K4`~~ @@@ @@@@VSFI]~p~ EN DB ~ %Uj]]j;!2H;jjjjjdEjh];HjlEv+Q8Rp:zz;.'E!\G]_d?%]xww`Z ;3>=NYd{B 111P1)T\#**(#LScD`Z"Pj{3=<H\V2H_-;s<>!;D<[]=qq1!ic/2#{6 St Brandon2002[ Craig1997W Faust2001mV Green2003q Kisely200073,Mental Health Statistics Improvement Program2003J[' Ohio Department of Mental Health2004E Rooney20000m_XTexas Department of Mental Health and Mental Retardation Program Statistics and Planning2003l @@xplains how to enter Outcomes data, how to search and modify existing records in the Template, how to generate reports, and how to export Outcomes files. You may refer to the different sections of this guide as needed. However, new  @@xplains how to enter Outcomes data, how to search and modify existing records in the Template, how to generate reports, and how to export Outcomes files. You may refer to the different sec00000000000000000C8001F000B43616C6C204E756D6db{ Thabet2000P Thabet2004 Thabet2004kODThe International Classification of Mental and Behavioural Disorders WHO, 1992 The OM TeamYearGohThe Strategic Planning Group for Private Psychiatric Services Data Collection and Analysis Working Group2000 Thomas1996 Thomas20020QThomason2003Thompson2000VThompson2003 Thomsen1995 Thomsen1997 Thornicroft1999 Thornicroft1999. Thornicroft1999 Thornicroft2000 Thornicroft2001 Thornicroft2001 Thornicroft2002 Thornicroft2003 Tickle-Degnen2002 Tillman2003= Tillman2004Tirapu Ustarroz1999|Tischler2001Tischler2002PTischler2004Tischler2004 Tkaczuk2001V Tobias20032 Tobias2004 Todd19959~ Tonstad1996 Tonstad1997 Topinkova2000r Torres20000Torres-Gonzales2002 Torri2001 Tosini19988 Tousignant1999h Towlson2004Townsend20022O Trainor2001 Tramontina2000 Trauer1995 Trauer1997 Trauer1997 Trauer1998 Trauer1998 Trauer1998 Trauer1998 Trauer1998 Trauer1999- Trauer1999< Trauer1999 Trauer20008 Trauer2000 Trauer2001 Trauer2001Q Trauer2001 Trauer20012 Trauer2002 Trauer20023 Trauer2002R Trauer2002 Trauer2003 Trauer2004 Trauer2004K Trauer20040 Trauer2004 Trauer2004 Trauer2004Treffers2003 Trepanier2003 Tribe2000 Tribe2002 Trimble2000Tripathi2001T TriWest Group2001 Trompeter2003 Truman2003 Tsaltas1997Tsiantis2003 Turner19959 Turner19966n Turner20044 Turrina1998Tusaie-Mumford1996 Tyrer2002 Uehara1994fUesseler2004V Uitenbroek2003| Unger2003 Updike19899 Uttaro2002 Uys1996 V'Ant Hoff2002 Vaccaro2001Y Valdez19899. 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Vanderpyl2003p Vandvik1990j Vandvik1994~ Vandvik1996 Vandvik1997 Vannier1995XVarghese19955 Varner19999 Varner20000 Varner20010> Vasudevan1987 Vauras20010 Vega20030a Veit1983QVeldhuyzen van Zanten1999rVelikova2001> Venkatapathy1987 Verdeli1998u Verdeli2004Verhulst1997 Vermeer2001 Vermeersch2003w Vermeiren2004 Vieweg1998 Vieweg1998 Viscoli2001 Vogel1996 Vogel2003 Vogelzang2001 von Knorring1999 Von Morgen2001 Voruganti1999 Voruganti2000 Voruganti2002 Voss20010{Vostanis2000|Vostanis2001Vostanis2002RVostanis20033LVostanis20044PVostanis2004Vostanis2004w Vreugdenhil2004 Waarst2003V Wackwitz Wadden1995 Wade20020o Waldron2001 Walker1989 Walker1990J Walker2003 Wallace2001 Wallace2004T Wallander1995 Waller19944 Waller19955 Waller1995 Waller19955 Waller19979Walmsley1996 Walmsley1998 Walter1996 Walter1998 Walters2002 Walters2003| Wang20030 Wanstrath1994$ Ward20012 Ware1980a Ware1983 Ware1984 Ware19889 Ware19881M Ware19919A Ware1992A Ware19931B Ware19941< Ware19951 Ware20030 Warner19909 Warner20022 Watson1999 Watson1999g Way2004K Weinstein1989 Weir19989O Weiss1987F Weiss1990 Weiss1995 Weiss1996Weissman1990Weissman1998uWeissman200440 Welfare2004 Welham2001t Weller20022s Weller20033 Wells1984Y Wells1989 West19969Westhoff20020| Wever1995 Whipple20031 Whisner2002 White1998 White20007 White2001 White2001W White2003 Whiteford1996 Whitton1997Y Whitton1999Z Whitton1999j Wichstrom1996 Wickramaratne1998u Wickramaratne2004SWidawski19999 Wiersma2002 Wiese2003 Wiggs2004 Wilber19969 Wilcock2001 Wilcox1997 Wilcox1999 Wilde2001 Wilkins2001[ Wilkinson1995 Wilkinson1997 Wilkinson19997 Wilkinson2001V Wilkinson2003Williams2000Williams20010Williams20033Williams2004x Williamson2004 Wilson20033? Wilson20044 Windle200301 Window19999 Winefield2000 Wing19979, Wing1998 Wing1999+ Wing1999Y Wing19999Z Wing19999f Wing19991g Wing19991S Wing1999 Wing2000, Wingo1993y Winkel2002 Wipke Tevis2002 Wipke-Tevis2001T Wise2004 Wiseman2002 Woerner2000 Wolfe2003 Wolke2000 Wolke2002 Wong20022 Wong2002DO Wood2001 Wood20012 Woodham2003 Woods2002Woodside2003 Wooff2001 Wooff2002 Wooff2003v Woolverton1996World Health Organization2003 Worling2001W Worrall2003 Wotring2004w Wouters2004. Wright1999r Wright20010 Wright2002 Wright2003 Wu19929 Wu19921 Wu20010Wudarsky2002j Wynne1996 Wyrwich2000h Wyshak2001= Yadava2001= Yadava2001 Yager1990 Yam2002Yamauchi20000Yamauchi2001Yamauchi20020 Yamini-Diouf2003/ Yard19999* Yates1999U Yates2000[ Yates2000( Yellowlees1997 Yellowlees2000 Yellowlees2003C Yonah2004 Young2000R Young2003L Young2004 Youngstrom2003 Youngstrom2003v Youngstrom2004 Yuen20033 Yung2003K Yung20042u Yurgelun-Todd1995Z Zaizov19999 Zapart1999s Zaslavsky2002 Zaslavsky2003c Zautra1988U Zautra19891U Zealand2002 Zeh2001 Zelkowitz1996 Zelkowitz1996 Zeman1990 Zera20030 Zhang1999 Zhang2001 Zieman20000p Zika1992S Zima1999Zimerman20033 Zimmerman1989 Zimmerman2001 Zimmerman2001 Zimmermann2000 Zizolfi1997Zlotolow19966 Zuckerman2001 Zuckerman2001 Zulu1996Zwygart-Stauffacher2001Wyrwich2000h Wyshak2001= Yadava2001= Yadava2001̰Yamauchi20000Yamauchi2001̾Yamauchi20020/ Yard19999* Yates1999 Yellowlees2000 Yellowlees2003C Yonah2004 Young2000  Yuen20033 Yung2003u Yurgelun-Todd1995Z Zaizov19999 Zaslavsky2002 Zaslavsky2003c Zautra1988U Zautra19891 Zhang2001p Zika1992S Zima1999̪ Zimmerman1989 Zimmerman2001 Zimmerman2001 Zizolfi1997 Zuckerman2001 Zuckerman2001 Zulu1996̽Zwygart-Stauffacher20012001ion2003v,<3Jk+E$?K<LISQhC8%ij]x_Xq]g#0DF`Z ;Re'50"$a{3)=NC|@LcO[y(p\o& [P>s:Z/ud-."@j z9^;f.HgB AQDEOY25&_I1V6T4tP !1N-#Bi)Twl ~GW Authors [Journals)KeywordsA q                                X ., Trauer T and Eagar K (),&2001 Colarado Best Practice Work Group Aarseth, Jon Aasland, A. Abas, M. Abas, Melanie Abbey, S. E. Abbey, SusanAchenbach, T. M.Ackerman, Steven J.Ad-Dab'bagh, Yasser Adair, C.E.Adams, John W.Adams, Malcolm Addis, M. E. Addo, AmaAddy, Cheryl L. Adebisi, A.Aghababian, V.0*AHMAC National Mental Health Working Group Aitken, J.Ajzenstzen, Michal Alegria, M.Alegria, MargaritaAlessi, Norman E.Alexiou, Dimitra B.Alfaro, Cara L. Allan, S. Allan, Steven Allan, Susan Allardyce, J. Allen, Jon G. Allen, Keith Allen, LesleyAltamura, A. C.Alter, Carol L. Altschul, D.40Altschul, D., Wackwitz, J., Coen, A., & Ellis, D40American College of Mental Health Administration Amin, S.Amponsah-Afuwape, Sarahand Dickey, B. Eds.) and Drake, S. Andersen, R.$ Anderson, Ann Martha ChmielewskiAnderson, D. L.Anderson, Mary Z. Anderson, P.Anderson, Peter Andreas, S.Andrew, Jane E. Andrews, G Andrews, G.Andrews, GavinAndrews, HowardAneshensel, C., et al. Anson, RuthAntony, Martin M.Arheart, Kristopher L. Arling, G.Armbruster, P. Aronen, E. T.Aronson, M. K. Arrindell, WA Ashaye, Kunle Ashaye, O. Ashaye, O. A.Ashaye, Olakunle Asherson, P.Ashkanazi, Glenn S.Atchison, KathrynAtkinson, A. W.Attafua, Godfried Attride-Stirling, Jennifer Audin, K. Audin, KerryAugusto, Kerri Weise Auquier, P. Ausin, B. Australian Health Ministers Australian Health Ministers.<8Australian Institute for Suicide Research and Prevention0*Australian Institute of Health and Welfare41Australian Institute of Health and Welfare (AIHW)PJAustralian Institute of Health and Welfare, National Health Data Committee@:Australian Mental Health Outcomes & Classification Network@~~#~pR3OT1a]BN6;_]wHdjcwVzNPNXXv_{>1Male FemalepjMunley, Patrick H. Anderson, Mary Z. Briggs, Denise DeVries, Michael R. Forshee, Wade J. Whisner, Emily A. 2002`YMethodological diversity of research published in selected psychological journals in 1999Psychological Reports912411-420o Oct2002-08347-006 MIS-00011jc*Content Analysis; *Methodology; *Psychology; *Scientific Communication; Professional OrganizationsnReviewed 454 papers appearing in 10 journals published by the American Psychological Association during 1999 to consider the frequency of publication of qualitative research. Journals reviewed included Health Psychology, Journal of Abnormal Psychology, Journal of Consulting and Clinical Psychology, Journal of Counseling Psychology, Journal of Educational Psychology, Journal of Experimental Psychology: General, Journal of Family Psychology, Professional Psychology: Research and Practice, Psychological Assessment, and Psychology and Aging. Papers were classified as quantitative, qualitative, or mixed qualitative/quantitative studies. Quantitative papers were also dichotomously classified as either primarily descriptive or experimental. Qualitative studies were classified by type of qualitative methods specified by the authors. Most papers (97.6%) were classified as quantitative. Only three journals reviewed published qualitative studies. (PsycINFO Database Record (c) 2003 APA )Englishs.(http://www.pr-pms.com/index.cfm?page=subu a&Veit, Clairice T. Ware, John E.  1983TMThe structure of psychological distress and well-being in general populationsc4-Journal of Consulting and Clinical Psychology515c730-742 Octd 0022-006Xd MHI-000380@:Human; Adolescence (13-17 yrs); Adulthood (18 yrs & older) Distress; Factor Analysis; Inventories; Mental Health; Test Construction; Test Reliability; Test Validity development & factor structure & validity & reliability of Mental Health Inventory; measurement of psychological distress & well-being; 13-69 yr oldsDescribes the development of the Mental Health Inventory (MHI), a 38-item measure of psychological distress and well-being, developed for use in general populations. The MHI was fielded in 4 large samples (N = 5089) of Ss aged 13-69 yrs. One data set was used to explore the MHI's factor structure, and confirmatory factor analyses were used for cross validation. Results support a hierarchical factor model composed of a general underlying psychological distress vs well-being factor; a higher order structure defined by 2 correlated factors--Psychological Distress and Well-Being; and 5 correlated lower order factors--Anxiety, Depression, Emotional Ties, General Positive Affect, and Loss of Behavioral Emotional Control. Summated rating scales produced high internal consistency estimates and substantial stability over a 1-yr interval. Results provide strong psychometric support for a hierarchical model and scoring options ranging from 5 distinct constructs to reliance on 1 summary index. (36 ref) (PsycINFO Database Record (c) 2003 APA )LFDoi 10.1037//0022-006x.51.5.730 Peer Reviewed Journal; Empirical Study'("Rand Corp, Santa Monica, CA [Veit]jcVerdeli, Helen Ferro, Tova Wickramaratne, Priya Greenwald, Steven Blanco, Carlos Weissman, Myrna M.b 2004VPTreatment of Depressed Mothers of Depressed Children: Pilot Study of FeasibilityDepression & Anxiety191 51-58 1091-4269 CGA-00089*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Family Background; Major Depression; Mothers; Offspring; Treatment Outcomes; Risk Factors; Social Interaction depressed mothers; depressed children; treatment outcome; depression; maternal depression; social functioning; risk factors; Children's Depression Inventory; Beck Depression Inventory; Hamilton Rating Scale for Depression; Social Adjustment Scale; Test of Nonverbal Intelligence Children's Depression Inventory; Beck Depression Inventory; Hamilton Rating Scale for Depression; Social Adjustment Scale; Test of Nonverbal IntelligenceBhZ|R6p+<hO__w-L <@1 K-v;-9i  ?i $T -NPDB$lB`"l$N_%?9: ;K,hw2<.0D@pk%s2;)IqLQgHqqCEwJ];/v|P!gXP:j ^ LD@ Annals of Behavioral Medicine. Vol 25(3), Sum 2003, pp. 214 221XR International Journal of Behavioral Development. Vol 26(4), Jul 2002, pp. 371 381@< Social Behavior & Personality. Vol 30(7), 2002, pp. 671 68240Accident analysis and prevention Accid Anal PrevActa Psychiatr Scand$Acta Psychiatrica Scandanavica$Acta Psychiatrica Scandinavica$Actas Esplanolas de Psiquiatria("Actas Luso-Eso. Neurol. Psiquiatr.Age and ageing Age AgeingAging & Mental HealthAging and Mental HealthAging Mental HealthHCAJournal of the American Academy of Child and Adolescent Psychiatry$!American heart journal Am Heart J85American journal of clinical nutrition Am J Clin NutrHBAmerican journal of drug and alcohol abuse Am J Drug Alcohol Abuse,'American Journal of Forensic Psychology83American journal of medical genetics Am J Med Genet(#American Journal of Medical Quality,(American Journal of Occupational Therapy(#American Journal of Orthopsychiatry,'American Journal of Preventive Medicine$American Journal of Psychiatry$!American Journal of Public HealthAmerican Psychologist$!American Sociological Review. Vol(#Analisis y Modificacion de Conducta Annales Medico-Psychologiquesd_Annals of oncology official journal of the European Society for Medical Oncology ESMO Ann OncolhcAnnals of surgical oncology the official journal of the Society of Surgical Oncology Ann Surg Oncol4/Archives of disease in childhood Arch Dis Child`]Archives of disease in childhood. Fetal and neonatal edition Arch Dis Child Fetal Neonatal Ed$Archives of General Psychiatry,(Arthritis and rheumatism Arthritis RheumAustralasian Psychiatry<9Australian & New Zealand Journal of Mental Health Nursing4.Australian & New Zealand Journal of Psychiatry0+Australian & New Zealand Journal Psychiatry40Australian and New Zealand Journal of PsychiatryPLAustralian and New Zealand journal of public health Aust N Z J Public Health0-Australian and New Zealand Journal Psychiatry<9Australian e-Journal for the Advancement of Mental HealthAustralian Health Review`]Australian health review a publication of the Australian Hospital Association Aust Health Rev$ Australian Journal of Psychology<6Australian journal of rural health Aust J Rural Health0,Australian New Zealand Journal of PsychiatryBehavior TherapyBehavioral Assessment$Behavioral Healthcare Tomorrow Behavioral Sciences the LawBehaviour ChangeBehaviour Modification Behaviour Research & Therapy$Behaviour Research and therapyBehaviour TherapyBiological Psychiatry BiometricsBMJ BMJ: British Medical Journal(%British journal of cancer Br J Cancer,&British Journal of Clinical Psychology0,British journal of dermatology Br J Dermatol0+British Journal of Developmental Psychology,)British Journal of Educational Psychology($British Journal of Health Psychology(%British Journal of Medical Psychology,'British Journal of Occupational Therapy British Journal of Psychiatry British Journal of Psychology$British Journal of Social Work$Canadian Journal of PsychiatryCanadian Journal on Aging Cancer Cancer Casemix&np&%N$`4#\" (!Ohio Department of Mental Health,c 2002leOutcomes Data Reports Workgroup Meeting Minutes 2002. Ohio Mental Health Consumer Outcome Initiative.. & Ohio Department of Mental Health USA-OH-00012*The Statewide Outcomes Data Reports Workgroup was convened in January 2002 to provide guidance to the Ohio Department of Mental Health regarding the content and format of data reports generated from the statewide aggregated Outcomes database. In keeping with the values of the Outcomes Task Force, and to insure data reports were useful to local systems, workgroup membership included providers, board staff, consumers and family members. The Workgroup completed its work in December 2002.e@9http://www.mh.state.oh.us/initiatives/outcomes/sodrw.htmli(!Ohio Department of Mental Health,e 2002TMOutcomes User Group Minutes 2002: Ohio Mental Health Consumer Outcomes System\ USA-OH-00010*eOutcomes Users Group Mission: To provide a venue for local systems to exchange ideas, share products developed locally, and to seek answers to questions in order to facilitate successful implementation of the ODMH Mental Health Consumer Outcomes System. When statewide implementation issues are identified and brought forth by local systems, the Users Group will discuss the issues, recommend solutions, and present these recommendations to the MACSIS POP Team for inclusion in the Outcomes section of the MACSIS Guidelines Document. Participation in the Outcomes Users Group is voluntary but strongly recommended. Representatives from provider agencies and boards in all phases of implementation are encouraged to participate.<6http://www.mh.state.oh.us/initiatives/outcomes/ug.html(!Ohio Department of Mental Health,e 2002\UOutcomes Data Mart Committee Minutes. Ohio Mental Health Consumer Outcome Initiative.n(!20 August 2002 - 26 February 2004 USA-OH-00007*A sub-committee of the Statewide Data Reports Workgroup, the Outcomes Data Mart Committee was convened in August 2002 for the purpose of providing guidance to ODMH regarding the content, format and structure of the Outcomes Data Mart. The committee is charged with determining what the Data Mart should be able to do, as well as recommending the data elements to be included. To follow the progress of the Outcomes Data Mart Committee, read the meeting minutes posted below<6http://www.mh.state.oh.us/initiatives/outcomes/dm.html (!Ohio Department of Mental Health, 2002`YConsumer Outcomes Incentive Grant Report. The Ohio Mental Health Consumer Outcomes Systemd July 2, 2002 USA-OH-00006*r^XThe Center for Mental Health Services (CMHS) awarded ODMH three million dollars in federal block grant funds to support Outcomes implementation at the local level. Forty-three local systems received these grant monies. As part of the grant agreement, the ODMH Outcomes Team monitored implementation and periodically collected progress reports from grant recipients. The Incentive Grant Final Report provides information about implementation successes and challenges, strategies used for overcoming challenges, and anticipated challenges in continued implementation, as identified by grant recipients.D>http://www.mh.state.oh.us/initiatives/outcomes/dusegrfinal.pdf(!Ohio Department of Mental Health,e 2003:4The ODMH Data Entry & Reports Template. Users Guide USA-OH-00026*{Welcome to the Data Entry and Reports Template Users Guide! This Users Guide is intended to provide helpful information regarding the installation and use of the Template. It is divided into several sections, starting with an overview of the Template, information on downloading and installing the Template and an explanation of how to navigate through the Template. The next section of the guide explains how to enter Outcomes data, how to search and modify existing records in the Template, how to generate reports, and how to export Outcomes files. You may refer to the different sections of this guide as needed. However, new users are encouraged to read each section in order.(!Ohio Department of Mental Health,e 2003Scoring Guidelines USA-OH-00025*f (!Ohio Department of Mental Health,n 200381Instructions for Installing the Reports Generator3 USA-OH-00024* (!Ohio Department of Mental Health,e 2003TMOutcomes User Group Minutes 2003. Ohio Mental Health Consumer Outcomes Systema USA-OH-00011*{Outcomes Users Group Mission: To provide a venue for local systems to exchange ideas, share products developed locally, and to seek answers to questions in order to facilitate successful implementation of the ODMH Mental Health Consumer Outcomes System. When statewide implementation issues are identified and brought forth by local systems, the Users Group will discuss the issues, recommend solutions, and present these recommendations to the MACSIS POP Team for inclusion in the Outcomes section of the MACSIS Guidelines Document. Participation in the Outcomes Users Group is voluntary but strongly recommended. Representatives from provider agencies and boards in all phases of implementation are encouraged to participate.e<6http://www.mh.state.oh.us/initiatives/outcomes/ug.html (!Ohio Department of Mental Health,  2003<5Initial Statewide Consumer Outcomes Report Appendices  USA-OH-00005*tThese appendices to the Initial Statewide Report present frequencies and percentages for individual items contained on each of the six main Outcomes instruments for individuals' most recent ratings in the statewide database.HBhttp://www.mh.state.oh.us/initiatives/outcomes/duseinitrptapp.html (!Ohio Department of Mental Health,  2003(!Initial Statewide Outcomes Report0 0*Office of Program Evaluation and Research. February 2003. USA-OH-00004*oVOThe purpose of this report is to provide an initial view of the data in the statewide Outcomes database by describing the state of the state. This report is intended to provide all constituents in the mental health system with statewide data that they can use to compare an individuals scores or average agency or board area scores.D>http://www.mh.state.oh.us/initiatives/outcomes/duseinitrpt.pdf (!Ohio Department of Mental Health,T 2003:3Statewide Outcomes Report 2: Adult Symptom Distress. 0*Office of Program Evaluation and Research. June 2003 USA-OH-00003*WThe purpose of this report is to provide a closer look at symptom distress as measured by a scale included on Adult Consumer Form A (completed by adults with severe and persistent mental illness) and Adult Consumer Form B (completed by adults with less severe mental illnesses) of the Ohio Mental Health Consumer Outcomes System. As with the Initial Statewide Report1, this report is intended to provide constituents in the mental health system with statewide data that they can use to compare an individuals scores or average agency or board area scores. At this time, approximately 30% of Adult A consumers, and slightly less than one-quarter of Adult B consumers, are represented in this report; therefore, data should be used with caution.B;http://www.mh.state.oh.us/initiatives/outcomes/duserpt2.pdfM(!Ohio Department of Mental Health,n 2004("Outcomes Weekly Test Status Report USA-OH-00027~ (!Ohio Department of Mental Health,n 2004&Outcomes Record Required Fieldsh USA-OH-00023*} (!Ohio Department of Mental Health,n 2004Missing Data Report 2: Individuals with Outcomes Ratings in the Statewide Database Compared to Individuals with Eligible Claims. Ohio Mental Health Consumer Outcomes System,%October 1, 2002 to September 30, 20030 USA-OH-00020*00 T$Boot, B. Hall, W. Andrews, G.n 1997LFDisability, outcome and case-mix in acute psychiatric in-patient units$British Journal of Psychiatry 171 242-6 Sep9337977d HON-00019dRL*Hospitalization statistics and numerical data; *Hospitals, General statistics and numerical data; *Hospitals, Private statistics and numerical data; *Hospitals, Psychiatric statistics and numerical data; *Mental Disorders therapy Adolescent ; Adult ; Aged ; Aged, 80 and over; Australia ; Diagnosis Related Groups; Forecasting ; Hospitalization economics; Hospitals, General economics; Hospitals, Private economics; Hospitals, Psychiatric economics; Length of Stay; Mental Disorders economics; Middle Aged; Outcome Assessment Health Care economics; statistics and numerical data; therapyBACKGROUND: Eighteen acute in-patient psychiatric units in Australia funded a syndicate to measure case-mix, disability and outcome of treatment. This syndicate included eight units in public general hospitals, five in stand-alone public psychiatric hospitals and five in private psychiatric hospitals. METHOD: Up to 100 in-patients admitted consecutively to each hospital (1359 in all) were assigned to a Diagnosis-Related Group (DRG), rated on the Health of the Nation Outcome Scales (HoNOS) and asked to complete the Medical Outcomes Trust Short Form 36 (SF36). These scales were administered again at discharge. Demographic information and length of stay were also recorded. Disability was measured by scores on the HoNOS and SF36 at admission, and outcome was assessed by the change in scores between admission and discharge. RESULTS: The public hospitals treated significantly more patients with schizophrenia and fewer with affective disorders, and their case load on admission was more disabled, on the whole, than that of the private hospitals. They achieved the same outcome or health gain as the private hospitals, but needed a shorter length of stay to do so. The addition of disability scores to DRG moderately increased the ability to predict length of stay. CONCLUSIONS: Routine outcome assessment using reliable and valid instruments is practical, and could lead to improvements in the quality of care for psychiatric patients.t0007-1250 Englishv'b\National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.issing data should be handled. Every Outcomes record that a Board includes in a file submitted to ODMH must adhere to these specifications or the file will be rejected.B;http://www.mh.state.oh.us/initiatives/outcomes/dfspecs.htmlm (!Ohio Department of Mental Health,  YearHAOutcomes Instruments. Ohio Mental Health Consumer Outcomes Systemi USA-OH-00013*nD>Outcomes instruments are administered to adults with severe and persistent mental illness and their service provider as well as adults in the general mental health population. The domains measured include Clinical Status, Quality of Life, Functioning Status, Safety and Health, and Empowerment. To measure outcomes for youth, three parallel forms were developed (Ohio Scales) for completion by the youth client, the youth's parent or primary caretaker, and the youth's agency worker. The domains measured include Problem Severity, Functioning, Hopefulness, and Satisfaction.B;http://www.mh.state.oh.us/initiatives/outcomes/insteng.htmllR)L=)Lq4<LeVRcz5ZZ32eBHf ([-|B1?! loPEXVE<Gw*3lN*_!VG[_fI~j#CuZGzes cft~i\{{Qo#)W-F ASi(Axlzdef GVO[Xhx3Z[63Ey@@e\9A~Q8!5DQNSS# ;876x53HJGFED LJDz 4-Mental Health Statistics Improvement Program,- 1965&The Rosenberg Self-Esteem Scale\USA-MHS-00017* 4-Mental Health Statistics Improvement Program,f 1996<5The MHSIP Consumer-Oriented Mental Health Report CardUSA-MHS-00001*0*http://www.mhsip.org/reportcard/index.html4-Mental Health Statistics Improvement Program,d 2003Thursday Presentations8252st Annual Conference on Mental Health StatisticsUSA-MHS-00007*pjPresentation topics: Real-time Decision Support for Clinical Staff; Developing and Using Performance Measures to Monitor Goals in the State of Utah Mental Health Plan; Consumer Involvement in Evaluating a Recovery-based Systems Change Initiative; The Co-Occurring and Other Functional Disorders (COFD) Assessment Tool; Developing Performance Measures for State Plans; Development and Implementation of a Recovery-Based System: Comparison of Instruments for Assessing Recovery; Herding Cats: System Change in Response to Budgetary Considerations; Involvement with the Criminal Justice System Using Existing Administrative /Operational Data to Measure Service System; Minimum Cost Web Based System Development and Implementation: Realizing the Vision of Decision Support 2000+ and Meeting HIPAA Requirements; Using Adult Consumer Outcomes to Support Recovery and Treatment Planning; The Goldilocks Effect: What happens when consumers and clinicians are free to decide how much and what kind of treatment is "just about right"; Partnerships with Industry: Maximizing ROI In a Time of Severe Economic Austerity; Defining Annual Estimates of Service Recipients From Periodic Survey Data; Child & Adult Integrated Reporting System; Improving Assessment, Treatment and Outcomes for Older Adults with Mental Disorders; Using a State - Wide Recovery Self - Assessment to Implement and Inform Recovery Policies; Data for Olmstead Planning; Investing in Quality: Putting Your Money Where Your Values; Using Common Measures Across Systems: A Cost Effective, Data Based, Collaborative Approach to Planning and Evaluating Recovery Based Programs; Peer Specialist How Do We Find The Role?; Creating a Learning Community for Data-Based System Planning: An 8 - Year Experience in Quality of Life Assessment; A Brief History of Evidence - based Practice and a Vision for the Future; Science to Services Initiative; TRIAD Treatment/Recovery Information and Advocacy Database; Using the Community Mental Health Block Grant To Promote the Implementation of Evidence - Based Practices; Common Measures for Adult Mental Health Services: A Proposal for Widespread Implementation4-http://www.mhsip.org/Presentations03thurs.htm4-Mental Health Statistics Improvement Program,d 2003Wednesday Presentationsl8252st Annual Conference on Mental Health StatisticsUSA-MHS-00006*Presentation Topics: Consumer Health Related Quality of Life; Criminal Justice Involvement: The Challanges of an Approach to Obtain Data and Address Clinical Needs in the District of Columbia; Consumer Outcomes Tracking Washington State: A Statewide Initiative; Predictors of Caregiver - Reported Improvement in Child Behavior and Functioning; Employment Services and Employment Rates: Using Cross-Sector Data to Evaluate Cross-Sector Service Delivery;Mental Health and Substance Abuse Block Grants and the Demand for MH/SA Services in the Private Sector;System Care Assessment Measures Predict Clinical Outcomes; MHSIP Data Inform Recommendations to South Dakota Legislature;Can Medicaid Managed Care Strategies Contain Costs and Promote Resiliency and Recovery?; Bringing Alive The Outcome Data: Measuring the Recovery Process and Improving the Delivery of Clinical Services for Adults with Serious Mental Illness; Performance And Outcome Measurement As A Tool For Advocacy;Enhancing Recovery Through Dialogue on Faith and Spirituality;Tying Data to Planning? Go Figure! Oklahoma's Constituent Survey Evaluation Initiative; Integrating Treatment for Substance Use Disorders in Mental Health Services; The Relationship Between Consumer and Clinician Perception of Health Outcomes; Implementing Evidence-Based Practices In Routine Mental Health Settings: An Access Application for Outcome Reporting; NorthSTAR Data Warehouse: Collecting and integrating data to manage and learn; NorthSTAR Quarterly DataBook; Behavioral Organizations Resource Gateway - Solving the problem of HIPPA Compliant Electronic Medical Record Sharing and validation between collaborating organizations using open techonology ;Reducing Geographic Disparities in Mental Health Access, Utilization and Cost: Implications for Policy and Planning;The Georgia DSS Model Status and Products;. Coalitions for Youth Violence Prevention Using data to achieve sustainable youth violence prevention programs; Rural Behavioral Health: Using Data to Analyze Outcomes & Costs2+http://www.mhsip.org/Presentations03wed.html4-Mental Health Statistics Improvement Program,d 2003 Block Grant Presentations.8252st Annual Conference on Mental Health StatisticsUSA-MHS-00005*Presentation topics: How Will Evidence Based Practice Help Me In My Recovery?; Creating A Resilient Behavioral Health Environment; Implementing Evidence-Based Practices: What Stakeholders Need to Know4-http://www.mhsip.org/Presentations03block.htmt4-Mental Health Statistics Improvement Program,d 2003Plenary Presentationsd:352st Annual Conference on Mental Health Statistics:eUSA-MHS-00004*Presentation Topics: DS2K+ Tools for Quality and Benchmarking; Co-Creating a Vision for the Future: The President's New Freedom Commission on Mental Health; Mental Health Recovery: What Helps and What Hinders? A National Research Project for the Development of Recovery Facilitating System Performance Indicators; Recovery Plenary: A Recovery Oriented System and Its Measurement; Recovery Plenary: The Recovery Enhancing Environment Measure (REE): Using Measurement Tools to Understand and Shape Recovery - Oriented Practice; Developing and Implementing A Recovery Oriented System; Partnering in Performance and Data - SAMHSA and the States and Performance Partnerships6/http://www.mhsip.org/Presentations03plenary.htm4-Mental Health Statistics Improvement Program,d 2003"Preconference Presentations\8252st Annual Conference on Mental Health StatisticsUSA-MHS-00003*jcPresentation Topics: The Second - Generation MHSIP Report Card: Toolkit Version; The Second - Generation MHSIP Report Card: Progress Report; Using Data for Planning: URS, PPG and Thee; MHSIP Report Card Version 2: The Transition; Data Workshop; American Managed Behavioral Healthcare Association; The Second - Generation MHSIP Report Card: Progress Report2+http://www.mhsip.org/Presentations03pre.htm 4-Mental Health Statistics Improvement Program, Year>8Tables Relating Measures to Data Sources and PopulationsUSA-MHS-00024* 4-Mental Health Statistics Improvement Program, YearD=MHSIP Mental Health Report Card Enrollment/Encounter Data SetiUSA-MHS-00022*4-Mental Health Statistics Improvement Program, Year$Proposed Consumer Survey ItemsUSA-MHS-00021* 4-Mental Health Statistics Improvement Program, Year@:Symptom Distress Scale (Adapted from Symptom Checklist-90)USA-MHS-00020* 4-Mental Health Statistics Improvement Program, Year Standardized Instruments.fUSA-MHS-00019*Abnormal Involuntary Movement Scale (AIMS) Examination Procedure, SYMPTOM DISTRESS, CLINICIAN ALCOHOL USE SCALE, CLINICIAN DRUG USE SCALEo 4-Mental Health Statistics Improvement Program, Year.'MHSIP Report Card 2.0 Workgroup Members USA-MHS-00016*>RLRungreangkulkij, Somporn Chafetz, Linda Chesla, Catherine Gilliss, Catherine 2002NGPsychological morbidity of Thai families of a person with schizophreniai.(International Journal of Nursing Studies391i 35-50n Jan  0020-7489 LSP-00019*Human; Male; Female; Adulthood (18 yrs & older); Thirties (30-39 yrs); Middle Age (40-64 yrs) Thailand Emotional Adjustment; Family; Mothers; Schizophrenia; Stress family stress; psychological morbidity; schizophrenia; mothers; relativesStudied families of persons with schizophrenia in rural Thailand, using the resiliency model of family stress, adjustment, and adaptation. The aim was to assess the impact of family factors on psychological morbidity of the mothers and relatives of persons with schizophrenia. 108 Thai families were interviewed based on family assessment instruments. Multiple regression analysis was performed. The findings suggest that in a stable stage of illness, other stresses of family life may have stronger impact on psychological status of family members, than the illness. Implications for clinical nurses and researchers are presented. (PsycINFO Database Record (c) 2003 APA )NHDoi 10.1016/s0020-7489(01)00005-0 Peer Reviewed Journal; Empirical Study'6/Khon Kaen U, Faculty of Nursing, Dept of Psychiatric & Mental Health Nursing, Khon Kaen, Thailand [Rungreangkulkij]; U California, School of Nursing, Dept of Community Health Systems, San Francisco, CA, US [Chafetz]; U California, School of Nursing, Dept of Family Health Care, San Francisco, CA, US [Chesla]; Yale U, School of Nursing, New Haven, CT, US [Gilliss] Email Address [mailto:somrun@kkul.kku.ac.th] Contact Individual Rungreangkulkij, Somporn, Khon Kaen U, Faculty of Nursing, Dept of Psychiatric & Mental Health Nursing, Khon Kaen, Thailand, 40002;  i$"hard-to-manage" 3.6-4.6 yr old& acquiescence4.& Global Assessment of Psychosocial Disability85& Mental Health Inventory in screening for depressionDA& suicidal behavior & psychiatric disturbance & sex & comorbidity (13-17 yrs)(18 yrs & older) (18-29 yrs) (2-5 yrs) (30-39 yrs)(65 yrs & older)(85 yrs & older) (Disorders) (Drug)(Not Diagnosis) (Psychiatric) (Treatment)*Ability Level*Acute Psychosis*Adaptive Behavior *Adjustment*Adolescent Attitudes*Adolescent Development,'*Adolescent Health Services utilization*Adolescent Psychiatry*Adolescent Psychology*Advance Directives*Aging psychology *Alzheimer Disease therapy*Antisocial Behavior *Anxiety*Anxiety Disorders*Aspergers Syndrome*assessment scales*At Risk Populations*Attempted Suicide4.*Attention Deficit Disorder with Hyperactivity *Behavior*Behavior Disorders*Behavior Problems*Bipolar Disorder *Bisexuality*Brief Psychotherapy *Caregivers*Case Management0,*child and adolescent mental health services*Child Attitudes$!*Child Behavior Disorders therapy *Child Care*Child Care Workers*Child Guidance Clinics("*Child Health Services utilization*Child Psychiatry*Child Psychology*Child Psychotherapy*Childhood Development*Childrearing Practices *children*Chronic Illness*Chronic Mental Illness *Client*Client Attitudes*Client Characteristics*Client Satisfaction *Clients("*Clinical Judgment (Not Diagnosis) *Clinical Methods Training *Clinicians("*Cognition Disorders complications$*Cognition Disorders psychology*Cognitive Ability*Cognitive Therapy *Cognitive Therapy methods *cognitive-behavioral therapy,)*combined psychopharmacological treatment*Community Mental Health$ *Community Mental Health Centers$!*Community Mental Health ServicesDA*Community Mental Health Services organization and administrationD?*Community Mental Health Services statistics and numerical data*Community Services *Comorbidity *Computer Assisted Testing *Conditioning*Conduct Disorder*Constructivism$ *Consultation Liaison Psychiatry*Content Analysis*Costs and Cost Analysis *Counselor Characteristics*Counselor Education *Creativity *Crime*Cues*Data Collection *Demographic*Depression (Emotion)*Depression diagnosis*Depression nursing*Developmental *Diagnosis *Disability Discrimination*Disability Evaluation*Discharge Planning *Distress 8LClient Satisfaction Clients4.clients with schizophrenia or bipolar disorder85clients with serious mental illness (mean age 47 yrs)("clients with severe mental illness Clifton assessment procedures clinical,'clinical & social functioning & quality41Clinical Competence statistics and numerical dataclinical improvementclinical judgment$!Clinical Judgment (Not Diagnosis)clinical outcomesclinical presentationClinical Psychologyclinical significanceClinical Trialsclinical utility@;clinical utility of German translation of Children's Global40clinical vs subsyndromal vs subthreshold phobias clinically referred 7-18 yrclinician diagnosisclinician ratings Clinicians Clinics clomipramine ClozapineClozapine bloodClozapine therapeutic use clubhouseCluster Analysis cognition$Cognition Disorders psychology cognitiveCognitive AbilityCognitive Assessment cognitive behavior therapy($cognitive behavioral group treatment cognitive behaviour therapyCognitive Developmentcognitive disorderscognitive flexibility &cognitive functioningCognitive ImpairmentCognitive Processes Cognitive Processing Speedcognitive remediation,'cognitive shift neurocognitive trainingCognitive TechniquesCognitive Therapy(%cognitive-behavioral family treatment cognitive-behavioral therapyCohort StudiesColic diagnosisColic epidemiologyColic psychology collaborationPKcollaboration, private psychiatrists, public sector mental health services.Collar WorkersCollege Athletescollege students(#college women victim of child abuseColumbia Impairment ScaleCombined Modality Therapycombined types of ADHDcommentary & reply Commitment communicationCommunication Skills Communities community$community based support programcommunity carecommunity functioningcommunity health care<9Community Health Services organization and administrationth Personnel education60Brooker, C. Molyneux, P. Deverill, M. Repper, J. 1999ztEvaluating clinical outcome and staff morale in a rehabilitation team for people with serious mental health problems"Journal of Advanced Nursingi291t 44-51n Jan 10064281 HON-00044**Community Mental Health Services organization and administration; *Mental Disorders rehabilitation; *Morale ; *Outcome Assessment Health Care methods; *Patient Care Team Benchmarking methods; Community Mental Health Services methods; Data Collection methods; England ; Mental Disorders economics; Mental Disorders nursing; Nursing Staff psychology; Stress, Psychological psychology methods; organization and administration; economics; nursing; rehabilitation; psychologybTameside and Glossop rehabilitation team (in England) have developed a progressive and targeted service for people with serious mental health problems through the systematic implementation of research-based evidence in practice and service configuration. This study was undertaken to provide a method of auditing the clinical outcome of the service and monitoring staff morale in a manner which could be integrated in the day to day delivery of services, and which could inform future service developments. Changes in the functioning of the total population of rehabilitation team clients were assessed over a 1-year period by Health of the Nation Outcome Scales (HoNOS) ratings at 6-monthly intervals. Factors causing stress and stress levels among all staff were assessed using the Mental Health Stress Questionnaire. The findings give clear indications of areas of the service which needed improving or changing, and identify ways in which the ongoing process of data collection might be refined.0309-2402 Englishf_Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=JAN&vol=29&page=44&goto=abstract'<5School of Nursing, University of Manchester, England.