Long-Term Effects of a Simple Contingency Management Program with Chronic Psychiatric Patients

AbstractObjectives: We aimed to identify which illness related topics were of most interest to chronic psychiatric patients in our catchment area service, and to obtain a baseline measure of the amount of knowledge which patients with schizophrenia had about their illness.Method: Patients attending for a minimum of one year were recruited from the outpatient clinic and day centre. Participants completed three instruments: a brief questionnaire which asked about the details of their diagnosis and drug treatment regimen, the ‘Educational Needs Questionnaire’ (ENQ), and a modified form of the ‘Understanding Schizophrenia Scale’ (USS).Results: Forty-seven patients with a chronic psychotic illness participated in the study. Despite having attended the service for an average of 14 years, the majority of patients were unable to correctly identify their diagnosis. Most patients were able to name the drugs which they had been prescribed; but were not able to describe the dosage of these drugs. According to the ENQ results, patients expressed most interest in learning about general aspects of their illness, such as ‘how to cope with stress’, and less in how to manage specific illness related symptoms. Similarly, schizophrenia patients were found to know more about general aspects of their illness, such as rehabilitation and non-medical aspects of treatment, than about medication.Conclusion: Chronic psychiatric patients, especially those with schizophrenia, have very limited knowledge of their illness and its treatment. The focus of psychoeducation should be extended from insight and compliance to include broader ‘quality of life’ issues which appear to be of more concern to patients themselves. Patient participation in psychoeducation can thus be improved by including topics identified by such instruments as the ENQ. It is encouraging that cognitive deficits and negative symptomatology do not seem to prevent long-term psychiatric patients from benefiting from such inputs.

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Emotional adjustment of psychiatric patients following their unexpected discharge due to war: Short- and long-term effects.

Journal of Abnormal Psychology ◽

10.1037/0021-843x.84.6.709 ◽

1975 ◽

Vol 84 (6) ◽

pp. 709-714 ◽

Cited By ~ 2

Author(s):

Michael Merbaum ◽

Albert Hefez

Keyword(s):

Psychiatric Patients ◽

Emotional Adjustment ◽

Long Term Effects ◽

Short And Long Term

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L'hôpital psychiatrique: d'hier à demain

The Canadian Journal of Psychiatry ◽

10.1177/070674378603100108 ◽

1986 ◽

Vol 31 (1) ◽

pp. 35-43 ◽

Cited By ~ 1

Author(s):

Céline Mercier ◽

Et Gaston P. Harnois

Keyword(s):

Psychiatric Hospital ◽

Long Term Care ◽

Psychiatric Patients ◽

Community Resources ◽

Second Line ◽

Service Network ◽

Term Care ◽

Permanent Home ◽

Chronic Psychiatric Patients

A study carried out in a psychiatric hospital in the Montreal region reveals that in spite of deinstitutionalization, long-term stay remains an important factor in the use of beds. For some patients the hospital remains a permanent home, either from their first admission or from the time they are institutionalized after multiple admissions. For both in- and out-patients, return to the hospital and long-term care are almost inevitable. Generally speaking, the services of the hospital are used by the same long-term patients, and this to the extent that the hospital cannot provide services to other establishments or play its second-line role. This is frustrating for other institutions in the network, even though they accept the inevitability of the situation given the lack of adequate community resources for these patients. One of the primary functions of a psychiatric hospital also seems to be to fill in the gaps in the service network. In this regard, its expertise in the field of intervention in chronic psychiatric patients must not be overlooked. Given the current situation, the hospital's responsibility in regard to second-line services cannot be clarified until it has been determined just how much of the responsibility for care of psychiatric patients can be assumed by the community itself.

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Developing a Comprehensive, Interdisciplinary Concussion Program

Health Services Insights ◽

10.1177/1178632920938674 ◽

2020 ◽

Vol 13 ◽

pp. 117863292093867 ◽

Cited By ~ 1

Author(s):

Jamie Chen ◽

Jill Kouts ◽

Michael A. Rippee ◽

Stephen Lauer ◽

David Smith ◽

...

Keyword(s):

Management Program ◽

University Of Kansas ◽

Long Term Effects ◽

Concussion Management ◽

Limited Budget ◽

Education And Outreach ◽

Health Need ◽

The University ◽

Team Model

There has been a growing trend of local and national coverage of and interest in concussion injuries over the past 2 decades. Increasing public concern over potential catastrophic and unknown long-term effects of sports-related concussion injuries has led to an acknowledgment of the strong public health need for addressing all concussion injuries, regardless of mechanism of injury. In efforts to address this need for concussion prevention and management, both in sports and nonsports, The University of Kansas Health System initiated the interdisciplinary Center for Concussion Management program in 2012. The program was created as a virtual clinic concept and includes voluntary participation from various providers across the institution, limited budget, and space obstacles. Since its inception, the program has continued to operate as its initial design of a multidisciplinary team model outside the sole ownership of 1 department, and has expanded to include education and outreach to local and regional schools and groups.

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Acupuncture Tonification

The American Journal of Chinese Medicine ◽

10.1142/s0192415x76000111 ◽

1976 ◽

Vol 04 (01) ◽

pp. 73-79 ◽

Cited By ~ 7

Author(s):

Aristide H. Esser ◽

Stephen T. Botek ◽

Christopher Gilbert

Keyword(s):

Blood Pressure ◽

Psychiatric Patients ◽

Well Being ◽

Physiological Change ◽

Treatment Frequency ◽

Physiological Homeostasis ◽

Psychological Improvement ◽

Chronic Psychiatric Patients

Our aims was to "tonify" chronic psychiatric patients, i.e., restore their physiological homeostasis and sense of well-being by using standardized acupuncture. In eighteen subjects, eleven diagnosed as schizophrenic, feelings of well-being lasting no longer than three days were obtained in over 60% of the treatments. In more than two-thirds of the cases normalization of blood pressure values tending to 120/80 was evident. Degree of physiological change did not appear to be associated with overall psychological improvement; neither was the number of treatments associated with long-term improvement. For further studies, increased treatment frequency and less rigidly controlled procedures are suggested.

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