Search PubMed⌕ Search

Biomedical subjects

H Pardes

Publications and source records attributed to H Pardes.

At least 55 records · Page 3Linked to original sources
PubMed1984

Survival strategies for community mental health services in the 1980s.

Widespread reduction of financial resources has created a growing concern about the survival of community mental health services and their inherent concepts and ideals. To survive and, in some ways, grow, community mental health centers have used strategies such as incorporation, alternative services, innovative funding, and political activities. The authors discuss strategies that focus on the program management aspects of mental health. They theorize that if CMHCs can employ business techniques but retain the values of community mental health, a more efficient, yet still highly principled, system of mental health services can result.

Community Mental Health Services↗
PubMed1983

Report of the Graduate Medical Education National Advisory Committee and health manpower development.

The federally chartered Graduate Medical Education National Advisory Committee projected a shortage of approximately 12,000 general and child psychiatrists by 1990. The committee's methods of analysis and recommendations have been criticized on grounds ranging from the accuracy of its data to the appropriateness of federal involvement in free-market issues. Yet the GMENAC report appears to have contributed to a recent reversal of psychiatric recruitment trends, and psychiatrists should be aware of its further implications for clinical and academic psychiatry. We analyzed the GMENAC process as one element among many that will determine future health care personnel development trends.

Child Psychiatry↗
PubMed1983

Challenges to academic psychiatry.

Economic constraints, effects of retrenchments in federal health policy, and increased competition for resources are challenging all sectors of academic medicine. Departments of psychiatry are at particular risk during this era for reasons including the lack of a sound research and research training base in many psychiatry departments; the small number of students entering the field and implications therein for the availability of residency slots in psychiatry; and patterns of allocating resources within academic medical centers which, combined with biases in reimbursement policy toward cognitively based specialties, threaten the economic strength of psychiatric departments. A conceptual model based on marketing principles is proposed to aid in identifying and capitalizing on the unique strengths of the field.

Academic Medical Centers↗
PubMed1983

Introduction: research at the interface of medicine and psychiatry.

Linkages between psychiatry and other medical specialties have become increasingly evident over the past decade. Reinstatement of the medical internship for psychiatric trainees, expansion of psychiatric liaison services, growth of general hospital psychiatric units, determination of the extensive role served by nonpsychiatric physicians in providing mental health care, and research evidence of the economic benefits of incorporating mental health services in general health settings all have served to break down artificial boundaries between mental health and general health concerns. The psychiatric consultation-liaison service initiated in 1981 by the NIMH at the NIH Clinical Center in Bethesda has afforded opportunity for numerous collaborative research projects with clinical investigators of various categorical disease programs. In addition to offering new etiological insights into psychiatric and general medical illnesses, the work described in this symposium promises to move clinical practice closer toward the Engel model of biopsychosocial medicine.

Delivery of Health Care↗
PubMed1981

America's mental health: goals and programs of the National Institute of Mental Health.

During any given year in the 80s, an estimated 15 percent of the U.S. population--some 33 million people and more, as the population grows--will suffer a diagnosable mental disorder. An estimated two million Americans have been or will be diagnosed schizophrenic, ten to 14 million will suffer from depressive disorders, and more than one million will have organic psychoses of toxic or neurologic origin or permanently disabling mental conditions of various causes. Severe anxiety disorders, phobias, alcoholism, and drug dependence can be as debilitating as the psychoses mentioned above and require as much skilled care. Recent estimates place the direct clinical costs for mental health services annually at approximately $17 billion, about 12 percent of total national health care costs. This figure does not reflect indirect costs stemming from loss of productivity, chronic disability, and death. Nor does it fully reflect the findings of recent studies that mentally ill individuals experience higher than normal rates of physical illness and use general medical services at about double the rate of the mentally well.

Health Priorities↗