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Biomedical subjects

H C Bergman

Publications and source records attributed to H C Bergman.

9 recordsLinked to original sources
PubMed1988

Capitation financing for the chronic mentally ill: a case management approach.

The method chosen for financing mental health care has profound implications for how that care will be delivered. Fee-for-service methods of reimbursement impede the implementation of certain essential program components. Capitation financing, in contrast, holds the promise of promoting an integrated system of care for chronic mental patients. The authors present data from a case management program that incorporates capitation financing. Discussion focuses on factors that planners need to consider when instituting a capitated financing system.

Adult↗
PubMed1988

Misconceptions about use of case management services by the chronic mentally ill: a utilization analysis.

Records of service contacts made over a six-month period by 44 chronic mentally ill patients served by a private case management agency in Washington, D.C., were analyzed to assess the accuracy of common assumptions held by mental health professionals about appropriate staff-to-patient ratios, the relationship between age and chronicity and use of services, the intensity of service use over time, and similar beliefs. The results suggest that the optimum staff-to-patient ratio is about 1 to 15, that older patients require fewer service contacts than younger patients, that patients' chronicity is not related to their extent of service use, and that patients' frequency of service use does not change over time. Patients who received services at the agency and patients who were seen alone required more service contacts than patients who were seen in the community and patients who were accompanied at their service contacts by members of their support network.

Adult↗
PubMed1988

A failed replication.

Explore the source record for details and available documents.

Community Mental Health Services↗
PubMed1987

Differential treatment planning for young adult chronic patients.

An assessment of 110 young adult chronic patients on six variables related to their social interactions indicates that social behavior may be an important indicator of treatment needs. The assessment delineated four treatment profiles--subgroups of patients who share a common cluster of social behaviors and who require distinct treatment approaches. This paper describes the four treatment profiles by outlining each subgroup's salient characteristics and modal patient and the treatment approaches that are most and least appropriate for its members. The authors suggest that outpatient programs may need to accommodate the characterologic and personality variables of young chronic patients to make treatment tolerable and comfortable for them, rather than deny them admission because they do not demonstrate responsible, appropriate, and independent behavior.

Anxiety↗
PubMedDate not supplied

The narcissistically vulnerable system: a case study of the public mental hospital.

The present paper introduces the concept of the narcissistically vulnerable system by suggesting that organizations may manifest some of the same pathological characteristics as narcissistic individuals. The public mental hospital was chosen as an example of such a system. Reasons for its vulnerability were suggested and specific defenses, employed at the system level, were discussed. Finally, remedies for the repair of the narcissistically vulnerable system were considered.

Hospitals, Psychiatric↗