Search PubMed⌕ Search

Biomedical subjects

D I Berland

Publications and source records attributed to D I Berland.

9 recordsLinked to original sources
PubMed1994

Patient allegations of sexual abuse against psychiatric hospital staff.

In order to determine prevalence and characteristics of patient allegations of sexual abuse against psychiatric hospital staff and to illustrate the impact of allegations on a unit, we surveyed 255 directors of psychiatric units. We requested detailed descriptions of one or two incidents and report a clinical vignette. Thirty-six percent of the programs reported patient allegations of sexual abuse by a staff member during 1985-1991. Allegations represented a wide range of unit types and patient characteristics. We conclude that patient allegations of staff sexual abuse, which have powerful effects on those involved, are not isolated, rare events. Procedural recommendations to address allegations are made.

Adolescent↗
PubMed1992

Child and adolescent inpatient units in medical schools: staffing patterns, length of stay, and utilization rates.

This study examines staffing patterns, lengths of stay, and utilization rates in medical school-based psychiatric hospital treatment of children and adolescents. Results of surveys taken in 1984 and 1988 show that lengths of stay decreased during these four years, but utilization rates and number of beds tended to remain the same or increase. As economic pressures force hospitals to consider reducing staff, it is important to establish baseline data to evaluate and plan staffing patterns for child and adolescent inpatient units.

Academic Medical Centers↗
PubMed1992

Knowing and practicing ethics.

The interrelationship between ethics and child and adolescent psychiatry is discussed, particularly as it relates to clinical practice. Three principles for ethical clinical practice are presented from a philosophical perspective and illustrated with two case vignettes. A formulation is reached that states that ethical theory parallels clinical theory.

Adolescent↗
PubMed1990

Ethical, legal, and psychodynamic considerations in intervention of a possible cult member.

A 17-year-old boy is brought involuntarily by his parents for admission to an adolescent unit after running away from home to join a cult. The adolescent is admitted to the hospital for a multidisciplinary assessment. Follow-up 6 months after discharge shows the family to have continued in family therapy with the patient remaining at home with no additional contact with the cult. The case raises important ethical and dynamic issues about whom the child psychiatrist serves--the parents, the adolescent, or society. Discussion by an ethicist, lawyer, and child and adolescent psychoanalyst follows the case presentation.

Adolescent↗
PubMed1989

Adolescent gangs in the hospital.

Gang formation is common among adolescents, and the sociological dynamics of this phenomenon have been studied in depth. However, gang formation on mental health treatment units has not been extensively addressed. In this setting, gang members may disrupt treatment, threaten the safety of patients and staff, and leave the facility without receiving effective treatment. This impact motivated the authors to look beyond psychoanalytic and sociological models for an explanation of this phenomenon. After reviewing the literature and describing gang formation in a hospital, they apply a paradigm of moral development theory and suggest therapeutic interventions.

Adolescent↗