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Biomedical subjects

W A Anthony

Publications and source records attributed to W A Anthony.

At least 37 records · Page 2Linked to original sources
PubMed1988

The chronically mentally ill case management--more than a response to a dysfunctional system.

The service systems which assist the long-term mentally ill to function in the community have been routinely described as fragmented and uncoordinated. The development and implementation of case management has been seen as one response to this dysfunctional system. This article examines case management from the perspective that case management is a needed function no matter how coordinated and integrated the system. From this perspective, case management is driven by the clients' goals and not the systems' goals. Case management is viewed as a process by which the person with severe psychiatric disability is supported in negotiating for the various services that they want and need. Four unique activities are identified as performed by the case manager: Connecting with Clients, Planning for Services, Linking Clients with Services, and Advocating for Service Improvements. Case management must be seen as a uniquely human response to the client's specific service needs and overall goals. For persons with long-term psychiatric disabilities, case management brings to life the human dimension of the human service system.

Chronic Disease↗
PubMed1988

Symptoms and functioning of patients with bipolar disorder six months after hospitalization.

The relationship between symptoms and functioning of patients with bipolar disorder who were hospitalized for a manic episode was examined in a prospective study. At six-month follow-up, symptomatic outcome was clearly superior to functional outcome. Almost 80 percent of patients were symptom free or mildly symptomatic. However, only 43 percent of patients were employed, and only 21 percent were working at their expected level of employment. Thirty percent were rated as being unable to work. Additional analyses showed that 64 percent of the first-admission subjects were employed at some level at follow-up, compared with only 33 percent of subjects with multiple admissions. The results suggest that factors other than symptoms are related to the functioning of patients with bipolar disorder and that treatment should be targeted to the patient's disability as well to symptom amelioration.

Adolescent↗
PubMed1986

Psychiatric rehabilitation: past myths and current realities.

Psychiatric rehabilitation treatment has a unique and complementary contribution to make to the treatment of persons with a severe psychiatric disability. However, the development of the psychiatric rehabilitation field, and the adoption of its philosophy and techniques by mental health agencies, has been hampered by past myths. Research carried out in the 1960s and 1970s has exposed these myths as a part of the past, no longer relevant to the present practice of rehabilitating persons with severe psychiatric disabilities.

Combined Modality Therapy↗
PubMed1986

The practice of psychiatric rehabilitation: historical, conceptual, and research base.

With the recognition that most psychiatric disorders are associated with severe and persisting disability and the development of effective procedures for improving the long-term outcome of patients, the term "psychiatric rehabilitation" is becoming routinely used in the mental health field. Psychiatric rehabilitation has begun to take its place as a viable, credible intervention approach, even infiltrating professionals' jargon and administrators' program descriptions. The field of psychiatric rehabilitation has progressed to the stage where its history can be traced; its conceptual base and treatment strategies described; its practice observed, monitored, and replicated; and its future growth anchored in a research foundation.

Adaptation, Psychological↗
PubMed1986

Training mental health workers in psychiatric rehabilitation.

Staff members from nine mental health agencies were trained in psychiatric rehabilitation technology. The trainers then received intensive followup to assist them in implementing the technology in their own agencies. Evaluation of the impact of the "training of trainers" strategy suggested that mental health workers were able to acquire and apply the skills of psychiatric rehabilitation. The training strategy also appeared to be effective in helping the agencies adopt the philosophy, principles, and skills of psychiatric rehabilitation.

Community Mental Health Centers↗
PubMed1982

A psychiatric rehabilitation treatment program: can i recognize one if i see one?

Over the last several decades there has been a tremendous growth in the number of community-based settings that indicate that they provide rehabilitation programming to persons with severe psychiatric disabilities. Questions can be raised, however, as to the extent to which these settings are actually providing programs that are rehabilitative in nature. Ten essential ingredients of rehabilitation programming are presented for use in discriminating between programs that are rehabilitation oriented and programs which are rehabilitation in name only. The articulation of these ten essential ingredients can serve as a guide for the continued development of community-based settings which attempt to provide comprehensive rehabilitation programming.

Adult↗
PubMed1982

A client outcome planning model for assessing psychiatric rehabilitation interventions.

Skill training, drug therapy, and community support strategies are the three primary intervention techniques used by practitioners attempting to rehabilitate severely psychiatrically disabled clients. The present article describes a comprehensive client outcome planning model that encompasses both the intended and unintended effects of an intervention, and that extends beyond such traditional outcome measures as recidivism, clinical relapse, and employment. In addition, data collection strategies and instruments capable of measuring a broad range of possible outcomes are described. A comprehensive model has the advantage of encouraging researchers to consider, during the process of research design, the specific outcomes that will and will not be effected by an intervention. Furthermore, such a model discriminates between process and outcome variables, limits the scope of the implications derived from the research data, and encourages the researcher to assess both the positive and negative effects of the rehabilitation intervention.

Humans↗
PubMed1976

Bilateral renal vein and inferior vena cava thrombosis with nephrotic syndrome treated by thrombectomy: case report with 3-year followup.

A previously healthy 19-year-old woman taking anovulatory medication presented with symptoms of the nephrotic syndrome and lupus erythematosus. Diagnosis of inferior vena cava and bilateral renal vein thrombosis was made angiographically. The patient was treated successfully by thrombectomy and anticoagulation, and remains well 3 years later. Laboratory data indicate normal renal function and only mild proteinuria. This is the longest followup of a patient with this entity reported in the literature.

Adult↗
PubMed1975

The relationship between patient demographic characteristics and psychiatric rehabilitation outcome.

Professionals engaged in psychiatric rehabilitation need to know what specific factors contribute to the success or failure of attempts to reintegrate the psychiatric patient back into the community. A review of the research literature succeeded in identifying various demographic charcteristics of expsychiatric patients that are related to recidivism and posthospital employment. A composite picture of patients who are more likely to be recidivists or unemployed (or both) was advanced. The factors that appear to be related to posthospital employment are not consistently the same factors that are related to recidivism.

Age Factors↗