Browsing by keyword "*Hospitals, Psychiatric"

Now showing items 1-7 of 7

    • Addressing the borderline's repetitive misuse of the state hospital
      Geller, Jeffrey L.; Brandzel, Merle (1983-01-01)

    • Factual sources of psychiatric patients' perceptions of coercion in the hospital admission process
      Lidz, Charles W.; Mulvey, Edward P.; Hoge, Steven K.; Kirsch, Brenda L.; Monahan, John; Eisenberg, Marlene; Gardner, William; Roth, Loren H. (1998-09-12)
      OBJECTIVE: The purpose of this study was to determine what predicts patients' perceptions of coercion surrounding admission to a psychiatric hospital. METHOD: For 171 cases, the authors integrated data from interviews with patients, admitting clinicians, and other individuals involved in the patients' psychiatric admissions with data from the medical records. Using a structured set of procedures, coders determined whether or not nine coercion-related behaviors occurred around the time of admission. Correlation and regression analyses were used to describe the predictors of patients' scores on the MacArthur Perceived Coercion Scale. RESULTS: The use of legal force, being given orders, threats, and "a show of force" were all strongly correlated with perceived coercion. A least squares regression accounted for 43.3% of the variance in perceived coercion. The evidence also suggested that force is typically only used in conjunction with less coercive pressures. CONCLUSIONS: Force and negative symbolic pressures, such as threats and giving orders about admission decisions, induce perceptions of coercion in persons with mental illness. Positive symbolic pressures, such as persuasion, do not induce perceptions of coercion. Such positive pressures should be tried in order to encourage admission before force or negative pressures are used.

    • Medicaid everywhere
      Geller, Jeffrey L. (2004-03-06)

    • Perceptions of coercion in the admission of voluntary and involuntary psychiatric patients
      Hoge, Steven K.; Lidz, Charles W.; Eisenberg, Marlene M.; Gardner, William; Monahan, John; Mulvey, Edward P.; Roth, Loren H.; Bennett, Nancy (1997-04-01)

    • The validity of mental patients' accounts of coercion-related behaviors in the hospital admission process
      Lidz, Charles W.; Mulvey, Edward P.; Hoge, Steven K.; Kirsch, Brenda L.; Monahan, John; Bennett, Nancy S.; Eisenberg, Marlene M.; Gardner, William; Roth, Loren H. (1997-08-01)
      Although the recent development of a measure for perceived coercion has led to great progress in research on coercion in psychiatric settings, there still exists no consensus on how to measure the existence of real coercive events or pressures. This article reports the development of a system for integrating chart review data and data from interviews with multiple participants in the decision for an individual to be admitted to a psychiatric hospital. The method generates a "most plausible factual account" (MPFA). We then compare this account with that of patients, admitting clinicians and other collateral informants in 171 cases. Patient accounts most closely approximate the MPFA on all but one of nine dimensions related to coercion. This may be due to wider knowledge of the events surrounding the admission.

    • Treatment of psychiatric hospital patients transferred to emergency departments
      Bazemore, Patricia H.; Gitlin, David F.; Soreff, Stephen (2005-03-16)
      Two hundred public psychiatric hospitals were surveyed regarding their management of inpatients with serious medical problems. Of the 102 hospitals responding, 98 had a formal arrangement with a medical facility for transfer and treatment. Fifty of the respondents felt they regularly had difficulty in receiving acceptable information from the receiving hospital, and 37 perceived that their patients regularly received less than optimal care. There was a significant direct correlation between difficulty obtaining information and the perception of suboptimal care. Seventy-nine hospitals had developed a referral form for the transfer of information to the receiving facility. The results point to an important area of discontinuity in the care of the seriously mentally ill.

    • When the subjects are hospital staff, is it ethical (or possible) to get informed consent
      Geller, Jeffrey L.; Lidz, Charles W.; Pattulo, E. L. (1987-09-01)