Argues that in the past few decades, it has become increasingly evident that psychotherapy, generally speaking, is ineffective. The present paper suggests three major respects in which much (perhaps most) psychotherapy and counseling is being "misdirected or misapplied." As corollaries, alternative types of remedial endeavor are suggested. (Author)

Describes clinical, individual, and family characteristics of initial admissions to secure adolescent psychiatric unit. One-third constituted risk to themselves. Two-thirds had committed a recent serious offense. Reveals high levels of disruption and disadvantage in family and personal histories. Emphasizes need for appropriate after-care…

Stigma is a major barrier to the life opportunities of people with disabilities, including those with psychiatric disabilities. Structural discrimination is stigma that results from social forces that develop over many years to diminish a group's resources and support needed to be successful. Affirmative action is a legal and political remedy to…

Context and Purpose: Rural and suburban populations remain underserved in terms of psychiatric services but have not been compared directly in terms of using telepsychiatry. Methods: Patient demographics, reasons for consultation, diagnosis, and alternatives to telepsychiatric consultation were collected for 200 consecutive, first-time…

In the wake of a U.S. Justice Department investigation that found widespread use of excessive force by staff at upstate psychiatric care facilities for mentally ill children, this new edition of Child Welfare Watch identifies shortcomings in mental health services and explores possible solutions, including the expansion of alternatives to…

Objective: To describe characteristics and outcomes of youth aged 7 to 17 who received inpatient psychiatric and mental health services along different clinical pathways of a new service delivery model. Method: Participants included 211 admissions to an inpatient crisis stabilization and assessment program over a one-year period. Standardized…

One person's impressions about children in China are reported along with information obtained from informal observations and discussions with psychologists involved in teacher preparation and other Chinese psychologists and psychiatrists. Observations were made wherever possible; visits were made to both an urban and a rural kindergarten, a…

Although group psychotherapy is the preferred method of treatment for short-term hospitalized clients, empirical evidence of the efficacy of such a treatment method is lacking. To examine the major themes expressed in an inpatient group over time, as well as to evaluate the methodology for selecting and implementing group psychotherapy, a total of…

The research fellow worked in the field of community mental health for one year learning the theory and practice through specific course work, field experiences, selected reading, and the development of several research designs. One field experience involved a 1-day-per-week assignment over an 8-month period during which a survey was made of the…

This study investigated: (1) whether men and women within the same diagnostic category are assigned different types or amounts of treatment; and (2) whether any such differences relate to actual variations in the subjectively reported symptoms, mood states, or interpersonal concerns reported by the patients. (Author)

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Reviews literature evaluating appropriateness of Medicare's prospective payment system (PPS) through Diagnostic-Related Groups (DRGs), since its implementation in 1983, for psychiatric care. Cites shortcomings that make the system untenable for mental health care, including lack of homogeneity of DRGs, inability to predict length of stay, and…

Describes Dutchess County Department of Mental Hygiene and New York State Bridge Authority's joint establishment of a suicide prevention telephone on Mid-Hudson Bridge. Telephone, which is directly connected to psychiatric emergency service, was used 30 times in two-year period. Data suggest that most would-be jumpers were ambivalent about dying…