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The report summarizes the results of the Special Project on Facility Closures/Phasedowns. A history of mental retardation institutions in America is provided, and 24 closures of State-operated mental retardation institutions are d...
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The report summarizes the results of the Special Project on Facility Closures/Phasedowns. A history of mental retardation institutions in America is provided, and 24 closures of State-operated mental retardation institutions are described. Studies of the impact of closure and involuntary relocation on patients, their families, and closing facility employees are reviewed. In sum, facility closures and client relocations are found to frequently result in physical-behavioral stress reactions; however, these effects seem to be stronger for some groups and occur only under certain circumstances. Families faced with the relocation of their relatives out of large state institutions have reported a high degree of stress and have strongly resisted these transfers. Nonetheless, findings indicate that family attitudes can be changed and that proper attention to family members' perceptions and needs could alleviate the stresses they experience. Institutional closures also affect the morale and performance of staff; however, suitable administrative policies and clinical guidelines can be adopted to cope with these negative effects. The Dixon Closure Study is described and guidelines are presented for encouraging positive outcomes for clients, families, and employees involved in closures.
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These contractor documents were used in preparing OTA's final assessment report. Contents include: Designing a residential care unit for persons with dementia; The Senior Respite Care Program; Experiences of the Atlantic area ADRD...
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These contractor documents were used in preparing OTA's final assessment report. Contents include: Designing a residential care unit for persons with dementia; The Senior Respite Care Program; Experiences of the Atlantic area ADRDA in the development and management of the community services program; The family Respite Center: Day care for the demented; Family Survival Project; Evaluation of a 24-hour care system for persons with Alzheimer's and related disorders; Institutional approaches to the care of individuals with dementia; Urinary incontinence in Alzheimer's disease.
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This report examines two measures that identify children with emotional and behavioral problems: high scores based on questions in the brief version of the Strengths and Difficulties Questionnaire (SDQ) and a single question about...
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This report examines two measures that identify children with emotional and behavioral problems: high scores based on questions in the brief version of the Strengths and Difficulties Questionnaire (SDQ) and a single question about serious (definite or severe) overall emotional and behavioral difficulties. Children were classified into four groups, those with: only high scores on the brief SDQ, only serious overall difficulties, both high scores on the brief SDQ and serious overall difficulties, and neither high scores on brief SDQ nor serious overall difficulties. Childrens characteristics, conditions, and service use in these four groups were compared.
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The historical background to the brain operation involving destruction of the anterior portion of the frontal lobe, called prefrontal leukotomy, is briefly mentioned. A general evaluation of the benefits and defects of the operati...
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The historical background to the brain operation involving destruction of the anterior portion of the frontal lobe, called prefrontal leukotomy, is briefly mentioned. A general evaluation of the benefits and defects of the operation is presented, followed by a list of disease categories for which the procedure might be considered. Such symptom complexes or disease categories as manic-depressive psychosis and involutional melancholia, obsessive-compulsive neurosis, schizophrenic psychosis, paranoid psychoses, psychosis associated with organic disease of the brain, epilepsy, psychopathic personality, intractable pain and physical defect states and suicidal tendencies are all considered, and the degree to which they might benefit from the operation is described. The operative approach and technique is briefly mentioned. The postoperative course and the importance of post-operative care to reach a satisfactory outcome is discussed. A suggested reading list of 13 items is included.
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This is the first Surgeon General's report ever issued on the topic of mentalhealth and mental illness. The science-based report conveys several messages. One is that mental health is fundamental health. A second message of the re...
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This is the first Surgeon General's report ever issued on the topic of mentalhealth and mental illness. The science-based report conveys several messages. One is that mental health is fundamental health. A second message of the report is that mental disorders are real health conditions that have an immense impact on individuals and families throughout this Nation and the world. The body of this report is a summary of an extensive review of the scientific literature and of consultations with mental health care providers and consumers. Contributors guided by the Office of the Surgeon General examined more than 3,000 research articles and other materials, including first-person accounts from individuals who have experienced mental disorders.
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These contractor documents were used in preparing OTA's final assessment report. The contents include: The Epidemiology of Dementing Disorders, Peter S. Cross and Barry J. Gurland, The Columbia University Center for Geriatrics, Ge...
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These contractor documents were used in preparing OTA's final assessment report. The contents include: The Epidemiology of Dementing Disorders, Peter S. Cross and Barry J. Gurland, The Columbia University Center for Geriatrics, Gerontology and Long-Term Care, New York, New York 10032; Accuracy of Diagnosis and Consequences of Misdiagnosis of Disorders Cuasing Dementia, Robert Katzman, Bruce Lasker and Nancy Bernstein, School of Medicine, University of California, La Jolla, California 92023; Basic Neuroscience and Disorders Causing Demintia, Donald L. Price, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205-2182.
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This bibliography contains 55 references from journals, yearbooks, and proceedings; and 637 references from books in the fields of neurosurgery and the neurologic sciences. References are included from publications printed in Engl...
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This bibliography contains 55 references from journals, yearbooks, and proceedings; and 637 references from books in the fields of neurosurgery and the neurologic sciences. References are included from publications printed in English, German, Spanish, and French.
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The joint sponsorship of the workshop by the National Institute of Child Health and Human Development (NICHD) and the National Institute of Mental Health (NIMH) indicates very clearly the importance that both Institutes attach to ...
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The joint sponsorship of the workshop by the National Institute of Child Health and Human Development (NICHD) and the National Institute of Mental Health (NIMH) indicates very clearly the importance that both Institutes attach to the issue of behavior problems in people with mental retardation. Both Institutes have tried to respond to growing recognition that, for many individuals, it is not their mental retardation that keeps them from being placed satisfactorily in the community. Rather, it is the behavioral problems associated with that mental retardation. Topics covered in the workshop include: Critical Issues in the Assessment of Childhood Psychopathology: An Overview of the Current State of the Art; Assessing the Prevalence of Psychiatric Disorders in a Developmentally Disabled Population; Toward the Developmental Understanding of the Impact of Mental Retardation on Assessment of Psychopathology; The Development of a Screening Measure for Psychopathology in People with Mental Retardation; Behavioral Assessment of Adolescents with Pervasive Developmental Disorders; Issues in the Assessment of Aberrant Behavior Among Persons with Mental Retardation; and Application of Traditional Measurement Scales to Dually Diagnosed Populations.
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Fewer than half of adults with past year serious mental illness (SMI) received treatment for a mental health problem in the past year. More than 2 million adults with SMI who did not receive mental health treatment in the past yea...
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Fewer than half of adults with past year serious mental illness (SMI) received treatment for a mental health problem in the past year. More than 2 million adults with SMI who did not receive mental health treatment in the past year reported that they needed it during this time period. About half of adults with SMI who did not receive mental health treatment and reported unmet treatment need reported cost-related reasons for not receiving treatment.
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