~ cholesterolemia, Familial diet therapy.'Tonstad, S. Novik, T. S. Vandvik, I. H.l 1996NHPsychosocial function during treatment for familial hypercholesterolemia Pediatrics98 2 Pt 1 249-55 Pediatrics 0031-4005 CGA-00080Hypercholesterolemia, Familial psychology Adolescent ; Case Control Studies; Child ; Child Behavior; Cholesterol, Dietary administration and dosage; Cohort Studies; Diet, Fat Restricted; Energy Intake; Hypercholesterolemia, Familial diet therapy; Hypercholesterolemia, Familial epidemiology; Interview, Psychological; Prevalence ; Psychological Tests; Regression Analysis; Risk Factors; Social Adjustment Comparative Study; Female; Human; MaleOBJECTIVE. To determine whether children treated for familial hypercholesterolemia (FH) have greater psychosocial dysfunction compared with their peers. CHILDREN. Children were 86 boys and 66 girls 7-16 years of age attending a lipid clinic. They were screened and instructed to follow a diet low in saturated fat and cholesterol 18 months to 9 years earlier (mean, 4 years), and their mean dietary intake, estimated by a quantitative food frequency questionnaire, was within recommended limits. One-fourth had lost a parent or had a parent who had had cardiovascular disease due to FH (parental disease group). METHODS. Results of the Child Behavior Checklist, Teacher's Report Form, and Youth Self-Report were compared with a population sample. A semistructured interview, the Child Assessment Schedule, was administered to the children with FH and a well-functioning comparison group from the population (epidemiologic cohort; n = 62). RESULTS. Psychosocial scores were similar in the children with FH and the population sample. The Child Assessment Schedule showed that, compared with the epidemiologic cohort, children with FH did not have increased symptoms in any area of function, and scores for family, mood, and expression of anger were lower (less symptomatic). The prevalence of psychiatric diagnoses was 10%, which was not greater than expected. Children from the parental disease group had higher symptom scores in the areas of school and expression of anger than the rest of the children with FH. Their mean Children's Global Assessment Score (CGAS, which gives average children scores of 70-79) was slightly lower (77 vs 79). Belonging to the parental disease group predicted a lower CGAS in multivariate regression analyses, as did male sex, parental divorce, and low parental educational level. These factors explained up to 19% (95% confidence interval, 9%-31%) of the variance in CGAS. CONCLUSIONS. We found that the prevalence of psychosocial dysfunction was not greater than expected in children treated for FH. Psychosocial function within the group was associated with the usual demographic characteristics and with the loss or disease of a parent, beyond the period of bereavement or immediately after the event. Aug English'<6Medical Department A, National Hospital, Oslo, Norway. *$Aasland, A. Flato, B. Vandvik, I. H. 1997PIPsychosocial outcome in juvenile chronic arthritis: a nine-year follow-up ,&Clinical and experimental rheumatology155l 561-8;Clin Exp Rheumatol 0392-856Xt CGA-00078h`YArthritis, Juvenile Rheumatoid psychology; Arthritis, Juvenile Rheumatoid therapy Adolescent ; Child ; Child, Preschool; Cohort Studies; Family Health; Follow Up Studies; Infant ; Predictive Value of Tests; Prospective Studies; Psychological Tests; Stress, Psychological psychology; Treatment Outcome Female; Human; Male; Support, Non U.S. Gov't"OBJECTIVE: To describe the long-term psychosocial outcome in a prospectively followed cohort of patients with juvenile chronic arthritis (JCA), to assess the associations between psychosocial outcome and disease variables and to explore family stressors as predictors of long-term psychosocial and physical outcome. METHODS: Fifty-two patients with JCA were assessed psychosocially at first admission to a pediatric rheumatology clinic and were reassessed 9 years later. Assessment methods included semi-structured psychiatric interviews and standardized parental questionnaires and self-reports. RESULTS: At follow-up, 9 patients (17%) fulfilled the criteria for a psychiatric diagnosis and 8 (15%) had mild to moderate impairment in psychosocial functioning (children's or adult Global Assessment Scale). Mental health and psychosocial functioning were significantly improved from the first hospital admission to follow-up. In patients < 18 years of age (n = 26), psychosocial functioning at follow-up correlated with physical disability according to the Childhood Health Assessment Questionnaire (r = -0.52, p < 0.01). Psychosocial outcome was unrelated to other measures of disease severity. Chronic family difficulties in the disease course predicted psychosocial functioning at follow-up in patients < 18 years old (R2 = 0.22). Chronic family difficulties at disease onset, together with gender and chronic family difficulties in the disease course, predicted psychosocial functioning at follow-up in patients > or = 18 years old (R2 = 0.61). Family stressors were unrelated to the physical outcome. CONCLUSION: The long-term psychosocial outcome was favorable in most of the patients. Psychosocial outcome was predicted by chronic family difficulties, but was not closely related to disease severity at follow-up.Sep-Oct English'TMDivision of Child and Adolescent Psychiatry, National Hospital, Oslo, Norway.sx4.Trauer, Tom Duckmanton, Robert A. Chiu, Edmond 1998B;A study of the quality of life of the severely mentally ill 0*International Journal of Social Psychiatry442Q 79-91i SumB 0020-7640& LSP-00059lHuman; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Australia Activities of Daily Living; Measurement; Mental Disorders; Quality of Life; Well Being objective & subjective quality of life indicators & level of functioning & global well-being & stability of Quality of Life Interview measures; 20-63 yr olds with serious mental illness; 6 mo studyF?Examined the relationship between objective and subjective quality of life (QOL) indicators and level of functioning, predictions of global well-being (GWB), and the stability of A. F. Lehman Quality of Life Interview (QOLI) measures. Ss included 55 clients (aged 20-63 yrs) with serious mental illness. Functional information was obtained from the client's treating doctor or case manager by means of the Life Skills Profile. Several clients were interviewed 2 and 3 times, 3 or 6 mo after the initial interview. Results reveal widespread adverse objective circumstances (unemployment, poverty and social isolation) despite which most clients rated their satisfaction levels about average (about equally satisfied and dissatisfied). As expected, subjective quality of life indicators were generally better predictors of GWB (itself based on subjective ratings) than were objective indicators. Moderate relationships were found between GWB and levels of personal functioning, and changes in levels of personal functioning, as rated by mental health workers. Retests showed that subjective quality of life was relatively stable over intervals of several months. The findings suggest that leisure and social relations would be suitable areas for interventions that might improve clients' quality of life. (PsycINFO Database Record (c) 2003 APA ) @:Peer Reviewed Journal; Empirical Study; Longitudinal Study'RLMonash U, Dept of Psychological Medicine, Melbourne, VIC, Australia [Trauer] r Tannock, Rosemary Tansella, M Tarrier, N. Tasman, AllanTawile, Viviane Taylor, E.Taylor, John R. Taylor, S.Teare, John F.xtTechnical Specifications Drafting Group, Information Strategy Committee, AHMAC National Mental Health Working Group,Technical Specifications Drafting Group, Information Strategy Committee, Australian Health Ministers Advisory Council National Mental Health Working Group Teesson, M.Teesson, MareeTelegdi, Nancy Curtin Tenaglia, A. Tennant, C.Tennant, Christopher<8Texas Department of Mental Health and Mental Retardation\XTexas Department of Mental Health and Mental Retardation Program Statistics and Planning Thabet, A.Thabet, Abdel AzizThabet, Abdel Aziz MousaHDThe International Classification of Mental and Behavioural Disorders The OM TeamlhThe Strategic Planning Group for Private Psychiatric Services Data Collection and Analysis Working Group Thomas, K. J.Thomas, RosemaryThomason, JaneThompson, Cathy LeannThompson, Margaret J. J.Thomsen, P. H.Thomsen, Per HoveThornicroft, G Thornicroft, G, Tansella, M.Thornicroft, G.Thornicroft, GrahamTickle-Degnen, LindaTillman, RebeccaTirapu Ustarroz, Javier Tischler, V.Tischler, VictoriaTkaczuk, K. H.Tobias, Aurelio Tobias, G. Tobias, GlenTodd, Richard D.Tompson, Martha C. Tonstad, S.Topinkova, Eva Torres, A.Torres-Gonzales, F Torri, V.Tosini, VeronicaTousignant, Michel Towlson, Kate Townsend, L.Trainor, GemmaTramontina, S. Trauer, T.$!Trauer, T. Coombs, T. & Eagar, K. Trauer, T., & Buckingham. BTrauer, Thomas Trauer, TomTreffers, Philip D. A.Trepanier, Johanne Tribe, K. Tribe, Kate Trimble, P.Tripathi, B. M. TriWest GroupTrompeter, R. S. Truman, J.Tsaltas, Margaret Owen Tsiantis, J. Turner, G. F.Turner, Samuel M.Turner, Winston M.Turrina, CesareTusaie-Mumford, K Tyrer, P.Uehara, Edwina S.Uesseler, SusanneUitenbroek, DaanUnger, MichaelUnit, College Research Updike, L.Uttaro, Thomas Uys, L. R.V'Ant Hoff, W. Vaccaro, JValdez, Burciaga`]Valenstein, M., Mitchinson, A., Ronis, D., Alexander, J., Duffy, S., Craig, T., and Barry, K.Valiakalayil, Agitha Valimaki, M.Valleni-Basile, Laura A. Vallis, T. M.van den Berg, Frankvan den Brink, Wimvan der Ende, Jan van Os, Jim Van Stone, W.van Teijlingen, E. R.van Widenfelt, Brigit M.VandeCreek, L.82VandeCreek, Leon Ellis Human Development Institute Vanderpyl, J.Vanderpyl, JaneVandvik, I. H.Vandvik, Inger H.Vandvik, Inger HeleneVannier, Michael W.Varghese, Raju K.Varner, Roy V. Varner, RV Vasudevan, S. Vauras, M. Vega, WilliamVeit, Clairice T. Veldhuyzen van Zanten, S. J. Velikova, G.Venkatapathy, R.Verdeli, HelenVerdeli, HelenaVerhulst, Frank C.Vermeer, CathrynVermeersch, DAVermeiren, Robert Vieweg, B. Vieweg, BruceViscoli, C. M.Vogel, Joanne Elise ^ tI$ Child & Adolescent Mental HealthChild & Youth Care ForumChild Abuse & NeglectChild Abuse Neglect<8Child care, health and development Child Care Health Dev Child development Child Dev($Child Psychiatry & Human Development,&Child Psychiatry and Human Development Child Psychiatry Quarterly($Child Psychology & Psychiatry Review,&Child Psychology and Psychiatry ReviewChildren's Health Care<9Clinical and experimental rheumatology Clin Exp Rheumatol,&Clinical Child Psychology & PsychiatryPMClinical Child Psychology & Psychiatry. Special Issue: ADOPTION AND FOSTERING,(Clinical Child Psychology and Psychiatry($Clinical Child Psychology Psychiatry$!Clinical Effectiveness in NursingClinical Gerontologist(%Clinical Psychology and Psychotherapy,)Clinical Psychology: Science and PracticeLGCommunity dentistry and oral epidemiology Community Dent Oral Epidemiol$Community Mental Health JournalComprehensive PsychiatryCrime & Delinquency Current Opinion in PsychiatryDepression & Anxiety Diabetes care Diabetes CareLIDissertation Abstracts International: Section B: The Sciences EngineeringDysphagia Dysphagia,'Education and Psychological Measurement(#Epidemiologia e Psichiatria Sociale,&European Child & Adolescent Psychiatry($European Child Adolescent PsychiatryHEEuropean child and adolescent psychiatry Eur Child Adolesc Psychiatry$European Journal of PsychiatryEuropean Psychiatry(#Evaluation & the Health Professions$Evaluation and Program Planning0,Evaluation and the Mental Health ProfessionsFamily Systems MedicineFamily Therapy General Hospital Psychiatry Gerontologist Harvard review of PsychiatryHead and neck Head NeckHealth Services Research@;Home health care services quarterly Home Health Care Serv Q$!Hospital and Community Psychiatry41Human Psychopharmacology: Clinical & ExperimentalHumanistic Psychologist85International journal of epidemiology Int J Epidemiol0-International Journal of Geriatric Psychiatry40International Journal of Intercultural Relations4.International Journal of Mental Health Nursing<8International Journal of Methods in Psychiatric Research,(International Journal of Nursing StudiesInternational journal of obesity and related metabolic disorders journal of the International Association for the Study of Obesity Int J Obes Relat Metab Disord<8International Journal of Psychiatry in Clinical Practice0*International Journal of Social Psychiatry0*International Journal of Stress Managementd^International journal of technology assessment in health care Int J Technol Assess Health Care$International Psychogeriatrics("International Review of PsychiatryTPInternational Review of Psychiatry. Special Issue: Suicide and attempted suicide,'Irish Journal of Psychological Medicine Irish Journal of Psychology$Issues in Mental Health Nursing0,Journal for the Scientific Study of Religion($Journal of Abnormal Child PsychologyJournal of Adolescence$Journal of Adolescent Research,&Journal of advanced nursing J Adv Nurs}*/(<b!8 VOFries, Brant E. Shugarman, Lisa R. Morris, John N. Simon, Samuel E. James, Marys 2002ZSA screening system for Michigan's home- and community-based long-term care programs Gerontologist424462-474w Aug 0016-9013  RUG-00004*Human Us Community Services;("Goodman, R. Meltzer, H. Bailey, V. 2003lfThe Strengths and Difficulties Questionnaire: A pilot study on the validity of the self-report version("International Review of Psychiatry15 1-2S173-177D Febe*#0954-0261 Electronic ISSN 1369-1627p SDQ-00045ozsHuman; Male; Female; Inpatient; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) United Kingdom Mental Health; Questionnaires; Screening Tests; Self Report; Test Validity; Clinics; Test Forms Strengths and Difficulties Questionnaire; self report version; sample discrimination; community youth; mental health clinic patients; behavioral screeningo^WThe self-report version of the Strengths and Difficulties Questionnaire (SDQ) was administered to 2 samples of 11-16 yr olds: 83 young people in the community and 116 young people attending a mental health clinic. The questionnaire, a brief behavioral screening measure, discriminated satisfactorily between the 2 samples. For example, the clinic mean for the total difficulties score was 1.4 standard deviations above the community mean, with clinic cases being over 6 times more likely to have a score in the abnormal range. The correlations between self-report SDQ scores and teacher or parent rated SDQ scores compared favorably with the average cross informant correlations in previous studies of a range of measures. It is concluded that the self-report SDQ appears promising and warrants further evaluation. (PsycINFO Database Record (c) 2003 APA )-6/Peer Reviewed Journal; Empirical Study; Reprinte'Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, United Kingdom [Goodman]; Office for National Statistics, Social Survey Div, London, United Kingdom [Meltzer]; Thelma Golding Ctr, Dept of Child & Adolescent Psychiatry, London, United Kingdom [Bailey] Email Address [mailto:r.goodman@iop.kcl.ac.uk] Contact Individual Goodman, R, Dept of Child & Adolecsent Psychiatry, Inst of Psychiatry, De Crespigny Park, London, United Kingdom, SE5 8AF, [mailto:r.goodman@iop.kcl.ac.uk]6-(Rauktis, Mary Elizabethc 2001xqThe impact of deinstitutionalization on the seriously and persistently mentally ill elderly: A one-year follow-up\& Journal of Mental Health & Aging73335-348z Fal2001-09436-005 MIS-00014*Ability Level; *Chronic Mental Illness; *Geriatric Patients; *Group Homes; *Psychiatric Hospital Discharge; Alcoholism; Emotional Stability; Employee Productivity; Mental Retardation; Self Care SkillsExamined changes in mortality, function, and psychiatric status for seriously and chronically ill, elderly mental health patients after discharge from psychiatric hospitals to community settings. Ss comprised 41 geriatric patients (aged 55-92 yrs) discharged into community placements who had been diagnosed with schizophrenia, schizoaffective disorder, bipolar disorder, dementia, delusional disorder, Axis I disorder, alcohol abuse, or mild mental retardation. Ss completed questionnaires 12-mo following community placement concerning attitude changes towards treatment settings and staff during periods of transfer from long-term institutions. Ss' intensive case managers observed personal self-care, social functioning, vocational-educational productivity, evidence of emotional stability, stress tolerance, and psychiatric symptomatology. Additional collected data included state hospital records of admission and discharge histories. Results show that psychiatric symptoms did not significantly change. While functioning for the majority of Ss improved, there remained evidence of impairment that required the support and structure of a community residence. Ss reported a strong desire to return home, even in cases where a home no longer existed. (PsycINFO Database Record (c) 2003 APA )English http://www.springerpub.com,&Read, J. L. Quinn, R. J. Hoefer, M. A. 1987LEMeasuring overall health: An evaluation of three important approachesh"Journal of Chronic Diseasesa40Suppl 1 S7-S26XQReardon, Maureen Lyons Cukrowicz, Kelly C. Reeves, Mark D. Joiner, Thomas E., Jr. 2002xrDuration and regularity of therapy attendance as predictors of treatment outcome in an adult outpatient populationPsychotherapy Research123s273-285y Sepl2002-15917-002 MIS-00006*b\*Prediction; *Psychotherapy; *Treatment Compliance; *Treatment Duration; *Treatment OutcomesThe authors extend previous research examining the dose-effect relationship in psychotherapy by using a measure of amount of treatment that included both number of sessions attended and treatment duration. Participants were 74 adult patients attending an outpatient community mental health clinic. A multiple regression analysis found no main effects for either measure of treatment length, but their interaction added a significant increase in the prediction of patient outcome. For patients attending 11 or fewer sessions, more months in treatment was associated with worse outcome. Duration of treatment was unrelated to improvement for those attending more sessions. The findings of this study underscore the importance of regular therapy attendance for those patients scheduled for fewer sessions and suggest that clinicians should reconsider any temptation to spread allotted sessions over the course of a longer period when afforded fewer sessions by managed care. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.oup.com#l9<? :vPJOstroff, Jamie S. Woolverton, Karolyn Smith Berry, Carolyn Lesko, Lynna M. 1996rlUse of the Mental Health Inventory with adolescents: A secondary analysis of the Rand Health Insurance StudyPsychological Assessment8o1l105-107c Mar  1040-3590  MHI-00017*>8Human; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Distress; Factor Analysis; Inventories; Mental Health; Test Reliability; Well Being reliability & factor structure of Mental Health Inventory; measurement of mental health & psychological distress & well being; 14-19 yr oldsFew instruments exist for the assessment of adolescent mental health. In order to examine the appropriateness of the Mental Health Inventory (MHI) for use with adolescents, secondary analyses were conducted of the large subsample (n = 953) of adolescents who participated in the community-based Rand Health Insurance Study. The reliability and readability of the MHI were confirmed. Subscales reflecting Psychological Well-Being and Psychological Distress were derived. The MHI, with its adolescent norms, is recommended for the assessment of adolescent mental health, particularly in studies in which comparison to a nonpsychiatric, normative adolescent population is indicated. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)LEDoi 10.1037//1040-3590.8.1.105 Peer Reviewed Journal; Empirical Study'ZSMemorial Sloan-Kettering Cancer Ctr, Psychiatry Service, New York, NY, US [Ostroff]0*Page, A. C. Hooke, G. R. Rutherford, E. M. 2001Measuring mental health outcomes in a private psychiatric clinic: Health of the Nation Outcome Scales and Medical Outcomes Short Form SF-36e4-Australian and New Zealand Journal Psychiatry\353p 377-81 Jun\11437813 HON-00004**Mental Disorders therapy; *Outcome and Process Assessment Health Care statistics and numerical data; *Patient Admission Adult ; Hospitals, Private; Hospitals, Psychiatric; Mental Disorders diagnosis; Middle Aged; Personality Assessment statistics and numerical data; Psychiatric Status Rating Scales statistics and numerical data; Psychometrics ; Reproducibility of Results; Western Australia diagnosis; therapy; statistics and numerical dataoF@OBJECTIVE: This study reports on data collected from the routine use of the Health of the Nation Outcome Scales (HoNOS) and the Medical Outcomes Short Form (SF-36). Three main aims were addressed in using these measures: (i) to establish patient disability levels; (ii) to determine the level of treatment effectiveness; and (iii) to explore the ability of these instruments to predict length of stay and mood change. METHOD: The clinician-rate HoNOS and the patient-rated SF-36 were included in the assessment battery, at admission and discharge, of consecutive inpatients (n = 754) at one private psychiatric facility over a 2-year period. RESULTS: The sample, on admission, was comparable in illness severity to levels reported at other Australian private psychiatric facilities. Treatment was shown to be effective, and the degree of changes in HoNOS ratings compared favourably with other private psychiatric facilities. Certain factors underlying the structure of the HoNOS and the SF-36 only weakly predicted length of stay and changes in depression and anxiety levels. CONCLUSION: The HoNOS and the SF-36 provided valid and reliable data on patient function, with the HoNOS being most sensitive to treatment change. However, neither instrument proved useful in predicting length of stay or levels of depression and anxiety at discharge.0004-8674 Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=35&page=377&goto=abstract'nhDepartment of Psychology, The University of Western Australia, Crawley, Australia. andrew@psy.uwa.edu.au6/Page, Andrew Hooke, Geoff Rutherford, Elizabeth 2002Reply to Dr Stafrace4.Australian & New Zealand Journal of Psychiatry364558-559 Augr2002-15910-025 HON-00010**Mental Health; *Psychiatric Clinics; *Test Reliability; *Test Validity; *Treatment Outcomes; Anxiety; Dietary Restraint; Emotional States; Long Term Care; Major Depression; Medical Records; Psychiatric Evaluation; Responses; Scaling (Testing); Treatment DurationgThis response by A. Page, G. Hooke and E. Rutherford to S. Stafrace (see record 2002-01595-023) remarks on S. Stafrace's comments on their article (see record 2001-07741-006) on the use of the Health of the Nation Outcome Scales (HoNOS). (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.com("Page, Andrew C. Hooke, Geoffrey R. 2003Outcomes for Depressed and Anxious Inpatients Discharged Before or After Group Cognitive Behavior Therapy: A Naturalistic Comparison*#Journal of Nervous & Mental Disease 191j10653-659  Octl2003-09492-004 HON-00051*xq*Anxiety Disorders; *Cognitive Therapy; *Major Depression; *Psychiatric Hospital Discharge; *Psychiatric PatientsfTreatment outcomes for psychiatric inpatients with a primary diagnosis of a depressive or anxiety disorder who completed a cognitive behavior therapy (CBT) program while inpatients or when discharged were examined. Of 340 inpatients, 197 had been discharged to day patient status before the end of the CBT program, and 143 remained as inpatients. Data were collected before and after the CBT program and at 3-month follow-up. There was a significant improvement by posttreatment in self-esteem, locus of control, anxiety, depression, and stress, and these gains were maintained at 3-month follow-up. In addition, anxious, but not depressed, patients who completed CBT as day patients demonstrated greater improvements from after the CBT program to follow-up than those treated as inpatients. Possible reasons for the beneficial effects of completing the CBT as a day patient rather than an inpatient are discussed, and threats to the validity of this naturalistic study are considered. (PsycINFO Database Record (c) 2003 APA ) (journal abstract) English0http://www.lww.comXQPapageorgiou, Alexia King, Michael Janmohamed, Anis Davidson, Oliver Dawson, Johna 2002~wAdvance directives for patients compulsorily admitted to hospital with serious mental illness: Randomised control trialj$British Journal of Psychiatry 1816513-519 Dec2002-11234-012 HON-00032**Advance Directives; *Mental Disorders; *Mental Health Services; *Psychiatric Hospitalization; *Treatment Outcomes; Commitment (Psychiatric)ZTAn advance directive is a statement of a person's preferences for treatment, should he or she lose capacity to make treatment decisions in the future. This study evaluated whether use of advance directives by patients with mental illness leads to lower rates of compulsory readmission to hospital. In a randomised controlled trial in two psychiatric services in inner London, 156 inpatients about to be discharged from compulsory treatment under the Mental Health Act were recruited. The trial compared usual psychiatric care with usual care plus the completion of an advance directive. The primary outcome was the rate of compulsory readmission. Fifteen patients (19%) in the intervention group and 16 (21%) in the control group were readmitted compulsorily within 1 year of discharge. There was no difference in the numbers of compulsory readmissions, numbers of patients readmitted voluntarily, days spent in hospital or satisfaction with psychiatric services. Users' advance instruction directives had little observable impact on the outcome of care at 12 months. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.rcpsych.ac.ukj& !vf 82Ogles, B., Melendez, G., Davis, D., and Lunnen, K. 2000VOThe Ohio Youth Problems, Functioning, and Satisfaction Scales: Technical Manualt Ohio Universityn March 2000 USA-OH-00016*NGThe Ohio Youth Problems, Functioning, and Satisfaction Scales (Ohio Scales) are instruments developed to measure outcomes for youth ages 5 to 18 who receive mental health services. The User's Manual describes the conceptualization and initial development of the Ohio Scales along with the scoring and administration procedures.pD=http://www.mh.state.oh.us/initiatives/outcomes/instostech.pdf & Essentials of outcome assessment>7Ogles, Benjamin M. Lambert, Michael J. Fields, Scott A.n'Ohio U, Dept of Psychology, Athens, OH, US [Ogles]; Brigham Young U, Provo, UT, US [Lambert]; Ohio U, Clinical Psychology Program, Athens, OH, US [Fields]  New York, NY John Wiley & Sons, Inc 2002 x, 2140471419982 (paperback)("(From the preface) Makes practical recommendations regarding the implementation of outcome assessment in the typical clinical setting. This book is geared toward the practitioner who conducts outpatient psychotherapy. Many options for assessing outcome are available, and this book surveys the broad variety of possibilities and quickly narrows in on the strategies and techniques thought to be the most useful for using outcome data in everyday work to monitor client progress. Global measures of change are reviewed along with suggestions regarding what changes to evaluate, when to gather, who to collect from, and how to assess outcome. Remaining chapters focus on the various other potential uses of the data such as developing the treatment plan, tracking progress for the individual client, evaluating therapists, enhancing clinical supervision,and supplementing program evaluation. Overall, the book provides advice regarding the collection and use of outcome data in the outpatient practice of psychotherapy. (PsycINFO Database Record (c) 2003 APA ){Table of Contents Series preface Overview of outcome assessment Selecting an outcome measure Setting up data collection procedures Using outcome data to inform practice Other clinical applications of outcome data Illustrative clinical examples Conclusions References Annotated bibliography Index About the authors Target Audience Psychology: Professional & Research Authored BookHuman; Outpatient Measurement; Outpatient Treatment; Psychotherapy; Treatment Effectiveness Evaluation outcome assessment; outpatient psychotherapy; strategies; techniques(!Ohio Department of Mental Health,c 2000TMOutcomes User Group Minutes 2000. Ohio Mental Health Consumer Outcomes SystemSeptember 21, 2000 USA-OH-00008*tOutcomes Users Group Mission: To provide a venue for local systems to exchange ideas, share products developed locally, and to seek answers to questions in order to facilitate successful implementation of the ODMH Mental Health Consumer Outcomes System. When statewide implementation issues are identified and brought forth by local systems, the Users Group will discuss the issues, recommend solutions, and present these recommendations to the MACSIS POP Team for inclusion in the Outcomes section of the MACSIS Guidelines Document. Participation in the Outcomes Users Group is voluntary but strongly recommended. Representatives from provider agencies and boards in all phases of implementation are encouraged to participate.a<6http://www.mh.state.oh.us/initiatives/outcomes/ug.html (!Ohio Department of Mental Health,i 2001hbProcedural Manual: Frequently Asked Questions. The Ohio Mental Health Consumer Outcomes Initiative USA-OH-00017* The Procedural Manual FAQ is a condensed version of the Ohio Consumer Outcomes Procedural Manual. It provides brief answers to the most frequently asked questions about Ohio's Mental Health Consumer Outcomes System.D=http://www.mh.state.oh.us/initiatives/outcomes/instmanfaq.pdfT(!Ohio Department of Mental Health,e 2001TMOutcomes User Group Minutes 2001. Ohio Mental Health Consumer Outcomes Systema USA-OH-00009*sOutcomes Users Group Mission: To provide a venue for local systems to exchange ideas, share products developed locally, and to seek answers to questions in order to facilitate successful implementation of the ODMH Mental Health Consumer Outcomes System. When statewide implementation issues are identified and brought forth by local systems, the Users Group will discuss the issues, recommend solutions, and present these recommendations to the MACSIS POP Team for inclusion in the Outcomes section of the MACSIS Guidelines Document. Participation in the Outcomes Users Group is voluntary but strongly recommended. Representatives from provider agencies and boards in all phases of implementation are encouraged to participate.<6http://www.mh.state.oh.us/initiatives/outcomes/ug.html (!Ohio Department of Mental Health,n 2002Missing Data Report 1: Individuals with Outcomes Ratings in the Statewide Database Compared to Individuals with Eligible Claims. Ohio Mental Health Consumer Outcomes System,%October 1, 2002 to September 30, 20030 USA-OH-00022*0(!Ohio Department of Mental Health, 2002"Outcomes Record "Key" Fields USA-OH-00021*f1b$Mullick, M. S. I. Goodman, R.a 2001f_Questionnaire screening for mental health problems in Bangladeshi children: A preliminary studye4.Social Psychiatry and Psychiatric Epidemiology362d 94-99d Feb*#0933-7954 Electronic ISSN 1433-9285c SDQ-00037*leHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Bangladesh Child Psychiatry; Child Psychology; Developing Countries; Psychodiagnosis; Questionnaires Strengths and Difficulties Questionnaire; SDQ; psychiatric diagnosis; Bangladeshi children; developing worldd,%Examined the potential suitability of the Strengths and Difficulties Questionnaire (SDQ) for detecting child psychiatric problems. SDQs were administered to the parents and teachers of 261 Bangladeshi 4-16 yr olds: 99 drawn from a psychiatric clinic and 162 drawn from the community. Self-report SDQs were completed by 11-16 yr olds. Children from the clinic sample were assigned psychiatric diagnoses blind to their SDQ scores. SDQ scores distinguished well between community and clinic samples, and also between children with different psychiatric diagnoses in the clinic sample. A simple algorithm based on SDQ scores was used to predict whether children had hyperkinesis, conduct disorders, emotional disorders or any psychiatric disorder--rates of predicted disorder varied markedly between clinic and community samples. It is concluded that predictions based on multi-informant SDQs potentially provide a cheap and easy method for detecting children in the developing world with significant mental health problems. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s001270050295 Peer Reviewed Journal; Empirical Study'ZSBangabandhu Sheikh Mujib Medical U, Dept of Psychiatry, Dhaka, Bangladesh [Mullick]tpjMunley, Patrick H. Anderson, Mary Z. Briggs, Denise DeVries, Michael R. Forshee, Wade J. Whisner, Emily A. 2002`YMethodological diversity of research published in selected psychological journals in 1999Psychological Reports912411-420o Oct2002-08347-006 MIS-00011jc*Content Analysis; *Methodology; *Psychology; *Scientific Communication; Professional OrganizationsnReviewed 454 papers appearing in 10 journals published by the American Psychological Association during 1999 to consider the frequency of publication of qualitative research. Journals reviewed included Health Psychology, Journal of Abnormal Psychology, Journal of Consulting and Clinical Psychology, Journal of Counseling Psychology, Journal of Educational Psychology, Journal of Experimental Psychology: General, Journal of Family Psychology, Professional Psychology: Research and Practice, Psychological Assessment, and Psychology and Aging. Papers were classified as quantitative, qualitative, or mixed qualitative/quantitative studies. Quantitative papers were also dichotomously classified as either primarily descriptive or experimental. Qualitative studies were classified by type of qualitative methods specified by the authors. Most papers (97.6%) were classified as quantitative. Only three journals reviewed published qualitative studies. (PsycINFO Database Record (c) 2003 APA )Englishs.(http://www.pr-pms.com/index.cfm?page=submeans of the SDQ self-report total difficulties scores were very similar to those in a previous study in Great Britain. The results provide additional confirmation of the usefulness of the SDQ as a screening instrument in epidemiological research and clinical practice. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s007870170024 Peer Reviewed Journal; Empirical Study'}Email Address [mailto:merkos@sci.fi] Contact Individual Koskelainen, M, Visakoivunkuja 15 F 41, 02130, [mailto:merkos@sci.fi]) * global measures of impairment$ global psychological functioning$Glucocorticoids therapeutic useGoals Government("graders with psychiatric disorders Great Britain Greece Greek versionGriefGroup Homes standardsGroup ParticipationGroup PsychotherapyGroup Structure group therapy Guidelines Haloperidol($Hamilton Rating Scale for Depressionharm HealthHealth Attitudes Health Care Health Care AdministrationHealth Care CostsHealth Care Deliveryhealth care institutionsHealth Care Policy83Health Care Rationing statistics and numerical data Health Care Seeking BehaviorHealth Care ServicesHealth Care SurveysHealth Care Utilizationhealth characteristicsHealth EducationHealth ExpendituresHealth Insurancehealth inventoryHealth Knowledge(%Health Knowledge, Attitudes, Practice$ Health Maintenance Organizationshealth measures(#Health of the Nation Outcome Scales0+health outcome & satisfaction with servicesHealth Personnel Health Personnel Attitudeshealth plan costsHealth PlanningHealth Policy economicshealth problemshealth profileshealth program clientsHealth Program Evaluation$Health Resources classification Health Resources economics Health Resources utilizationhealth service usehealth service usersHealth Services Health Services Accessibility,&Health Services for the Aged economics,(Health Services for the Aged utilization$ Health Services Needs and DemandHealth Services Research health statusHealth Status IndicatorsHealth Surveys healthy 65 yr olds & older Healthy Lifestyles ProgrammeHeart$!heart vs lung vs liver transplant(%heavy vs occasional marihuana smokers help seekinghelp strategies Hemodialysis heritability@:hierarchical models as proposed by C. T. Veit & J. E. WarehighHigh School Students Hispanic Americans psychology40Hispanic Americans statistics and numerical data Hispanics HistoryHIV HIV Infections complications$HIV Infections physiopathology4/HIV-infected gay or bisexual 20-45 yr old malesHIV-positive femaleshome82Home Care Services organization and administration Home Care Services standardsHome Environment Homeless4/homeless 6-12 yr olds in mother-headed familiesHomeless Mentally Ill,)homeless mentally ill (mean age 37.5 yrs)Homeless PersonshomesHomes for the Aged Homes for the Aged economics Homes for the Aged manpower82Homes for the Aged organization and administration Homes for the Aged standards$Homes for the Aged utilization Homozygote Honesty Hong Kong0-HoNOS, partial hospitalization, mental health hormoneHospital Admission84hospital vs community care clients (mean age 40 yrs)HospitalizationHospitalization economics0-Hospitalization statistics and numerical dataHospitalized Patients HospitalsHospitals, DistrictHospitals, General Hospitals, General economicsHospitals, PediatricHospitals, Private Hospitals, Private economics40Hospitals, Private statistics and numerical dataHospitals, Psychiatric$ Hospitals, Psychiatric economics<6Hospitals, Psychiatric organization and administration$ Hospitals, Psychiatric standards("Hospitals, Psychiatric utilization4/Hospitals, Public statistics and numerical dataHospitals, State83Hospitals, Teaching organization and administration Hospitals, Teaching standards Hospitals, Veterans economics$Hospitals, Veterans utilization hospitasHousing standards How Are You?HumanHuman Biological Rhythms Human Females Human Immunodeficiency Virus   z *Drug Abuse*Drug Rehabilitation*Dual Diagnosis*Dysthymic Disorder*Early Intervention*Emergency Services*Emotional Adjustment*Emotional Responses*Employment Status *Epidemiology *Evaluation*Evaluation Criteria *Expectations *Experiential Psychotherapy*Experimental Subjects*Experimentation*Facility Discharge*Facility Environment*Factor Structure *Family*Family Intervention40*Family Practice organization and administration*Father Absence *Father Child *Foster Care*Functional Analysis*General Practitioners *Genetics83*Geriatric Assessment statistics and numerical data *Geriatric Nursing methods*Geriatric Patients*Geriatric Psychiatry$*Geriatric Psychiatry economics *Geriatrics *Goals*Government Policy Making *Group Homes*Group Psychotherapy *Guardianship*Head Injuries *Health *Health Care*Health Care Costs*Health Care Delivery*Health Care Policy*Health Care Services($*Health of the Nation Outcome Scales *Health Personnel Attitudes *Health Personnel education*Health Policy*Health Service*Health Service Needs,'*Health Services for the Aged standards@;*Health Services for the Aged statistics and numerical data$!