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Biomedical subjects

J D Bloom

Publications and source records attributed to J D Bloom.

At least 91 records · Page 5Linked to original sources
PubMed1986

A methodology for predicting the effects of changes in civil commitment decision making.

We review a three-step civil commitment model and formulas for calculating the probability of release from commitment and the relative importance of the three steps in determining the outcome. New formulas are developed which enable predictions to be made about the effects of changes on the outcome of the three steps on the release probability. With the use of data from Oregon's civil commitment process, we present an example of the application of the methodology and conclude with a discussion of its major administrative and research implications.

Commitment of Persons with Psychiatric Disorders↗
PubMed1986

Evaluation and treatment of insanity acquittees in the community.

This paper describes the monitored outpatient treatment program for Psychiatry Security Review Board (PSRB) clients in the largest single community treatment agency in the Oregon system. We describe 161 persons referred to this agency for evaluation and treatment. Ninety-one PSRB clients received treatment and of this group 51% had their conditional release revoked by the PSRB. The most frequent cause of revocation was noncompliance with treatment. There were only 11 crimes committed during the study period, four of which were in the felony range. The majority of PSRB clients are chronically mentally ill persons. We discuss both the treatment approach and our results in light of a recently published research agenda for insanity acquittees.

Adult↗
PubMed1984

Insanity defenses: contested or conceded?

The authors examined 316 Oregon criminal cases in which the accused successfully pleaded the insanity defense. Prosecutors agreed to the insanity verdict in more than four out of five cases. In most cases all examining experts diagnosed the defendant as psychotic. The smaller number of defendants who were diagnosed by the state hospital staff as displaying only personality disorders accounted for a disproportionately large percentage of the contested trials. Observing that Oregon's insanity defense system is run by consensus, the authors suggest a reorientation of the insanity defense debate.

Crime↗
PubMed1984

Rural civil commitment.

Explore the source record for details and available documents.

Commitment of Persons with Psychiatric Disorders↗
PubMed1982

The CMHC as a setting for residency education.

The authors review four approaches chairmen of departments of psychiatry have used to attempt to ensure quality resident education in CMHCs they do not control. Several examples are presented of administrative problems that may develop in this type of relationship. Based on this material and the author's experience, a four stage administrative process is presented which emphasized clear identification of goals and objectives, negotiation of a relationship that is beneficial to both the development and the CMHC, development of a written contract, and careful monitoring and evaluation of its progress. Designing a relationship in this fashion offers maximum opportunity for programmatic success.

Academic Medical Centers↗
PubMed1982

Geriatric sexual dysfunction: a case survey.

This study examines questionnaire data obtained from a group of older persons with sexual dysfunction mistakenly referred through a newspaper column. These 35 respondents (28 men, seven women) were characterized by age (43-82 years), symptomatic sexual problems, and a willingness to write about them. They were chiefly men had varying degrees of erectile failure and were negatively affected by the development of their problems. Two thirds had consulted a physician. The older subjects were more likely to be abstinent, to have total erectile failure (if men), to have known their physicians only a short time, and to describe their physicians as uninterested or pessimistic. Couples involving a medically ill wife couples married for a long time, and couples who defined sexuality in a nonaffective way were less affected by the development of sexual difficulties. A small group of older men had become impotent because of prolonged abstinence related to lengthy illness of their wives. These findings indicate that some physicians show an age-related bias in treating such patients; some contributory factors are outlined. The data may help clinicians in their counseling of such patients and in the identification of certain subgroups at risk. Directions are suggested for further systematic research.

Adult↗