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Biomedical subjects

J A Flaherty

Publications and source records attributed to J A Flaherty.

61 records · Page 4Linked to original sources

Using the Ward Atmosphere Scale to help change the treatment environment.

The Moos Ward Atmosphere Scale was administered on a 45-bed psychiatric unit in a Veterans Administration Hospital to assess how staff, patients, and observers viewed the ward and to clarify what goals staff had and what changes they wished to make. Comparisons of staff's ratings of the existing milieu and of what an ideal milieu should be showed they wiched to improve the ward in the areas of patient involvement, support, spontaneity, order and organization, program clarity, and staff control; methods for making such changes became apparent. When the scale was administered again seven months later, respondents' ratings indicated that in general there had been substantial positive changes in all six areas. The authors believe the Moos scale is an invaluable aid in making and measuring change in a ward environment.

Attitude of Health Personnel↗

Demoralization in Soviet-Jewish immigrants to the United States and Israel.

Two hundred seventy-two recent Soviet-Jewish immigrants to the United States were compared with 412 Soviet-Jewish immigrants to Israel for the purpose of determining which country was more likely to lead to the development of demoralization. Even when differences in age and marital state were accounted for, the immigrants to the United States were significantly more demoralized. Individuals with low social support, older immigrants, women, and divorced or widowed individuals were more likely to be demoralized in both countries. Self-selection and host reception factors are explored to explain the differences between the two groups of immigrants.

Acculturation↗

Prevalence of depression and alcohol and other drug dependence in addictions treatment populations.

The diagnosis of depression has been viewed as an important factor in the treatment response for those who have alcohol and other drug dependence. The objective of the study was to examine the prevalence of a lifetime history of major depression in inpatients with a substance use disorder in addictions treatment. An evaluation study of 6,355 patients was conducted in inpatient and outpatient addictions treatment programs from 41 sites. Subjects were required to have a substance use disorder and to be evaluated for a lifetime diagnosis of major depression according to DSM-III-R criteria. The rate of a lifetime diagnosis of major depression was 43.7%. The most common diagnosis was alcohol dependence, followed by cocaine dependence, and cannabis dependence). Depression was associated in significantly greater numbers with diagnoses involving drugs other than alcohol, in females greater than in males, with number and frequency of use, and in inpatient programs more than outpatient programs. The rates for continuous abstinence at one year did not differ between those with and without a lifetime history of depression.

Adolescent↗