Individuals (n=199) with mental retardation referred for behavioral and psychiatric crisis intervention services were studied to determine attributes differentiating physically aggressive behavior from other behavioral problems. Aggression was predicted by gender, level of mental retardation, and history of previous institutional placement; the…

Examination of 1,273 individuals with mental retardation in a Virginia residential institution revealed that 15.55% also had psychiatric disorders. Males had a higher prevalence than females; individuals with mild retardation had higher rates than those with other levels of retardation. Prevalence rates are provided for specific disorders by level…

Examined drug use patterns among incarcerated African-American juvenile delinquents (n=248). Found that 90 percent of participants had used some illicit mood altering substance, between 30 percent and 46 percent reported daily use, and average age at initial use was approximately 12 years. Alcohol use tended to precede by about five months use of…

Assessed impact of relocation on health and well-being of 196 nursing home residents who relocated to new facility. Relocated residents participated in program to enhance sense of control and predictability over move. Analyses of medical records, nurses' ratings, and interviews strongly suggest that move had no negative effect on residents as…

Describes political and social action group of cognitively intact nursing home residents, organized in response to residents' desire to work on social issues and coordinated by recreational therapist who expected participation to maximize residents' autonomy and sense of control. Benefits mentioned by participants included opportunity to…

Nursing home social workers (n=152) and administrators (n=231) rated relative importance of resident and family psychosocial needs and frequency of function performed or expected to be performed by social workers. Both groups rated as very important needs of support during transition to nursing home, help in dealing with loss, and help with…

Analysis of data for 3,266 individuals from the 1987 National Medical Expenditure Survey found that residents of state institutions were more severely retarded and more often multiple disabled than were residents of other types of residential facilities. Relatively more persons with severe impairments resided in state facilities in states where…

Examined effect of locked behavioral/cognitive treatment setting on Minnesota Multiphasic Personality Inventory and Jesness Inventory scores of conduct disordered adolescent inpatients. Pre- and posttest scores for 30 male and 20 female patients showed statistically significant changes on both inventories. Males responded to treatment more…

The investigation of mortality rates of institutionalized persons with mental retardation over two time periods (1974-79 and 1980-85) found a significant improvement in mortality between the two time periods. Causes of death were related to severity of retardation. Consistent differences by race or gender were not indicated. (Author/DB)

An instrument measuring ratings of sources of job stress and satisfaction resulting from characteristics of residents and work conditions was completed by 136 direct-care staff members in 4 regional state mental retardation facilities. Differences by facility were noted. The instrument offers some unique information appropriate for studies of job…

Administered Tennessee Self-Concept Scale to 243 institutionalized delinquents. Found subjects had abnormally lower self-concepts than nondelinquents. Females and youngest subjects had significantly lower self-concepts than male and older counterparts. Age and sex were significant predictors of Total Self-Concept; age was significant predictor of…

Surveyed clinical social workers (n=216) concerning rights of psychiatric patients who are involuntarily committed to institutions. Although majority of respondents support patients' rights, minority demonstrated restrictive attitudes and unawareness of existing laws regarding patients' rights. Controversial issues, such as right to refuse…

Notes that there often is no formally established bereavement service designed to assist surviving family members, patients, or staff members when patient dies while receiving care in acute care setting. Presents exemplar bereavement service using data from few existing or proposed efforts to formalize bereavement services in acute care settings…

Designed Quality of Life Interview Schedule (QOLIS) and tested with 201 severely mentally ill people living in state hospital and community residential facilities. Factor analysis revealed eight factors with face validity and acceptable coefficient alphas. Factors were related meaningfully to overall level of functioning, total symptom scores,…

Study of selected elderly psychiatric inpatients (n=152) suggests that suicidal ideation may initiate process of smoldering when patient, family, and professionals interact in such a way as to dampen apparent distress. Suicidal thoughts/mood may be masked by affective or cognitive constriction, camouflaged by anxiety and external agitation, and…