The community mental health center's emergency services.
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Biomedical subjects
Publications and source records attributed to G M Barton.
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The administrative issues which arise most often in organizing a mobile response have to do with sufficient staffing to cover the 24 hours including identifying staff of one's own agency and staff of other agencies with whom to collaborate. The availability of a psychiatrist and a judge may be important persons to remember to identify ahead of time. The skill and empathy of the local police in handling "mentals" is also crucial. Finding funding sources for the service, and working within the space constraints for basing the service at the local hospital in the emergency area are no small feats. Training or hiring staff for doing emergency triage including the identification of medical problems and psychiatric presentations is a must.
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Staff and patient attitudes about an activity program were measured to highlight problems that existed in a paritcular milieu. Statements concerning the rationale for this activity program were compared to determine the similarities and differences between staff and patient perceptions of the program. To create a more therapeutic milieu, suggestions for openness and sharing were made based on the results of the attitude study. Their implementation would require staff and patients to interact on a more nearly equal basis. Such an approach is a bias toward the Maxwell Jones philosophy of therapeutic milieu, the direction in which the ward staff of this study wanted to go. This paper offers a way for the staff to reach their goal and suggests several paths they might take. The attitude questionnaire method used in this study might be a useful tool for those who are studying the therapeutic aspects of ward milieu.
This study surveyed 189 women physicians in order to compare the experiences of those who had male mentors with those who had female mentors. Respondents with high-ranking male mentors reported more career sponsorship. However, those with lower ranking female mentors reported more personal advice. In addition, those with female mentors reported fewer problems retaining their autonomy in the relationship. The mentor's administrative or academic rank, rather than gender, was the chief determinant of sponsoring effectiveness. These results suggest that women physicians face a dilemma in their choice of mentors, and underscore the importance of promoting women physicians to positions of authority in medical schools and training hospitals.