for future research and a discussion of methodological difficulties are offered.
The incidence, frequency rates, and effects of both homosexual and heterosexual incestuous experiences within lesbian and male homosexual populations are examined. Twenty-nine female homosexuals and 54 male homosexuals from diverse demographic backgrounds were administered a 16-page anonymous questionnaire designed to capture a wide range of demographic, personality, life history, and attitudinal information. Differences in family characteristics that exist between individuals who have experienced nuclear family incest, extended family incest, and those who have never experienced incest are investigated. Differences that exist between the two populations, incest and nonincest, were also studied.
A cross-national survey of forty-two countries and provinces was undertaken to compare mental health policies, mental health services, awareness of these services, the evaluation of such services and how mental health care is financed. Notable differences were found between respondents and these differences could not always be accounted for in terms of the level of the countries economic development. Discussions of trends are detailed and suggestions for future inquiry are proffered.
Changes have taken place in caring for chronic patients due to deinstitutionalization, and these changes have affected the services rendered by the community mental health centers. Statistical data on dehospitalized patients treated in a community mental health center located in the South Central Bronx are examined to determine trends in service utilization by these patients. Demographic characteristics of this population are also examined. Issues surrounding treatment and rehabilitation of chronic mentally ill patients are critically explored and recommendations for changes in the care of the chronically mentally ill patient are offered.
Explored whether psychiatric diagnostic differences exist between male and female, black, white and Hispanic-American patients seen in the Department of Psychiatry/Community Mental Health Center of a major hospital in the South Bronx, New York. Admission data on almost 2,000 patients furnished demographic and diagnostic characteristics of the patients. Sex and ethnic differences were found. Suggestions are offered as to why various subpopulations are perceived differently.
Examined diagnostic differences between black, white, and Hispanic-American patients (N = 1968) seen in psychiatric outpatient clinics of a large hospital in the South Bronx. Distribution of diagnoses also was compared statistically in relation to the diagnostician's ethnicity. Results indicated statistical differences between the patient's ethnicity and psychiatric diagnosis, as well as interactions between the therapists' ethnicity and these variables. Implications of the findings were discussed, and suggestions were offered for future research.
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One of the mainstays of forensic psychiatry has been the determination of a defendant's competency to stand trial. Competency to stand trial is based on the U.S. Supreme Court ruling that a defendant must have sufficient ability to understand court proceedings. Regardless of whether or not the defendant was mentally ill at the time a crime was committed or when the charged, the court can try someone only if that person has the capacity to understand proceedings in order to defend himself. When there is any question as to the competency of the defendant, he is referred for psychiatric evaluation of competency. Very little research has been undertaken in the past to examine this clinically interesting group of subjects. A study was conducted to explore the characteristics of 137 defendants who had been charged and referred for evaluation at least twice to the Court Clinic of the Bronx-Lebanon Hospital Center Department of Psychiatry. It was expected that these would reflect the consequence of deinstitutionalization in New York State. Data were collected for each evaluation with regard to demographic characteristics, criminal history, and psychiatric history. Results are presented and discussed in light of the issue of deinstitutionalization. Note is made of the fact that only very small percentage of these patients have received outpatient psychiatric care. Suggestions for future research are offered.
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Hyperacute intracerebral hematomas were successfully created in five cats by injecting a prepared blood sample in which the oxygen (O2) saturation ranged from 0-80%. T1- and T2-weighted spin-echo sequences and T2-weighted gradient refocused scans were obtained 2.5-10 hr after injection on a 1.5-T imaging system. Detailed histology or electron microscopy was performed on each brain to confirm the presence of intact red blood cells in a retracted clot matrix. Areas of the hematoma were hypointense relative to brain in all five cats on the gradient refocused scans. The hematoma was isointense relative to brain on the T1- and T2-weighted spin-echo scans in all cats except one, which suffered a seizure/respiratory arrest and died during the scanning procedure. Portions of the hematoma in this animal had a hypointense T2-weighted signal and a hyperintense T1-weighted signal, which corresponded to the predicted MR properties of intracellular methemoglobin. We hypothesize that acute (less than 10 hr old) hematomas that contain virtually 100% intracellular deoxyhemoglobin may not appear hypointense relative to brain on T2-weighted scan sequences at 1.5 T unless surrounding tissue hypoxia and/or anoxia promote additional changes, one of which may be the formation of intracellular methemoglobin.