scholarly journals Creating Price Indexes for Measuring Productivity in Mental Health Care

2001 ◽  
Vol 4 (1) ◽  
Author(s):  
Susan H. Busch ◽  
Ernst R. Berndt ◽  
Richard G. Frank

Economists have long suggested that to be reliable, a preferred medical care price index should employ time-varying weights to measure outcomes-adjusted changes in the price of treating an episode of illness. In this article, we report on several years of research developing alternative indexes for the treatment of the acute phase of major depression, for the period 1991–1996. The introduction of new treatment technologies in the past two decades suggests well-known measurement issues may be prominent in constructing such a price index.We report on the results of four successively re

2007 ◽  
Vol 52 (9) ◽  
pp. 605-612 ◽  
Author(s):  
Stephen C Newman ◽  
Angus H Thompson

Objective: To examine the association between pathological gambling (PG) and attempted suicide in a nationally representative sample of Canadians. Methods: Data came from the Canadian Community Health Survey, Cycle 1.2, conducted in 2002, in which 36 984 subjects, aged 15 years or older, were interviewed. Logistic regression was performed with attempted suicide (in the past year) as the dependent variable. The independent variables were PG, major depression, alcohol dependence, drug dependence, and mental health care (in the past year), as well as a range of sociodemographic variables. Survey weights and bootstrap methods were used to account for the complex survey design. Results: In the final logistic regression model, which included terms for PG, major depression, alcohol dependence, and mental health care, as well as age, sex, education, and income, the odds ratio for PG and attempted suicide was 3.43 (95% confidence interval, 1.37 to 8.60). Conclusions: PG (in the past year) and attempted suicide (in the past year) are associated in a nationally representative sample of Canadians. However, it is not possible to say from these data whether this represents a causal relation.


2016 ◽  
Vol 25 (6) ◽  
pp. 669-672 ◽  
Author(s):  
Milica Pejovic Milovancevic ◽  
Veronika Ispanovic ◽  
Dusko Stupar

2021 ◽  
Author(s):  
Gerhard Gründer ◽  
Henrik Jungaberle

AbstractSerotonergic psychedelics such as psilocybin, lysergic acid diethylamide (LSD), or dimethyltryptamine (DMT), as well as psychoactive drugs that trigger phenomenologically- related experiences like 3,4-methylenedioxymethamphetamine (MDMA) and ketamine, belong to the most promising treatment approaches in contemporary psychiatry. Psychedelic-assisted psychotherapy is not only a new treatment paradigm in psychopharmacology, but it also requires a redefinition of psychotherapeutic processes and the contextualization of psychopharmacological interventions within a new treatment infrastructure. Crucial for future practice and research in the field are (1) informed patient referral and co-treatment practices, (2) screening (e. g., choosing the right patients for these therapies), (3) the dosing preparation sessions, (4) the assisted dosing sessions as well as after-care procedures such as (5) psychological integration and (6) supporting the development of structured patient communities. Definition of future treatment delivery infrastructures and requirements for therapist training are further challenges for research and practice. Finally, the implementation of psychedelic-assisted psychotherapy in routine mental health care must be embedded into public communication about the potential and risks of these innovative therapeutic approaches. This paper provides a synopsis of challenges for practitioners, researchers, and regulators to be addressed in the approval processes of psychedelics.


1991 ◽  
Vol 8 (2) ◽  
pp. 26-30 ◽  
Author(s):  
Kenneth F. Lyon

Today, it is recognized that our pets have dental problems that went unrecognized and untreated in the past. Recent developments in the field of veterinary dentistry, increased owner awareness, and new treatment techniques make dental care an indispensable part of pet health care. Routine preventative procedures such as brushing the teeth should be a regular aspect of the care we extend to our pets. J. Vet. Dent., 1991; 8(2): 26–30.


2006 ◽  
Vol 16 (3) ◽  
pp. 122-132 ◽  
Author(s):  
Kitty S. Chan ◽  
Chloe E. Bird ◽  
Robert Weiss ◽  
Naihua Duan ◽  
Lisa S. Meredith ◽  
...  

2009 ◽  
Vol 28 (2) ◽  
pp. 35-46 ◽  
Author(s):  
Larry Davidson ◽  
Priscilla Ridgway ◽  
Melissa Wieland ◽  
Maria O'Connell

Recent commissions in Canada and the United States have stipulated recovery to be the overarching aim of mental health care and have called for systems of care to be transformed to be made consistent with this aim. If these efforts are not simply to repeat the mistakes of the past, a new conceptual framework will be needed to provide an alternative foundation for rethinking the nature of care for people with serious mental illnesses. In this paper, the authors identify the limitations of the conceptual framework of the deinstitutionalization movement and then offer the capabilities approach developed by Sen (1992, 1999) and others as a more adequate framework for the post-institutional era.


1993 ◽  
Vol 38 (10) ◽  
pp. 678-680 ◽  
Author(s):  
James Vanharen ◽  
Catherine Laroche ◽  
Marsha Heyman ◽  
Albert Massabki ◽  
Lois Colle

Over the past 30 years much information has been collected on children whose parents suffer from psychiatric illness. Research has shown that many of these children are at high risk for significant psychopathology but there have been few investigations examining whether or not they are being identified and are receiving mental health care. The purpose of this pilot study was to investigate to what extent the children of psychiatrically ill adult patients are identified and referred to the mental health services. Results of structured interviews with the patients indicate that a considerable number had school-aged children and that in many instances no inquiry had been made concerning the children's psychological health. Although some of the children were reported to have received treatment, few had been referred by their parents’ psychiatrists. Recommendations to improve the identification and treatment of such children are outlined in this study.


2004 ◽  
Vol 1 (5) ◽  
pp. 7-8
Author(s):  
Håkan Johansson

Over the past few decades, health care as a whole and psychiatry specifically have evolved as a result of various societal influences. Quality assurance, evidence-based treatment and patients’ satisfaction with care are all examples of such trends. In Sweden, the patients’ satisfaction with care has become the concern both of researchers and of mental health care administrators. This may be a result of changed social norms and of the relatively recent apprehension of patients’ wish to participate in their own health care.


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