*Health Services Needs and Demand*Health Status Indicators *Hospital4.*Hospitalization statistics and numerical data41*Hospitals, General statistics and numerical data41*Hospitals, Private statistics and numerical data85*Hospitals, Psychiatric statistics and numerical data*Human Females *Human Immunodeficiency Virus$ *Information Systems utilization*Interdisciplinary *Interviews*Involuntary Treatment *Juvenile*Laws*Learning Disabilities("*Learning Disorders classification *Learning Disorders therapy0-*Length of Stay statistics and numerical data *Lesbianism*Long Term Care*Major Depression*Male Homosexuality*maltreatment experiences*Management Personnel *Mania *Measurement *Mental*Mental Disorders$ *Mental Disorders classification *Mental Disorders diagnosis$*Mental Disorders epidemiology$ *Mental Disorders rehabilitation*Mental Disorders therapy*Mental Health*Mental Health Personnel*Mental Health Program$!*Mental Health Program Evaluation*Mental Health Programs*Mental Health Services<7*Mental Health Services organization and administration$!*Mental Health Services standards4/*Mental Health Services supply and distribution(#*Mental Health Services utilization*mental health treatment *Mental Illness (Attitudes*Mental Retardation *Methodology *Models*Mood Disorders therapy *Morale *Motivation*Motor Traffic Accidents<7*National Health Programs statistics and numerical data*need assessment *Needs*Needs Assessment$*Neuropsychological Assessment *Neurotic Disorders therapy*Nursing Homes *Occupational*Occupational Therapists*Occupational Therapy$*Oppositional Defiant DisorderLI*Outcome and Process Assessment Health Care statistics and numerical data$*Outcome Assessment Health Care,'*Outcome Assessment Health Care methods,)*Outcome Assessment Health Care standardsW 8N z 2003ZTProvider Performance Management Report (PPMR) for Substance Abuse Agencies for 2003 USA-OK-00003*0 2003Criteria for Determining Levels of Severity for Clients Served by Age Groups. For Those Clients Being Rated Using The Colorado Client Assessment Recorde USA-CO-00011*S  Trauer T and Eagar K () .n 2004<6New Zealand Mental Health Consumers and their Outcomes 60Health Research Council of New Zealand: Auckland NZ-00004*e .'2001 Colarado Best Practice Work Group,D 2002>8Atypical antipsychotic medications report and guidelines USA-CO-00002*t x qIn 2000, Colorados Health Care Policy and Finance (HCPF) and Mental Health Services (MHS) jointly developed best practice guidelines for atypical antipsychotic medications. Since then, new scientific findings have been reported, new products and indications have been approved, and medication costs have continued to rise in all sectors of the health care system. Scientific studies and evolving clinical practices continue to demonstrate the outstanding efficacy and tolerability of atypical antipsychotic medications in the treatment of many serious mental disorders, leading to expanded use. The Colorado Best Practice Work Group on Atypical Antipsychotic Medications was re-convened in February 2001 to update Colorados guidelines regarding the appropriate and cost-effective use of these medications. The work group included HCPF and MHS representatives, medical directors of mental health centers and Mental Health Assessment and Service Agencies (MHASAs), Medicaid health maintenance organization representatives, pharmacists, consumers, and advocates. 1 The goals included updating Colorados previous (2000) guidelines and developing recommendations for the Medicaid Pharmacy Program regarding clozapine. In addition, the 2001 work group attempted to address the use of atypical antipsychotic medications in a growing range of conditions beyond the major psychotic mental disorders. The term best practice, as used by the work group, refers to a process or treatment guideline that promotes improvements in care. The groups charge was to focus on one specific aspect of care, the use of atypical antipsychotic medications. The group made use of scientific studies, existing guidelines and algorithms, local experts, prevailing community practices, and input from consumers, advocates, and stakeholders. The 2001 guidelines outline the conditions that are appropriately treated with atypical antipsychotic medications, dose ranges, and strategies to maximize cost effectiveness. The guidelines are general recommendations and are not intended to be final program directives, enduser educational materials, or a substitute for individualized clinical judgement. Implementation requires interpretation and adaptation based on the setting in which they are being used and the development of specific protocols and educational processes involving providers, consumers, and family members within that system.pv,<3ko+E$p?K<LISQhC8%ij]qxw_Xq]g#0DF=`Z ;Re'0$a{3*)>z=NC|@LcYO[y(Jp~\o [P>se:Z/ud-c"{@j z9^;fh.HgB a 6A'QDEOY25_f1V6T4tP vdl!1N-#Bi)Twl\ ~GWWWWWWWWWWWWWWW *aMina 8 Advocacy AffectTMCurran, S. Mill, J. Sham, P. Rijsdijk, F. Marusic, K. Taylor, E. Asherson, P.d 2001QTL association analysis of the DRD4 exon 3 VNTR polymorphism in a population sample of children screened with a parent rating scale for ADHD symptoms*$American journal of medical genetics 105v4t 387-93Am J Med Genet 0148-7299a SDQ-00004*Attention Deficit Disorder with Hyperactivity genetics; Exons ; Minisatellite Repeats genetics; Quantitative Trait, Heritable; Receptors, Dopamine D2 genetics Adolescent ; Alleles ; Attention Deficit Disorder with Hyperactivity pathology; Child ; Child, Preschool; DNA genetics; Gene Frequency; Genotype ; Parents ; Polymorphism Genetics; Questionnaires ; Teaching Human; Support, Non U.S. Gov't$Current developments in molecular genetics have led to a rapid increase in research aimed at the identification of genetic variation that influences complex human phenotypes. One phenotype that has aroused a great deal of interest is the behavioral trait hyperactivity and the related clinical disorder attention-deficit hyperactivity disorder (ADHD). The driving force behind the molecular genetic research in this area is the overwhelming evidence from quantitative genetic studies that show high heritablility (h(2) = 0.7-0.9) for the behaviors characterizing the diagnosis of ADHD, whether the disorder is viewed as a categorical entity or a continuous trait. To date, molecular studies have aimed at identifying susceptibility genes for ADHD, defined using operational diagnostic criteria, and have focused on variation within genes that regulate dopamine neurotransmission. Several studies report ADHD to be associated with the 7-repeat allele of a 48 bp repeat polymorphism (DRD4-7) in exon 3 of the dopamine D4 receptor gene (DRD4). In this study, we take a dimensional perspective of ADHD and examine the relationship of this DRD4 polymorphism in a sample of children selected from the general population on the basis of high and low scores on the five ADHD items of the Strengths and Difficulties Questionnaire (SDQ) as rated by their parents. We found a significant relationship between DRD4-7 and high-scoring individuals [chi-square = 8.63; P = 0.003; OR = 2.09 (95% CI 1.24 < OR < 3.54), F-statistic = 7.245; P = 0.008]. Copyright 2001 Wiley-Liss, Inc. May 8 English 'Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, London, United Kingdom. s.curran@iop.kcl.ac.uk ,Mk Lalloo, R. Lambert, G.Lambert, Michael J. Lambert, MJLamington, Linda Lampe, J. Lancon, C. Landis, J. R. Langer, CoreyLangmore, S. E.Laplante, LouisLapsley, H. M. Larsen, F.Larsen, F. Warborg Larson, R. A.Larzelere, Robert E.Lathlean, Judith Latimer, Eric Lauzon, S.Lavidor, Michal Lawton, K.Lawton, PowellLeaf, Philip J.Leavey, GerardLecic-Tosevski, DusikaLeckman, James F.Lecomte, Jocelin Lecomte, T.Lecomte, TaniaLedermann, S. E. Lee, C. Lee, L.Lee, Martha B.Lee, Sloane NguyenLees-Haley, Paul R. Leese, Morven Leff, H. S.Lehoux, Catherine Lehtila, A. Leijala, H.Leitner, L. M. Lelliott, P.Lelliott, Paul Lenane, MargeLenane, Marge C. Lerman, Paul Lerner, T. Lesage, A.Lesage, Alain D.Lesko, Lynna M.Lester, PatriciaLeung, Antony Chi-tatLevine, WarrenLevitt, Jill T.Levy-Shiff, Rachel Lewis, M. Lewis, Martyn Lewis, Sheila Liadsky, R. Liang, J.Liberman, R. P.Libow, Leslie S. Lichtman, J. Lidal, EliLikourezos, Antonios Lim, R. W.Lin, ElizabethLindsay, GeoffLindsey, CarolineLink, B. et al.Lish, Jennifer D. Little, J.Littlefield, Christine Liu, Chi-punLivingston, G.Livingston, JenniLivne Snir, Sharon Ljunggren, G.Llewelyn, Susan Lloyd, C. Lloyd, Chris Loader, P.Loewenthal, KateLogue, Mary Beth Loh, J. Lohr, J. B. Lombardo, Nancy B. Emerson Long, AF Lontz, Werner Lora, A. Lothstein, L Lowin, A.Lubben, James E. Lucas, B.Lucas, Christopher P. Lucchi, Fabio Luk, ErnestLuk, Ernest S. L. Lunney, P. Lusk, E.Lyle, Janet L.Lynn, Larry L., II Maas, A. Maas, M.Maas, MerideanMacdonald, A. J.MacDonald, A. S.Macdonald, AlastairMacdonald, Alastair J. D. Macias, M. M. Maclean, W.Macpherson, Rob Madden, S. J.Madsen, Richard W.Magaziner, Jay Main, A. Mair, A.Malhotra, Savita Malla, A. K.Malla, Ashok K. Malmberg, M. Malo, ClaireMalstrom, MichaelManassis, Katharina Manchanda, R.Manderscheid, Ronald W.Manderson, JulieManey, A., and Ramos, J. Manne, S. Manning, S.Manning, S. & Paskind, B. Manning, W.Manning, Willard G.Manovich, RachelMantell, Joanne E. Marcenes, W. March, J. S.March, John S.Marchessault, Keith Maresca, G.TQMargison, F, R.; Barkham, M; Evans, C; McGrath, G; Clark, J; Audin, K; Connell, JMargison, F. R.Margison, Frank Marks, I Marmot, M.Marmot, Michael G.Marriage, Keith Marsden, L. Marsh, H. W. Marston, G.Martin, Andres Martin, C. M. Martin, D. M. Martin, J.Martin, NeilsonMartinez Sarasa, MariaMartinez Taboas, A.Martinez, S. M. Martins, S.Maruish, M. E.Maruish, Mark E. Marusic, K. Masi, G.Masi, GabrieleMastrianni, X.$Mathai J, Anderson P, Bourne A$Mathai J, Anderson P, Bourne A. Mathai, J. Mathai, John Mathew, G.Mathew, George,'Matsumoto, K., Jones, E., and Brown, J. Matthews, H.Matthews, Robert Maude, DanaMaughan, Barbara Maxwell, A.Maxwell, Colleen J.Mayer-Oakes, Allison Mayeya, JohnMayeya, Petronella Mayou, R. Mazaira, J.Maziade, Michel Mazzarda, A.Mbatia, Joseph McArthur, W.McArthur, William McAvay, GailMcBee, George W. McCabe, C. J. McCabe, RMcCall, W. VaughnMcClelland, R.McCollum, Jill D'ArcyMcConaughy, S. H.McConnell, WilliamMcConville, B. J.McCreadie, R. G. McCune, Noel McDougall, S. McDowell, I. McEvoy, PhilMcFarland, Bentson H.McGauran, Sheila McGonagle, I.McGonagle, IanMcGorry, P. D. :7X($Positive and Negative Syndrome Scalepositive symptoms$post-traumatic stress reactionsD>post-treatment adolescent cancer survivors (mean age 16.3 yrs) postcollegeposthospital adjustmentPostoperative PeriodPosttraumatic Stress Posttraumatic Stress Disorder Poverty Practice practices Practitioners Pre Eclampsia complicationspreadolescent children precision precollege Predictionprediction of hospitalD@predictive validity of Strengths & Difficulties Questionnaire vsPredictive Value of Tests predictors Preferences Pregnancy(%Pregnancy Trimester, Third psychologyPremature Birth$premature treatment terminationpremorbid adjustment Premorbidityprepubertal children & Preschool Preschool AgePreschool Age (2-5Preschool Age (2-5 yrs)preschool age childrenpreschool children preschoolerspreterm delivery prevalenceHBprevalence & phenomenology & comorbidity & functional impairment &(%prevalence of childhood maladjustment<9prevalence of clinical & subclinical obsessive compulsive(#prevalence of DSM--III--R disorders83prevalence of psychiatric disorders & or impairment Primary primary carePrimary HealthPrimary Health Care$ Primary Mental Health PreventionPrimary School Students($principles of work stress management Prisoners PrisonsPrivate Sector standardsProblem Solving Problems Procedural Processesprocessing speed Professionalprofessional activitiesProfessional ConsultationProfessional Feesprofessional help Professional OrganizationsProfessional ReferralProfiles (Measurement) Prognosis programProgram Developmentprogram evaluationprogram level outcomes Programs Prolactin Promotion propertiesProsocial Behavior Prospective Payment System($Prospective Payment System economicsProspective Studies$!Prostatic Neoplasms complications$ Prostatic Neoplasms drug therapyprotective factorsProtective Services psychiatric<9psychiatric & psychosocial disorders in clinical practicepsychiatric adjustment psychiatric case management$ Psychiatric Department, HospitalD@Psychiatric Department, Hospital organization and administration0*Psychiatric Department, Hospital standardspsychiatric diagnosis85psychiatric disability rehabilitation support servicepsychiatric disorderpsychiatric disordersD?psychiatric disorders & health care utilization in primary care,(psychiatric disorders & mother's anxietypsychiatric distresspsychiatric disturbancePsychiatric Evaluationpsychiatric facilityPsychiatric Hospital$Psychiatric Hospital Admission$Psychiatric Hospital Discharge$psychiatric hospital inpatients Psychiatric Hospital Programs$ Psychiatric Hospital Readmission Psychiatric HospitalizationPsychiatric Hospitalspsychiatric inpatientsPsychiatric Nursing Psychiatric Nursing methodspsychiatric outcomespsychiatric outpatientsPsychiatric Patientspsychiatric practice psychiatric screening testspsychiatric services Psychiatric Social Workers$ Psychiatric Status Rating Scales0*Psychiatric Status Rating Scales standardsD>Psychiatric Status Rating Scales statistics and numerical dataPsychiatric Symptomspsychiatric unitPsychiatric Units Psychiatrists PsychiatryPsychiatry Clients0*Psychiatry organization and administrationPsychiatry trendsPsycho-Educational ModelPsychodiagnosis Psychodiagnostic Interview psychodynamic psychotherapyPsychodynamicsPsychoeducation Psychogenesis Psychological$!psychological adaptation & copingpsychological adjustmentPsychological Assessmentpsychological development  R83Journal of Women's Health and Gender-Based MedicineLIJournals of Gerontology: Series A: Biological Sciences & Medical Sciences LancetMcLean Hospital JournalMedical care Med CareMental Health Practice$Mental Health Services ResearchMilitary MedicineD>Multiple sclerosis Houndmills, Basingstoke, England Mult Scler$New England Journal of Medicine,&New South Wales Public Health Bulletin4.Nordic journal of psychiatry Nord J PsychiatryNorsk Epidemiologi0+Nursing and health sciences Nurs Health Sci83Nursing clinics of North America Nurs Clin North AmNursing Standard4.Outcomes Management for Nursing Practice 45-48,'Outcomes Management in Nursing Practice Pain Pain$ Panminerva medica Panminerva Med("Pediatric neurology Pediatr NeurolPediatrics Pediatrics($Personality & Individual Differences("Personality Individual Differences,(Perspectives in Psychological Researches$!Pharmacogenetics PharmacogeneticsPsychiatria FennicaPsychiatric AnnalsPsychiatric Bulletin($Psychiatric Clinics of North America(#Psychiatric hospital Psychiatr HospPsychiatric Quarterly<6Psychiatric rehabilitation journal Psychiatr Rehabil JPsychiatric Services84Psychiatric services Washington, D.C. Psychiatr ServPsychiatry Research Psycho-Lingua,)Psychologia: Israel Journal of PsychologyPsychological AssessmentPsychological BulletinPsychological MedicinePsychological ReportsPsychological Studies<7Psychology & Psychotherapy: Theory, Research & Practice@=Psychology: The Journal of the Hellenic Psychological SocietyPsychopathology@:Psychosomatics: Journal of Consultation Liaison Psychiatry Psychotherapy$Psychotherapy & Psychosomatics$ Psychotherapy and PsychosomaticsPsychotherapy ResearchQuality in Health CarexrQuality of life research an international journal of quality of life aspects of treatment, care and rehabilitationtqQuality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & RehabilitationRehabilitation Psychology0*Residential Treatment for Children & Youth Review of General PsychologyPKRevista brasileira de psiquiatria Sao Paulo, Brazil 1999 Rev Bras Psiquiatr,&Revista de Psiquiatria Infanto-Juvenil0+Revue Roumaine de Neurologie et PsychiatrieHDScandinavian journal of primary health care Scand J Prim Health CareSchizophrenia BulletinSchizophrenia Research Science,)Singapore medical journal Singapore Med J0,Social Psychiatry & Psychiatric Epidemiology4.Social Psychiatry and Psychiatric Epidemiology0*Social Psychiatry Psychiatric EpidemiologySocial Science & Medicine Social Work Social Work in Health Care(#South African Journal of PsychologySubstance AbuseSubstance Use & Misuse$Telemedicine Journal & e-Health$!Telemedicine Journal and e-HealthThe Approach, (CPAA)41The Approach. Care Programme Approach Association(#The New England Journal of Medicine\YTherapeutic Communities: International Journal for Therapeutic & Supportive Organizations(#Western Journal of Nursing ResearchWomen & HealthJatric PsychiatryxrShapiro, David A. Barkham, Michael Stiles, William B. Hardy, Gillian E. Rees, Anne Reynolds, Shirley Startup, Mike 2003`YTime is of the essence: A selective review of the fall and rise of brief therapy researchi>7Psychology & Psychotherapy: Theory, Research & Practicef763t211-235f Sepy2004-10038-001 HON-00066*^X*Brief Psychotherapy; *Experimentation; *Psychotherapeutic Outcomes; *Treatment DurationTMFor compelling reasons of equity and the advance of public health, brief psychotherapy has become the dominant format in both practice and research. One consequence of this is the apparent decline of a distinct stream of brief therapy research. However, much of the agenda formerly identified with that research stream is of increasing importance to the field. Time is indeed of the essence in current psychotherapy research. For example, factors conducive to the time efficiency of brief psychodynamic therapy have been described recently. The important question 'How much therapy is enough?' has been addressed by studies inspired by the dose-response analysis of Howard and colleagues. The value of ultra-brief interventions has been examined. These issues are considered in a selective review, drawing in particular on the work of the Sheffield/Leeds psychotherapy of depression research group. This research treats the number of treatment sessions as an independent variable, thereby providing a causal analysis of the dose-response relationship over a range from two to 16 sessions, illuminated by a comparative analysis of change processes in treatments of different durations. Its results enable some specification of the extent and nature of incremental benefit derived from additional... (PsycINFO Database Record (c) 2004 APA ) (journal abstract)Englishhttp://www.bps.org.uk-J@tW ZTMcMunn, Anne M. Nazroo, James Y. Marmot, Michael G. Boreham, Richard Goodman, Robert 2001~wChildren's emotional and behavioural well-being and the family environment: Findings from the Health Survey for England Social Science & Medicinec534h423-440c Augi 0277-9536u SDQ-00038*zsHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) England Family Structure; Mental Health; Parental Characteristics; Parental Occupation; Socioeconomic Status; Occupational Status child psychological health; family structure; socio-economic status; parental working status; parent psychological statuse82Recent trends towards diversity in family structure have posed important challenges for traditional social theories on the family. This critical debate has not, however, had much influence on policy discussions of the impact of diverse family structures on children's psychological health, where two-parent families are presumed ideal. The annual Health Survey for England focused on the health of children and young people. The Strengths and Difficulties Questionnaire, used to assess children's psychological health, was administered to the parents of 5,705 children aged 4-15 yrs using a self-completion booklet. The effect of family structure, socio-economic indicators, parental working status and parental psychological status on children's psychological health was explored using multi-variate logistic regression models. Findings indicated that the high prevalence of psychological morbidity among children of lone-mothers was a consequence of socio-economic effects, disappearing when benefits receipt, housing tenure and maternal education were taken into account. Socio-economic factors did not, however, explain the higher proportion of psychological morbidity among children with stepparents, or the strong relationship between parents' and children's psychological morbidity. (PsycINFO Database Record (c) 2003 APA )NHDoi 10.1016/s0277-9536(00)00346-4 Peer Reviewed Journal; Empirical Study'Royal Free & University Coll London Medical School, Dept of Epidemiology & Public Health, London, United Kingdom [McMunn] Email Address [mailto:anne@public-health.ucl.ac.uk]vpMears, Alex White, Richard O'Herlihy, Anne Worrall, Adrian Banerjee, Sube Jaffa, Tony Hill, Peter Lelliott, Paul 2003jdCharacteristics of the Detained and Informal Child and Adolescent Psychiatric In-Patient Populations& Child & Adolescent Mental Health8o3t131-134s Sepo2003-99741-006 HCA-00007**Adolescent Psychiatry; *Child Psychiatry; *Laws; *Mental Health Services; *Psychiatric Hospitalization; Client CharacteristicstThis project surveyed the use of the Children Act and the Mental Health Act in in-patient child and adolescent mental health services in England and Wales. Data were collected as a day census from child and adolescent psychiatric inpatient units, questionnaire forms completed by consultant psychiatrists or key-workers. Returns were received from 71 of the 80 units. One hundred and twenty-seven of the 663 patients had been admitted formally, the great majority under a section of the Mental Health Act. Compared with those admitted informally, those admitted formally were older (mean age 15 yrs versus mean age 17 yrs, respectively), contained a higher proportion of males and had 'adult-type diagnoses', mainly schizophrenia, mood disorders and personality disorder. The clinical and psychosocial characteristics of formal and informal patients were consistent with these differences. This study provides a timely and useful snapshot of the use of the Acts in this population. (PsycINFO Database Record (c) 2003 APA )English ("http://www.blackwellpublishing.com60Meehan, Tom Robertson, Samantha Vermeer, Cathryn 2001F@The impact of relocation on elderly patients with mental illness@9Australian & New Zealand Journal of Mental Health Nursingl104n236-242; Dec  1324-3780m LSP-00018*81Human; Male; Female; Adulthood (18 yrs & older); Aged (65 yrs & older); Very Old (85 yrs & older) Geriatric Patients; Mental Disorders; Nursing Homes; Ability Level; Aggressive Behavior; Agitation; Elder Care residence relocation; mentally ill; long term mental illness; functioning; aggression; agitationExamined the effects of relocation on elderly patients with mental illness. 20 elderly patients (aged 65-86 yrs) with long-term mental illness were relocated from a psychiatric hospital to an extended care unit in their district of origin. Ss were assessed on measures of functioning, aggression, and agitation prior to and 6 wks and 6 mo following relocation. Results show that Ss experienced no significant long-term negative effects due to relocation. Adverse affects were likely mitigated by the preparation and planning undertaken prior to relocation, and the support provided to staff and patients in the period following relocation. (PsycINFO Database Record (c) 2003 APA )b[DOI 10.1046/j.1440-0979.2001.00216.x Peer Reviewed Journal; Empirical Study; Followup Study'rkQueensland U of Technology, Service Evaluation & Research Unit, Wacol, QLD, Australia [Meehan, Robertson]; Ipswich General Hosp, Integrated Mental Health Unit, Ipswich, QLD, Australia [Vermeer] Contact Individual Meehan, Tom, Queensland U Technology, Service Evaluation & Research Unit, Wolston Park Hosp, Wacol, QLD, Australia, 4076, [mailto:t.meehan@qut.edu.au] Mehra, Gita Mishra, P. C.a 1991b[Mental health as a moderator variable of intrinsic job satisfaction and occupational stressPsychological Studiest363a198-202 Nov[ 0033-2968\ MHI-00071\Human; Adulthood (18 yrs & older) Job Satisfaction; Mental Health; Occupational Stress; Blue Collar Workers mental health; job satisfaction & occupational stress; blue collar workers; IndiatnInvestigated the relationship between perceived occupational stress (OS) and job satisfaction (JS), as well as the moderating effect of employees' mental health on the relationship between the 2 factors. 250 industrial workers from India completed a Mental Health Inventory (Jagdish and A. K. Srivastava, 1983), the Occupational Stress Index (Srivastava and A. P. Singh, 1981), and the S. D. Employees Inventory (a measure of JS [D. M. Pestonjee, 1973]). Moderated regression analysis suggested that mental health has a moderating effect on the relationship of intrinsic JS and OS. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'U Lucknow, India [Mehra]Menaghan, E., et al. 2003Part III. Gender, Ethnic and Racial Disparities in Mental Health and Mental Disorder. Section B. Stressful Family Contexts Linked to Unmarried Parenting, Working Mothers and Marital Instability in a Globalizing SocietyrkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00030*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughout Young,AS Grusky,O Jordan,D Belin,TRp 2000hbRoutine outcome monitoring in a public mental health system: the impact of patients who leave carePsychiatric Services 200051 85-91M OUT-MH-00045*^Objective: An interest exists in using patient outcome data to evaluate the performance of publicly financed mental health organizations. Because patients leave these organizations at a high rate, the impact of patient attrition on routinely collected outcome data was examined. MethoProcter, E. Loader, P. 2003f_A 6-year follow-up study of chronic constipation and soiling in a specialist paediatric service("Child care, health and development292i 103-9lChild Care Health Devo 0305-1862; SDQ-00016*Constipation therapy; Fecal Incontinence therapy Adolescent ; Age Distribution; Child ; Child, Preschool; Chronic Disease; Constipation complications; Constipation psychology; Fecal Incontinence etiology; Fecal Incontinence psychology; Follow Up Studies; Infant ; Odds Ratio; Outpatient Clinics, Hospital; Prognosis ; Questionnaires ; Referral and Consultation; Retrospective Studies; Sex Distribution; Treatment Outcome Female; Human; MaleLEOBJECTIVE: Constipation and soiling is a relatively common condition in childhood and its course is often chronic. This study investigated long-term outcome of children with chronic constipation and soiling by following up a cohort of children 6 years after their presentation to a specialist paediatric gastroenterology clinic with chronic constipation and soiling. DESIGN: Retrospective postal survey. SETTING/SAMPLE: All children referred in 1991 to a specialist paediatric gastroenterology clinic accepting both secondary and tertiary referrals. MEASURES: A semi-structured postal questionnaire was sent to all families, and the Strengths and Difficulties Questionnaire (SDQ) was sent to a random sample. RESULTS: The response rate (of those who could be traced) was 89%. Of these, over a third (36%) still had a problem with constipation and soiling and 17% were using regular laxatives. Three people still having problems with constipation and soiling in the sample were aged over 18 years. No significant difference was found with regard to age, sex or age at referral between the group that improved and the group that did not. Both groups felt they had suffered a high degree of distress because of the problem, with parents highlighting their powerlessness to help their child and the child identifying the embarrassment caused by the problem. CONCLUSIONS: A significant number of children presenting to a specialist paediatric clinic continue to have problems for several years. Further research is needed to identify these cases and to identify which factors promote resolution of the problem.  Mar English;f`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=CCH&vol=29&page=103&goto=abstract'd^Canada House, Barnsole Road, Gillingham, Kent, ME7 4JL, UK. EProcter@invicta-tr.sthames.nhs.uk   Vogel, JudyVogelzang, N. J.von Knorring, A. L.Von Morgen, D.Voruganti, L. P.Voruganti, L. PanthVoruganti, L. Panth N. Voss, S. Vostanis, P.Vostanis, PanosVreugdenhil, Coby Waarst, S. Wackwitz, J.Wadden, Norma Kennedy Wade, DarrylWaldron, BrianWalker, Lynn S.Walker, Steven Walker, W. O.Wallace, C. J.Wallace, Charles L.Wallander, Jan L.Waller, Jennifer L.Walmsley, S. H. Walter, GWalters, E. E.Walters, Ellen E. Wang, HaoWanstrath, James Ward, Martin Ware, J. E.Ware, J. E. Jr Ware, J.E.$Ware, J.E., & Sherbourne, C.D. Ware, John E. Ware, NormaWarner, JulietWarner, Virginia Watson, D. Watson, M. S. Way, Bruce B.Weinstein, Milton C. Weir, D.Weiss, Arnold S.Weiss, Herbert P.Weiss, MargaretWeissman, Myrna M.0+Welfare, Australian Institute of Health and Welham, Joy Weller, Aron Wells, K.Wells, Kenneth B. West, S. A. Westhoff, R. Wever, Chris Whipple, JLWhisner, Emily A. White, AdeleWhite, Mark B.White, Richard White, Sarah Whiteford, H Whitton, A.Wichstrom, LarsWickramaratne, PriyaWickramaratne, Priya J.Widawski, Mel H. Wiersma, D Wiese, M. Wiggs, L. Wilber, C Wilcock, A. Wilcox, M. Wilde, J.Wilkins, Linda P. Wilkinson, G.Wilkinson, GregWilkinson, Ross B.Wilkinson, Suzanne Williams, C.Williams, H. C.Williams, Marlene Williams, SEWilliamson, Douglas E.Wilson, Glenn D. Windle, B. Window, S.Winefield, Helen R. Wing, J. Wing, J. K. Wing, J., and Lelliott, P.,(Wing, J.K., Lelliott, P., & Beevor, A.S.Wingo, Phyllis A. Winkel, G.Wipke Tevis, D. D.Wipke-Tevis, Deidre D.Wise, Edward A.1Wiseman, Hadas Woerner, W.Wolfe, Maren M. Wolke, D. Wong, F. Wong, Lisa Wood, Alison Wood, E. I. Woodham, S. Woods, S.Woodside, D. Blake Wooff, D. Wooff, DavidWoolverton, Karolyn SmithWorld Health OrganizationWorling, DavidWorrall, Adrian Wotring, JWouters, Luuk F. J. M. Wright, JG` Wright, P. Wright, S. Wright, Steve Wu, H. Y. Wu, S. C. Wu, Yee MingWudarsky, MarianneWynne, Lyman C.$ Wyrwich, K., and Wolinsky, F. I. Wyshak, GraceYadava, Amitra Yadava, AshaYager, Thomas J. Yam, IditYamauchi, KeitaYamini-Diouf, Yasmeen Yard, P. Yates, P. Yates, PeterYellowlees, P. Yonah, Ilan Young, ASYoung, BridgetYoungstrom, Eric A. Yuen, H. P. Yung, AlisonYung, Alison R.Yurgelun-Todd, Deborah Zaizov, Rina Zapart, S.Zaslavsky, A. M.Zaslavsky, Alan M.Zautra, Alex J.,'Zealand, Health Research Council of New Zeh, DonnaZelkowitz, Phyllis Zeman, Janice Zera, Gary Zhang, Heping Zhang, M Zieman, G. L. Zika, SherylZima, Bonnie T.Zimerman, Betsy Zimmerman, D.Zimmerman, DavidZimmerman, SherylZimmermann, H.Zizolfi, SalvatoreZlotolow, I. M. Zuckerman, E. Zulu, R. N.Zwygart-Stauffacher, Mary.@    Hyland, M. Year`YDeveloping a Local MHS Protocol for Outcome Measurement Implementation: A Practical Guide0 "Barwon Mental Health ServiceAUS-VIC-00014*d^Irvine, J. Dorian, P. Baker, B. O'Brien, B. J. Roberts, R. Gent, M. Newman, D. Connolly, S. J. 2002LFQuality of life in the Canadian Implantable Defibrillator Study (CIDS)American heart journal 144l2  282-9a Am Heart J 1097-6744m MHI-00004*haAmiodarone therapeutic use; Anti Arrhythmia Agents therapeutic use; Arrhythmia therapy; Defibrillators, Implantable; Quality of Life Aged ; Analysis of Variance; Arrhythmia psychology; Clinical Trials; Follow Up Studies; Middle Aged; Psychological Tests; Questionnaires ; Treatment Outcome Comparative Study; Female; Human; Male; Support, Non U.S. Gov'tBACKGROUND: The primary aim of this study was to compare quality-of-life outcome between patients randomized to implantable cardioverter defibrillator (ICD) therapy and patients randomized to amiodarone treatment in the Canadian Implantable Defibrillator Study (CIDS). A secondary aim was to evaluate the effects on quality-of-life outcomes of receiving shocks from the device. METHODS: Quality of life was assessed in 317 English-speaking participants by use of the Rand Corporation's 38-item Mental Health Inventory (MHI) and the Nottingham Health Profile (NHP). Assessments were done in the hospital at baseline and with mailed questionnaires after 2, 6, and 12 months of follow-up. Sixty-two percent of patients completed the follow-up assessments at 6 and 12 months. RESULTS: Repeated measures analysis of variance revealed significant time by treatment group interaction effect on total MHI and the psychological distress and psychological well-being sub-scales, and on 5 of the 7 NHP scales (energy, physical mobility, emotional reactions, sleep disturbance, and lifestyle impairment) (P <.05). Emotional and physical health scores were shown to improve significantly in the ICD group and were either unchanged (emotional health) or deteriorated (energy and physical mobility) in the amiodarone-treated group by means of post-hoc comparisons. Quality of life did not improve in the subgroup of patients in the ICD-treated group who received > or =5 shocks from their device. CONCLUSION: Quality of life is better with ICD therapy than with amiodarone therapy. The beneficial quality-of-life effects from an ICD are not evident in patients who receive numerous shocks from their device.@:Aug English Comment In: Am Heart J. 2002 Aug;144(2):208-11'jcDepartment of Psychology, York University, University of Toronto, Ontario, Canada. jirvine@yorku.cay Issakidis, C. Teesson, M.k 1999|vMeasurement of need for care: A trial of the Camberwell Assessment of Need and the Health of the Nation Outcome Scales4-Australian and New Zealand Journal Psychiatry335 754-9 Oct10545002 HON-00003**Health Services Needs and Demand; *Mental Health Services supply and distribution; *Needs Assessment Adult ; Evaluation Studies; Mental Health Services standards; New South Wales standards; supply and distribution"OBJECTIVE: The accurate assessment of the individual needs of clients has been the focus of increasing discussion in mental health service delivery and evaluation. There is evidence to suggest that clinicians and clients differ in their perceptions of need and that staff assessments alone may not be sufficient for determining need for care. This study addresses these discrepancies in an Australian setting. METHOD: The Camberwell Assessment of Need (short version) and the Health of the Nation Outcome Scales (HoNOS) were completed on a sample of 78 clients of a mental health service in inner Sydney. RESULTS: Clinicians identified a mean number of 7.3 needs per client (SD = 5.0) compared with 6.0 (SD = 2.4) identified by clients. The mean kappa coefficient for agreement between clinicians and clients in identification of the 22 need areas was 0.18 (range = 0-0.45), indicating poor to moderate agreement. Similarly, client ratings of need were only moderately correlated with clinician ratings of disability on the HoNOS (Pearson's r = 0.35). Clinician ratings of disability and unmet need were highly correlated (Pearson's r = 0.80), whereas ratings of disability and met need were moderately correlated (Pearson's r = 0.52). CONCLUSIONS: Individual needs assessments using the CAN are applicable in this Australian setting. Staff and clients differ in their assessment of need. It is important to consider both the role of the rater and the context in which they are making the ratings when applying need and disability assessments in clinical practice.0004-8674 Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=33&page=754&goto=abstract'xrClinical Research Unit for Anxiety Disorders, St Vincent's Hospital, Sydney, Australia. cathyi@crufad.unsw.echu.auJackson, J., et al.f 2003Part III. Gender, Ethnic and Racial Disparities in Mental Health and Mental Disorder. Section A. Multiple Paths: Socioeconomic and CulturallrkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00029*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughout *,&Estramustine administration and dosage ethnicEthnic Differences ethnic groupsethnicity & sexEuropean American Evaluation evaluation of@functioning & global well-being & stability of Quality of Life<9functioning & interpersonal assertiveness & sociability &GARFgay Gaza Strip gendergender differencesgender effectsGene Frequency generalgeneral distress General Health QuestionnaireD?General Health Questionnaire-30 vs somatic symptom inventory-28General PractitionersGeneral WellBeing Scale generalized anxiety disorder(#generic adult mental health serviceGenesgenetic componentGenetic Linkage Genetics genotype GenotypesGeographical MobilityGeorgia epidemiologyGeriatric Assessment(#Geriatric Assessment classificationgeriatric depressionGeriatric Patients84Geriatric Psychiatry organization and administrationgeriatric symptoms Germany globalGlobal Assessment of(#Global Assessment of Function Scale$ Global Assessment of Functioning,&Global Assessment of Functioning Scaleq } Kornblith, A. B. Herndon, J. E., 2nd Silverman, L. R. Demakos, E. P. Odchimar Reissig, R. Holland, J. F. Powell, B. L. DeCastro, C. Ellerton, J. Larson, R. A. Schiffer, C. A. Holland, J. C.  2002Impact of azacytidine on the quality of life of patients with myelodysplastic syndrome treated in a randomized phase III trial: A Cancer and Leukemia Group B studyi"Journal of Clinical Oncology20102441-52, J Clin Oncol 0732-183Xo MHI-00010*Antimetabolites, Antineoplastic therapeutic use; Azacitidine therapeutic use; Leukemia, B Cell drug therapy; Myelodysplastic Syndromes drug therapy; Quality of Life Adult ; Aged ; Aged, 80 and over; Injections, Subcutaneous; Leukemia, B Cell psychology; Middle Aged; Myelodysplastic Syndromes psychology; Questionnaires ; Remission Induction; Treatment Outcome Comparative Study; Female; Human; Male; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.