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Biomedical subjects

E J Holohean

Publications and source records attributed to E J Holohean.

5 recordsLinked to original sources
PubMed1995

System impact and methodological issues in the development of an empirical typology of psychiatric hospital residents.

The identification and categorization of similar objects or individuals into groups is a universal theme that permeates science and provides a conceptual framework to facilitate comprehension. For mental health administrators, a sound methodology to group individuals in a meaningful way would prove useful in the areas of general system understanding, as well as staffing, program planning and evaluation, and service system research, to name a few. Cluster analysis is a set of techniques that approach this grouping process empirically. Within the context of a large psychiatric hospital system, both the methodological processes involved in the application of cluster analysis and the resulting utility of such an analysis are discussed. Issues fundamental to the understanding of such a system are addressed. Special emphasis is placed on methodological issues regarding the application of cluster analytic techniques, which have left such techniques open for criticism. The value of such analyses, when used appropriately, is illustrated by the development of a stable, five-group typology of psychiatric hospital residents whose group characteristics are particularly germane to service system understanding. The implications of such a model for administration, planning, and research in a psychiatric hospital system are also addressed.

Cluster Analysis↗
PubMed1991

Estimating mental health needs and service utilization among prison inmates.

A sample of 3,684 inmates in the New York State prison system was surveyed in May 1986 to determine the prevalence of psychiatric and functional disability and service utilization. It was estimated that 5 percent had a severe psychiatric disability, and 10 percent had significant psychiatric disability. The higher the level of disability, the greater the proportion of inmates that had received mental health services in the last 30 days and in the last year. Still, 45 percent of the severe disability group had no service contacts in the last year. Patterns of utilization differed significantly by sex (a greater proportion of women received services) and by race (a greater proportion of whites received services). The clinical factors associated with receipt of services varied considerably between men and women.

Data Collection↗
PubMed1987

A survey of mental disability among state prison inmates.

To obtain a comprehensive picture of the levels of mental disability in the general state prison population in New York State, the authors gathered data on a random sample of inmates using a survey instrument adapted from the state's level-of-care surveys of the psychiatric population. The sample consisted of 3,332 inmates in the general prison population (9.4 percent) and 352 inmates in prison mental health units. The survey results showed that 8 percent of the state's prison inmates have severe psychiatric or functional disabilities that clearly warrant some type of mental health intervention, and another 16 percent have significant mental disabilities that require periodic services. The specific nature and extent of these disabilities need to be assessed before appropriate services can be developed.

Humans↗