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Biomedical subjects

R K Ries

Publications and source records attributed to R K Ries.

42 records · Page 3Linked to original sources
PubMedDate not supplied

Drug and alcohol dependence and psychiatric populations: the need for diagnosis, intervention, and training.

The comorbidity of psychiatric disorders and alcohol and drug dependence is high. The prevalence rate for each disorder is high as determined by studies in general and patient populations. Moreover, the severity of the course is likely to be greater when the two disorders are combined, prompting the attention of clinicians and researchers. Of importance, the intoxication and withdrawal from alcohol and drugs produce psychiatric symptoms and syndromes that can mimic psychiatric disorders. The prevalence rates for comorbidity of both categories of disorders vary according to the populations studied, methodological approaches used, and duration of longitudinal follow-up postdiagnosis of the disorders. It is evident from a review of the literature that there is a growing urgency for proper diagnosis, improved training programs, and treatment intervention strategies for alcohol and drug dependence in psychiatric populations. Suggestions for broad assessment and specific interventions for alcohol/drug dependence in psychiatric settings are offered, and increased time in psychiatric residency training is recommended.

Ambulatory Care↗
PubMedDate not supplied

Assertive Community Treatment for patients with chronic and severe mental illness who abuse drugs.

The Assertive Community Treatment model of mental health service delivery has been extensively studied and has undergone various modifications over the past twenty years. This article describes a modified ACT Team approach to the treatment of individuals who suffer from severe comorbid mental illness and substance abuse. Demographics of patients who are chosen to receive these intensive services, service utilization patterns, and elements of team treatment are discussed. Comparisons with less severely ill dual diagnosis patients who receive more traditional case management services are reviewed.

Adult↗
PubMedDate not supplied

Hyperemesis gravidarum: a biopsychosocial perspective.

The literature on the psychological, social and biological factors in the etiology of hyperemesis gravidarum is reviewed. Four cases seen in the last year in psychiatric consultation in a general hospital are then presented to illustrate and highlight the biopsychosocial factors in the literature that seemed most relevant to diagnosis and treatment. Emphasis is placed on the concept of hyperemesis gravidarum as a special type of somatization (an illness behavior in which dysphoric affect is expressed with physical symptoms), whereby physical symptoms are expressed to elicit care by physicians and family and to gain a "time out" from stressful home environments.

Adolescent↗