(B8Malla, A. K. Norman, R. M. G. Manchanda, R. Townsend, L. 2002`ZSymptoms, cognition, treatment adherence and functional outcome in first-episode psychosisPsychological Medicine326X 1109-1119X Aug 0033-2917 LSP-00029*Human; Male; Female; Adulthood (18 yrs & older) Cognitive Ability; Positive and Negative Symptoms; Psychosis; Treatment Compliance; Treatment Outcomes; Activities of Daily Living; Adjustment; Demographic Characteristics; Drug Therapy; Premorbidity; Social Behavior first episode psychosis; functional outcome; symptoms; demographics; cognition; social relations; adherence to medication; duration of untreated psychosis; premorbid adjustment; ADL<5The differential strength of correlation between symptoms, cognition and other patient characteristics with community functioning in first-episode psychosis (FEP) has not been fully investigated. In a sample of 66 FEP patients (74% male; mean age 25.6) demographic variables, ratings of premorbid adjustment (PA), positive and negative symptoms, duration of untreated psychosis (DUP) and assessment of cognitive functions (CFs) at baseline, and symptoms, CFs and adherence to medication (ATM) at 1 yr, were correlated with scores on social relations (SRs) and activities of daily living (ADL) (outcome) at 1 yr. Hierarchical regression analysis was used to confirm the independent contribution of baseline and concurrent variables to functional outcome at 1 yr. Scores on functioning related to SRs and ADL were both significantly correlated with PA, all dimensions of residual positive and negative symptoms and ATM at 1 yr. Scores on SRs were also modestly correlated with DUP and several cognitive measures at baseline and 1 yr (verbal IQ, attention, visual memory, word fluency and working memory). Hierarchical regression confirmed independent contribution of PA, total residual symptoms and ATM at 1 yr for both dimensions of outcome, and psychomotor poverty and working memory for SRs. (PsycINFO Database Record (c) 2003 APA )JDDoi 10.1017/s0033291702006050 Peer Reviewed Journal; Empirical Study'U Western Ontario, London Health Sciences Ctr, London Ontario, ON, Canada [Malla, Norman, Manchanda, Townsend] Contact Individual Malla, A K, U Western Ontario, PEPP, London Health Sciences Ctr, WMCH Building, 375 South Street, London Ontario, ON, Canada, N6A 4G5,%Malmberg, M. Rydell, A. M. Smedje, H.t 2003`YValidity of the Swedish version of the Strengths and Difficulties Questionnaire (SDQ-Swe)n"Nordic Journal of Psychiatry575c 357-63Nord J Psychiatryd 0803-9488  SDQ-00060o:4Mental Disorders diagnosis; Psychometrics ; Questionnaires Adolescent ; Adolescent Behavior; Child ; Child Behavior; Child, Preschool; Mass Screening; Mental Disorders psychology; Psychiatric Status Rating Scales; ROC Curve; Reproducibility of Results; Sensitivity and Specificity; Sweden Female; Human; Male The Strengths and Difficulties Questionnaire (SDQ) is an internationally widely used, brief screening instrument for mental health problems in children and teenagers. The SDQ probes behaviours and psychological attributes reflecting the child's difficulties as well as strengths, and targets hyperactivity/inattention, emotional symptoms, conduct problems, peer problems and prosocial behaviour. Also, the instrument taps the impact aspect, i.e. whether the child is judged to suffer from emotional or behavioural problems severe enough to cause distress or social impairment. Studies of the original English SDQ, as well as of translations into several other languages, attest to a compelling usefulness and validity of the instrument. In this investigation, the adequacy of the Swedish adaptation of the SDQ (SDQ-Swe) was tested in comparisons between parent reports on 5-15-year-old children drawn from a community sample (n=263) and from a child psychiatric sample (n=230). Results showed that the instrument differentiated well between the community and the psychiatric samples, the latter displaying more symptoms, fewer strengths and more social impairment. Moreover, ROC analyses showed satisfactory sensitivity and specificity of the principal scales of the SDQ-Swe at proposed cut-offs. Hence, results showed adequate validity of the SDQ-Swe, suggesting that this new instrument, an instrument in tune with the ideas of contemporary child psychiatry and psychology, is a useful tool for mental health screening in children and adolescents.English'pjChild and Adolescent Psychiatric Clinic, Hospital of Halsingland, Soderhamn, Sweden. mikael.malmberg@lg.se$Manderson, Julie McCune, Noel  2003HBThe use of HoNOSCA in a child and adolescent mental health service.'Irish Journal of Psychological Medicinei202 52-55r Jun2003-06295-005 HCA-00017*Adolescent Psychology; *Child Psychology; *Mental Health Services; *Rating Scales; *Treatment Outcomes; Behavior Problems; Emotionally Disturbed; Mental Health; Social Skillsa*#Assessed the health and social functioning of patients attending a Child and Adolescent Mental Health Service (CAMHS) and measured the impact of attendance using the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). HoNOSCA was completed on 73 consecutive patients attending for initial assessment with a review assessment being completed after 6 mo or at discharge from the clinic if this occurred sooner on 53 of these. Of the 53 (aged 4-17 yrs), 66% were male and 34% female. Boys were more highly rated with regard to aggressive behaviour, performance in peer relationships and family life relationships whilst girls were rated as having more nonorganic and emotional symptoms. Older children showed the highest rates of poor school attendance, non accidental (self) injury and emotional problems while younger children showed the greatest aggressive behaviour and language skill problems. An improvement in the total HoNOSCA score from initial assessment to review was seen in 92%. Age, sex and symptom profiles of patients attending the service were similar to other CAMHS. Attendance at CAMHS produces improvements in patient outcomes over a 6 mo period as measured using HoNOSCA, which proved to be a useful if somewhat time consuming tool. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.ijpm.orgManey, A., and Ramos, J. 20034-Introduction, Contributors & AcknowledgementsorkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00032*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughout Goodman, Roberth 1999The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burdenD=Journal of Child Psychology & Psychiatry & Allied Disciplines405791-799- Juld 0021-96301 SDQ-00030*Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Scotland; England Behavior Problems; Mental Disorders; Questionnaires; Test Forms; Test Validity; Distress; Family Relations; Psychiatric Symptoms; Screening Tests; Social Skills extended version of behavioral screening Strengths and Difficulties Questionnaire; assessment of psychiatric caseness & chronicity & distress & social impairment & family burden; 5-15 yr oldst82The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening questionnaire that asks about children's and teenagers' symptoms and positive attributes; the extended version also includes an impact supplement that asks if the respondent thinks the young person has a problem, and if so, enquires further about chronicity, distress, social impairment, and burden for others. Closely similar versions are completed by parents, teachers, and young people aged 11 yrs or more. The validation study involved 2 groups of 5-15 yr olds: a community sample (467 Ss) and a psychiatric clinic sample (232 Ss). The 2 groups had markedly different distributions on the measures of perceived difficulties, impact (distress plus social impairment), and burden. Impact scores were better than symptom scores at discriminating between the community and clinic samples; discrimination based on the single "Is there a problem?" item was almost as good. The SDQ burden rating correlated well with a standardized interview rating of burden. For clinicians and researchers with an interest in psychiatric caseness and the determinants of service use, the impact supplement of the extended SDQ appears to provide useful additional information without taking up much more of respondents' time. (PsycINFO Database Record (c) 2003 APA )JDDoi 10.1017/s0021963099004096 Peer Reviewed Journal; Empirical Study'd^U London, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]o Continuities in support experience: The prediction of marital satisfaction, emotional well-being and distress from attContinuities in support experience: The prediction of marital satisfaction, emotional well-being and distress from attachment style, perceived support and nonsupport in the context of personal strivingsJacob, Faye Michelle  Fordham Ut L FThis study investigated patterns of attachment, perceptions of support and nonsupport in the context of personal strivings in married individuals. Marital adjustment and psychological well-being served as outcome variables. The influence of attachment patterns on support and nonsupport perceptions within marriage have not been studied and are most often explored in relation to stress, not positive events, such as personal strivings. It was hypothesized that secure attachment would be related to support perceptions, marital satisfaction and well-being, whereas insecure attachment was hypothesized to be related to nonsupport perceptions and distress. Marital satisfaction was hypothesized to be related to support perceptions and well-being and inversely related to distress and nonsupport perceptions. One hundred and nine participants were recruited through Jewish newspaper advertisements in suburban areas of Pennsylvania and New York which specified that couples were needed for a study of support in marital relationships. Questionnaires consisting of the following instruments were mailed to subjects: Attachment Styles Inventory; Strivings Assessment Scale; Perceived Support and Nonsupport Scale, Dyadic Adjustment Scale and the Mental Health Inventory. Results revealed that spouses with secure attachment showed more marital satisfaction, greater well-being and were less likely to experience distress and perceived nonsupport as opposed to those with an insecure attachment. Psychological well-being was predicted from secure attachment, perceived support and marital satisfaction, whereas psychological distress was predicted from perceived nonsupport. Marital satisfaction served as a mediator between secure attachment and well-being and between perceived support and well-being. Those couples in which a husband or wife were insecurely attached experienced more perceived nonsupport and experienced lower levels of marital adjustment. Results suggest that attachment patterns may continue to have an influence upon the spousal relationship and spouses' mental health. Support and nonsupport perceptions should be considered in conjunction when examining support experiences in marriage and personal strivings may be considered a new context through which to investigate such exchanges. Psychological mental health is related to marital quality and therefore, married individuals seeking counseling should be prompted to explore supportive processes within their relationships in order to gain a more comprehensive understanding of the conflict that may exist therein. (PsycINFO Database Record (c) 2003 APA ) 1999Availability UMI Dissertation Order Number AAM9903719 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 59(8-B), Feb 1999, pp. 4466 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study4.Human; Male; Female; Adulthood (18 yrs & older) Attachment Behavior; Distress; Marital Satisfaction; Spouses; Well Being; Social Support Networks attachment style & perceived support & nonsupport in context of personal strivings; marital satisfaction & emotional well-being & distress; married coupless) were asked to rate on a 6-point frequency or intensity scale how they had been feeling during the past month. Results show that internal consistency was >.9, and scores were stable over a 10-wk period. Boys reported slightly better mental health than girls, as in the original American research. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'yAustralian National U, Faculty of Science, School of Life Sciences, Div of Psychology, Canberra, ACT, Australia [Heubeck]W Klasen2000 Klein1986 Klimes20020 Klinkenberg1998 Klinkenberg1998 Knapp2002 Knyazev2003? Knyazev2004 Kobs1998 Koch19777 Koch20032 Kohler20010Kolaitis2003s Kolko2004 Kolvin20030zKominski2001q Kong2000Q Konok1999 Koren1992J Kornblith1996 Kornblith1996 Kornblith2001 Kornblith2001} Kornblith2002 Korpa2003 Korten2003 Koskelainen2000q Koskelainen2001 Koskelainen2001u Kouri1995 Kowatch2002 Kramer1998 Kramer2000t Kramer2004 Krause1992d Kravetz2001P Kroll2001v Kroll2003D Kubota1991 Kush2001 Kusumakar2001! Kydd2003Kymissis1996 Lachar1999 LaGrone1989 Lahey2000 Lal2001 Lalloo2003 Lambert2001 Lambert2002v Lambert2002 Lambert2003h Lamington2004 Lampe2001 Lancon20032 Landis1977| Langer20033Langmore2002Laplante2003 Lapsley2000 Larsen20000} Larson20020 Larzelere2001$Lathlean2001 Latimer2002 Lauzon2001t Lavidor2002s Lavidor2003 Lawton1999g Lawton19999 Leaf1996@ Leavey2004tLecic-Tosevski1999 Leckman1999 Lecomte2001 Lecomte2004 Lecomte2004 Ledermann2003 Lee1996 Lee2001 Lee2002 Lee2003W Lees-Haley1992 Leese2003 Leff19999 Leff19999 Lehoux2003z Lehtila1996z Leijala1996 Leitner2001Lelliott19979YLelliott19999ZLelliott19999fLelliott1999gLelliott1999Lelliott2000$Lelliott2001WLelliott20033 Lenane19944 Lenane20022o Lerman1991 Lerner19969 Lesage20011 Lesage20022( Lesage20022v Lesko1996 Lester2002 Leung2001T Levine2000rX Levine2002 Levitt20020q Levy-Shiff1998 Lewis1999 Lewis2001 Lewis2001~ Liadsky2002 Liang1992Liberman2001 Libow2003Lichtman19999> Lidal2002 Likourezos2003 Lim1999 Lin2003 Lindsay2000w Lindsey20030 Link2003 Lish20000- Little19999n Littlefield1996 Liu2001_ Livingston2003K Livingston2004 Livne Snir2002 Ljunggren1992 Ljunggren1996'Llewelyn2001 Lloyd1996 Lloyd2001 Loader20033w Loewenthal2003r Logue1998 Loh2001 Lohr19999Lombardo1995 Long1998hf Lontz2004 Lora2001 Lothstein1996 Lowin2002e Lubben19955 Lucas2002 Lucchi1998\ Luk2001K Luk2002; Luk2004 Lunney19988 Lusk1984 Lyle2002i Lynn2000 Maas20010 Maas20020 Maas2004Q MacDonald1999a Macdonald1999e Macdonald1999` Macdonald2002 Macias19999| Maclean20025 Macpherson2003 Madden2002 Madden2003 Madsen20010 Magaziner2001 Main1995 Mair20030Malhotra1998 Malla1999 Malla2000 Malla2002 Malla2002nMalmberg2003 Malo19999|Malstrom2003Manassis2001 Manchanda2002 Manderscheid2003M Manderson2003+ Maney2003w Manne2001 Manning1984Y Manning1989X Manning2003qManovich19989R Mantell1988N Mantell1989Marcenes2002y March2004 Marchessault1996 Maresca2001Margison2000Margison200126Margison2001 Marks1996 Marks1998 Marks1998 Marmot2001 Marmot20011Marriage20011 Marsden1999 Marsh1998C Marston2002 Martin2002E Martin20020F Martin20020 Martin20020 Martin20033 Martin20044Martinez20020Martinez Sarasa1999Martinez Taboas2004 Martins2000 Martins2002s Maruish2002 Marusic2001} Masi1998 Masi2000 Masi2001 Masi2001 Masi2002 Masi2003 Mastrianni1997 Mathai2002 Mathai2003 Mathai2004 Mathew1997 Mathew1998 Matsumoto20032Matthews19999EMatthews2002FMatthews2002 Maude2002 Maughan2004 Maxwell2000z Maxwell2001e Mayer-Oakes1995 Mayeya20020 Mayeya20020 Mayou2004r Mazaira2000 Maziade2003Mazzarda20030 Mbatia20020McArthur20040 McAvay19989i McBee1977 McCabe1996 McCabe2002 McCall1999 McClelland2000tMcCollum2001 McConaughy1987 McConnell2001 McConville19965 McCreadie2000M McCune20030 McDougall2001McDowell1996 McEvoy2002 McFarland2002McGauran2000 McGonagle1997 McGorry2002 McGorry2003 McGrath2001McGuffin20020AMcHorney1993BMcHorney1994<McHorney1995 McInnes1997McIntosh1999McIntosh20000McIntosh2002| McKay2002 McKee2002 McKenna1994McKeowen1995 McKeown1997, McLean1993 McLean19999 McLean2000_ McLean2001 McLean2002 McLean2004McLean Hospital2004McLean Hospital2004 McLeer1998 McMunn2001 McMunn2001 McMunn2002McNamara2003McNamara2003 McNiven2001 McNiven2002W Mears20032 Medley19999 Meehan2001 Meehan2003Meesters2003 Mehr20010 Mehr20020@ Mehra1991IMelanson1995t Mellor-Clark2000 Mellor-Clark2001( Mellsop1997 Meltzer1998 Meltzer2000 Meltzer2001z Meltzer2003} Meltzer2003~ Meltzer2003 Meltzer2004-Menaghan2003F Mendoza1990?1+Mental Health Statistic Improvement Program2001=1+Mental Health Statistic Improvement Program2002>1+Mental Health Statistic Improvement ProgramYear@1+Mental Health Statistic Improvement ProgramYearA1+Mental Health Statistic Improvement ProgramYearB1+Mental Health Statistic Improvement ProgramYearC1+Mental Health Statistic Improvement ProgramYear2/,Mental Health Statistics Improvement Program4/,Mental Health Statistics Improvement Program9/,Mental Health Statistics Improvement Program:/,Mental Health Statistics Improvement ProgramC/,Mental Health Statistics Improvement ProgramD3,Mental Health Statistics Improvement Program1965J3,Mental Health Statistics Improvement Program1996D3,Mental Health Statistics Improvement Program2003E3,Mental Health Statistics Improvement Program2003F3,Mental Health Statistics Improvement Program2003G3,Mental Health Statistics Improvement Program2003ovement ProgramYear2/,Mental Health Statistics Improvement Program4/,Mental Health Statistics Improvement Program9/,Mental Health Statistics Improvement Program:/,Mental Health Statistics Improvement ProgramC/,Mental Health Statistics Improvement ProgramJ3,Mental Health Statistics Improvement Program1996D3,Mental Health Statistics Improvement Program2003E3,Mental Health Statistics Improvement Program2003F3,Mental Health Statistics Improvement Program2003G3,Mental Health Statistics Improvement Program20032003z TKominski, G. Andersen, R. Bastani, R. Gould, R. Hackman, C. Huang, D. Jarvik, L. Maxwell, A. Moye, J. Olsen, E. Rohrbaugh, R. Rosansky, J. Taylor, S. Van Stone, W.b 2001UPBEAT: the impact of a psychogeriatric intervention in VA medical centers. Unified Psychogeriatric Biopsychosocial Evaluation and Treatment Medical care395 500-12Med Care 0025-7079 MHI-00013*Alcoholism complications; Alcoholism diagnosis; Anxiety Disorders complications; Anxiety Disorders diagnosis; Continuity of Patient Care organization and administration; Depressive Disorder complications; Depressive Disorder diagnosis; Geriatric Assessment; Geriatric Psychiatry organization and administration; Hospitals, Veterans utilization; Mass Screening organization and administration; Mental Health Services organization and administration; Patient Care Team organization and administration; United States Department of Veterans Affairs utilization Aged ; Alcoholism therapy; Analysis of Variance; Anxiety Disorders therapy; Comorbidity ; Cost Benefit Analysis; Depressive Disorder therapy; Follow Up Studies; Health Status; Hospitals, Veterans economics; Mental Health; Middle Aged; Outcome Assessment Health Care; Program Evaluation; Psychiatric Status Rating Scales; United States; United States Department of Veterans Affairs economics; Veterans Female; Human; Male; Support, U.S. Gov't, Non P.H.S.ZSBACKGROUND: The Unified Psychogeriatric Biopsychosocial Evaluation and Treatment (UPBEAT) program provides individualized interdisciplinary mental health treatment and care coordination to elderly veterans whose comorbid depression, anxiety, or alcohol abuse may result in overuse of inpatient services and underuse of outpatient services. OBJECTIVES: To determine whether proactive screening of hospitalized patients can identify unrecognized comorbid psychiatric conditions and whether comprehensive assessment and psychogeriatric intervention can improve care while reducing inpatient use. DESIGN: Randomized trial. SUBJECTS: Veterans aged 60 and older hospitalized for nonpsychiatric medical or surgical treatment in 9 VA sites (UPBEAT, 814; usual care, 873). MEASURES: The Mental Health Inventory (MHI) anxiety and depression subscales, the Alcohol Use Disorder Identification Test (AUDIT) scores, RAND 36-Item Health Survey Short Form (SF-36), inpatient days and costs, ambulatory care clinic stops and costs, and mortality and readmission rates. RESULTS: Mental health and general health status scores improved equally from baseline to 12-month follow-up in both groups. UPBEAT increased outpatient costs by $1,171 (P <0.001) per patient, but lowered inpatient costs by $3,027 (P = 0.017), for an overall savings of $1,856 (P = 0.156). Inpatient savings were attributable to fewer bed days of care (3.30 days; P = 0.016) rather than fewer admissions. Patients with 1 or more pre-enrollment and postenrollment hospitalizations had the greatest overall savings ($6,015; P = 0.069). CONCLUSIONS: UPBEAT appears to accelerate the transition from inpatient to outpatient care for acute nonpsychiatric admissions. Care coordination and increased access to ambulatory psychiatric services produces similar improvement in mental health and general health status as usual care.t May Englishe'LEUCLA School of Public Health, Los Angeles, CA, USA. kominski@ucla.edue8*#Eisen, Susan V. Culhane, Melissa A.B 1999:4Behavior and Symptom Identification Scale (BASIS-32) Maruish, M. E.`YThe Use of Psychological Testing for Treatment Planning and Outcomes Assessment (2nd ed.)  Mahwah, NJ "Lawrence Erlbaum Associates 759-790n0805827617 (hardcover) BAS-00038l~xBehavioral Assessment; Scaling (Testing); Symptoms; Treatment Outcomes; Treatment Planning; Monitoring; Test Construction; Test Interpretation; Test Reliability; Test Validity development & reliability & validity issues & interpretive strategy & status of available norms of Behavior & Symptom Identification Scale & use in treatment planning & monitoring & outcome assessment(From the chapter) This chapter provides an overview of the BASIS-32 (Behavior and Symptom Identification Scale), including a summary of its development, information about its reliability and validity, a basic interpretive strategy, and the status of available norms. The overview is followed by a discussion of the use of the instrument for treatment planning, treatment monitoring, and outcomes assessment, including a focus on its use in managed care settings. Limitations of the use of the BASIS-32 for these purposes are also presented. Several brief case studies are described to present how BASIS-32 assessments can be clinically useful on an individual level. (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Researchi'*$McLean Hosp, Belmont, MA, US [Eisen],%Eisen, S. V. Leff, H. S. Schaefer, E.  1999VOImplementing outcome systems: lessons from a test of the BASIS-32 and the SF-36082Journal of Behavioral Health Services and Research261d 18-27dJ Behav Health Serv Rest 1094-3412n BAS-00012*leBehavior Therapy statistics and numerical data; Health Status; Mental Disorders rehabilitation; Outcome and Process Assessment Health Care statistics and numerical data; Personality Assessment statistics and numerical data Mental Disorders diagnosis; Mental Disorders psychology; Psychometrics ; Reproducibility of Results Human; Support, U.S. Gov't, P.H.S.zB;With increasing pressure from third-party payers to assess client outcomes, clinical programs want to know how to implement outcome systems. This article focuses on practical and logistic questions involved in implementing an outcome assessment system in ambulatory behavioral healthcare settings. Study questions addressed outcome systems in general and the use of the Behavior and Symptom Identification Scale (BASIS-32) and the Short Form Health Status Profile (SF-36) in particular. General questions focused on obtaining provider buy-in, client consent and confidentiality, data collection methods, sampling, time points, maximizing client participation, clinical utility of outcome data, and resources needed for outcome assessment. Measure-specific questions focused on client acceptability of the instruments and applicability of measures to diverse populations. The article suggests several strategies for enhancing outcome assessment efforts and concludes that there remains a need for further understanding of ways to maximize the utility and value of outcome measurement.  Feb Englisho'XQDepartment of Mental Health Services Research, McLean Hospital, Belmont, MA, USA.yefined on two axes: diagnosis (ICD-10-Primary Care Version) and severity. There are three levels of severity, based on HoNOS scores: high is over 20, or one 4 or two 3s in Scales 1 8; moderate is HoNOS score 11-20; low is 10 or less. This results in 69 HBGs. For HRGs, a tool was required that classified interventions according to clinical homogeneity and similarity of resource use. We were not aware (in 1998) of any national tool in routine use, apart from inpatient Occupied Bed Days (OBDs) and Krner contacts (neither returns are patient-based). However, Paul Cliffords 1993 FACE (Functional Analysis of Care Environment) tool covered clinical use and resources, and was tested in the pilot sites. The results showed that while the resource use was covered adequately by the FACE tool, the interventions were not. The proposed HRGs use elements of the Department of Healths Service Mapping exercise as well as the FACE intensities. The result has been the development of 130 HRGs.www.nhsia.nhs.uk"James, Michael Kehoe, Robert 1999HBUsing the Health of the Nation Outcome Scales in clinical practicePsychiatric Bulletin239536-538 Sep2000-03450-008 HON-00082*Mental Disorders; *Mental Health Services; *Psychosocial Factors; *Rating Scales; Psychiatric Patients; Treatment Outcomes; Health Personnelw:4Describes the implementation of a plan to use a validated outcome measure in the care and treatment of people with severe mental illness within a district general hospital psychiatric service. Multiple techniques were necessary to promote actual change of practice. A survey of practice found 77% of full Care Programme Approach patients to have recorded Health of the Nation Outcome Scales (HoNOS) scores in their care plans one year after the beginning of the implementation plan. Thus, it is possible to incorporate the use of HoNOS in to everyday practice but it takes a lot of time, effort and resources. Mental health services may require a clearer indication from the National Health Service Executive regarding the use of such outcome scales before committing themselves. (PsycINFO Database Record (c) 2003 APA )English)http://www.rcpsych.ac.uk James, M.( 2002The use of the health of the nation outcome scales (HoNOS) in routine clinical practice by NHS mental health services providers in England: A summary of findingssThe Approach, (CPAA)23 not available Jenkins, R.P 1990D=Towards a system of outcome indicators for mental health care$British Journal of Psychiatryt 157500-514{ OUT-MH-00018A system of outcome indicators for mental health care is urgently needed in order to ensure that clinicians, district health authorities, and directors of public health can monitor and evaluate mental health care. Theoretical aspects of health care indicators and the various classes of outcome measures available can be used to draw up a preliminary system of indicators of health care input, process and outcome for the major categories of mental illness, including schizophrenia, affective psychosis, neurosis, dementia, mental handicap, child psychiatry, forensic psychiatry, alcohol and drugs. Such a system is not intended to be definitive or exhaustive but rather to form a basis for development by clinicians, researchers and planners for their own requirements.$Jenkins, Rachel Glover, Gylesy 1997HAThe importance of service level measures for mental health policym*#Epidemiologia e Psichiatria Socialey6l 1,MonoSuppl229-237]Jan-Apr2002-10317-021 OUT-MH-00028*Epidemiology; *Goals; *Health Care Delivery; *Mental Health Program Evaluation; *Health Care Policy; Population; Public Opinion; Strategies.'Discusses the importance of service level measures for mental health policy. Mental health policy is formulated at all levels. Every country needs a sound mental health policy with clear objectives and a practical strategy framework for implementation. Mental health policy needs to take account of the epidemiology, resource infrastructures of the country, and public beliefs and opinions. Mental health care needs are best measured initially at the population level. Each country needs to measure the resources it is putting into mental health services in terms of inputs of care, and understand how resources are used in the processes of care. Service data needs to be translated into information that provides significant assistance to the policy-making process. (PsycINFO Database Record (c) 2003 APA )aEnglishlhttp://www.pensiero.it Mn, l Hope, P. L.Hopko, Derek R. Horesh, NettaHorwitz, R. I. Hough, R. Hoult, J. House, A.House, Allan O.Hoven, ChristinaHoven, Christina W. Howe, Amanda Howell, C. T.Howes, Mary J.Howie, Fiona L.Howlin, Patricia Huang, D.Huang, Zheng-Bo Huba, G. J.Huba, George J. Huddy, C. L.Huebeck, B. G. Huffman, LCHughes, ClaireHughes, Herschel, Jr. Hughes, J. Hugo, M Hugo, Malcolm Hukkanen, R.Hukkanen, RaijaHuline-Dickens, Sarah Hull, J. W. Hunter, J.,'Hunter, J., Higginson I. & Garralda, E. Hunter, R.Hunter, Robert Huryn, J. M. Hutz, M. H. Huxley, P. Huxley, Peter Hwang, S. S. Hyer, Lee A. Hyland, M. Hyslop, Jon Ibarra, G. N.Ikegami, Naoki Imrie, DavidIn: Sederer, L. I.Indredavik, Marit S. Irvine, J.IsHak, Waguih William Issakidis, C.Jackson, J., et al.Jackson, KirbyJackson, Kirby L.Jacob, Faye MichelleJacobs, Dennis Roger Jacobson, J. Jacobson, N. S., & Truax, P.$ Jacobson, N.S., & Revensdorf, D.40Jacobson, N.S., Follette, W.C., & Revenstorf, D.D@Jacobson, N.S., Roberts, L.J., Berns, S.B., and McGlinchey, J.B. Jaffa, Tony Jaffe, Craig James, Calvin James, M. James, MaryJames, MichaelJamieson-Craig, RebekahJanmohamed, Anis Jarvik, L.Jellinek, M. S. Jenkins, R.Jenkins, Rachel Jensen, P. S. Jette, A. Jezzard, R.Jhingan, H. P. Jiang, H. John, U. Johnson, A.Johnson, BruceJohnson, M. E.Johnson, Mark E.Johnson, Sonia Johnston, S.Joiner, Thomas E., Jr.@=Joint Commission on Accreditation of Healthcare Organizations Jolley, D. Jones, Cathy Jones, EJones, Hope Carroll Jones, I. Jones, P.Jonsson, Palmi V. Jordan, D Jorm, A. F.Jorm, Anthony F.Judd, Fiona K.Justice, BlairKaiser, Wolfgang Kalijonen, A. Kanerva, A. Karon, SaraKaron, Sarita L. Karus, Daniel Kaschnitz, W. Kasimis, B.Kasius, Marianne C. Kasl, Stan Kasper, S.Katsavdakis, Kostas A. Katz, J.Kaufman, James C. Kaufman, JoanKavanagh, David J. Kehoe, Robert Keks, N. A.(#Keks, N.A., Hope, J.D. & Trauer, T. Keller, Suzie Kelly, C. Kelly, Ciaran Kelly, Y. J. Kelsey, W. Kelsey, Wendy Kendall, P.C. Kennedy, C.Kessler, R. C.Kessler, Ronald C.Kewman, Donald G. Keys, R.Khademy-Deljo, A.Khaski, Albert Kiima, David Kind, Paul King, Michael King, R. Kinkel, R. P.Kinsey, Jodi CoppageKiosseoglou, Grigoris Kirkby, K Kirkby, K. Kisely, S. Klasen, H. Klein, A. A. Klimes, I.Klinkenberg, DeanKlinkenberg, W. D. Knapp, M.Knyazev, Gennadij G. Kobs, AEJ Koch, G. G. Koch, U.Kohler, Christiane Kolaitis, G.Kolko, David J. Kolvin, I. Kominski, G.Kong, Chit-Kwong Konok, G. Koren, M. J.Kornblith, A. B.Kornblith, Alice B. Korpa, T. Korten, A. E.Koskelainen, M. Kouri, ElenaKowatch, Robert A. Kramer, T. L. Kramer, TamiKramer, Teresa L. Krause, N. M.Kravetz, Shlomo Kroll, LeoKubota, HiroyaKush, Francis R.Kusumakar, Vivek Kydd, R. Kydd, RobKymissis, Paul Lachar, DLaGrone, R. G. Lahey, B. B. Lal, Rakesh r( Sheitman, Brian B.Sheldon, Trevor A.Shelton, DeborahSherbourne, C. D.Sherbourne, C.D.Shergill, SukhwinderShergill, Sukhwinder S. Sherlock, L. Sherman, C. Shields, R. Shiels, Mary Shipley, K.Shirk, Stephen Shore, AlisonShotwell, Mary Shrout, P. E.Shugarman, L. R.Shugarman, Lisa R.Sidoli-LeBlanc, EstherSiegel, KarolynnSiegel, Lesley Siggins Miller Consultants Silaj, A.Silverman, L. R.Simeoni, M. C. Simmonds, S. Simmons, H.Simmons, Helen Simon, A. E.Simon, Andor E.Simon, Samuel E. Simpson, L.Sinclair Smith, H.Singh, Jagdish Singh, S. P. Sivertsen, M.Skarupski, K. A. Slade, M Slade, M.D>Slade, M., Thornicroft, G., Beck, A., Bindman, J. & Wright, S. Slade, Mike Slade, T. Slade, TimSlobodskaya, Helena R.Small, David R. Smart, DW Smedje, H. Smith, A. Smith, D. Smith, D. J. Smith, DavidD?Smith, G.R., Manderscheid, R.W., Flynn, L.M. & Steinwachs, D.M.HBSmith, G.R., Rost, K.M., Fischer, E., Burnam, M.A. and Burns, B.J. Smith, GR Smith, J. Smith, LG Smith, M. Y. Smith, P. G. Smith, T. E.Smith, Trevor F. Smithard, A.Smout, MatthewSmukler, MichaelSnowden, Lonnie R.Snowling, Margaret J. Solomon, S. Somer, EliSondergaard, S. Sonuga-Barke, Edmund J. S. Sorgaard, KSorokin, Oleg V. Sorter, M. T. Sourander, A.Sourander, Andre Sousa, S. A. Spear, J. Speer, DCSpellman, Douglas F.DASpence, S., Donald, M., Dower, J., Woodward, R., and Lacherez, P.Speredelozzi, Alexander Spiro, R. H.Spitzer, EstherSpitzer, R. L.Sporn, Alexandra Spratt, E. G. Srebnik, DSrinath, ShobaSrinivasan, T.Srivastava, A. K.Srivastava, Shipra St Martin, Samantha Rachel Staffen, W. Stafrace, S.Staghezza, BeatrizStallard, PaulStancombe, JohnStansbrey, Robert J.Starling, Jean Startup, Mike0*State of Tennessee, & Bureau of TennCare &0*State of Tennessee, Bureau of TennCare and0+State of Utah, Department of Human Services`[State of Utah, Department of Human Services, Division of Substance Abuse and Mental Health,Staudenmeier, James J. Stedman, T.85Stedman, T., Yellowlees, P., Mellsop, G., Clarke, R.,Stedman, Terry Steele, M. Stein, G.S. Steinhausen, Hans-ChristophSteinwachs, D.M. Sternberg, M. Stevenson, JStevenson, M. R.Stewart Brown, S.Stewart, A. L.Stewart, Carol M. Stewart, G.Stiles, William B.Stogiannidou, Ariadni Stores, G.Strakowski, Stephen M.<9Strategic Planning Group for Private Psychiatric Services Strathdee, G.Strathdee, GeraldineStrauss, Bernhard Street, Eddy Streiner, D.Streiner, D. L.Stretch, David Strong, E. W. Strong, J. E. Strong, V. Strouse, T. Sturm, RolandSubbakrishna, D. K.Subramanian, S. Suchinsky, RSummerfield, LouiseSurgenor, Tammy E. Sutcliffe, C.Sutherland, Sharon Swan, JamesSwanson, Arthur J. Swinson, R Szobot, C.Tanaghow, Amgad Tanaka, J. S.Tanaka, Jeffrey S.Tancredi, Raffaella Tang, Lingqi+75-./1423v2+Australian Institute of Health and Welfare,  2002$Certified Agreement 2002-2005uAUS-AIH-00002* 2+Australian Institute of Health and Welfare,a 2003F@Community mental health establishments National Minimum Data Set :4Canberra, Australian Institute of Health and WelfareAUS-AIH-00003* 2+Australian Institute of Health and Welfare,e 2003Admitted patient mental health care National Minimum Data Set. National Health Data Dictionary, Version 12. AIHW Cat. No. HWI 49. :4Canberra: Australian Institute of Health and WelfareAUS-AIH-00001* RKAustralian Institute of Health and Welfare, National Health Data Committee,3 20032+National Health Data Dictionary, Version 12r Canberra 0*Australian Institute of Health and Welfare 2+Australian Institute of Health and Welfare,s 2003tmCommunity mental health establishments National Minimum Data Set. National Health Data Dictionary. Version 12\ Canberra 0*Australian Institute of Health and WelfareAUS-AIH-00003* 2+Australian Institute of Health and Welfare,V 2003jcCommunity mental health care National Minimum Data Set. National Health Data Dictionary. Version 12h Canberra 0*Australian Institute of Health and WelfareAUS-AIH-00003* 2+Australian Institute of Health and Welfare,i 2004Community mental healthcare 200001. Review of data collected under the National Minimum Data Set for Community Mental Health Care :4Canberra, Australian Institute of Health and WelfareAUS-AIH-00004* 2+Australian Institute of Health and Welfare,l 20042+Mental health services in Australia 200102u :4Canberra, Australian Institute of Health and WelfareAUS-AIH-00005* 82Australian Institute of Health and Welfare (AIHW), 20034-National Health Information Model. Version 2.0 Canberra: AIHWAUS-AIH-00006* 82Australian Institute of Health and Welfare (AIHW), 2004HBMEDIA RELEASE - 3.4 Million GP consultations a year for depression Canberra: AIHWAUS-AIH-00007*82Australian Institute of Health and Welfare (AIHW), Yearb[AIHW Ethics Committee - Guidelines for the Preparation of Submissions for Ethical ClearanceaAUS-AIH-00008~D=Australian Mental Health Outcomes and Classification Network,  2004F@National Outcomes and Casemix Collection: Users Reference ManualAUS-NOC-00007* D=Australian Mental Health Outcomes and Classification Network,  2004& AMHOCN Joint Work Plan 2004-2005 AMH-00003* D=Australian Mental Health Outcomes and Classification Network, 20042,Stakeholder Consultations 2004. Presentation AMH-00001* D=Australian Mental Health Outcomes and Classification Network,o 2004TNChild and Adolescent National Outcomes and Casemix Collection Standard Reports Melbourne/Brisbane/Sydney0 .(Australian Rehabilation Outcomes Centre, YearhbAustralian Rehabilitation Outcomes Centre (AROC) Subscription Form Organisations Submitting Data 0)Australian Rehabilitation Outcomes CentreXAUS-ARO-00002*\VAverill, Patricia M. Hopko, Derek R. Small, David R. Greenlee, Helen B. Varner, Roy V. 2001^WThe role of psychometric data in predicting inpatient mental health service utilizationbPsychiatric Quarterlyb723b215-235 Falt 0033-2720p LSP-00023*(!Human; Inpatient; Adulthood (18 yrs & older) Us Health Care Utilization; Mental Health Services; Prediction; Psychiatric Hospital Readmission; Psychometrics; Psychiatric Patients psychometric data; mental health service utilization prediction; readmission; psychiatric hospital inpatientsExamined the potential usefulness of psychometric data in predicting mental health service utilization. The sample consisted of 131 patients (mean age 35.9 yrs) hospitalized during an index period of 8 mo at an acute-care psychiatric hospital. Number of readmissions was recorded in a 9 mo post-index period. Measures completed during the index admission included the Brief Psychiatric Rating Scale-Anchored (BPRS-A), Symptom Checklist-90-Revised (SCL-90-R), Kaufman Brief Intelligence Test, and the Beck Depression Inventory (BDI). Results indicate that psychometric data accounted for significant variance in predicting past, present and future mental health service utilization. The BPRS-A, SCL-90-R, and BDI show particular promise as time efficient psychometric screening instruments that may better enable practitioners to identify patients proactively who are at increased risk for rehospitalization. Implications are discussed with regard to patient-treatment matching and discharge planning. (PsycINFO Database Record (c) 2003 APA )rHBDoi 10.1023/a:1010396831037 Peer Reviewed Journal; Empirical Study'PIU Texas, Houston Harris County Psychiatric Ctr, Houston, TX, US [Averill]n d^Kornblith, A. B. Herndon, J. E., 2nd Zuckerman, E. Godley, P. A. Savarese, D. Vogelzang, N. J. 2001The impact of docetaxel, estramustine, and low dose hydrocortisone on the quality of life of men with hormone refractory prostate cancer and their partners: A feasibility studyAnnals of Oncology125 633-41 Ann Oncol 0923-7534 MHI-00001*b[Antineoplastic Combined Chemotherapy Protocols therapeutic use; Emotions ; Paclitaxel analogs and derivatives; Prostatic Neoplasms complications; Prostatic Neoplasms drug therapy; Quality of Life; Taxoids Administration, Oral; Aged ; Aged, 80 and over; Anxiety ; Drug Resistance, Neoplasm; Estramustine administration and dosage; Feasibility Studies; Health Status; Hydrocortisone administration and dosage; Infusions, Intravenous; Mental Health; Middle Aged; Paclitaxel administration and dosage; Pain ; Sexual Behavior; Spouses Female; Human; Male; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.82OBJECTIVES: The quality of life (QoL) of 44 men with HRPC and 37 partners (primary caregivers, most residing with the patient) was assessed in a multicenter Phase II trial of docetaxel, estramustine and low dose hydrocortisone (CALGB 9780). A secondary objective was to test the feasibility of assessing partners' QoL in a cooperative group setting. PATIENTS AND METHODS: Patients and partners were separately interviewed by telephone at baseline, two, four and six months by a single trained research interviewer. Patients' QoL was measured by the FACT-P, Mental Health Inventory-17 (MHI-17), Brief Pain Inventory (BPI), a two-day log of pain medications, and the OARS for co-morbid conditions. Partners' QoL was measured by the MHI-17, Caregiver Burden Interview, and co-morbid conditions. RESULTS: The QoL study refusal rates were low for patients (4%) and partners (3%). Although patients tended to experience greater treatment side effects in the first two months (FACT Physical Well-Being item, P = 0.057), their cancer-specific emotions (e.g., worrying about worsening health) significantly improved at two and four months (FACT-Emotional Well-Being, P = 0.003, P = 0.03, respectively), as did their prostate cancer-specific physical problems (e.g., urination, pain), at two and four months (FACT-P, P = 0.001, P = 0.005, respectively). Partners' anxiety significantly decreased over time (MHI, P < 0.05). Patients' quality of life at two months was significantly related to their clinical response (FACT-P total and prostate cancer-specific problems, P < 0.05), and their clinical response was significantly related to a decrease in their partners' anxiety at two months (MHI, P < 0.05). CONCLUSIONS: Despite feeling worse from side effects, patients' prostate cancer-specific problems and emotional state significantly improved in the first four months of treatment. With treatment significantly affecting both patients' and partners' lives. and the successful assessment of partners' QoL, QoL of both patients and partners could be used as important endpoints in selected clinical trials. May Englishl'Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, NYC, New York, USA. akornbli@bethisraelny.org F*OK| A 0)Ware, J. E. Davies-Avery, A. Brook, R. H.a 1980Conceptualization and Measurement of Health for Adults in the Health Insurance Study: (4) Analysis of Relationships Among Health Status Measures  Santa Monica RAND Corporation>7Ware, J. E. Manning, W. Duan, W. Wells, K. Newhouse, J. 1984@:Health status and use of outpatient mental health servicesAmerican Psychologist 39 1090-1100$Ware, J. E. Sherbourne, C. D.a 1992jdThe MOS 36-item Short Form Health Status Survey (SF-36): (1) Conceptual framework and item selection Medical Care30473-483f MHI-00070r4-Way, Bruce B. Buscema, Charles Sawyer, Donaldt 2004jcQuality of life instrument in prison: Detecting disability, external validity, and factor structure.'American Journal of Forensic Psychology221 41-52 0733-1290a BAS-00039c$Human Us Factor Structure; Psychiatric Symptoms; Psychometrics; Quality of Life; Test Validity; Measurement; Prisoners; Prisons Quality of Life in Prison; disability detection; external validity; factor structure; psychometric properties; quality of life; inmates; psychiatric symptomsNHObjective: Conduct a preliminary assessment of the psychometric properties of a new instrument for assessing the quality of life of inmates living in correctional environments. This scale includes psychiatric symptoms, functioning, and quality of life items adapted from the Basis-32 and the Quality of Life Inventory, as well as additional items. Method: Administer to a sample of about 500 inmates in state prison in New York State, some with and some without mental illness, and explore aspects of the instrument's psychometric properties. Results: The Quality of Life in Prison (Q-LIP) instrument detected various levels of disability in the population. Increasing Q-LIP disability corresponded with increasing mental health service need classification, type of psychiatric diagnosis, and presence of psychosis and impulsiveness. A factor analysis produced a model with four factors, which explained 66% of the variance. The factors were a) serious mental illness, b) anger/violence, c) satisfaction/optimism, and d) judgment. Discussion: The Q-LIP instrument detected differing degrees of disability in a sample of state prison inmates, had external validity, and a consistent factor structure. The Q-LIP is being used in the evaluation of several new mental health treatment programs... (PsycINFO Database Record (c) 2004 APA ) (journal abstract)RKPeer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'2+CNYPC, Marcy, NY, US [Way, Buscema, Sawyer]pXQWeinstein, Milton C. Berwick, Donald M. Goldman, Paula A. Murphy, Jane M. et al., 1989nhA comparison of three psychiatric screening tests using receiver operating characteristic (ROC) analysis Medical Care276593-607 Jun 0025-7079 MHI-00060Human; Adulthood (18 yrs & older) Mental Disorders; Psychodiagnosis; Screening Tests; Health Maintenance Organizations receiver operating characteristic analysis; evaluation of psychiatric screening tests; 20-64 yr old HMO membersROC analysis was used to evaluate 3 psychiatric screening tests: the General Health Questionnaire, the Mental Health Inventory (MHI) by J. E. Ware et al (1979, 1980), and the Somatic Symptom Inventory (SSI) by A. J. Barsky et al (see PA, Vols 73:27501 and 75:24316). 