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Biomedical subjects

R M Yarvis

Publications and source records attributed to R M Yarvis.

9 recordsLinked to original sources
PubMed1978

Stressful life events and community mental health center patients.

This paper reports on the occurrence of stressful life events prior to treatment and at a follow-up timepoint in a general sample of community mental health center patients. Life events scores from the patients, at both timepoints, are compared with scores from a nonpatient sample drawn from the community. Results indicate that patients before entering treatment tend to experience more events (particularly undesirable ones that could be confounded with psychological condition) than nonpatients. The result is no longer true at the follow-up time point. Findings regarding life events and patienthood are basically the same whether all events are used (i.e., the change score) or undesirable events alone. If, however, only events judged to be unconfounded with psychological condition are considered, we find no difference between patients and nonpatients at either timepoint. Implications of the study's results for the direction-of-effect issue with respect to the stress-psychological disorder relationship are discussed.

Adolescent↗
PubMed1978

Does patient satisfaction correlate with succes?

The authors studied the relationship between patient satisfaction and success of treatment in a group of out-patients consecutively admitted to two community mental health centers in California in 1975. The study is based on patient ratings of the satisfaction with treatment and the success of treatment at the second visit, the last visit, and follow-up, as well as on therapists' ratings of treatment success at the second visit and the last visit. At both time points the therapists' mean ratings of treatment success were significantly lower than the patients'. Significant but low correlations between satisfaction and success indicate that satisfaction ratings cannot replace success ratings or other outcome indicators in assessments of quality of care.

Adult↗
PubMed1978

Do community mental health centers underserve psychotic individuals?

An analysis of treatment statistics from three community mental health centers in California indicates that the centers provide treatment to a substantial proportion of the psychotic individuals in the community. Psychotic patients have a significantly higher number of inpatient, day treatment, and outpatient admissions than neurotics. Psychotic patients also receive significantly more treatment in all major service modalities than neurotics. The authors conclude that severely impaired individuals in the treatment population are neither ignored by the centers nor routinely transferred to a state hospital.

California↗
PubMed1977

Let's quit stalling and do program evaluation.

Five issues have been identified as major impediments to program evaluation. Examination of these issues shows many of them to be resolved in the process of conducting evaluations. It is asserted that only by implementing evaluations will the field move foreward. At the present time much energy is wasted discussing or arguing the five issues and the ideal approach to making program evaluations. Examples are provided from ongoing evaluations that show how the issues are resolved.

Community Mental Health Services↗