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Biomedical subjects

E C McDonel

Publications and source records attributed to E C McDonel.

6 recordsLinked to original sources
PubMed1999

The closing of Central State Hospital: long-term outcomes for persons with severe mental illness.

This study examined the clinical/community functioning of long-stay patients following closing of a large state psychiatric hospital. Two overlapping samples were followed: (1) the tracking project collected information on patient location, treatment provision, legal contacts, and level of functioning (LOF) and followed all discharged patients and (2) the research study subsample, drawn from the final group of discharged patients, gathered information on quality of life (QOL), LOF, and general physical and mental health. At follow-up, patients were functioning equal to or better than prior to discharge. There were consistent improvements in QOL (especially safety and occupational satisfaction) and LOF (especially housing and income/benefits). Fewer than 27% of patients discharged into the community were rehospitalized, and fewer than 4% were either in jail or homeless after 24 months. The study demonstrates that even persons who have been hospitalized for extremely long periods can do well in the community.

Adult↗
PubMed1997

Implementing assertive community treatment programs in rural settings.

The authors present a controlled evaluation of a rural adaptation of the assertive community treatment (ACT) model for clients with serious and persistent mental illness (SPMI). Four community mental health settings adopted an ACT model, while a fifth site blended ACT principles with those of the Rhinelander model, another approach to case management for persons with SPMI. A broad array of client and system outcomes were evaluated at 6, 12, and 24 months into the intervention. Twelve-month findings alerted us to potential problems in implementing the treatment model in study year 1; the implementation was qualitatively evaluated and weaknesses were addressed at the beginning of the second treatment year. Small, positive findings at 24 months suggested that the mid-study course correction may have had an impact. We present these findings along with descriptive data on the challenges of implementing complex services models. We give particular attention to describing implementation barriers to mental health services provision that are uniquely rural.

Adult↗
PubMed1991

Construct validity of two heterosocial perception skill measures for assessing rape proclivity.

Rape-supportive attitudes and self-reported rape proclivity (using a measure by Malamuth, Haber, & Feshbach, 1980) were negatively correlated with decoding accuracy of women's negative cues (measured by the TRAC-D; McDonel, McFall, Schlundt, & Levenson, 1985) in an unselected sample of male college students. Better decoders of negative female cues on the TRAC-D, as well as subjects expressing fewer rape-supportive beliefs and less rape proclivity, were more conservative in their estimates of a man's justification in continuing to make sexual advances in the face of a woman's negative cues on the Heterosocial Perception Survey (HPS; McDonel, 1986). Ability to decode men's interpersonal cues was not correlated with responses on the HPS or rape attitude and proclivity measures, suggesting that specific rather than global decoding deficits were useful predictors of rape correlates. These results support the construct validity of the two social perception measures, the TRAC-D, and the HPS, as measures of rape proclivity.

Adult↗
PubMed1985

Compliance in dietary management of hypertension.

Relapse is a problem common to all behavior-change programs, including weight-reduction and salt-restriction programs. The process of relapse can be understood in the context of the way that emotional, social, and environmental forces impinge upon the individual's behavior. The data on compliance suggest that behavior modification programs are moderately efficient in producing changes in eating behavior. Relapse prevention programs are recommended as part of a dietary approach to the treatment of hypertension to increase treatment efficiency. If these programs are implemented using a group format, then these services can be delivered to patients at a reasonable cost.

Behavior Therapy↗