364 health maintenance organization (HMO) members were given these tests and a Diagnostic Interview Schedule as a truth standard for current psychiatric diagnosis. The MHI performed significantly better than the GHQ in detecting mental disorders generally and anxiety disorders in particular, and somewhat better in detecting affective disorders. The SSI performed best in detecting anxiety disorders and was significantly better than the GHQ. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'B;Harvard School of Public Health, Boston, MA, US [Weinstein]eWeiss, Arnold S. 1987<6Psychological distress and well-being in Hare KrishnasPsychological Reportse611 23-35  Augf 0033-2941o MHI-00056fHuman; Adulthood (18 yrs & older) Distress; Human Sex Differences; Mental Health; Religious Affiliation psychological distress & well being; males vs females of Hare Krishna movementMeasured psychological distress and well-being in 132 men and 94 women of the Hare Krishna movement on a mental health inventory. The scores of Hare Krishna women did not differ significantly from those of women in the US general population. However, the scores of the men indicate a significant elevation in the stated positive feelings of the Hare Krishna men compared to the normative sample of men. (PsycINFO Database Record (c) 2003 APA )r,&Peer Reviewed Journal; Empirical Study'LECalifornia School of Professional Psychology, Los Angeles, US [Weiss]d*$Weiss, Arnold S. Mendoza, Richard H. 1990^XEffects of acculturation into the Hare Krishna movement on mental health and personality2,Journal for the Scientific Study of Religion292U173-184 JunV 0021-8294 MHI-00065Human; Adulthood (18 yrs & older) Acculturation; Cultism; Mental Health; Personality Traits; Religiosity acculturation experiences & religiosity; mental health & personality traits; adult members of Hare Krishna movementX Using the Mental Health Inventory and the Comrey Personality Scales, mental health and personality as a result of acculturation experiences in the Hare Krishna movement were studied in 132 males and 94 females with up to 18 yrs of membership. The degree of acculturation, a measure of religiosity defined by a specially developed scale, ranged widely across the sample. Personality traits were mostly invariant with acculturation, and those traits on which the Hare Krishnas differed from the norm group may be prerequisite to membership rather than being its consequences. Mental health was also largely invariable with acculturation, except that greater degrees of acculturation were associated with greater subjective well-being. (PsycINFO Database Record (c) 2003 APA )c,&Peer Reviewed Journal; Empirical Studytitutionalization statistics and numerical data$Mental Disorders rehabilitation AdojcHirdes, John P. Ikegami, Naoki Jonsson, Palmi V. Topinkova, Eva Maxwell, Colleen J. Yamauchi, Keita  2000zCross-national comparisons of antidepressant use among institutionalized older persons based on the Minimum Data Set (MDS) Canadian Journal on Aging19 Suppl2 18-37 Fal 0714-9808 RUG-00020NHHuman; Male; Female; Adulthood (18 yrs & older); Aged (65 yrs & older) Canada; Czech Republic; Iceland; Japan Antidepressant Drugs; Cross Cultural Differences; Drug Therapy; Long Term Care patterns of antidepressant use; residents (mean age 79.8 yrs) in long term care facilities in Canada vs Japan vs Iceland vs Czech Republicf_Antidepressant use was examined with 929 residents in long term care facilities in Toronto, Canada, 1,225 residents in Sapporo and Naie, Japan, 1,254 residents in Reykjavik, Iceland, and 1,162 in Prague, Czech Republic, mean age 79.8 yrs. Only in Iceland did the majority of residents with depression receive an antidepressant. Rates of depression and antidepressant use were uniformly low in Japan, and there was a great discrepancy between diagnosed depression and behavioural signs of depression in the Czech Republic. In all countries, about half the recipients of antidepressants had no clear indication of depression present. For some countries, antidepressant use was lower among residents who were female, older and more disabled. Depression is clearly under-diagnosed in the Czech Republic, but low rates of depression in Japan are somewhat more difficult to interpret. Given the widespread consensus that depression is under-detected and under treated, these results suggest that responses to depression could be improved through instruments like the Minimum Data Set. (PsycINFO Database Record (c) 2003 APA )Issue Title Special Issue: International studies of the Minimum Data Set: The InterRAI experience. Peer Reviewed Journal; Empirical Study'RKU Waterloo, Dept of Health Studies & Gerontology, Waterloo, ON, US [Hirdes]n<6Smedje, H. Broman, J. E. Hetta, J. von Knorring, A. L. 1999d^Psychometric properties of a Swedish version of the 'Strengths and Difficulties Questionnaire'.(European Child and Adolescent Psychiatry8d2d 63-70d Jun*#1018-8827 Electronic ISSN 1435-135Xd SDQ-00025*TNHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) Sweden Adolescent Psychology; Child Psychology; Foreign Language Translation; Psychological Assessment; Social Behavior; Questionnaires Strengths and Difficulties Questionnaire; Swedish translation; mental health screening; children; adolescents; prosocial behaviorA new English instrument for screening mental health in children and adolescents, the Strengths and Difficulties Questionnaire (SDQ), was translated into Swedish and used for parental ratings of 900 children (aged 6-10 yrs). The SDQ comprises 25 items divided into 5 subscales (prosocial, hyperactivity, emotional problems, conduct problems, and peer problems) developed from the Rutter scales. An earlier English validation study showed the 2 instruments to have equal ability to identify child psychiatric cases, but the SDQ also provides screening on empathy and prosocial behavior which are aspects of child development emphasized in current child psychiatry. The design of the SDQ with both strengths and difficulties items supposedly increases acceptability of the instrument on behalf of informants and makes the questionnaire especially suitable for studies of general populations where the majority of children are healthy. The results here confirmed the postulated factor structure and showed significant gender-differences in results on the total scale, prosocial and hyperactivity subscales, and on some of the single items. The Swedish translation of the parental version of the SDQ worked well. (PsycINFO Database Record (c) 2003 APA )eF@DOI 10.1007/s007870050086 Peer Reviewed Journal; Empirical Study'&U Hospital, Dept of Neuroscience, Child & Adolescent Psychiatry, Uppsala, Sweden [Smedje, von Knorring]; U Hospital, Dept of Neuroscience, Psychiatry, Uppsala, Sweden [Broman, Hetta] Contact Individual Smedje, H, U Hospital, Dept of Neuroscience, Child & Adolescent Psychiatry, S-750, 17t("Smedje, H. Broman, J. E. Hetta, J. 2001Associations between disturbed sleep and behavioural difficulties in 635 children aged six to eight years: a study based on parents' perceptions.(European child and adolescent psychiatry101i 1-99"Eur Child Adolesc Psychiatry 1018-8827l SDQ-00040*Child Behavior Disorders diagnosis; Personality Assessment; Sleep Disorders diagnosis Affective Symptoms diagnosis; Affective Symptoms epidemiology; Affective Symptoms psychology; Child ; Child Behavior Disorders epidemiology; Child Behavior Disorders psychology; Comorbidity ; Sleep Disorders epidemiology; Sleep Disorders psychology; Sweden epidemiology Female; Human; Male; Support, Non U.S. Gov't:4Associations between sleep and behaviour in 635 children, aged six to eight years, were investigated using parental responses to a sleep habits questionnaire, and to a behavioural screening form, the Strengths and Difficulties Questionnaire (SDQ). Global reports of sleep problems in 4.9% of the children were associated with a total SDQ score indicative of behaviour problems in 36% of the cases. Conversely, 15% of children with behaviour problems had global reports of sleep problems. Associations between specific sleeping features and different dimensions of behaviour and emotions were also explored. Hyperactivity was associated with tossing and turning during sleep, and with sleep walking; conduct problems were related to bedtime resistance; and emotional symptoms were associated with night terrors, difficulty falling asleep and daytime somnolence. Peer problems were associated with somewhat shorter total sleep time. Finally, a total SDQ score indicative of behaviour problems was associated with bedwetting, nightmares, tossing and turning during sleep and sleep walking, as well as with a slightly shorter total sleep time. We conclude that sleep and behaviour problems are associated in children, and that characteristic associations exist between particular sleep disturbances and specific dimensions of behaviour. Mar EnglishnB 36 weeks postconceptional age (odds ratio 4.15; 95% confidence interval 1.43 to 12.05) and male sex (odds ratio 3.88; 95% confidence interval 1.42 to 10.6). CONCLUSION: Up to a third of children born between 32 and 35 weeks gestation may have school problems. As there are larger numbers in this gestational category compared with smaller babies, this finding has implications for educational services.n Jul Englishl'piNeonatal Unit, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK. huddy@doctors.org.uklM({Z VPHobbs, C. Tennant, C. Rosen, A. Newton, L. Lapsley, H. M. Tribe, K. Brown, J. E. 2000XQDeinstitutionalisation for long-term mental illness: a 2-year clinical evaluation,4.Australian & New Zealand journal of psychiatry343t 476-83Aust N Z J Psychiatry  0004-8674x LSP-00008*xrDeinstitutionalization statistics and numerical data; Mental Disorders rehabilitation Adolescent ; Adult ; Aged ; Follow Up Studies; Hospitalization ; Hospitals, Psychiatric; Length of Stay; Mental Disorders diagnosis; Middle Aged; Patient Discharge; Psychiatric Status Rating Scales; Severity of Illness Index; Socialization Female; Human; Male; Support, Non U.S. Gov't OBJECTIVE: The closure of a long-stay psychiatric hospital in Sydney caused the transfer of an initial 40 very long-term patients to four community residences, each with 10 beds, for a continuing process of deinstitutionalisation. Community psychiatric service support and 24-h supervision were provided. This paper describes the residents' clinical progress which was assessed over a 2-year period. METHOD: This study employed a quasi-experimental longitudinal design. Evaluation commenced prior to discharge and continued for 2 years following community relocation using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Readmission, demographic, case history and medication data were also collected. RESULTS: Of the 40 patients initially transferred to the community, seven required long-term readmission to hospital (either prior to or after amalgamation) and one patient died of medical causes. Additional patients transferred from the hospital to the community following the readmissions. Three of these additional patients had achieved a 2-year community tenure during the study period and were included in the clinical evaluation. The 35 residents in total who remained in the community for 2 years, demonstrated a significant improvement in psychotic symptoms, without significant change in the level of neuroleptic medication. Importantly, the 2 years of community living resulted in a significant increase in the residents' life satisfaction. There were no statistically significant changes in residents' living skills, depressive symptoms or social behaviour problems over the 2 years, indicative of the need for supervision and community service support following deinstitutionalisation. Over the 2-year period, some 37% of the residents required temporary readmission. CONCLUSION: This study demonstrates the clinical effectiveness of deinstitutionalisation, when planned within a mental health system with adequate community resources. Jun Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=476&goto=abstract'Department of Psychological Medicine, Royal North Shore Hospital, St Leonards, New South Wales, Australia. chob9793@mail.usyd.edu.auPJHobbs, Coletta Newton, Lesley Tennant, Christopher Rosen, Alan Tribe, Kate 2002PJDeinstitutionalization for long-term mental illness: a six-year evaluation4.Australian & New Zealand Journal of Psychiatry361 60-66 Feba 0004-8674e LSP-00009*Human; Male; Female Australia Adjustment; Chronicity (Disorders); Deinstitutionalization; Mental Disorders deinstitutionalization; long-term mental illness; community transition; outcomesB<47 Ss with long-term mental illness were transferred to the community following closure of a psychiatric hospital in Sydney. This 6-yr evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-yrs of community transition. Quantitative evaluation was conducted using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality of Life measures. Assessments were completed prior to discharge and at 2- and 6-yr intervals following community transfer. Repeated measures analysis was utilized to determine changes in outcome variables over time. The Ss' perception of 6-yrs of community living was explored in semistructured interviews. Details of accommodation, level of care, readmissions, incidents and medication were also documented. Results indicate that during the 6 yrs following community relocation a total of 7 Ss returned to hospital for long-term care, 3 Ss died from medical causes and 1 Ss required detention in a corrective services facility. The 36 Ss who remained in the community at the 6-yr follow-up no longer required intensive 24-hr supervision. Living semi-independently, 23 Ss resided in 2-3 person accommodation with either daily or weekly case manager visits. (PsycINFO Database Record (c) 2003 APA )RKDOI 10.1046/j.1440-1614.2002.00984.x Peer Reviewed Journal; Empirical Studye'~wU Sydney, Dept of Psychological Medicine, St Leonards, NSW, Australia [Hobbs, Newton, Tennant, Tribe]; Royal North Shore Hosp, Chatswood, Australia [Rosen] Email Address [mailto:chob9793@mail.usyd.edu.au] Contact Individual Hobbs, Coletta, U Sydney, Dept of Psychological Medicine, Royal North Shore Hosp, St Leonards, NSW, Australia, 2065, [mailto:chob9793@mail.usyd.edu.au]Hodges, Kay Gust, Jean 1995:3Measures of impairment for children and adolescents.'Journal of Mental Health Administratione2242403-413f Falr 0092-8623o CGA-00083Human; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Affective Disorders; Behavior Disorders; Measurement measurement of impairment in functioning; children & adolescents with emotional or behavioral disordersNGSurveyed the degree of impairment in children and adolescents due to emotional or behavioral disorders, to identify impairment measures that were used on a statewide basis. State representatives to the State Mental Health Representatives for Children and Youth organization responded via written reply and materials they thought might be relevant. Results show 5 measures to be consistently used, 3 global and 2 multidimensional measures: Carter-Newman Level of Functioning Scale, Children's Global Assessment Scale, Axis V, Colorado Client Assessment Record, and Child and Adolescent Functional Assessment Scale. Each measure has been evaluated according to 5 criteria. The state mental health systems need to be an integral part of efforts to develop adequate measures of impairment for children. (PsycINFO Database Record (c) 2003 APA )Peer Reviewed Journal'<6Michigan U, Dept of Psychology, Ypsilanti, US [Hodges]f_Hodges, Barwick et al., Hodges et al., Loseth et al., Timmons-Mitchell et al. & Vernberg et al.p 2003Assessment Systems|vUsing the CAFAS to Promote and Evaluate Evidence-Based Interventions and Implement Systems of Care for Youth With SED. FloridaA USA-FL-00001*l,Male2,Madden, S. J. Hastings, R. P. V'Ant Hoff, W. 2002rkPsychological adjustment in children with end stage renal disease: the impact of maternal stress and coping("Child care, health and development284 323-30Child Care Health Dev 0305-1862 SDQ-00014*Adaptation, Psychological; Caregivers psychology; Disabled Children psychology; Kidney Failure, Chronic psychology; Mothers psychology; Stress, Psychological Adult ; Child ; Great Britain; Hospitals, Pediatric; Mental Health; Mother Child Relations; Questionnaires Female; HumanOBJECTIVE: To explore maternal and child perspectives on children's adjustment in the context of paediatric renal disease, and maternal psychological variables that may account for variance in child and maternal ratings. METHODS: Forty-three children with end stage renal disease and their maternal caregivers completed the Strengths and Difficulties Questionnaire (SDQ). Mothers also reported on their own mental health, and the strategies they used to cope with their child's illness.The severity of the child's condition was rated independently by a renal clinician. RESULTS: Compared with normative data for the SDQ mothers reported their children to be at increased risk of psychological problems. However, the children themselves reported no more problems than a normative sample. Mothers' coping and mental health explained some of the variance in their ratings of the child's adjustment but were not predictive of the children's self-ratings. CONCLUSIONS: The results suggest that maternal factors may not explain the variability in children's adjustment to chronic illness, perhaps especially within the age range studied here. Practical implications of the data are also discussed. In particular, a systemic approach to paediatric liaison by psychologists is emphasized. Jul English7f`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=CCH&vol=28&page=323&goto=abstract'b\Department of Psychological Medicine, Great Ormond Street Hospital for Children, London, UK.B0d Attitudes*Mental Disorders *Mental Illness (Attitudes Toward)Srinivasan, T. 1987ZTA study of mental health of the adolescents in relation to geographical environments Child Psychiatry Quarterly202y 55-60Apr-Jun 0009-3998 MHI-00069Human; Adolescence (13-17 yrs); Adulthood (18 yrs & older) Mental Health; Rural Environments; Urban Environments rural vs urban environment; mental health; 17-18 yr old students; India6/45 male and 30 female 17-18 yr old students (38 from a rural area and 37 from an urban area) completed a mental health inventory and an environmental checklist. Ss were then divided into 3 groups on the basis of their mental health (low, moderate, high), and the results were analyzed. Data show that mentally healthy Ss prefer specific environmental factors, and it was concluded that these factors may contribute to mental health. No differences were noted between Ss from rural and urban areas or between the sexes. (PsycINFO Database Record (c) 2003 APA )Journal; Empirical Study':4Government Arts Coll, Coimbatore, India [Srinivasan]of Daily LivingAdaptation, Psychological*#Phillips, Derek L. Clancy, Kevin J.a 197082Response biases in field studies of mental illness(!American Sociological Review. Voli353l503-515u 0003-1224 MHI-00003*Human Experimenter Bias; Inventories; Mental Disorders; Personality Traits; Response Bias; Social Approval response bias in mental illness field studies; social desirability & acquiescenceDiscusses the possible influence of 2 response biases which may affect the validity of social science measures, i.e., social desirability and acquiescence, and reports the results of a pilot study concerning a psychiatric inventory used by several investigators. Analysis of data reveals that people's evaluation as to the "social desirability" of the inventory items is related both to their position in the status hierarchy and to their reports as to whether or not they have experienced the various symptoms constituting the inventory. Thus, the relationship between socioeconomic position and mental health is affected by people's evaluations as to the desirability of mental health inventory items. However, the findings also confirm that the existence of a relationship between socioeconomic position and disorder is not just a result of the hypothesized distortions arising from a response bias. (38 ref.) (PsycINFO Database Record (c) 2003 APA )hPeer Reviewed Journale'New York U [Phillips]pHAPinfold, V. Bindman, J. Thornicroft, G. Franklin, D. Hatfield, B. 2001nhPersuading the persuadable: Evaluating compulsory treatment in England using supervised discharge orders2,Social Psychiatry & Psychiatric Epidemiology365k260-266r2001-03273-007 HON-00076*HA*Discharge Planning; *Treatment Compliance; Psychiatric HospitalscSupervised Discharge Orders (SDOs) were introduced in 1995, as an amendment to the Mental Health Act in England and Wales. They require patients to abide by specific conditions on discharge from hospital, but can not enforce medication compliance. The purpose of this study was to describe the use of SDOs in England and the characteristics of patients made subject to these orders, and to evaluate the effectiveness of the order in securing treatment compliance on discharge from hospital. A survey was conducted of 170 mental health provider Trusts in England. Interviews with senior managers in 12 Trusts and associated Local Authorities were subjected to qualitative analysis, and a cohort of patients subject to SDOs in 56 randomly sampled Trusts was described. SDOs were being used for 596 patients (1.2 per 100,000 total population) at the survey date in 1999, and use had been increasing steadily since its introduction. The order is not systematically considered for all potential cases. The majority of the 182 patients in the cohort had complied, if sometimes intermittently, with conditions of the order. For patients compliant with SDOs, the pressures necessary to treat effectively need not involve powers to enforce medication compliance. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.springer.deqla surgery Maxillary Neoplasms surgeryleChinese students' self-concept: Structure, frame of reference, and relation with academic achievementtKong, Chit-Kwong >7Chinese U Hong Kong (People'S Republic Of China), Chinao The school effects on students' academic self-concept and achievement were evaluated in a large-scale longitudinal study of Chinese secondary students in Hong Kong (7997 students, 44 high schools, 4 years). Consistent with prior "Big-Fish-Little-Pond-Effect" (BFLPE) research on academic self-concept, this study showed that attending schools of high school-average ability led to initially lower academic self-concept and a further decline over time. Unlike previous research on ability grouping and school-sector effects, attending schools of high school-average ability did not result in an extra gain in academic achievement beyond that could be expected from students' prior advantages in academic ability. The present study extended previous BFLPE research by including a measure of perceived school status to tap the potentially positive effects on academic self-concept in attending high-ability schools. Consistent with the a priori prediction, perceived school status was positively related to the school-average achievement and had positive effects on subsequent students' academic self-concept (reflected glory assimilation effects). Also in line with the theoretical hypotheses, when the perceived school status was controlled, the negative social comparison contrast effects on academic self-concept in attending high-ability schools became even more negative. These results have provided a strong empirical support for the argument that BFLPE is a net effect of counterbalancing positive reflected glory effects and negative social comparison effects. Students in high-ability schools are facing a more demanding comparison from classmates. But they are also enjoying the pride for being members in these prestigious schools. This study examined the internal/external frame of reference effects (I/E model) on subject-specific self-concept in students' native language (Chinese), non-native language (English), and mathematics. Consistent with the predictions of the I/E model, Chinese language academic achievement had strong and positive effects on subsequent Chinese language self-concept, but weak and negative effects on mathematics and English language self-concepts. Similar patterns of results were found in the relations between mathematics and English language achievement with various subject-specific self-concepts. Furthermore, analysis showed that Chinese and English language self-concepts were distinguishable and separable. The results provided strong support for the I/E model and the juxtaposition of self-concepts in native and nonnative languages. Using structural equation and multilevel modeling, this study provided strong support for the reciprocal causal effects between academic self-concept and achievement. Furthermore, the size of effects of academic self-concept on subsequent academic achievement was not affected by the school average ability and the effect did not vary from one school to the other. The validity of a Chinese version of a widely used self-concept instrument (SDQ-II) was evaluated by confirmatory factor analysis, multitrait-multitime analysis and factorial invariance analysis. The psychometric properties of the Chinese instrument were found to be as strong or even stronger than those of the original Australian (English) version. This, along with support for findings based on Western settings, provides very strong support for the cross-cultural validity of responses to the Chinese version of the SDQ-II. (PsycINFO Database Record (c) 2003 APA )h 2000 Availability UMI Dissertation Order Number AAI9964835 Dissertation Abstracts International Section A: Humanities & Social Sciences. Vol 61(3-A), Sep 2000, pp. 880 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Longitudinal StudyEHuman; Adolescence (13-17 yrs) Hong Kong Academic Achievement; Academic Self Concept; School Environment; High School Students school characteristics; academic self-concept & achievement; high school students; 4 yr study; Hong Kongl Address [mailto:lsp@medecine.univ-mrs.fr] Contact Individual Auquier, P, Service de Sante Publique, Faculte de Medecine 27, bd J. Moulin-13385, Marseilles, France, Cedex 5, [mailto:lsp@medecine.univ-mrs.fr] "Australian Health Ministers, 1992"National Mental Health Plang Canberra .(Australian Government Publishing Service $Australian Health Ministers.,d>8Second National Mental Health Plan, Mental Health Branch HACommonwealth Department of Health and Family Services, July 1998. July 1998hAUS-COM-00008*,&http://www.health.gov.au/hsdd/mentalhe $Australian Health Ministers.,l,%National Mental Health Plan 20032008 ,&Canberra: Australian Government, 2003.AUS-COM-00007*www.mentalhealth.gov.au @9Australian Institute for Suicide Research and Prevention,A 2003RKInternational Suicide Rates Recent Trends and Implications for Australia. F@Australian Government Department of Health and Ageing, Canberra.AUS-COM-00010* j 81Clinical significance of type of mood disturbanceyGuttman, Diane Adlestein U MiamiThis study examined the various types of mood disturbances (depressed mood, irritable mood, or anhedonia) exhibited by 60 children and adolescents receiving diagnoses for Major Depressive Disorder (MDD) in the DSM-IV field trials. There were two main goals of this study: (1) to determine the extent of the heterogeneity in the types of mood disturbances expressed in children and adolescents receiving diagnoses of MDD, and (2) to determine the clinical significance of the presence or absence of the various types of mood disturbances. This second goal was accomplished by examining the relationship between the various types of mood disturbances and numerous other variables, such as age, suicidal ideation, suicidal behavior, and degree of psychiatric disturbance as measured by the Children's Global Assessment Scale (CGAS). Further analyses were conducted examining gender and comorbidity. In addition, all analyses were conducted using the whole field trials sample (N = 440) as well in order to determine if the findings could be replicated in a general psychiatric sample. Contrary to what was expected, subjects receiving diagnoses of MDD were found to be fairly homogeneous with respect to mood disturbance in that the most typical presentation involved all three types of disturbances of mood. Other major findings were as follows: (1) subjects who presented with anhedonia received interviewer-generated CGAS scores indicating greater levels of functional impairment than others within the MDD category, and (2) subjects who presented with irritability were found to be significantly older than others with MDD. Both of these findings were replicated in the whole field trials sample as well. (PsycINFO Database Record (c) 2003 APA ) 1995Availability UMI Dissertation Order Number AAM9500236 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 55(8-B), Feb 1995, pp. 3588 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyaHuman; Male; Female; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Affective Disorders; Anhedonia; Irritability; Major Depression; Age Differences; Attempted Suicide; Comorbidity; Suicidal Ideation depression vs irritability vs anhedonia & age & suicidal ideation & suicidal behavior & psychiatric disturbance & sex & comorbidity; children & adolescents with Major Depressive DisorderHBGuzder, Jaswant Paris, Joel Zelkowitz, Phyllis Marchessault, Keith 199682Risk factors for borderline psychology in childrenF@Journal of the American Academy of Child & Adolescent Psychiatry351 26-33 Jan 0890-8567 CGA-00038*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) Us At Risk Populations; Borderline States risk factors; 7-12 yr olds with borderline personality disorderExamined risk factors associated with borderline pathology in 98 children (aged 7-12 yrs) assessed for day treatment. Ss were identified using the Child Diagnostic Interview for Borderlines, which divided the sample into borderline (n = 41) and nonborderline (n = 57) groups. Functional levels were assessed by Children's Global Assessment Scale scores. Results indicate that both groups demonstrated severe functional impairment. The risk factors that differentiated the borderline group were sexual abuse, physical abuse, severe neglect, and parental substance abuse or criminality. Sexual abuse and severe neglect were significant in multivariate analysis. Cumulative abuse and cumulative parental dysfunction scores were both higher in the borderline group. The findings indicate that the risk factors in borderline children are similar to those found in adults. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'ngSir Mortimer B. Davis-Jewish General Hosp, Dept of Psychiarty, Child Day Treatment Ctr, Canada [Guzder]ZTHabibis, Daphne Schneider, Rosemary Hazelton, Michael Bowling, Alison Davidson, John 2002XQPsychiatric and social outcomes of a rural district general hospital in the 1990sg4.International Journal of Mental Health Nursing113s154-163i Sepn*#1445-8330 Electronic ISSN 1440-0979t LSP-00017*Human; Male; Female; Inpatient; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Australia Bipolar Disorder; Psychiatric Units; Rural Environments; Schizophrenia; Treatment Outcomes; Hospitals district general hospital; psychiatric unit; treatment outcomes; rural hospital; psychiatric outcomes; social outcomes; patient satisfaction; schizophrenia; bipolar disordern"Examined the psychiatric and social outcomes of treatment by the psychiatric unit of a district general hospital in a semirural region of Australia. The study is a naturalistic investigation of a routine clinical service, and utilizes a longitudinal panel design. Repeat interviews at admission, 1 mo and 1 year later were conducted with 57 consenting respondents (aged 18-65 yrs) with a diagnosis of schizophrenia, bipolar disorder or related condition, as well as with their nominated relatives. Patients showed significant improvements on clinical measures and a high rate of continuation of medication. Most measures of social functioning showed improvement although few were statistically significant. Patient and relative satisfaction was high. Relative worry showed significant improvement in the first month. There was a high rate of readmission (31 patients) and mean days in hospital were also high at 43 days. These data suggest that basic district general hospital care, operating under both budgetary restrictions and the difficulties associated with recruiting staff can nonetheless provide a credible service. However, results fall short of what can be achieved when services are adequately funded and more specifically targeted to meet patient needs. (PsycINFO Database Record (c) 2003 APA )RKDOI 10.1046/j.1440-0979.2002.00242.x Peer Reviewed Journal; Empirical Study'~xU Tasmania, School of Sociology & Social Work, TAS, Australia [Habibis]; Launceston General Hosp, Dept of Health & Human Services, Mental Health Services, Launceston, TAS, Australia [Schneider]; U Newcastle & Hunter Mental Health, School of Nursing & Midwifery, Callaghan, NSW, Australia [Hazelton]; U Tasmania, School of Psychology, Hobart, TAS, Australia [Bowling, Davidson] Email Address [mailto:Michael.Hazelton@newcastle.edu.au] Contact Individual Hazelton, Michael, School of Nursing & Midwifery, U Newcastle & Hunter Mental Health, University Drive, Callaghan, NSW, Australia, 2308, [mailto:Michael.Hazelton@newcastle.edu.au]ZVd>8Brown, GS Burlingame, GM Lambert, MJ Jones, E Vaccaro, J 2001D>Pushing the quality envelope: a new outcomes management systemPsychiatric Services52925-934l OUT-MH-00041*^This article is based on the authors experience in designing and implementing outcomes management systems for large managed care organizations. Topics addressed include design of instruments, use of cost-effective technology, development of computerized decision-support tools, and methods for case-mix adjustment. The case-mix-adjustment models are based on a data repository of several thousand treatment cases with multiple measurement points across the course of treatment. Data from controlled and field studies are described. These data suggest that the outcomes management methods outlined in this article can result in significantly improved clinical outcomes and a more rational allocation of behavioral health care resources..