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Biomedical subjects

P Solomon

Publications and source records attributed to P Solomon.

At least 109 records · Page 6Linked to original sources

Assessing the service needs of the discharged psychiatric patient.

In recent years the chronically mentally ill have come to be regarded as a heterogeneous population with a diversity and multiplicity of needs. Social workers assessed a cohort of psychiatric patients being discharged from two state hospitals in terms of their postdischarge service needs. The findings confirmed that these patients needed not only basic mental health services of chemotherapy and counseling but also social rehabilitative services and specialized services such as substance abuse counseling. The data have been utilized by agencies and state and county governmental entities to document the need for new programs and to reorder service priorities. To start a planning process, recommendations on the study findings are being distributed to mental health and human service agencies and family coalitions on a communitywide basis.

Adolescent↗

Organizational and client influences on psychiatric admissions.

This paper analyzes the decisions which take place at the entrance gate of the mental hospital-the organizational and client factors which influence the decision to admit. More specifically, it explores variations in the determinants between first admissions and readmissions. In the process, a theoretical model will be developed, based on a study of admissions to state hospitals, which may help explain several of the underlying and continuing obstacles confronting efforts to reduce readmissions.

Dangerous Behavior↗

The admissions process in two state psychiatric hospitals.

In this study, a conceptual model of the factors influencing the admissions process was tested in two state psychiatric hospitals. The factors included in the model fell into four categories: characteristics of patients, characteristics of admitting personnel, system factors, and patient assessment. The attitudes of individuals accompanying an applicant were found to be most important. Patients referred by police, courts, family, friends, or agency personnel were more likely to be admitted than self-referrals. Pathological behaviors that had a significant impact on the admissions process were those that indicated the presence of mental disorder or danger to self or others. The availability of alternatives to hospitalization was not found to be significant, a finding that suggests that admitting personnel, particularly psychiatrists, should be educated about community alternatives if spiraling rates of psychiatric admission are to be reduced.

Admitting Department, Hospital↗

Medical aspects of violence.

Physicians see violence in beaten wives, battered children, rage reactions, murder, and suicide. They should recognize that it may be a symptom of disease if it is unprovoked or bizarre, or is associated with impaired consciousness, confusion or irrationality. Violence in episodic trance-like states suggests limbic disease (temporal lobe lesions, psychomotor epilepsy, or "dyscontrol syndrome"); in association with personality change, dementia, or psychosis, it indicates cortical disease (structural, toxic, or idiopathic).

Adolescent↗