(Brown, Fiona Shiels, Mary Hall, Caroline 2001:4A pilot community living skills group: An evaluation.'British Journal of Occupational Therapy643144-150 MarZ 0308-0226Z LSP-00043[Human; Male; Female; Outpatient; Adulthood (18 yrs & older); Thirties (30-39 yrs); Middle Age (40-64 yrs) Mental Disorders; Mental Health Program Evaluation; Psychosocial Rehabilitation; Self Care Skills mental health needs; community living skills group; home management; community living; personal care; safety; social functioning; interpersonal functioning; pilot program; program evaluation This article presents the findings of a 12-wk pilot community living skills (CLS) group for 5 adults with enduring mental health needs. The group was established to promote skills for home management, community living, personal care and safety, and social and interpersonal functioning. The Canadian Occupational Performance Measure (COPM) and a client satisfaction questionnaire were used as measurement tools. A follow-up home visit was carried out by therapists to further gauge the skill transfer from group to home environment. In the tasks identified according to the COPM pre-group and post-group, performance and satisfaction scores were improved slightly. The questionnaire results indicated high levels of client satisfaction. The topics rated as most helpful were of a practical nature and those enjoyed less were of a discursive nature. The post-group home visits demonstrated an improvement in the majority of group members in effective task management within the home. The implications for future occupational therapy and research are considered on the basis of the findings. These demonstrate that a basic form of evaluation can be used effectively to promote good clinical practice and, on this occasion, the need for future CLS groups. (PsycINFO Database Record (c) 2003 APA )@:Peer Reviewed Journal; Empirical Study; Program Evaluation'Ayrshire Central Hosp, South Cunninghame Community Mental Health Team, Ayshire & Arran Primary Care NHS Trust, Irvine, United Kingdom [Brown]  Brown, J.r 2002NGOutcome-based Measures for Mental Health : Lessons from the Real World.l|vThe 2002 National Summit on Performance Measurement and Case Management for Mental Health and Substance Abuse Programs Washington, DC &Centre for Clinical InformaticsUSA-CCI-00002*"www.clinical-informatics.com_ |d]The relationship of belief systems and environmental structure to the mental health of adults D'Onofrio, Amelio Anthony  Fordham UThe purpose of this study was to investigate the relationship of differential belief systems functioning and varying degrees of environmental structure to the mental health of adults. Conceptual Systems Theory, as originally presented by Harvey, Hunt, and Schroder (1961) and as subsequently articulated by Gore (1985), served as the theoretical rationale for this study. All hypotheses were derived in a manner consistent with the investigator's interpretation of this theory. The sample consisted of 168 adults selected from different occupational settings categorized according to Holland's (1966) occupational themes. Each participant was given the Belief Systems Questionnaire, the Life Experiences Survey, the Environment Structure Scale, and the Mental Health Inventory-18. Participants were divided into groups according to their predominant belief system and then, further subdivided into two groups of high and low environmental structure with the median score distinguishing the membership. Two sets of hypotheses were tested in this study. The first set examined a matching model of mental health based on Lewin's (1935) B = f(P * E) equation. The second set was designed to examine the assumption that higher belief system functioning is a more powerful predictor of mental health than lower system functioning. No interaction effect was obtained in the analysis of the data. However, main effects for both belief system and environmental structure were obtained. The most salient results of the investigation indicated that environmental structure was a more powerful predictor of mental health than belief systems functioning. Regardless of an individual's belief system, those who reported work and home environments to be highly structured also reported experiencing a significantly greater number of negative life events and lower levels of mental health than individuals in environments of low structural complexity. Several conceptual and methodological issues were discussed (PsycINFO Database Record (c) 2003 APA ) 1996Availability UMI Dissertation Order Number AAM9543452 Dissertation Abstracts International Section A: Humanities & Social Sciences. Vol 56(8-A), Feb 1996, pp. 3001 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Attitudes; Environmental Attitudes; Mental Health; Procedural Knowledge; Religious Beliefs differential belief systems functioning & degrees of environmental structure; mental health; adultspiDaly, Daniel L. Schmidt, M. Diane Spellman, Douglas F. Criste, Thomas R. Dinges, Katherine Teare, John F.r 1998d]The Boys Town Residential Treatment Center: Treatment implementation and preliminary outcomestChild & Youth Care Forum274y267-279e Aug  1053-1890u CGA-00008*>8Human; Male; Female; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Us Mental Health Program Evaluation; Mental Health Services; Program Development; At Risk Populations; Models treatment implementation & preliminary outcomes of Boys Town Psycho-Educational Model; youth (mean age 13 yrs); longitudinal studyA well specified residential treatment model is described, and preliminary outcome data are presented. The Boys Town Psycho-Educational Model (PEM) empowers direct care staff to be important treatment agents by training them to use systematic teaching techniques. Data obtained on male and female youth (mean age 13 yrs) served at the center since its inception in December 1995 indicate that the youth have had multiple prior placements and serious psychiatric disorders. The model sustains an active and positive treatment environment as documented by high levels of focused treatment occurring during the youth's stays. To date, 94% of the youth have departed to placements that were equal to, or less restrictive than, their placements at admission to the program. Of those who had Children's Global Assessment Scale ratings both at admission and at discharge, 21 (84%) of the youth had better functioning at discharge. (PsycINFO Database Record (c) 2003 APA )\VDoi 10.1023/a:1022375720221 Peer Reviewed Journal; Empirical Study; Longitudinal Study'<5Father Flanagan's Boys Home, Boys Town, NE, US [Daly] <6Dane, Andrew V. Schachar, Russell J. Tannock, Rosemary 2000RKDoes actigraphy differentiate ADHD subtypes in a clinical research setting?F@Journal of the American Academy of Child & Adolescent Psychiatry396752-760 Jun 0890-8567 CGA-00045*Activity Level; Attention Deficit Disorder; Hyperkinesis actigraphy; 7-12 yr olds with predominately inattentive vs combined types of ADHDhbCompared subtypes of attention deficit hyperactivity disorder (ADHD) (predominantly inattentive and combined types) and a comparison group on an objective measure of activity level (actigraphy). Actigraphs were worn by 64 7-12 yr old children (49 boys, 15 girls) during a full-day clinical diagnostic assessment; 20 subjects had a diagnosis of ADHD predominantly inattentive type, 22 had ADHD combined type, and 22 were non-ADHD controls. Mean actigraph scores were calculated for two 2-hr intervals, comprising, respectively, a psychometric evaluation in the morning and the completion of a speech and language assessment and research measures in the afternoon. There were no significant group differences in activity level in the morning session. During the afternoon session, children with ADHD were significantly more active than controls, but there were no differences between ADHD subtypes. These data partially support specifications in the Mental Disorders-IV (DSM-IV) regarding hyperactivity in ADHD; however, they also indicate that situational and/or temporal factors may affect the degree to which hyperactivity is expressed. Furthermore, the findings contradict specifications in the DSM-IV that suggest that children with ADHD combined type should be more hyperactive than children with ADHD predominantly inattentive type. (PsycINFO Database Record (c) 2003 APA )Peer Reviewed Journal'piHosp for Sick Children, Dept of Psychiatry, Brain & Behavior Research Program, Toronto, ON, Canada [Dane]chool Age (6-12 yrs); Adolescence (13-17 yrs) Asthma; Child Neglect; Family Relations; Hospitalization; At Risk Populations neglect & family dysfunction; hospitalization; asthmatic children assessed by pediatric psychosocial personnelClinical experience demonstrates that many chronically ill children have an unstable course of illness ending in tertiary care because they come from dysfunctional and neglectful households. Families frequently cannot or will not adapt to the demands of their chronically ill child. Data from a questionnaire completed by pediatric psychosocial personnel substantiated the extent to which neglect and family dysfunction have contributed to the need for hospitalization of asthmatic children. Neglect accelerated the cycle of morbidity and stress associated with illness. Using data from the Children's Global Assessment Scale (D. Shaffer et al, 1983), a psychologic morbidity associated with medical neglect was found. Children at imminent risk in their home environment and the process of seeking alternative placements are discussed. (French & Spanish abstracts) (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study Bradley, V., & Taub, S.n 2003JDComparing Apples to Apples: Use of Common Tools to Rebalance Systems (!Human Services Research InstituteUSA-HSR-00002* Bradley, V., & Taub, S.S YearD>National Core Indicators. Update on National Permance Measures (!Human Services Research InstitutetUSA-HSR-00001*8Male@:Hilsenroth, Mark J. Ackerman, Steven J. Blagys, Matthew D. 2001XREvaluating the phase model of change during short-term psychodynamic psychotherapyPsychotherapy Research111 29-47 Spr2001-17036-002 MIS-00004*{*Brief Psychotherapy; *Distress; *Psychiatric Symptoms; *Treatment Outcomes; *Well Being; Interpersonal Interaction; ModelsfVOExamined the phase model of psychotherapy change and assessed the domains of subjective well-being, symptomatic distress, and social/interpersonal functioning during short-term psychodynamic psychotherapy. These 3 domains were examined for both statistical and clinically significant change. Specifically examined were evaluation/3rd-session to 9th-session changes in a group of 20 treated patients. Treatment fidelity and credibility were also evaluated. Statistical and clinically significant improvement in the domains of subjective well-being and symptom distress were evident by the 9th session of short-term dynamic psychotherapy. Statistical and reliable improvement were observed in relational functioning during the same time period. In addition, changes in both subjective well-being and symptomatic distress contributed unique and separate variance to predicting changes in social/interpersonal functioning. The results are discussed with respect to the differential effects predicted by the phase model of change during the early course of treatment. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.oup.com(d]Newcomer, Robert Swan, James Karon, Sara Bigelow, Wayne Harrington, Charlene Zimmerman, Davidt 2001ZTResidential care supply and cognitive and physical problem case mix in nursing homes Journal of Aging & HealthY132Z217-247 May 0898-2643 RUG-00018& Human; Adulthood (18 yrs & older); Aged (65 yrs & older) Us Client Characteristics; Geriatric Patients; Health Care Delivery; Long Term Care; Nursing Homes; Health Care Policy residential care facility supply; US states; nursing facility residents; case mix; nursing homes; state policiesLEExamined the association between residential care supply and the proportion of cognitively and physically impaired nursing facility residents in more than 1,500 facilities in 5 states. Administrative data was used to assess the potential influence of market area conditions on nursing-home occupancy and the case mix among both continuing and admissions nursing facility residents. Results show that the proportion of nursing-home cases with only physical and cognitive impairment likely to be affected by emerging long-term care policy appears to be well under 10%. This effect is more persistent among admissions than continuing cases. The findings are seen to raise caution about the optimistic assumptions of the interplay between residential care/assisted living policy and nursing-home use. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'XQU California, San Francisco, CA, US [Newcomer, Harrington]; Wichita State U, Wichita, KS, US [Swan]; U Wisconsin, Madison, WI, US [Karon, Bigelow, Zimmerman] Contact Individual Newcomer, Robert, U California, Dept of Social & Behavioral Sciences, 3333California Street, Suite 455, San Francisco, CA, US, 94118, [mailto:rjn@itsa.ucsf.edu]rb4 XBrowne, G. Courtney, M. 2004B 65 years) psychiatric patients resident in psychogeriatric wards of a psychiatric hospital were compared with 23 longstay, elderly patients and 40 longstay patients aged 50-65 years, both resident in the wards of a specialist hospital for learning disabilities. The instrument used was the Health of the Nation Outcome Scales (HoNOS). RESULT: On the HoNOS, the elderly psychiatric patients scored significantly higher for problems with mood, relationships and occupation/activities. There were no significant differences for any of the scales rated between the 50-65 and > 65 years old patients with learning disabilities. CONCLUSION: The similarities between the three groups of patients would suggest that for some patients the same services may be utilized. This could reduce the cost of the care in the community and entail more economical use of the facilities and staff. The HoNOS proved to be a concise and simple instrument, which could become a useful tool in monitoring the outcome of healthcare in longstay patients.0885-6230 Englishn'BColarado Department of Human Services, Mental Health Services, 2002`YPopulation in Need of Mental Health Services And Public Agencies Service Use in Coloradof USA-CO-00010* ,&Colarado Department of Human Services, 2004(!Summary of Client Characteristicst HAColorado Community Mental Health Centers, Clinics, and Institutes USA-CO-00007~s Kessler, Ronald C. Barker, Peggy R. Colpe, Lisa J. Epstein, Joan F. Gfroerer, Joseph C. Hiripi, Eva Howes, Mary J. Normand, Sharon-Lise T. Manderscheid, Ronald W. Walters, Ellen E. Zaslavsky, Alan M. 2003D>Screening for serious mental illness in the general population$Archives of General Psychiatry602184-189 Feb 0003-990X KES-00001*Human; Adulthood (18 yrs & older) Us Epidemiology; Mental Disorders; Screening; Severity (Disorders) serious mental illness; screening scales; prevalence; adultso@:Public Law 102-321 established a block grant for adults with "serious mental illness" (SMI) and required the Substance Abuse and Mental Health Services Administration (SAMHSA) to develop a method to estimate the prevalence of SMI. Three SMI screening scales were developed for possible use in the SAMHSA National Household Survey on Drug Abuse: the Composite International Diagnostic Interview Short-Form (CIDI-SF) scale, the K10/K6 nonspecific distress scales, and the World Health Organization Disability Assessment Schedule (WHO-DAS). A convenience sample of 155 Ss was administered all screening scales followed by the 12-mo Structured Clinical Interview for DSM-IV and the Global Assessment of Functioning (GAF). SMI was defined as any 12-mo DSM-IV disorder, other than a substance use disorder, with a GAF score of less than 60. All screening scales were significantly related to SMI. However, neither the CIDI-SF nor the WHO-DAS improved prediction significantly over the K10 or K6 scales. The area under the receiver operating characteristic curve of SMI was 0.854 for K10 and 0.865 for K6. The most efficient screening scale, K6, had a sensitivity of 0.36 and a specificity of 0.96 in predicting SMI. The brevity and accuracy of the K6 and K10 scales make them attractive screens for SMI. (PsycINFO Database Record (c) 2003 APA )JDDOI 10.1001/archpsyc.60.2.184 Peer Reviewed Journal; Empirical Study'Harvard Medical School, Dept of Health Care Policy, Boston, MA, US [Kessler, Hiripi, Howes, Normand, Walters, Zaslavsky]; Substance Abuse & Mental Health Services Administration, Office of Applied Studies, Rockville, MD, US [Barker, Epstein, Gfroerer]; National Inst of Mental Health, Div of Menal Disorders, Behavioral Research, & AIDS, Bethesda, MD, US [Colpe]; Substance Abuse & Mental Health Services Administration, Div of State & Community Systems Development, Rockville, MD, US [Manderscheid] Email Address [mailto:kessler@hcp.med.harvard.edu] Contact Individual Kessler, Ronald C, Dept of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Suite 215, Boston, MA, US, 02115, [mailto:kessler@hcp.med.harvard.edu]TrZYb[Gowers, S. G. Harrington, R. C. Whitton, A. Beevor, A. Lelliott, P. Jezzard, R. Wing, J. K.d 1999rlHealth of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Glossary for HoNOSCA score sheet$British Journal of Psychiatry 174 428-31 May10616610 HCA-00005**Health Status Indicators; *Mental Disorders; *Psychiatric Status Rating Scales standards; *Terminology Adolescent ; Adolescent Health Services; Child ; Child Health Services; Great Britain standards0007-1250 English'leUniversity of Liverpool, Section of Adolescent Psychiatry, Pine Lodge Young People's Centre, Chester.^XGowers, S. G. Harrington, R. C. Whitton, A. Lelliott, P. Beevor, A. Wing, J. Jezzard, R. 1999Brief scale for measuring the outcomes of emotional and behavioural disorders in children. Health of the Nation Outcome Scales for children and Adolescents (HoNOSCA) $British Journal of Psychiatry 174 413-6 May10616607 HCA-00004*&*Child Behavior Disorders therapy; *Health Status Indicators; *Mood Disorders therapy; *Psychiatric Status Rating Scales standards Child ; Child, Preschool; Great Britain; Health Status; Mental Health Services standards; Observer Variation; Sensitivity and Specificity therapy; standardsBACKGROUND: Following the development of a child and adolescent version of the Health of the Nation Outcome Scales (HoNOSCA), field trials were conducted to assess their feasibility and acceptability in routine outcome measurement. AIMS: To evaluate the reliability, validity and acceptability of HoNOSCA in routine outcome measurement. METHOD: Following training, 36 field sites provided ratings on 1276 cases at one time point and outcome data on 906. Acceptability was assessed by way of written feedback and at a debriefing meeting. RESULTS: HoNOSCA demonstrated satisfactory reliability and validity characteristics. It was sensitive to change and its ability to measure change accorded with the clinicians' independent rating. HoNOSCA was reasonably acceptable to clinicians' from a range of disciplines and services. CONCLUSIONS: Provided that training needs can be met, HoNOSCA represents a satisfactory brief outcome measure which could be used routinely in child and adolescent mental health services.,%0007-1250 English ; Multicenter-Study'VOUniversity of Liverpool, Section of Adolescent Psychiatry, Pine Lodge, Chester.rHBGowers, Simon Bailey-Rogers, Sarah J. Shore, Alison Levine, Warren 2000^XThe Health of the Nation Outcome Scales for Child and Adolescent Mental Health (HoNOSCA),&Child Psychology and Psychiatry Review52 50-562000-07837-001 HCA-00010**Mental Health Services; *Rating Scales; *Test Construction; *Treatment Outcomes; Adolescent Psychiatry; Child Psychiatry; Test Reliability; Test Validity~xThe child and adolescent version of the Health of the Nation Outcome Scales (HoNOSCA) represents the first attempt at a routine outcome measure for Child and Adolescent Mental Health Services in the UK. This article reviews the development of the HoNOSCA. Extensive field trials suggest that the scales are acceptable to clinicians from the various disciplines working in this area and are also valid and reliable. A growing number of services are now using the scales in audit and research, supported by the national HoNOSCA base that provides training and coordinates further developments. (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.compGoodman, RobertL 1997D=The Strengths and Difficulties Questionnaire: A research note-HAJournal of Child Psychology and Psychiatry and Allied Disciplinesz385i581-586i Jul} 0021-9630H SDQ-00058nhHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Behavioral Assessment; Content Analysis; Questionnaires; Test Validity correlation of beahvioral screening Strengths & Difficulties vs Rutter parent & teacher questionnaire; 4-16 yr olds & their parents & teachersA novel behavioral screening questionnaire, the Strengths and Difficulties Questionnaire (SDQ), were compared with the Rutter questionnaires and administered to parents and teachers of 403 children (aged 4-16 yrs) drawn from psychiatric and dental clinics. Scores derived from the SDQ and Rutter questionnaires were highly correlated; parent-teacher correlations for the 2 sets of measures were comparable or favoured the SDQ. The 2 sets of measures did not differ in their ability to discriminate between psychiatric and dental clinic attenders. These preliminary findings suggest that the SDQ functions as well as the Rutter questionnaires while offering the following additional advantages: a focus on strengths as well as difficulties; better coverage of inattention, peer relationships, and prosocial behavior; a shorter format; and a single form suitable for both parents and teachers, perhaps thereby increasing parent-teacher correlations. The SDQ and its scores are appended. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'd^U London, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]e "! :4Furukawa, T. A. Kessler, R. C. Slade, T. Andrews, G. 2003The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-BeingPsychological Medicine332 357-62 Psychol Med 0033-2917* KES-00009*rlDepression, Involutional epidemiology; Mass Screening; Questionnaires ; Self Concept Adolescent ; Adult ; Australia epidemiology; Depression, Involutional diagnosis; Diagnostic and Statistical Manual of Mental Disorders; Logistic Models; Middle Aged; Prevalence ; Reproducibility of Results Female; Human; Male; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.BACKGROUND: Two new screening scales for psychological distress, the K6 and K10, have been developed but their relative efficiency has not been evaluated in comparison with existing scales. METHOD: The Australian National Survey of Mental Health and Well-Being, a nationally representative household survey, administered the WHO Composite International Diagnostic Interview (CIDI) to assess 30-day DSM-IV disorders. The K6 and K10 were also administered along with the General Health Questionnaire (GHQ-12), the current de facto standard of mental health screening. Performance of the three screening scales in detecting CIDI/DSM-IV mood and anxiety disorders was assessed by calculating the areas under receiver operating characteristic curves (AUCs). Stratum-Specific Likelihood Ratios (SSLRs) were computed to help produce individual-level predicted probabilities of being a case from screening scale scores in other samples. RESULTS: The K10 was marginally better than the K6 in screening for CIDI/DSM-IV mood and anxiety disorders (K10 AUC: 0.90, 95%CI: 0.89-0.91 versus K6 AUC: 0.89, 95%CI: 0.88-0.90), while both were significantly better than the GHQ-12 (AUC: 0.80, 95%CI: 0.78-0.82). The SSLRs of the K10 and K6 were more informative in ruling in or out the target disorders than those of the GHQ-12 at both ends of the population spectrum. The K6 was more robust than the K10 to subsample variation. CONCLUSIONS: While the K10 might outperform the K6 in screening for severe disorders, the K6 is preferred in screening for any DSM-IV mood or anxiety disorder because of its brevity and consistency across subsamples. Precision of individual-level prediction is greatly improved by using polychotomous rather than dichotomous classification. Feb English'VODepartment of Psychiatry, Nagoya City University Medical School, Nagoya, Japan. 0*Gaines, P., Bower, A., and Buckingham, W. 2001LEMental Health Classification and Outcome Study: Study Resource Manualp <6Health Research Council of New Zealand: Auchland, 2001 NZ-00002* PIGaines, P., Bower, A., Buckingham, W., Eagar, K., Burgess, P. & Green, J.c 2003PINew Zealand Mental Health Classification and Outcomes Study: Final Report\ Auckland 81Health Research Council of New Zealand: Auckland.\ NZ-00001*@:Assessment of life events using domain-specific appraisalsGalette, Fritz Anthony  Fordham U.RKThe purpose of this study was to examine the impact of life events using a multidimensional appraisal scale. In order to achieve this, college students were asked to rate the impact of certain life events from six perspectives. These perspectives, referred to as domain-specific appraisals, related to the perceived impact of life events on basic life areas that include one's mood, social relations, self-image, role/responsibility, outlook on life, and sense of freedom. These six appraisal domains, identified over the course of an ongoing research project, have been found to represent life areas for college students commonly impacted by life events and were incorporated into a scale entitled the Domain-Specific Appraisal Scale (DSAS). The participants in the present study were 132 undergraduate students: 70 females and 62 males residing on the Rose Hill Campus at Fordham University. All participants were given a questionnaire packet containing the DSAS, the Life Experiences Survey, the Ways of Coping Checklist, the Mental Health Inventory, the Perceived Social Support from Friends Scale, and the Neuroticism. Extraversion Openness-Five Factor Inventory. Results provided evidence that the DSAS is a useful and valid instrument for assessing the impact of life events. In comparison to the Life Experiences Survey, the DSAS produced similar correlations with measures of personality, coping, and social support, and was a better predictor of psychological distress and well-being. In general, the predicted relationships between domain-specific appraisal and life events impact, personality, and psychological health were supported. Suggestions for future research included implementation of the DSAS with different populations to examine whether the same domains emerge as life commonly impacted by life events. (PsycINFO Database Record (c) 2003 APA )2 2000Availability UMI Dissertation Order Number AAI9964566 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 61(3-B), Sep 2000, pp. 1633 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyuHuman; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Life Experiences; Rating Scales evaluation of Domain-Specific Appraisal Scale; assessment of impact of life events; college students.N Adulthood (18 yrs & older)RKSchneider, Justine Wooff, David Carpenter, John Brandon, Toby McNiven, Fayee 2002RKService organisation, service use and costs of community mental health carea2+Journal of Mental Health Policy & Economics52 79-87 Jun2002-08608-007 HON-00109|v*Community Mental Health; *Costs and Cost Analysis; *Health Care Costs; *Health Care Delivery; *Mental Health Services~wExplored the association between different forms of mental health service organization and costs and tested the impact on costs of services with high degrees of integration between health and social care providers, and of services targeting at people with more severe mental health problems. 260 service users in 4 districts in the north of England were interviewed and costs identified for each person. The districts comprised examples of four types of service configuration. Use and non-use was compared by type of service, and after suitable transformations, costs were also compared between districts and between types of service. Costs were closely related to severity. People in targeted services had higher mean costs. The costs of targeted services in this study were very similar to those of psychosis-only services in a London study. Integrated services were predicted to have lower inpatient costs, lower PCG costs and lower total health and social care costs. Differences between use and costs of specific services were largely attributable to imprecise definitions and supply-side factors. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.icmpe.orgMale(!Pirkis, J. Burgess, P. Jolley, D.i 1999jcSuicide attempts by psychiatric patients in acute inpatient, long-stay inpatient and community carel2,Social Psychiatry & Psychiatric Epidemiology3412 634-44 Dec\10703273 HON-00077*ZT*Community Mental Health Services; *Mental Disorders rehabilitation; *Suicide, Attempted statistics and numerical data Acute Disease; Adult ; Hospitalization ; Length of Stay; Mental Disorders complications; Middle Aged; Personality Disorders complications; Retrospective Studies complications; rehabilitation; statistics and numerical data\UBACKGROUND: This study examined rates of and risk factors associated with suicide attempts by psychiatric patients under active care. It was especially focussed on the relative rates across three standard treatment settings: acute inpatient care, long-stay inpatient care and community-based care. METHODS: A total of 12,229 patients in 13,632 episodes of care were rated on the Health of the Nation Outcome Scales (HoNOS) Item 2. For the purposes of the current investigation, a score of 4 was deemed to indicate a suicide attempt. RESULTS: Incidence densities per 1000 episode days were 5.4 (95% CI = 4.8-6.1) for patients under care in acute inpatient settings, 0.6 (95% CI = 0.5-0.8) for patients under care in long-stay inpatient settings, and 0.5 (95% CI = 0.5-0.6) for patients under care in community-based arrangements. Predictors varied by treatment setting. Risk was elevated for personality disorders across all settings: 22.7 attempts per 1000 episode days (95% CI = 17.2-30.0) in acute inpatient care; 2.1 (95% CI = 1.0-4.5) in long-stay inpatient care; and 2.3 (95% CI = 1.7-3.0) in community-based care. This effect remained after adjustment for demographics. CONCLUSION: Rates of suicide attempts among psychiatric patients are a major issue facing contemporary mental health care systems, and risk factors vary across different treatment settings.0933-7954 EnglishB8Slade, M. Cahill, S. Kelsey, W. Powell, R. Strathdee, G. 2002ngThreshold 2: the reliability, validity and sensitivity to change of the Threshold Assessment Grid (TAG)eActa Psychiatr Scand 106a6a 453-60 Decs12392489 HON-00026*\U*Mental Disorders diagnosis; *Psychiatric Status Rating Scales standards; *Severity of Illness Index Adult ; Aged ; Attitude of Health Personnel; Feasibility Studies; London ; Mental Disorders psychology; Middle Aged; Patient Care Team; Psychometrics ; Reproducibility of Results; Sensitivity and Specificity diagnosis; psychology; standardsOBJECTIVE: This study investigated the psychometric properties of the Threshold Assessment Grid (TAG), a new assessment of the severity of mental health problems. METHOD: A total of 605 patients were recruited from 10 mental health adult and elderly services in London, UK. TAG ratings and other standardized definitions of severe mental illness were completed by referrers. TAG, Global Assessment of Functioning (GAF), Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Health of the Nation Outcome Scale (HoNOS) ratings were completed by mental health service staff. Construct validation on extreme groups was investigated. RESULTS: Construct and concurrent validity were good. Referrer TAG scores predicted mental health team view of referral suitability, but not whether assessments were offered. Test-retest reliability was good, interrater reliability ranged from good to poor in different domains (but adequate for total TAG score), internal consistency was appropriate. Sensitivity to change requires further investigation. CONCLUSION: The TAG can be recommended for use by all agencies when making referrals to mental health services.0001-690x EnglishphaBlackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ACP&vol=106&page=453&goto=abstractm'f_Health Services Research Department, Institute of Psychiatry, London, UK. m.slade@iop.kcl.ac.uk F@:Dunn, Judy Cheng, Helen O'Connor, Thomas G. Bridges, Laura 2004ztChildren's perspectives on their relationships with their nonresident fathers: Influences, outcomes and implications.(Journal of Child Psychology & Psychiatry453553-566 Mar2004-11432-013 SDQ-00072*tm*Adjustment; *Child Attitudes; *Father Absence; *Father Child Relations; *Stepparents; Mother Child Relations{Children's relationships with their nonresident fathers, and associations between these relationships, children's relationships with mothers and stepfathers, and the children's adjustment were studied in 162 children from single-parent and stepfamilies, selected from a representative community sample in the UK, studied at 2 time points two years apart. In the methodology, children were interviewed about their relationships with their nonresident fathers, mothers and stepfathers; mothers reported on children's adjustment, and other family variables. The results stated that positive child-nonresident father relationships were correlated with (a) contact between child and father, (b) the quality of the mother-child relationship, and (c) the frequency of contact between the mother and her former partner. Conflict between child and father was correlated with conflict between child and mother, and child and stepfather. It was concluded that associations between the quality of children's relationships with nonresident fathers and their adjustment need to be considered within the framework of the larger family system; child-father relationships are particularly important for children from 'high risk' families. (PsycINFO Database Record (c) 2004 APA )English("http://www.blackwellpublishing.com  Dupuy, H. J. 1972XRThe psychological section of the current health and nutritional examination surveyProceedings of the Public Health Conference on Records and Statistics Meeting Jointly with the National Conference on Health Statisticsh Washington, DC .(National Conference on Health Statisticsy 1998. July 1998hAUS-COM-00008*,&http://www.health.gov.au/hsdd/mentalhe $Australian Health Ministers.,l,%National Mental Health Plan 20032008 ,&Canberra: Australian Government, 2003.AUS-COM-00007*www.mentalhealth.gov.au @9Australian Institute for Suicide Research and Prevention,A 2003RKInternational Suicide Rates Recent Trends and Implications for Australia. F@Australian Government Department of Health and Ageing, Canberra.AUS-COM-00010*uMaleJCKouri, Elena Pope, Harrison G. Yurgelun-Todd, Deborah Gruber, Stacif 1995RLAttributes of heavy vs. occasional marijuana smokers in a college populationBiological Psychiatry387475-481t Oct 0006-3223 MHI-00018*Human; Adulthood (18 yrs & older) Demographic Characteristics; Drug Usage; Marijuana Usage; Mental Health demographic characteristics & other drug use & psychiatric functioning; heavy vs occasional marihuana smokers.'Compared 45 long-term heavy marijuana smokers (individuals who had smoked daily for at least 2 years) with 44 occasional smokers (individuals who had never smoked more than 10 times in a month at any time in their lives) in a cohort of college students. Measures included a questionnaire covering demographic, drug use, and subjective items; the Rand Mental Health Inventory; and both Axis I and II sections of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R). Heavy smokers reported higher rates of use of other substances, especially hallucinogens and cocaine, and described greater subjective impairment of memory and motivation than occasional smokers. However, on a wide range of demographic, family background, and mental health measures, heavy smokers proved almost indistinguishable from occasional smokers. Even the heaviest smokers exhibited few demographic or psychiatric features distinguishing them from students who smoked only occasionally. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'F?McLean Hosp, Biological Psychiatry Lab, Belmont, MA, US [Kouri]k Fava1998 Favilla2000 Favilla2001 Favrod20010 Fazzari1998 Fear1999Federman2000 Feldman1996Fendrich1990 Ferdinand1997Ferguson2002Fernandez de Larrinoa1992Fernandez de Larrinoa1992n Ferrell2004Ferreras1999s Ferrero2001 Ferrero2003u Ferro2004n Fiducia1996v Fields20022g Fife20000 Finch2003Findling2003Findling2003vFindling2004 Finney2000^ Firn20022 Fischer2001r Fisher19933 Fisher1996c Fisher1996 Fisher199882 Fisher19999 Fisher2002 Fisher20030 Fisman1996 Fitzgerald1999o Fitzpatrick2001 Flato1997J Fleishman1996 Fleiss19766 Flodstrom2001P Florian1990 Florian1990G Florian1997, Floyd1993 Fogel1995Fokianos2001 Foley1994! Foliaki2003 Foltz2002Fombonne2001zFombonne2003 Ford1997 Ford20000 Ford20010 Ford2001 Ford2002z Ford20030~ Ford20030 Form20031 Forshee2002 Fortney2001* Fortney2003 Fossey2001 Foster20022E Fowler20020F Fowler20020 Fox20005 Foy2003P Frances2001Franklin20010dFranklin2002 Frazier1992 Frazier1994 Frazier2004Freedman20000g Fricchione2000Friedman19969 Fries1994 Fries1999 Fries2001 Fries2001 Fries2002 Fries2002 Fries20027 Friis2000H Froberg1991w Frosh2003 Frost1993& Fryersr Fuentes2000 Fultz2002Furukawa2003! Gaines2001" Gaines2003e Galette2000A Gallagher2000 Gallus20044< Ganju1999< Ganju1999/ Ganster2003 Gara20032 Garber1990r Garcia2000 Garcia20044Gardiner2003 Gargiullo2003HGarralda19966Garralda1998*Garralda1999UGarralda2000[Garralda2000Garralda2001Garralda2003 Garrett1997f Garrett1997Garrison1994eGarrison1995eGarrison1995Garrison1995Garrison1997 Gasto2003 Gatward2000~ Gatward2003 Gauntlett2002 Gautre-Delay2000 Gavazzi1994gGearhart1996 Geller19955 Geller1999 Geller2000 Geller20033= Geller2004 Gent200209 Gerlach2002 German2001Gfroerer2003 Giaocomini2003 Gibaldi2003 Gigantesco2003 Gilbody2002& Gilbody2002K Gill2004r Gilliss2002 Giolas1998Girimaji20030 Giuffrida1999H Gjerdingen1991 Gladstone1998 Glazebrook2001 Glazebrook2003 Glied1997 Glorney2002 Glover19977 Glover1999 Glover2000bGluhoski1997 Gochman2002)Godleski2001 Godley20010Goedhart2003 Goethe19969 Goethe20012Goldberg2002|Goldberg2003 Goldfinger1996K Goldman1989M Goldman1991 Goldner2002 Goldney1996  Goldney1998 Goldney2002 Goldstein1998 Golfeto2003Gonzalez2002 Goodman1993 Goodman1996 Goodman1996p Goodman1997 Goodman1998 Goodman1999 Goodman1999r Goodman2000 Goodman2000 Goodman2000 Goodman2000 Goodman2000 Goodman2001 Goodman2001 Goodman2001 Goodman2001m Goodman2003z Goodman2003} Goodman2003~ Goodman2003 Goodman2003 Goodman2003 Goodman2003 Goodman2004 Gooen1996 Gordon19944 Gosling2004 Goss20000 Gould1988 Gould1990r Gould1993 Gould1996r Gould2001z Gould2001 Gournay2002 Gowans2001 Gowans2002 Gowers1997 Gowers1999Y Gowers1999Z Gowers1999T Gowers2000X Gowers2002 Gozio1998 Gracely1987Gracious2003vGracious2004J Graczyk2004 Graham2001 Graham2002 Grando2001u Grando2002 Grant1998h Grant1998Gravelle19999~ Graydon2002@ Grayson2004,Green( Green1987 Green1987 Green1994 Green1999 Green1999P Green2001 Green2003 Foliaki2003Fombonne2001zFombonne2003̑ Ford1997̠ Ford20000 Ford20010 Ford2001 Ford2002z Ford20030~ Ford20030 Form20031 Forshee2002 Fortney2001* Fortney2003 Fossey2001̽ Foster20022E Fowler20020F Fowler20020 Fox20005 Foy2003P Frances2001Franklin20010 Frazier1992 Frazier1994 Frazier2004Freedman20000g Fricchione2000̅Friedman19969 Fries1999 Fries2001 Fries2001 Fries2002 Fries2002 Fries20027 Friis2000H Froberg1991w Frosh2003 Frost1993& Fryersr Fuentes2000 Fultz2002Furukawa2003! Gaines2001" Gaines2003A Gallagher2000< Ganju1999/ Ganster2003 Gara20032 Garber1990r Garcia2000 Garcia20044Gardiner2003̙ Gargiullo2003Garralda1998*Garralda1999UGarralda2000[Garralda2000̩Garralda2001̲Garralda2003̼ Garrett1997Garrison1994eGarrison1995eGarrison1995̧Garrison1995̪Garrison1997̥ Gasto2003 Gatward2000~ Gatward2003 Gauntlett2002 Gautre-Delay2000̣ Geller19955 Geller1999 Geller2000̚ Geller20033 Gent200209 Gerlach2002 German2001Gfroerer2003̼ Giaocomini2003 Gilbody2002& Gilbody2002 Gilliss2002 Giolas1998Girimaji20030 Giuffrida1999H Gjerdingen1991 Gladstone1998 Glazebrook2001̝ Glazebrook2003̼ Glied1997 Glorney2002 Glover19977 Glover1999 Glover2000bGluhoski1997̾ Gochman2002)Godleski2001̆ Godley20010Goedhart2003 Goethe19969 Goethe20012Goldberg2002̲ Goldfinger1996K Goldman1989M Goldman1991 Goldner2002 Goldney1996  Goldney1998 Goldney2002 Goldstein1998 Golfeto2003Gonzalez2002 Goodman1993 Goodman1996 Goodman1996p Goodman1997 Goodman1998 Goodman1999 Goodman1999r Goodman2000 Goodman2000 Goodman2000 Goodman2000 Goodman2000 Goodman2001 Goodman2001 Goodman2001 Goodman2001m Goodman2003z Goodman2003} Goodman2003~ Goodman2003 Goodman2003 Goodman2003 Goodman2003 Gordon19944 Goss20000 Gould1988 Gould1990r Gould1993 Gould1996r Gould2001z Gould2001 Gournay2002 Gowans2001́ Gowans2002 Gowers1999Y Gowers1999Z Gowers1999T Gowers2000X Gowers2002̌ Gozio1998Gracious2003vGracious2004 Graham2002 Grando2001u Grando2002 Grant1998Gravelle19999~ Graydon2002( Green1987 Green1994 Green1999P Green2001 Green20032003 4* Diagnosis, Dual Psychiatry diagnostic Diagnostic and Statistical$!Diagnostic and Statistical Manual85Diagnostic and Statistical Manual of Mental Disordersdiagnostic criterion(#Diagnostic Tests, Routine standards DialysisDiet, Fat RestrictedDiet, Reducing psychologyDietary Fats metabolismDietary Restraint DifferencesHBdifferential belief systems functioning & degrees of environmentalD?differentiation of self & interactional-emotional & sexual need Difficulties Questionnaire Direct Service Costs trends disabilities disabilitydisability detectionDisability Evaluation Disabled (Attitudes Toward) Disabled Children psychologyDisabled Persons$!discharge of psychiatric patients disclosure discrepancydiscrimination(#discusses the nature of life skills diseaseDisease Coursedisease progression disorderdisorder severity disorders Disorders and SchizophreniaDAdisplays of anger/negative emotion & empathic/prosocial responses@;disqualifying family communication & child anxiety & socialdisruptive 4 yr oldsdisruptive behavior85disruptive behavior disorders (mean age 9.99 yrs old)dissatisfaction Distress distress & coping resourcesdistrict general hospital Disturbeddivalproex sodium Divorcedivorced parents DNA genetics doctors domainsdomestic violenceDopamine geneticsDopamine metabolism$ Dose Response Relationship, Drug Drug AbuseDrug AddictionDrug InteractionsDrug RehabilitationDrug Resistance, Neoplasm Drug TherapyDrug Therapy, Combinationdrug treatment Drug UsageDrugs DSM-IV0+DSM-IV syndromal and subsyndromal comorbityDual Diagnosis Duration$duration of untreated psychosis0+during dyadic play interactions with friendDutchdyadic interactionsDyadsdysexecutive syndromeDysthymic Disorder$Dysthymic Disorder epidemiology Dysthymic Disorder psychologyearlyearly childhoodEarly ExperienceEarly Interventionearly psychosis EatingEating Disorders$ Eating Disorders physiopathology Eating Disorders psychologyEating physiologyeconomic advantages economics Education40Education, Nursing statistics and numerical data Educational Attainment LevelEducational PersonnelEducational Status educatorsEEG effectivenessEffectiveness Evaluationeffectiveness measurementD>effectiveness of MMPI-2 validity vs Millon Clinical Multiaxial@=effectiveness of participation in psychosocial rehabilitation@=effectiveness of traditional Chinese medicine in treatment ofHBeffectiveness of very short versions of Geriatric Depression Scale efficacy<8efficacy of interpersonal therapy with novice therapists Elder Careelderly ChineseElectrical ActivityElectroencephalographyElementary School EmotionalEmotional Adjustment$!emotional and behavioral disorderEmotional Developmentemotional disordersemotional problemsEmotional ResponsesEmotional StabilityEmotional StatesEmotional Trauma EmotionallyEmotionally Disturbed Emotions EmpathyHBemphasizes the need for a reliable & valid database that can serveEmployee AttitudesEmployee CharacteristicsEmployee ProductivityEmployment psychologyEmployment Status EmpowermentD?empowerment model on affective states of psychological distress Energy Intake Energy Metabolism physiology engagement EnglandEngland & BangladeshEngland epidemiologyHBenhancement of mental health & mental health care in nursing homes entrepreneurs EnvironmentEnvironmental Attitudes Epidemiologyepidemiology of<8Epidemiology Research Interview Demoralization Composite epidsode equivalence erratumerrorD@Essays in the economics of child mental health (family structure,Jette, A. Davis, A. 1986^WThe Functional Status Questionnaire: Reliability and validity when used in primary carel*$Journal of General Internal Medicine1u143-149("Johnson, M. E. Brems, C. Burke, S. 2002<5Recognizing comorbidity among drug users in treatment0*American journal of drug and alcohol abuse282 243-61Am J Drug Alcohol AbuseW 0095-2990X BAS-00004*Alcoholism diagnosis; Mental Disorders diagnosis; Substance Related Disorders diagnosis Adult ; Alcoholism epidemiology; Alcoholism rehabilitation; Comorbidity ; Diagnosis, Dual Psychiatry; Mental Disorders epidemiology; Mental Disorders rehabilitation; Middle Aged; Northwestern United States epidemiology; Psychiatric Status Rating Scales; Substance Related Disorders epidemiology; Substance Related Disorders rehabilitation Female; Human; Male; Support, U.S. Gov't, P.H.S.rThis study identified comorbidity (coexistence of substance abuse and mental health diagnoses) rates and characteristics among 104 clients in a substance abuse treatment setting. To identify commonly collected intake variables that can be used for early identification of drug users with coexisting mental health concerns, participants completed a demographics questionnaire, brief symptom inventory, behavior and symptom identification scale (BASIS-32), and a drug and alcohol assessment. Results revealed a comorbidity rate of 45% and significant relationships between comorbidity and the following variables: absence of prior treatment, greater rates of unemployment, poorer physical health, poorer functioning in a variety of areas, greater symptom severity regarding drug use, poorer mental health, and greater rates of homelessness. Of these, the first four variables were the most powerful predictors of comorbidity. It can be concluded that unemployment without looking for work, difficulties relating to self and others, not having received prior outpatient treatment, and having poorer physical health can signal the possible presence of coexisting mental health problems. Implications for early detection and subsequent treatment planning are discussed.English'LEDepartment of Psychology, University of Alaska, Anchorage 99508, USA.s less effectuve in addressing psychological or physical problems. Service users in the United Kingdom were more involved in developing their reatment care plan than those in Australia. The study demonstrates how data required for benchmarking and outcome evaluation purposes can be generated as part of routine clinical practices.cEpstein, A. M. 1990B;The outcomes movement - will it get us where we want to go?e&New England Journal of Medicines 323d266-270. OUT-NMH-00001 b/assertive outreachAssertive Outreach teams Assertiveness0,assessed by pediatric psychosocial personnel assessing assessmentHBassessment & use of correctional & mental health & child welfare & assessment of@:assessment of caseness & measures of functional impairment assessment of common problemsassessment of depression Assessment of Function Scale$assessment of functional statusassessment of levels ofassessment of mental$!assessment of overall functioning($assessment of psychiatric caseness &4/assessment of psychiatric symptoms & functional0+assessment of psychological distress & well assessment of substance abuseAssessment Scaleassessment strategies assistantsassisted living Asthmaasthmatic childrenAt At Risk@Attention Deficit and Disruptive Behavior Disorders psychology Attention Deficit Disorder0-Attention Deficit Disorder with Hyperactivity<7Attention Deficit Disorder with Hyperactivity diagnosis@:Attention Deficit Disorder with Hyperactivity drug therapy@:Attention Deficit Disorder with Hyperactivity epidemiology<6Attention Deficit Disorder with Hyperactivity genetics<7Attention Deficit Disorder with Hyperactivity pathology<8Attention Deficit Disorder with Hyperactivity psychology,(attention-deficit/hyperactivity disorderAttitude FormationAttitude Measures Attitude of Health PersonnelAttitude to Health Attitudes(%attributable to psychiatric morbidity Attribution attrition atypicalaudioscriptotherapy AustraliaAustralia epidemiologyAustralian children Austria AutismAutistic Children Azacitidine therapeutic use Background BangladeshBangladeshi children BASIS-32Beck Depression InventoryBeck Hopelessness Scale Behavior,)Behavior and Symptom Identification ScaleBehavior Checklist$!behavior disorder & mental healthBehavior DisordersBehavior ModificationBehavior Problems,)behavior problems & development of mentalBehavior Therapy4.Behavior Therapy statistics and numerical data behavioral,)Behavioral & Symptom Identification ScaleBehavioral Assessmentbehavioral checklistsBehavioral Contrast83Behavioral Medicine organization and administration Behavioral Medicine standardsbehavioral problemsbehavioral screening$!Behavioral Symptoms complications Behavioral Symptoms diagnosis$Behavioral Symptoms psychology83Behavioural Assessment of the Dysexecutive Syndromebehavioural problemsbeingBenchmarking methodsBias EpidemiologyBiological Family bipolarBipolar DisorderBipolar Disorder blood Bipolar Disorder drug therapyBipolar Disorder genetics Bipolar Disorder psychology$Bipolar Disorder rehabilitationBipolar Disorder therapybipolar disordersbipolar youths Birth Weightbisexual youth Bisexuality,&Black 18-56 yr olds with schizophrenia Black females BlacksBloodblood concentrationsBlue blue collar Body ImageBody Mass IndexBody Weight physiologyBorderline StatesBrain Brain Damagebrain oscillations BrazilBrazil epidemiology Breast Neoplasms pathology Breast Neoplasms psychology$Breast Neoplasms rehabilitationBreast Neoplasms surgeryBrenner's modelbrief consultation$Brief Psychiatric Rating Scale$!brief psychodynamic psychotherapyBrief Psychotherapy brief screening assessments40British Nationwide Survey of Child Mental Health C:p942xCB~A@l>v=?2,Mental Health Statistic Improvement Program, 2001>8MHSIP Report Card 2.0 Workgroup Meeting. Meeting Minutes B;The Westin Grand Hotel 2350 M Street, N.W. Washington, D.C.SNovember 15-16, 2001USA-MHS-00012*2,Mental Health Statistic Improvement Program, 2002Mental Health Statistics Improvement Program (MHSIP) Consumer Oriented Report Card Workgroup Version 2. Purpose, Values and Charge to the WorkgroupUSA-MHS-00014*2,Mental Health Statistic Improvement Program, Year$Suggested Report Card FormatsoUSA-MHS-00013*2,Mental Health Statistic Improvement Program, YearThe Consumer Survey*USA-MHS-00011*2,Mental Health Statistic Improvement Program, Year60Child and Adolescent Functional Assessment ScaleUSA-MHS-00010*2,Mental Health Statistic Improvement Program, Year,%Clinician Alcohol and Drug Use ScalescUSA-MHS-00009*2,Mental Health Statistic Improvement Program, Year>8The Consumer Survey. The MHSIP Mental Health Report CardUSA-MHS-00011*4-Mental Health Statistics Improvement Program,aTechnical AppendixUSA-MHS-00025*- Concerns, Indicators, and Measures - Tables Relating Measures to Data Sources and Populations- Proposed Consumer Survey Items - Standardized Instruments - Enrollment/Encounter Data Set - Psychometric Properties of Report Card Instruments - Suggested Report Card Formats 4-Mental Health Statistics Improvement Program,82Psychometric Properties of Report Card InstrumentsUSA-MHS-00023* 4-Mental Health Statistics Improvement Program,B;The Medical Outcomes Study 36-Item Short-Form Health SurveyaUSA-MHS-00018* 4-Mental Health Statistics Improvement Program,&The Rosenberg Self-Esteem ScaledUSA-MHS-00017* 4-Mental Health Statistics Improvement Program,nLEThe MHSIP Mental Health Report Card. Key Indicators Related to Access\USA-MHS-00008* 8~xPower, P. J. R. Bell, R. J. Mills, R. Herrman-Doig, T. Davern, M. Henry, L. Yuen, H. P. Khademy-Deljo, A. McGorry, P. D. 2003Suicide prevention in first episode psychosis: the development of a randomised controlled trial of cognitive therapy for acutely suicidal patients with early psychosis4.Australian & New Zealand Journal of Psychiatry374414-420 Aug2003-05924-004 HON-00036*jc*Acute Psychosis; *At Risk Populations; *Cognitive Therapy; *Suicidal Ideation; *Suicide PreventionRBackground: Young people with early psychosis are at particularly high risk of suicide. However, there is evidence that early intervention can reduce this risk. Despite these advances, first episode psychosis patients attending these new services still remain at risk. To address this concern, a program called LifeSPAN was established within the Early Psychosis Prevention and Intervention Centre (EPPIC). The program developed and evaluated a number of suicide prevention strategies within EPPIC and included a cognitively oriented therapy (LifeSPAN therapy) for acutely suicidal patients with psychosis. We describe the development of these interventions in this paper. Method: Clinical audit and surveys provided an indication of the prevalence of suicidality among first episode psychosis patients attending EPPIC. Second, staff focus groups and surveys identified gaps in service provision for suicidal young people attending the service. Third, a suicide risk monitoring system was introduced to identify those at highest risk. Finally, patients so identified were referred to and offered LifeSPAN therapy whose effectiveness was evaluated in a randomised controlled trial... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)English.("http://www.blackwellpublishing.comlotic Disorders therapy(!Copeland, Anne P. Norell, Sara K. 2002RKSpousal adjustment on international assignments: The role of social supportl60International Journal of Intercultural Relations263o255-272J Mayt 0147-1767  MHI-00027*RKHuman; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Adjustment; Geographical Mobility; Social Support Networks; Spouses; Wives; Job Characteristics social support; accompanying spouses; overseas adjustment; spouse international job assignmentExamined the role of social support of women relocated around the world as accompanying spouses, and the relationship with overseas adjustment. Ss were 194 22-65 yr old women who had moved temporarily to a new country primarily because of their husband/partners' jobs; they were living in one of 17 countries in Europe, Asia, the Middle East, or Latin America. Measures included those for social support from family and friends and for adjustment (Profile of Mood States, Mental Health Inventory-5, Overall Relocation Adjustment Rating). Results show that women with higher adjustment were in more cohesive families, had had more involvement in the decision to move, felt they had fewer losses in friendship networks, had more functions of social support adequately met, and received more of their support from local rather than long-distance providers, compared with those with lower adjustment. (PsycINFO Database Record (c) 2003 APA )NHDoi 10.1016/s0147-1767(02)00003-2 Peer Reviewed Journal; Empirical Study'`ZBoston U, Dept of Psychology, MA, US [Copeland]; Ernst & Young LLP, Global Employment Solutions - Assignment Management, United Kingdom [Norell] Email Address [mailto:copeland@interchangeinstitute.org] Contact Individual Copeland, Anne P, The Interchange Inst, 11 Hawes Street, Brookline, MA, US, 02446, [mailto:copeland@interchangeinstitute.org]Male0*Ruggeri, M Biggeri, A Rucci, P Tansella, M 1998~wMultivariate analysis of outcome of mental health care using graphical chain models: the South Verona Outcome Project 1aPsychological Medicine28 1421-1431t OUT-MH-00047*dBackground. Short-term outcome of mental health care was assessed in a multidimensional perspective using graphical chain models, a new multivariate method that analyses the relationship between variables conditionally, i.e. taking into account the effect of antecedent and intervening variables. Methods. GAF, BPRS, DAS (at baseline and after 6 months), LQL and VSSS (at follow-up only) were administered to 194 patients attending the South-Verona community-based mental health service. Direct costs in the interval were also calculated. Graphical chain models were used to analyse: (1) the associations between predictors (psychopathology, disability, functioning, assessed at baseline) ; (2) the effects of predictors on costs ; and (3) the effect of predictors and costs on outcomes (psychopathology, disability, functioning, quality of life and service satisfaction) as well as their correlation. Results. Psychopathology, disability and functioning scores at baseline predicted the corresponding scores at 6-month follow-up, with greater improvement in the more severely ill. Higher psychopathology and poorer functioning at baseline predicted higher costs and, in turn, costs predicted poorer functioning at follow-up. Outcome indicators polarized in two groups: psychopathology, disability and functioning, which were highly correlated; and the dyad service satisfaction and quality of life. Service satisfaction was highly related to quality of life and was predicted by low disability and high dysfunctioning. No predictors for quality of life were found. Conclusions. Graphical chain models were demonstrated to be a useful methodology to analyse process and outcome data. The results of the present study help in formulating specic hypotheses for future studies on outcome. Ruggeri, M 2002|uFeasibility, usefulness, limitations and perspectives of routine outcome assessment: the South Verona Outcome Projectu*#Epidemiologia e Psichiatria Sociales113u177-185c OUT-MH-00076 ^F?Habibis, D. Hazelton, M. Schneider, R. Bowling, A. Davidson, J.b 2002A comparison of patient clinical and social outcomes before and after the introduction of an extended-hours community mental health team4.Australian & New Zealand journal of psychiatry363l 392-8 Aust N Z J Psychiatry 0004-8674 LSP-00007*D>Community Mental Health Services; Mental Disorders psychology; Outcome Assessment Health Care Adolescent ; Adult ; Aged ; Analysis of Variance; Australia ; Middle Aged; Patient Satisfaction; Psychiatric Status Rating Scales; Social Behavior; Time Factors Comparative Study; Female; Human; Male; Support, Non U.S. Gov'tOBJECTIVE: The aim of this study was to assess the effectiveness of the addition of standard community treatment to a hospital-based service in a regional district of Australia. METHOD: The study was a naturalistic investigation of a routine clinical service and utilized a longitudinal panel design. Two matched groups of seriously mentally ill patients were recruited,one before the addition of the community mental health team (CMHT)and one after. Each sample was followed up for one year using a semistructured questionnaire and instruments including the Brief Psychiatric Rating Scale, the Global Assessment Scale, the Life Skills Profile and the Rosenberg Self-Esteem Scale as well as hospital records. RESULTS: Patients in both groups showed similar patterns of improvements. Although the aims of the new service included reducing in-patient utilization and improving social functioning,there were few significant differences between the two groups. While the number of admissions and length of stay were lower in the post-CMHTsample most were admitted rather than treated in their homes by the CMHT. CONCLUSION: The study concludes that better outcomes might have been achieved if the aims of the CMHT had been limited to either crisis or rehabilitation interventions, but not both. More attention needs to be paid to the service context in which model programmes are introduced so that new developments can be more closely tailored to the realities of what is likely to be achievable. Jun Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=36&page=392&goto=abstract'ZSSchool of Sociology and Social Work, University of Tasmania, Launceston, Australia.F?Habibis, D. Hazelton, M. Schneider, R. Davidson, J. Bowling, A.b 2003Balancing hospital and community treatment: effectiveness of an extended-hours community mental health team in a semi-rural region of australia("Australian journal of rural health114 181-6Aust J Rural Health 1038-5282 LSP-00016*Community Mental Health Services organization and administration; Patient Care Team organization and administration; Rural Health Services organization and administration Attitude to Health; Case Management organization and administration; Community Institutional Relations; Crisis Intervention organization and administration; Health Services Research; Hospitals, District; Hospitals, General; Longitudinal Studies; Mental Disorders psychology; Mental Disorders therapy; Models, Organizational; Outcome Assessment Health Care; Program Evaluation; Psychiatric Status Rating Scales; Qualitative Research; Self Concept; Tasmania ; Time Factors Human; Support, Non U.S. Gov't $ OBJECTIVE: To examine the effectiveness of the introduction of a community mental health team on consumer psychosocial outcomes. DESIGN: Longitudinal panel design. SETTING: District general hospital in a semi-rural region of Australia. NUMBERS: Two matched groups (n = 37 in each group) MAIN OUTCOME MEASURE: These included: Brief Psychiatric Rating Scale (BPRS), Global Assessment Scale (GAS), Rosenberg Self-Esteem, Life Skills Profile as well as self-report. RESULTS: The study found that the introduction of the new service resulted in few significant differences in consumer outcomes. CONCLUSIONS: The paper argues that because the state was the only specialist mental health service provider and it was unable to offer assertive community treatment, hospital care remained central. Evidence that a substantial proportion of consumers and carers preferred hospital to community care is placed against this background. The paper argues that in regions like these, where community-based services are likely to remain underdeveloped, it may be best to maintain quality hospital services and to target community services more precisely on what is achievable rather than developing community services at the expense of hospital care. WHAT IS ALREADY KNOWN: Studies on the efficacy of assertive community treatment suggest that it can lead to improved consumer outcomes. However, these studies are usually in urban settings and involve experimental teams. In many rural and regional areas community treatment teams offer standard rather than assertive community care. It is therefore important to investigate the effectiveness of community treatment teams in rural and regional Australia. WHAT THIS STUDY ADDS: This study suggests that in rural and regional areas characterised by limited resources, it is too much to expect community treatment teams to have a measurable impact on consumer outcomes. In these settings hospital care remains at the heart of the service. This means that regions such as these need to focus their community services on what is achievable given the level of resources and social ecology. For example, they may need to consider offering either crisis intervention or rehabilitation services and to rely on innovations, such as telehealth or strategic alliances with other service providers to fill the gap. Aug Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=AJR&vol=11&page=181&goto=abstract'XQSchool of Sociology and Social Work, University of Tasmania, Tasmania, Australia..'Hatfield, B., Spurrell, M., & Perry, A. 2000Emergency referrals to an acute psychiatric service: demographic, social and clinical characteristics and comparisons with those receiving continuing services$Journal of Mental Health (UK)93 305-17 HON-00101*lfThe characteristices of individuals referred to psychiatric emergency services serce as one indicator of the functioning of the service system as a whole. Evaluations of emergency services have been realatively sparse in the research literature. A two-month cohort of emergency referrals is described ans comparisons made with a Community Mental Health Team (CMHT) caseload group. The characteristics of the individual, dimensions of the crisis, and the outcome of the emergency assessment were recorded in each case. Health of the Nation Outcome Scales (HoNOS) and Global Assessment of Functioning (GAF) rating were obtained. Thise referred from a heterogeneous group, some of whom have serious mental illnesses and many of whom were identified as having poor coping and psycho-social problems. The comparison group (CMHt caseloads) had significantly greater problems of symptom and functioning. The study raises the isse of whether prioritising of specialists mental health services to those with severe and enduring mental illnesses serves to exclude other vulnerable groups. While most individuals in the study had a history of episodic psychiatric contact, many would be likely to satisfy the criteria for continuing support. Some may only have transient needs related to a life crisis; for others woth more chronic difficulties, an emergency response alone cannot be expected.xrHatfield, Barbara Shaw, Jenny Pinfold, Vanessa Bindman, Jonathan Evans, Sherrill Huxley, Peter Thornicroft, Graham 2001Managing severe mental illness in the community using the Mental Health Act 1983: A comparison of Supervised Discharge and Guardianship in England2,Social Psychiatry & Psychiatric Epidemiology3610508-5152001-09300-006 HON-00073*f`*Facility Discharge; *Guardianship; *Laws; *Mental Disorders; Demographic Characteristics; NeedsTwo measures in the English Mental Health Act allow requirements to be imposed upon patients living in the community: Guardianship (Section 7) and Supervised Discharge (Section 25A). The current article sought to compare patients with mental illnesses, made subject to Guardianship or Supervised Discharge. Data on patient characteristics, impairment, needs and interventions were collected from keyworkers in a random national sample of Trusts and local authorities. Ratings were obtained on standardised measures of disability, impairment and needs. Patients placed on Supervised Discharge were more likely to have problems of treatment compliance and drug misuse, while those on Guardianship were more likely to have problems of social welfare and higher ratings of disability and impairment. Supervised Discharge had a higher proportion of African-Caribbean patients. Interventions delivered were rated as effective for both measures. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.springer.denomic status and socioeconomic environment, with particular attention to both the level and dispersion of community income and to their interactions with individual income. 6,925 individuals participated in this study. The dependent variable is individual mental health status, measured by the 5 item Mental Health Inventory (MHI-5; average 80.6) and an indicator of probable anxiety or mood disorder based on clinical screening instruments (positive for 14.3 percent of respondents in the sample). MHI-5 decreases (indicating worse mental health), and the probability of an anxiety or depressive disorder increases continuously from the highest to the lowest quintiles of family income. Within-quintile own income level is also strongly associated with mental health among lower income individuals. There was no evidence that higher levels of income inequality are associated with poor mental health outcomes, measured either by the probability of disorder or MHI-5. Regarding income level, MHI-5 is 3.4 to 3.5 points higher among low income individuals in medium or high income states compared to those in low income states. (PsycINFO Database Record (c) 2003 APA )t,&Peer Reviewed Journal; Empirical Study'D>RAND, Arlington, VA, US [Gresenz]; RAND, Santa Monica, CA, US [Sturm]; UCLA Neuropsychiatric Inst, Health Services Research Ctr, Los Angeles, CA, US [Tang] Email Address [mailto:gresenz@rand.org] Contact Individual Gresenz, Carole Roan, 1200 South Hayes Street, Arlington, VA, US, 22202-5050, [mailto:gresenz@rand.org]http://www.lww.com Green, R. 2003:4Assessing the productivity of human service programs&Evaluation and Program Planninga26 2127tOUT-NMH-00009*$Greenfield, A., and Attkissonr 1999XRThe UCSF Client Satisfaction Scales: I. The client satisfaction questionnaire - 8. Maruish, M. E.`YThe use of psychological testing for treatment planning and outcomes assessment (2nd Ed.)  Mahwah, NJ .'Lawrence Erlbaum Assoicates, PublishersV MIS-00024- Lehoux, Catherine Everett, James Laplante, Louis Emond, Claudia Trepanier, Johanne Brassard, Andree Rene, Linda Cayer, Mireille Merette, Chantal Maziade, Michel Roy, Marc-Andre 2003PIFine motor dexterity is correlated to social functioning in schizophreniamSchizophrenia Research623269-273 Aug 0920-9964 LSP-00033*@9Human; Male; Female; Adulthood (18 yrs & older) Motor Performance; Neuropsychology; Physical Dexterity; Schizophrenia; Social Skills; Cognitive Ability; Verbal Memory social functioning; fine motor dexterity; neuropsychological domains; schizophrenic subjects; Wechsler Memory Scale III Wechsler Memory Scale IIIrkObjective: To identify neuropsychological domains, including fine motor dexterity, that are related to social functioning in schizophrenia. Method: Thirty-six DSM-IV schizophrenic subjects were assessed using the Purdue Pegboard test, the Modified Wisconsin Card Sorting test, the Tower of London, Schwartz' Reaction Time and Wechsler's Associate Learning and Digit Span tests. Social functioning was measured by the Social and Occupational Functional Assessment Scale. Results: Univariate regression analyses showed that the Purdue Pegboard, the Modified Card Sorting test, the Tower of London and Wechsler's Associate Learning subtest were significantly linked to social functioning. The best fitting multivariate model to explain social functioning included fine motor dexterity and executive functioning. Conclusion: Various neuropsychological measures correlated to social functioning, the correlation involving fine motor dexterity being the strongest one. Future studies of the prediction of social functioning in schizophrenia should include fine motor dexterity. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)l`YDoi 10.1016/s0920-9964(02)00327-4 Peer Reviewed Journal; Empirical Study; Journal Article,'Ctr Recherche U Laval Robert-Giffard, Beauport, PQ, Canada [Lehoux, Everett, Laplante, Emond, Trepanier, Brassard, Rene, Cayer, Merette, Maziade, Roy] Email Address [mailto:marc-andre-roy@crulrg.ulaval.ca] Contact Individual Roy, Marc-Andre, Ctr de Recharche U Labal Robert-Giffard, H-4100, 2601 chemin de la Canardiere, Beauport, PQ, Canada, G1J 2G3, [mailto:marc-andre-roy@crulrg.ulaval.ca] ` Servicesservices & Medicareservices eligibility$SES & impairment severity & sex settings severe mentalsevere mental illness severely mentally ill adults SeveritySeverity (Disorders)Severity of Illness Index0-sex & age & other demographic characteristicsSex DifferencesSex Distribution Sex Factors Sex Roles Sexual AbuseSexual BehaviorSexual Satisfaction SF-36 HealthSF-36 Health Survey Shoppingshopping abilityshort screening scalesShort Term Memory Siblings Side EffectsSide Effects (Drug) Singapore Skilled Nursing Facilities SkillsSkin DisordersSleepSleep Disorders diagnosis Sleep Disorders epidemiology Sleep Disorders psychology sleep qualitySmoking Cessation Sociability socialSocial AdjustmentSocial Adjustment ScaleSocial ApprovalSocial BehaviorSocial Casework Social ClassSocial Cognitionsocial connectednesssocial desirabilitysocial functioningSocial IdentitySocial Interaction Social Isolation psychologysocial networkssocial outcomessocial participation Social Phobiasocial problem solvingsocial problemsSocial ReinforcementD>social reinforcement & interviewer disclosure & dress & verbalsocial relations social roles & marital status Social SkillsSocial Skills Training Social StressSocial SupportDAsocial support & prediction of psychological distress & childhoodD@social support & sense of control & coping behavior & adaptationsocial support networks$ Social Work, Psychiatric methodsSocial Workers Socializationsocio-economic0+sociocognitive ability & executive functionSociocultural Factorssociocultural processes$ sociodemographic characteristicssocioeconomic environmentSocioeconomic FactorsSocioeconomic Status Sodiumsomatic symptoms Somatization South AfricaSpain Special Education Studentsspecial schoolSpeech DisordersSpinal Cord Injuriesspinal cord injuryspiritual belief spouse SpousesSSI) stabilityDAstandard vs client focused vs client focused case management plusstandardized assessmentstandardized instrumentsstandardized scales StandardsState MedicineState Medicine standards0,State Medicine statistics and numerical datastate policies state policy StatisticalStatistical AnalysisStatistical Datastatistical significanceStatistical ValidityStatistical Weighting Statistics statistics and numerical dataStatistics, Nonparametric status Stereotyping stimulant Strategies@:strategy & status of available norms of Behavior & Symptom,&Strengths & Difficulties Questionnaire Strengths and Difficulties82strengths and difficulties in school aged children,(Strengths and Difficulties QuestionnaireHBStrengths and Difficulties Questionnaire for screening emotional &,)Strengths and Difficulties Questionnaires Stress4.Stress Disorders, Post Traumatic complicationsStress Managementstress management programStress ReactionsStress, Psychological(#Stress, Psychological complications$Stress, Psychological diagnosis("Stress, Psychological epidemiology$Stress, Psychological etiology(%Stress, Psychological physiopathology0,Stress, Psychological prevention and control$ Stress, Psychological psychology Structural Equation Modeling structure84structured psychodynamic group art therapy technique Students Studiesstudy study powersubgroup variationsubstance abuse(%Substance Related Disorders diagnosis,(Substance Related Disorders epidemiology,&Substance Related Disorders psychology0*Substance Related Disorders rehabilitationsubstance use disorder$ substitutive diagnostic criteria Subtests$successfully quit vs relapsers Sufferingsuicidal behaviorhv VBv VOHeywood, Sam Stancombe, John Street, Eddy Mittler, Helle Dunn, Carol Kroll, Leoe 2003vpA Brief Consultation and Advisory Approach for Use in Child and Adolescent Mental Health Services: A Pilot Study,&Clinical Child Psychology & Psychiatry84503-512 Oct 1359-1045 SDQ-00052Human; Male; Female; Outpatient; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) England Brief Psychotherapy; Family Intervention; Health Care Delivery; Mental Health Services; Professional Consultation; Client Satisfaction; Integrated Services; Mental Health Program Evaluation; Parental Attitudes; Professional Referral Child and Adolescent Mental Health Services; alternative model of service delivery; brief consultation; parental satisfactionIn England, the demand for, and access to Child and Adolescent Mental Health Services (CAMHS) have led to endemic and intractable problems: long waiting lists, non-attendance and complaints of inaccessibility from both users and referrers. The dilemma facing CAMHS is how best to respond to rising demand without compromising the quality of specialist secondary care services. As a pilot, we developed an alternative model of service delivery that provided a brief (2+1) consultation. We also created a manual as a guide to this process. This was evaluated with 50 families, who were seen within four weeks of their returned questionnaire. Strengths and Difficulties Questionnaire (SDQ) scores showed that 72% of families improved and 95% of parents were satisfied with the service they received. This approach is brief and empowering, and is sufficient to produce change. Implications for services using this approach would include: (i) informing referrers of the alternative model, (ii) training requirements, (iii) increasing the number of mental health workers so that secondary care services are able to function effectively, and (iv) allowing more specialist services to deal with the more severely disturbed cases. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)Doi 10.1177/13591045030084007 Peer Reviewed Journal; Empirical Study; Followup Study; Treatment Outcomes; Qualitative Study; Quantitative Study; Journal Article'North Staffs Combined Healthcare NHS Trust, United Kingdom [Heywood]; Trafford Healthcare NHS Trust, United Kingdom [Stancombe]; NHS, Wales [Street]; Stockport CAMHS, United Kingdom [Dunn]; Royal Manchester Children's Hospital, Salford, United Kingdom [Kroll] Email Address [mailto:leopold.kroll@cmmc.nhs.uk] Contact Individual Kroll, Leo, Royal Manchester Children's Hospital, Hospital Road, Salford, United Kingdom, M27 4HA, [mailto:leopold.kroll@cmmc.nhs.uk]"Higginson, J., & Purvis, K.a 2000F@Usefulness of the BASIS-32 for evaluating program level outcomes&Journal of Psychiatric Practice8\2 125 BAS-00033*~xThe Behavior and Symptom Identification Scale (BASIS-32) is a survey used to collect clients reported perceptions of their symptoms and functioning. This article assesses the usefulness of the BASIS-32 for evaluating program outcomes in Californias statewide performance outcome system for adults with serious mental illnesses.The authors found that, while the instrument could be useful at the clinical level, it did not work well when data were aggregated at the program or system level. Not only did clients drastically under-report their symptoms, but improvements over time, although statistically significant, were negligible and of little practical use for assessing system-level outcomes. In addition, the costs and logistical complexities associated with site licensing became increasingly difficult to justify when compared to obtaining similar information from other sources. Higgitt, Anna 2000(!Suicide reduction: Policy contextcVPInternational Review of Psychiatry. Special Issue: Suicide and attempted suicide121 15-20 Feb2000-03572-002 HON-00058*82*Suicide; *Suicide Prevention; *Health Care Policy Discusses several national policy issues related to the effort of suicide reduction: (1) priorities in health promotion, (2) modernizing mental health services, (3) major demographic factors in suicide, (4) clinical factors in suicide, and (5) suicide prevention interventions. No single intervention is likely to make a major impact on suicide rates. Rather, general improvement in standards of mental health service provision, improvement in primary care recognition and treatments for mental health problems, interventions that reduce substance misuse and via service development that involves users improving engagement of a wider range of society, are needed. The mental health National Service Framework (Department of Health, 1999) has set standards in the care to be offered to some of the most vulnerable in society and make clear to commissioners of health and social care, as well as the range of providers of this care, the timetable by which improvements in care are expected. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.tandf.co.ukHill, P. 2002HAMapping the Minefield. A model for developing Information Sharingn UK-NHS-00004*1u jcVerdeli, Helen Ferro, Tova Wickramaratne, Priya Greenwald, Steven Blanco, Carlos Weissman, Myrna M.b 2004VPTreatment of Depressed Mothers of Depressed Children: Pilot Study of FeasibilityDepression & Anxiety191 51-58 1091-4269 CGA-00089*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Family Background; Major Depression; Mothers; Offspring; Treatment Outcomes; Risk Factors; Social Interaction depressed mothers; depressed children; treatment outcome; depression; maternal depression; social functioning; risk factors; Children's Depression Inventory; Beck Depression Inventory; Hamilton Rating Scale for Depression; Social Adjustment Scale; Test of Nonverbal Intelligence Children's Depression Inventory; Beck Depression Inventory; Hamilton Rating Scale for Depression; Social Adjustment Scale; Test of Nonverbal IntelligenceB7Sainsbury Ctr for Mental Health, London, England [Ford]d } `negative symptomsNegative Syndrome Scale neglect & family dysfunctionneighborhood violence NeighborhoodsNeoplasm Staging NeoplasmsNeoplasms complicationsNeoplasms psychology Nervous(%Nervous System Diseases complications Netherlands Networksneurocognitive correlates neurocognitive rehabilitationNeuroleptic Drugs neuroleptics neurological,&Neuroprotective Agents therapeutic useneuropsychological$neuropsychological functioning$!Neuropsychological RehabilitationNeuropsychological Tests<6Neuropsychological Tests statistics and numerical dataNeuropsychology Neurotic Disorders psychologyNewNew South Wales New York New York CityNew York epidemiology(%non-case managed psychiatric patients(#non-specific psychological distress non-verbalnondirective supportiveNonprofessional Personnel nonspouse significant others nonworkingHBnorms on Eysenck Personality Questionnaire & BAROMAS self efficacy,'Northwestern United States epidemiology Norwaynumber of hospital Nurses Nurses' Aides0+Nurses' Aides statistics and numerical dataNurses' Aides utilization nursingNursing Assessment Nursing Assessment standards Nursing Auditnursing facilitynursing home case mixnursing home level ofnursing home residents Nursing HomesNursing Homes economics0-Nursing Homes organization and administrationNursing Homes standardsNursing Homes utilization Nursing Methodology Research40Nursing Services organization and administrationNursing Staff psychology Obesity, Morbid psychologyObesity, Morbid surgery@ Preston2000 Preston2001 Priebe2002 Priebe20020 Priebe2002e2Proberts19999Proberts2002c] Procidano1994 Procter2003! Prou2003 Provost2003 Pullen2004 Pumariega1995 Pyne20011 Pyper2002'!Quality and Effectiveness Section2003%Queensland Department of Health2003 Quinn1987 Quinn2004 Rabinowitz2002B Rachel Lu1994A Raczek19939' Raferty1996% Ragan2002 Rajeev2003 Ramirez2004RAND Corporation Rangel2003 Rantz2001 Rantz2002 Raphael2002Rapoport1989Rapoport2002 Rappaport2002- Rauktis2001L Raveis19966 Ray2002 Raz2002 Read19876 Reardon2002 Reboussin1999 Reddy2003P Reed1990 Reed2003 Reeder1997n Rees20020 Rees20033L Rees20046 Reeves20020c Reich1988Reichelt2001 Reilly2003M Reilly2004 Reine2003 Rempfer2003 Rene20032 Renfrew2000 Repper19979 Repper19999| Rey1995Reynolds2001Reynolds2003 Rhoades1999 Rhodes20030 Ribera1987c Ribera20044 Ricard20011 Ricard20022Richards1997Richards2002LRichards2004Richters19961Rickwood1999Rickwood20000| Ridge2003 Ries19977] Rigby1994 Rigby1998Rijsdijk2001 Rizzo2002t Robbins20049 Robert20022 Roberts2002 Robertson2001 Robinshaw2003Robinson1995Robinson2003 Rock2001 Rock2001c Rock20022 Rodgers2003 Rodgers2003rRodriguez-Sacristan2000 Roeder-Wanner2002 Roger2004 Rogers20044 Rohde2000 Rohde2002z Rohrbaugh2001 Roland19999 Romagnoli2003 Roman2002 Romanelli1999N Ronning20043 Rooney20000Pappas19999 Paris1996 Paris1996, Park19989 Park2002 Parker1989v Parker1991̉ Parker1992v Parker1995 Parker19982 Parker19999 Parker2000̐ Parker2001 Parker2001v Parker2002 Parry2001 Parslow2003 Parslow2004 Patarnello2002̵ Patarnello2003 Patel2002 Paton2002 Patterson20021 Pearlin2003 Peck20040 Penades2003GAPennsylvania Office of Mental Health and Substance Abuse Services2001 3-Pennsylvanias Mental Health Planning Council2003Q Perey1999 Perez2002 Perry2001_ Petrie1989̗ Petrie20010Petroski2001̂ Pfeffer1997Phillips1970̾Phillips20020tPhillips2004m Philp2001 Picchi20020 Picchi20030q Piha19961z Piha19961k Piha1997l Piha19971 Pinfold2001 Pinfold2001 Pirkis1999m Pomeroy2001u Pope19955 Popejoy2001 Popejoy2002 Porter20011 Post19939 Potter19898 Powell2001} Powell20022) Powell2002  Power2003 Pratt1996 Pratt2002 Pratt2002 Prendergast20023 Preston2000 Preston2000> Preston2000 Preston2001 Priebe2002 Priebe20020 Priebe2002e2Proberts19999Proberts2002c] Procidano1994 Procter2003! Prou2003 Provost2003 Pullen2004̢ Pumariega1995 Pyne20011 Pyper2002 Quinn2004 Rabinowitz2002' Raferty1996% Ragan2002 Rangel2003̽ Rantz2001 Rantz2002Rapoport1989̽ Rappaport2002- Rauktis2001L Raveis19966 Ray20026 Reardon2002P Reed1990̶ Reed2003 Rees20020 Rees200336 Reeves20020c Reich1988 Reilly2003̩ Reine2003 Rempfer2003 Rene20032 Renfrew2000 Repper19979 Repper19999| Rey1995Reynolds2001Reynolds2003 Rhoades1999 Ribera1987c Ricard20022Richards1997Richards2002Richters19961Rickwood1999Rickwood20000] Rigby1994 Rigby1998Rijsdijk2001̃ Rizzo2002t Robbins20049 Robert20022 Roberts2002 Robertson2001 Robinshaw2003Robinson1995̒Robinson2003 Rock2001 Rock2001c Rock20022 Rodgers2003 Rodgers2003rRodriguez-Sacristan2000 Roeder-Wanner2002 Rogers20044 Rohde2002z Rohrbaugh2001 Roland19999 Romagnoli2003 Roman20023 Rooney20000" @9Liang, J. Wu, S. C. Krause, N. M. Chiang, T. L. Wu, H. Y. 1992JDThe structure of the Mental Health Inventory among Chinese in Taiwan Medical Care308659-6764.Lin, Elizabeth Woodside, D. Blake Rhodes, Anne 2003rkThe Canadian Psychiatric Association Practice Profile Survey: I. Methods and General Sample Characteristics\$Canadian Journal of Psychiatry484c237-243i Mayi 0706-7437s BAS-00019*Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Canada Psychiatrists; Psychiatry; Psychiatric Patients professional activities; psychiatric practice; Canadian psychiatristsDescribes the rationale, methodology, and general sample characteristics of the Canadian Psychiatric Association (CPA) practice profile survey, a national survey of psychiatrists and psychiatric practice. Mail-in interviews were sent to all Canadian psychiatrists listed in their provincial registers and to all active CPA members (total = 3628). Respondents provided general information about their professional activities for one 24-hr day and detailed information for 1 randomly selected hour. Patient information-including sociodemographics, diagnostic profiles, functioning levels, risk of harm to self or others, and disposition-was elicited for 1 patient seen during the random hour as well as for the most seriously ill patient receiving clinical services that day. Questionnaires completed by nonpsychiatrists or with a large percentage of missing or incorrect data were eliminated, resulting in a final sample size of 1570. CPA members and those from Western Canada responded at a higher rate to the survey. Most psychiatrists practise eclectically, seeing patients across the life-span, and working in both community and institutional settings. The old and the young appear to be underserviced, compared with adults. (PsycINFO Database Record (c) 2003 APA )^XPeer Reviewed Journal; Conference Proceedings/Symposia; Empirical Study; Journal Article' Health Systems Research and Consulting Unit, Clarke Site, Centre for Addiction and Mental Health, Toronto, ON, Canada [Lin]; Eating Disorders Clinic, Toronto General Hospital, Toronto, ON, Canada [Woodside]; St. Michael's Hospital, Toronto, ON, Canada [Rhodes] Email Address [mailto:elizabeth_lin@camh.net] Contact Individual Lin, Elizabeth, Health Systems Research and Consulting Unit, Clarke Site, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, Canada, M5T 1R8, [mailto:elizabeth_lin@camh.net]$Lindsay, Geoff Dockrell, Julie 2000^XThe behaviour and self-esteem of children with specific speech and language difficulties0)British Journal of Educational Psychology704583-601 Dec 0007-0998 SDQ-00009*F@Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) Attitudes; Behavior Problems; Language Disorders; Self Esteem; Speech Disorders; Parental Attitudes; Self Concept; Teacher Attitudes teacher & parental & self ratings of behavior & self-esteem; 7-8 yr olds with specific speech & language difficultiesSs were 69 7-8 yr olds who had been identified as having specific speech and language difficulties (SSLD). Children and teachers completed a measure of the children's self-esteem; teachers and parents completed a behavioral questionnaire (Strengths and Difficulties Questionnaire [SDQ]); teachers also completed a behavior subscale (Junior Rating Scale [JRS]). Ss' behavior was rated as significantly different from the norm on both the SDQ and JRS, with the parents more likely to rate the child as having problems, but also as having prosocial behavior. Both teachers and parents tended to rate the boys as having more problems than girls on the SDQ, with significant differences for the parents' ratings occurring on the total score and the hyperactivity and conduct problems scales. The children had positive self perceptions, and generally significantly higher than those of the teachers. The language and educational attainment scores of the children in special vs mainstream schools were generally not significantly different, but parents rated the latter group as having more behavior difficulties. Multiple regression analyses identified language comprehension and reading comprehension as the only predictors of the parents' rating of behavior. (PsycINFO Database Record (c) 2003 APA ) HBDoi 10.1348/000709900158317 Peer Reviewed Journal; Empirical Study'xqU Warwick, Psychology & Special Needs Research Unit, Ctr for Educational Development, Coventry, England [Lindsay]e: Rosen, Alan Teesson, Maree 2001VPDoes case management work? The evidence and the abuse of evidence-based medicine4.Australian & New Zealand Journal of Psychiatry356s731-746s Decn 0004-8674e LSP-00013*Human Australia; United Kingdom Case Management; Community Services; Costs and Cost Analysis; Psychiatry; Treatment Outcomes psychiatric case management; efficacy; effectiveness; cost effectiveness; evidence-based medicine; community treatment Reviews typologies of psychiatric case management (CM) and discusses the efficacy, effectiveness and cost effectiveness of psychiatric CM, with particular focus on evidence from Australia and the UK. The study also examines the way such evidence has been interpreted in the context of UK psychiatric research and services. Finally it examines the ways in which, by the selective reviewing or editorializing of evidence, CM has been brought into disrepute in the UK. Literature of the recent evidence for CM is reviewed, and 3 questions are asked of CM: Has it been shown to be efficacious in controlled research? Is it effective in applied settings? and, Is it cost effective? The concurrent representations of the UK evidence in both the academic literature and the media is examined. There is strong evidence for the efficacy, effectiveness and cost-effectiveness of CM in psychiatry, the closer it conforms to active and assertive community treatment models. It appears, however, that studies and evidence-based reviews of CM may have been misused and misrepresented in a highly charged atmosphere of professional media debate. The potential for this abuse is not limited to psychiatry and remains a challenge for all evidence-based practice. (PsycINFO Database Record (c) 2003 APA )b[DOI 10.1046/j.1440-1614.2001.00956.x Peer Reviewed Journal; Conference Proceedings/Symposia'U Wollongong, School of Public Health, Australia [Rosen] Email Address [mailto:arosen@doh.health.nsw.gov.au] Contact Individual Rosen, Alan, Australia, U Sydney, Dept of Psychological Medicine, Sydney, NSW College Research Unit, 2002HAHoNOS 65+: A Tabulated Glossary for Use with HoNOS65+ (Version 3)n London $Royal College of PsychiatristsCook, Sarah Howe, Amanda 2003piEngaging people with enduring psychotic conditions in primary mental health care and occupational therapy.'British Journal of Occupational Therapy666236-246 Jun2003-99312-001 HON-00052*Consultation Liaison Psychiatry; *General Practitioners; *Mental Health; *Occupational Therapy; *Psychiatric Patients; Health Care Delivery; Mental Health Services; Social AdjustmentSFor people who have enduring psychotic conditions, interventions need to improve social functioning as well as reducing clinical problems. There is also a need to engage and keep in touch with general practitioner (GP) patients who have fallen out of contact with specialist psychiatric care. A new model of service was designed to engage this patient group: an expanded primary care team in an inner-city area. The team extended the GP role, provided occupational therapy and care management and used liaison psychiatry. A case study design with mixed methods was used to investigate the new service. This article reports the quantitative investigation of engagement, clinical and social outcomes and cost consequences. The results showed that, at the start of the study, 37 people with psychotic conditions were in the sole care of their GPs; of these, 34 (92%) engaged with the new service. The sample of 28 receiving 12 months' interventions started with low levels of social functioning, which required intervention. Following interventions, they showed significant improvements in social functioning, clinical symptoms and Health of the Nation Outcome Scales (HoNOS). The costs were favourable when compared with similar services. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.cot.co.uk MaleFindling, Robert L. McNamara, Nora K. Gracious, Barbara L. Youngstrom, Eric A. Stansbrey, Robert J. Reed, Michael D. Demeter, Christine A. Branicky, Lisa A. Fisher, Kathryn E. Calabrese, Joseph R. 2003HACombination Lithium and Divalproex Sodium In Pediatric BipolarityeF@Journal of the American Academy of Child & Adolescent Psychiatry428v895-901 Aug 0890-8567 CGA-00024*~xHuman; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Us Bipolar Disorder; Child Psychiatry; Drug Therapy; Lithium Carbonate; Pediatrics; Drug Interactions bipolar disorder; divalproex sodium; pediatrics; adolescents; lithium; juveniles; Children's Depression Rating Scale, Revised Children's Depression Rating Scale, RevisedLithium carbonate (Li) or divalproex sodium (DVPX) may be effective for some juveniles with bipolar disorder. Many youths with bipolar disorder do not respond to DVPX or Li monotherapy. An open-label study was conducted to examine the effectiveness of combination DVPX and Li therapy with youths diagnosed with bipolar disorder. Patients meeting DSM-IV criteria for bipolar I or bipolar II disorder, ages 5 to 17 years, were treated prospectively for up to 20 weeks with DVPX + Li. Assessments included the Young Mania Rating Scale (YMRS), Children's Depression Rating Scale-Revised (CDRS-R), and the Children's Global Assessment Scale (CGAS) The a priori definition of clinical remis- remission utilized included four contiguous weekly ratings of YMRS, clinical stability, and no sion evidence of mood cycling. Ninety patients (66 males, 24 females) were treated Significant improvement in all outcome measures was observed by week 8 as well as at the end of study. The mean time in study was 11.3 weeks. 47% met a priori criteria for remission. Symptoms of mania and depres- depression in juvenile bipolar disorder may be safely and effectively treated acutely with DVPX + Li. (PsycINFO Database Record (c) 2004 APA )wd^Doi 10.1097/01.chi.0000046893.27264.53 Peer Reviewed Journal; Empirical Study; Journal Article'U Hosp Cleveland, Child & Adolescent Psychiatry, Cleveland, OH, US [Findling]; Case Western Reserve U, Cleveland, OH, US [McNamara, Gracious, Youngstrom, Stansbrey, Reed, Demeter, Branicky, Fisher, Calabrese] Email Address [mailto:robertfindhng@uhhs.com] Contact Individual Findling, Robert L, Child & Adolescent Psychiatry, U Hosp Cleveland, 11100 Euclid Avenue, Cleveland, OH, US, 44106-5080, [mailto:robertfindhng@uhhs.com] X Carson, Jody,&Carthew, R., Elphick, M., and Page, R.Carthew, Richard Carvill, SueCasebeer, A.L.Casella, CristinaCasi Arbonies, Antonio Cassileth, B. Catalan, Rosa Cauce, AM Caverly, SCayer, Mireille0-Centre for Population Studies in EpidemiologyChafetz, Linda Challis, D.Challis, David Chalmers, C.Chamberlain, Kerry Chang, V. T. Chant, D.Chaplin, Robert Chapple, B. Chavez, L. Chawla, S. Cheah, Y. C. Cheng, HelenCheng, StephenChesla, Catherine Cheung, P. Chi, IrisChiang, Po-Huang Chiang, T. L. Chipps, J. Chiu, E. Chiu, Edmond Chiu, Teresa Cho, D. W. Cho, Dong Chou, Kee-LeeChow, Julian Chun-ChungChristensen, H.Christensen, Helen$!Christensen, L., & Mendoza, J. L.Christenson, Elizabeth Christian, K.Church, ElaineChurchyard, Sally Ciarlo, J. A. Civenti, G. Clancy, C., and Eisenberg, J.Clancy, Kevin J.Clarbour, Jane Clardy, JAClark, Andrew F.Clark, Christopher R. Clark, J. M. Clarke, R.Clarkson, PaulCleary, Paul D. Clelland, S. Clifford, P.Clifford, Paul I. Clinton, M.(#Close-Goedjen, J., & Saunders, S.M. Coates, L. Cocks, John Coen, A. Coetzer, Rudi Cohen, J. Cohen, J. A. Cohen, L.Cohen, Patricia Cohen, Wayne Colarado(%Colarado Department of Human Services@=Colarado Department of Human Services, Mental Health ServicesColeman, GrahameColeman, K. J. Coleman, P.Colgan, Stephen Coll, XavierCollege Research Unit Colpe, L. J.Colpe, Lisa J.Combrinck, JohannConn, Vicki S.Connell, PatrickConnolly, S. J. connorsCook, E. H., Jr.Cook, Edwin H., Jr. Cook, SarahCooke, Robert G. Coombs, T Coombs, T. Coombs, T., and Byrne, M. K. Coombs, Tim Coombs, Tim; Cooper, Brian Cooper, M. R.Copeland, Anne P. Corbiere, M.Corbiere, MarcCordingley, L.Cornerstone Project Correll, RECorrigall, RichardCorriss, D. J.Cortes, Dharma E. Cortese, L.Cortese, LeonardCortese, LeonardoCosden, MerithCosenza, AngelaCoursey, Robert D.Courtenay, K. P. Courtney, M.Cowling, Vicki Cox, D. Craig, R. J. Craig, Tom Cramer, J. Cramer, R. D.Cramer, Roxy D.Craney, James L. Craven, R.Crawford, A. MelissaCrawford, Jeanne I.Crawford, John R. Cribb, JanCriste, Thomas R.Crits-Christoph, PaulCrocker, Anne G.Crockford, Helena A.Cromwell, Rue L.Crook, William Cross, P. Croucher, R. Croudace, T.Cuccaro, Michael L.Cuffe, Steven P.Cukrowicz, Kelly C.Culhane, M. A.Culhane, Melissa A. Cull, A. Cumella, S.Cunningham, L. Curran, S. Curtis, R. H. Cury, C. R.D'Avanzo, BarbaraD'Onofrio, Amelio AnthonyDadds, Mark R.Dagadakis, ChristosDahl, Ronald E.Daley, StephanieDaly, Daniel L.Dane, Andrew V. Daniells, S.Daniels, A. S. Daniels, B.Daniels, John P. Davern, M. Davidson, J.Davidson, JohnDavidson, Oliver Davies, A. R. Davies, R.Davies-Avery, A. Davis, A. Davis, HiltonDavis, Julian P. Davis, W. S. Dawson, John Day, CrispinDe Houwer, Jan de Moor, C.De Ruiter, Karen Deal, Nancy Deane, F. P. Debus, R. DeCastro, C.Decker, Oliver DeHueck, A.Delahunty, AnnDelBello, Melissa P.Demakos, E. P.t:*$Eu, P. W. Lee, C. Parker, G. Loh, J. 2001xqThe disability profile of patients with schizophrenia in psychiatric hospital and community settings in Singaporef Singapore Medical Journalc4212 559-62Singapore Med J 0037-5675 LSP-00056Community Mental Health Centers; Disability Evaluation; Hospitals, Psychiatric; Psychiatric Status Rating Scales standards; Schizophrenia Hospitals, State; Middle Aged; Reproducibility of Results; Schizophrenic Psychology; Singapore Comparative Study; Female; Human; Male The disability profile of persons with schizophrenia in Singapore and how disability levels vary in patients cared for in the community and in the long-stay wards of a state mental hospital were studied using the Life Skills Profile (LSP). The inter-rater reliability of the LSP assessed by the intraclass correlation coefficient (ICC), was lower than in the Australian studies.The test-retest ICCs for the total LSP score and the five subscale scores were satisfactory for the hospitalised subjects and for the community psychiatric nurse subjects, but generally poor for the community care facility subjects.The average ICCs were lower compared to the Australian study. Female hospitalised subjects but not male hospitalised subjects returned higher disability scores on all LSP scales compared to community subjects. This study provided some preliminary data on the usefulness and validity of the LSP in a multi-ethnic Asian setting like Singapore. If the LSP is used as a measure of disability in schizophrenia, it would appear that ratings should only be made by those who know the subject well, and that raters should be formally trained mental health professionals. Dec English'XRInstitute of Mental Health & Woodbridge Hospital, Singapore. pui_wai_eu@imh.com.sg*$Fakhoury, Walid K. H. Priebe, Stefan 2002HBSubjective quality of life: It's association with other constructs("International Review of Psychiatry143219-224 Aug2002-15496-008 HON-00093*Quality of LifeB;Provides an overview of the evidence on the association between the objective and subjective indicators of quality of life (QOL). Although there is an agreement in the literature that QOL encompasses both objective and subjective indicators--the former referring to external living conditions and the latter describing one's appraisal of these conditions--results show that the 2 indicators are only weakly to moderately correlated. Inter-correlation between subjective constructs such as subjective quality of life, self-rated needs and self-rated symptoms has also been reported, suggesting the existence of a general subjective appraisal factor influencing all ratings of all those constructs. The factor summarizes a higher subjective QOL and fewer needs and symptoms, and is affected by psychopathology, in particular mood symptoms. A challenge for future research is to identify how the general appraisal factor can be distinguished from the specific variance of subjective QOL ratings that is independent of that factor. The authors suggest more research, probably incorporating conceptual work and systematic studies using qualitative and quantitative methods, into the association of QOL with other constructs and into the factors that mediate the associations described in the literature. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.tandf.co.ukb diagnosis$ *Mental Disorders rehabilitationPratt,SI Moreland,KL 1996TMIntroduction to treatment outcome: historical perspectives and current issuese0*Residential Treatment for Children & Youth134h 1-27 OUT-MH-00078$Pratt, Sarah I. Mueser, Kim T. 2002 SchizophreniaP ("Antony, Martin M. Barlow, David H.PIHandbook of assessment and treatment planning for psychological disordersn  New York, NY Guilford Press375-414157230703X (hardcover) LSP-00065Measurement; Psychiatric Symptoms; Schizophrenia; Treatment; Disease Course; Epidemiology; Treatment Planning schizophrenia; treatment; epidemiology; disease course; assessment; standardized instruments; treatment planning(From the chapter) The authors begin this chapter with an overview of schizophrenia, emphasizing the clinical signs and symptoms of the syndrome and the characteristic impairments. The authors also discuss common associated problems present with schizophrenia, which for some patients dominate many of their treatment needs. The authors then discuss the epidemiology and course of the disorder. They next provide an overall conceptualization of the principles of assessment for schizophrenia, followed by a review of specific assessment procedures, including the use of standardized instruments. Then, they address the process of treatment planning, which naturally flows from the assessment process, and briefly review the evidence in support of specific interventions. The authors conclude with a brief consideration of remaining questions and future directions for the assessment and treatment planning for persons with schizophrenia. (PsycINFO Database Record (c) 2004 APA ):3Target Audience Psychology: Professional & Research'PINew Hampshire-Darthmoth Psychiatric Research Ctr, Concord, NH, US [Pratt]n"Pratt, Sarah Mueser, Kim T., 2002.(Social skills training for schizophrenia ,%Hofmann, Stefan G. Tompson, Martha C.mf_Treating chronic and severe mental disorders: A handbook of empirically supported interventions  New York, NY Guilford Press 18-52157230765X (hardcover) LSP-00061~Schizophrenia; Social Skills; Social Skills Training life skills deficits; social skills training; patients with schizophrenia(From the chapter) Patients with schizophrenia often display deficits in life skills. This chapter describes social skills-building strategies that help patients develop coping and life skills, an important piece in a comprehensive, rehabilitation strategy. Topics discussed include the theoretical underpinnings of social skills training, assessment of social functioning and social skills, treatment procedures, and common problems encountered in the delivery of social skills training. A case example of a 48-yr-old male with schizophrenia is provided to illustrate the implementation of social skills training. (PsycINFO Database Record (c) 2004 APA )a:3Target Audience Psychology: Professional & Researcho'XQNew Hampshire-Dartmouth Psychiatric Research Ctr, Concord, NH, US [Pratt, Mueser]hS+,NHWing, J. K. Beevor, A. S. Curtis, R. H. Park, S. B. Hadden, S. Burns, A. 1998LEHealth of the Nation Outcome Scales (HoNOS). Research and development\$British Journal of Psychiatrya 172  11-8 Jan9534825 HON-00023h*Health Policy; *Mental Health; *Mental Health Services standards; *Outcome Assessment Health Care standards Great Britain; Sensitivity and Specificity standardskBACKGROUND: An instrument was required to quantify and thus potentially measure progress towards a Health of the Nation target, set by the Department of Health, "to improve significantly the health and social functioning of mentally ill people". METHOD: A first draft was created in consultation with experts and on the basis of literature review. This version was improved during four stages of testing: two preliminary stages, a large field trial involving 2706 patients (rated by 492 clinicians) and tests of the final Health of the Nation Outcome Scales (HoNOS), which included an independent study (n = 197) of reliability and relationship to other instruments. RESULTS: The resulting 12-item instrument is simple to use, covers clinical problems and social functioning with reasonable adequacy, has been generally acceptable to clinicians who have used it, is sensitive to change or the lack of it, showed good reliability in independent trials and compared reasonably well with equivalent items in the Brief Psychiatric Rating Scales and Role Functioning Scales. CONCLUSIONS: The key test for HoNOS is that clinicians should want to use it for their own purposes. In general, it has passed that test. A further possibility, that HoNOS data collected routinely as part of a minimum data set, for example for the Care Programme Approach, could also be useful in anonymized and aggregated form for public health purposes, is therefore testable but has not yet been tested.0007-1250 English'60College Research Unit, University of Nottingham. Wing, J., and Lelliott, P. 1999("Reliability and validity of HoNOS.Psychiatric Bulletin236f 3751 HON-00105r(!Wing, J. Curtis, R. H. Beevor, A.l 1999RKHealth of the Nation Outcome Scales (HoNOS). Glossary for HoNOS score sheet$British Journal of Psychiatry 174 432-4 MayJ10616611 HON-00024rl*Health Status Indicators; *Psychiatric Status Rating Scales standards; *Terminology Great Britain standards0007-1250 EnglishT'<5Royal College of Psychiatrists Research Unit, London.U Wing, J., and Lelliott, P. 1999:3Reliability and validity of HoNOS [Correspondence].Psychiatric Bulletin236n 375 HON-00105*GChildhood (birth-12 yrs)*#Hoath, Fiona E. Sanders, Matthew R.. 2002A Feasibility Study of Enhanced Group Triple P - Positive Parenting Program for Parents of Children with Attention-deficit/Hyperactivity DisorderBehaviour Change194191-2062003-07643-002 HCA-00023*Attention Deficit Disorder with Hyperactivity; *Behavior Problems; *Childrearing Practices; *Family Intervention; *Parental Characteristics; Parent Child Relations; Parents; Self EfficacyThe aim of this randomised controlled trial was to examine the efficacy of an Attention-deficit/ hyperactivity Disorder (ADHD)-specific, Enhanced (Level 5) Group Triple intervention. Twenty families with a child with clinically diagnosed ADHD aged between 5 and 9 years participated. Families were randomly assigned to either an enhanced intervention group Enhanced Group Triple P; EGTP) or a wait list (WL) condition. Using parent reports of child behaviour, parenting practices and family functioning in addition to teacher reports of child behaviour in the school environment, parents in the EGTP condition reported significant reductions in intensity of disruptive child behaviour problems, aversive parenting practices and increases in parental self-efficacy when compared to the WL condition. Parents' reports at 3-month follow-up indicated the gains in child behaviour and parenting practices achieved at post-intervention were maintained. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)English0)http://www.australianacademicpress.com.aud$ bLpJDSiegel, Karolynn Karus, Daniel Epstein, Jennifer Raveis, Victoria H. 1996lePsychological and psychosocial adjustment of HIV-infected gay/bisexual men: Disease stage comparisonse&Journal of Community Psychology243229-243 Jul *#0090-4392 Electronic ISSN 1520-6629 MHI-00059dHuman; Male; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Acquired Immune Deficiency Syndrome; Bisexuality; Disease Course; Human Immunodeficiency Virus; Male Homosexuality; At Risk Populations; Emotional Adjustment; Social Adjustment disease progression; mental health & psychosocial adjustment; HIV-infected gay or bisexual 20-45 yr old malestExamined the association between HIV disease progression (asymptomatic, symptomatic, AIDS) and mental health and psychosocial adjustment (PSA) in 144 men (aged 20-45 yrs) who had same gender sex. Measures used include the Center for Epidemiologic Studies Depression Scale, the Mental Health Inventory, and the Psychosocial Adjustment to Illness Scale. Data indicate that gay and bisexual men with HIV or AIDS were at risk of intrapsychic distress throughout the course of the disease, but the likelihood of problematic adjustment associated with their social interactions appeared to increase as the disease progressed. Ss reported relatively high levels of psychological symptomatology and low levels of PSA compared to normative general population samples, and lower levels of PSA compared with some samples of individuals having other acute or chronic conditions. Implications of these findings for community psychologists are discussed. (PsycINFO Database Record (c) 2003 APA )nhDoi 10.1002/(sici)1520-6629(199607)24:3<229::aid-jcop4>3.0.co;2-s Peer Reviewed Journal; Empirical Study'D>Memorial Sloan-Kettering Cancer Ctr, New York, NY, US [Siegel]81Siegel, Karolynn Gluhoski, Vicki L. Karus, Danieln 1997,%Coping and mood in HIV-positive womenPsychological Reports812 435-442\ Octu 0033-2941 MHI-00037Human; Female; Adulthood (18 yrs & older) Coping Behavior; Emotional States; Human Females; Human Immunodeficiency Virus coping strategies & mood; HIV-positive femalesUExamined the relationship of coping strategies to several mood measures, using scores from a sample of 145 HIV-positive women who completed the Ways of Coping Questionnaire and the Mental Health Inventory. Correlations indicate that an escape-avoidance strategy was associated with more negative emotions. Other strategies related to negative emotions included accepting responsibility and a self-controlling approach. These findings are consistent with those previously reported for HIV-positive men, suggesting that similar kinds of coping strategies may be associated with positive and negative moods among HIV-positive men and women. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'D>Memorial Sloan-Kettering Cancer Ctr, New York, NY, US [Siegel] "Siggins Miller Consultants, 2003yConsumer self-rated outcome measures in mental health. A report to the Mental Health Branch, Department of Human Services October 2003 OUT-MH-00013*60Simon, A. E. Giaocomini, V. Ferrero, F. Mohr, S. 2003B8International Journal of Methods in Psychiatric Research33167-176 Oct 1049-8931 CGA-00092.'Human; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Adjustment; Psychopathology; Rating Scales; Test Reliability; Test Validity; Parents reliability & validity of Columbia Impairment Scale; assessment of global psychological functioning; 9-17 yr olds & their parentsThe Columbia Impairment Scale (CIS) is a 13-item scale that can be administered by a lay interviewer to provide a global measure of impairment. The 13 items tap 4 major areas of functioning: interpersonal relations, broad psychopathological domains, functioning in job or schoolwork, and use of leisure time. Items are scored on a spectrum ranging from 0 "no problem" to 4 "a very big problem." The CIS was administered to 182 children (aged 9-17 yrs) during the pilot phase of a multisite methodological study. The CIS score obtained through the parent's interview appears to provide a useful global measure of impairment. Initial findings from this pilot sample show high internal consistency, excellent test-retest reliability, and good validity when correlated with a clinician's score on the Children's Global Assessment Scale and with other measures indicative of impairment. (PsycINFO Database Record (c) 2003 APA )Journal; Empirical Study'd]Columbia University Coll of Physicians & Surgeons, New York State Psychiatric Inst, US [Bird]rHjSchneider, Justine Wooff, David Carpenter, John Brandon, Toby McNiven, Fayee 2002RKService organisation, service use and costs of community mental health carea2+Journal of Mental Health Policy & Economics52 79-87 Jun2002-08608-007 HON-00109|v*Community Mental Health; *Costs and Cost Analysis; *Health Care Costs; *Health Care Delivery; *Mental Health Services~wExplored the association between different forms of mental health service organization and costs and tested the impact on costs of services with high degrees of integration between health and social care providers, and of services t.'Gjerdingen, Dwenda K. Froberg, Debra G. 1991f_The measure of health in new mothers: A factor analysis of physical and mental health variablesiWomen & Health172 119-134  0363-0242t MHI-00063v Human; Female; Adulthood (18 yrs & older) Factor Analysis; Health; Mental Health; Mothers; Adoptive Parents; Biological Family factor analysis of physical & mental health variables; determination of components of health; 1st time biological vs adoptive mothersConducted a factor analysis study to determine the components of health in 63 1st-time biological mothers, 104 1st-time adoptive mothers, and 119 controls (women without children). Ss completed items from the National Health Interview Survey (S. Sudman, 1979) and the Mental Health Inventory (C. T. Veit and J. E. Ware; see record 1984-02935-001). Results showed 4 health status factors: Mental Health, Use of Health Services, Work Readiness, and Activity. These 4 factors yielded a cumulative variance of 62.8%. While 3 of the factors--Mental Health, Use of Health Services, and Work Readiness--were represented in the factor structures of each of the 3 groups, there were noteworthy differences in the constituents of factors between groups. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study',%U Minnesota, St Paul, US [Gjerdingen] nyM (Grigg, Margaret Grigoroiu-Serbanescu, MariaGrimley, Diane M.Groark, Claire Grob, M. C. Groves, Aaron Grower, R. Gruber, StaciGruber-Baldini, Ann L.Grummon, Kathy Grusky, OGuarnaccia, Charles A.Guastadisegni, P.Gudjonsson, G.H.Guerrero Blanco, M.Gupta, Alpana S. Gupta, Sumit Gust, JeanGuttman, Diane AdlesteinGuzder, Jaswant Habibis, D.Habibis, DaphneHabimana, Emmanuel Hack, T. F. Hackman, C. Hadden, S.Hadzi Pavlovic, D.Hadzi-Pavlovic, D.Hadzi-Pavlovic, DusanHafkenschied, A Hageman, WJJM Hagen, S.Hagen, SuzanneHagglund, Kristofer J. Hahn, CR Haines, M. M. Haire, Mary Hall, A. Hall, AdamHall, Caroline Hall, J. Hall, W. Hallebone, ELHalperin, Jane CarolHalpin, S. A; Carr, V.J. Hambridge, J.Hamera, Edna K.Hamernik, ElizabethHamovitch, Maurice B.Handegaard, Bjorn HelgeHandysides, J. Hansen, T. Hansson, L Hantz, P.Hanze, Douglas Hapke, U.Hardy, GillianHardy, Gillian E. Hardy, P. Harfst, T.Hargis, Michael B.Harrington, CharleneHarrington, R. C.Harrington, Richard Harris, L. Harris, M.Harris, Meredith G.Harrison, G and Eaton, W. Harrison, G.Harrison, Glynn Harrison, J.Harrison, LucyHarrison-Read, Phil Harvey, C Harvey, C. A.Harvin, SheilaHastings, R. P. Hatfield, B.,'Hatfield, B., Spurrell, M., & Perry, A.Hatfield, BarbaraHatfield-Timajchy, Kendra Hatling, T.Hawes, David J. Hawkins, EJHawthorne, GraemeHawthorne, W. B. Hayden, K.A. Hayes, Robyn Haynes, Roger Hays, R. D. Hazelton, M.Hazelton, MichaelHealy-Farrell, L.Healy-Farrell, LaraHebel, J. RichardHebert, Deborah A.Heidenreich, Jodi Helenius, H.Helenius, HansHellewell, J. S. E. Hendryx, MHennessy, Susan M.Henry, David B.Henry, Delmina Henry, L. Hepper, F. Hermann, RCHermann, Richard C.Hernandez, KarenHerndon, J. E., 2ndHerrick, ElizabethHerrman, HelenHerrman-Doig, T.Herrmann-Doig, Tanya Hervas, A. Hetta, J.Heubeck, Bernd G. Heussler, H.Heyman, Marsha Heywood, Sam Hickman, M.Hicks, Lanis L. Higginson, I. Higginson, J., & Purvis, K. Higgitt, AnnaHill, Jeffrey V. Hill, P. Hill, Peter Hill, T.Hilsenroth, Mark J.Hirdes, John P. Hiripi, E. Hiripi, Eva Hirst, Fiona Hoagwood, K.Hoath, Fiona E. Hobbs, C.Hobbs, ColettaHodes, Matthewd_Hodges, Barwick et al., Hodges et al., Loseth et al., Timmons-Mitchell et al. & Vernberg et al. Hodges, K Hodges, KayHodgson, Donna M.Hodgson, JessicaHodgson, R. E.Hodgson, Richard E. Hoefer, M. A. Hoffart, AsleHoffmann, F. L.Hofmann, Stefan G. Hogman, Gary Hohmann, A. Holden, K. R. Holen, Are Holland, J.Holland, J. C.Holland, J. F.Holland, Jimmie C.Holland, SarahHollins, Kathryn Hollis, C.Holloway, FrankHolloway, John Holte, Arne Hooke, G. R. Hooke, GeoffHooke, Geoffrey R. Hope, J. D.(#Hope, J.D., Keks, N.A. & Trauer, T.(#Hope, J.D., Trauer, T. & Keks, N.A.c b LEIndicators of stable oppositional defiant disorder in early childhoodrDietz, Karen Rubin Northwestern U.uGiven that Oppositional Defiant Disorder (ODD) is a common clinical diagnosis in young children, there has been relatively little research focusing specifically on the early development of this disorder. ODD is often comorbid with and a precursor to other psychiatric disorders. However, many ODD behaviors, when exhibited to a lesser degree, are considered normative in early childhood. Therefore it is important, for early intervention purposes, to be able to distinguish children who are passing through a developmental phase from those who are at risk for following a pathway of increasing problems. This prospective, longitudinal study is an examination of indicators of stability of ODD in 134 children, initially ages 2 to 5 years, from a community-based sample. It is part of a larger study (Lavigne et al., 1993) of behavior and emotional problems and health care utilization in young children. The study reported here analyzed 3 waves of yearly data collection for children with an ODD diagnosis at Wave 1, examining scores on several scales of the Child Behavior Checklist (CBCL), Children's Global Assessment Scale (CGAS) scores, and General Cognitive Index (GCI) scores from the McCarthy Scales of Children's Abilities. Age, gender, and comorbidity were considered as much as possible given the sample size. Stability of ODD over the 3 waves was generally moderate. There were mild indicators of risk for stable ODD, including lower CGAS scores (the best overall indicator), and higher CBCL total problems, internalizing, and aggression scores. Some gender and age differences are noted. This study supports the idea that indicators of risk for stable ODD can be identified as early as the preschool years. There is a need for further longitudinal research incorporating more possible risk indicators and assessing their specificity in predicting different pathways of behavior. Gender differences and the role of comorbidity also warrant further exploration. (PsycINFO Database Record (c) 2003 APA )  2001 Availability UMI Dissertation Order Number AAI3011976 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 62(4-B), Oct 2001, pp. 2054 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Longitudinal StudyeHuman; Childhood (birth-12 yrs); Preschool Age (2-5 yrs) Disease Course; Oppositional Defiant Disorder oppositional defiant disorder; stability; early childhoodrkRole demand, social problem solving, and optimism, as correlates of well-being in women with multiple rolesDimola, Elaine Videtti  Fordham U. $ This study examined the relationship of role demand, dispositional optimism, and social problem solving skills to well-being of multiple role women. Multiple roles require managing a high level of demand daily over an extended period. Multiple role women vary in their ability to maintain well-being under the stress of role demands. This study explored factors which might explain the variability. The study's purpose was to determine the extent to which role demand, social problem solving, and optimism explain the variance in well-being of multiple role women. The sample consisted of 90 women who worked at least 20 hours per week at several private and public agencies. Participants filled out an assessment package and returned it directly to the examiner or through the mail. Role demand was measured by number of hours spent completing role responsibilities. Optimism was measured by the Life Orientation Test-Revised. Social Problem Solving was assessed by the Problem Solving Skills Scale of the Social Problem Solving Inventory. Well-being was measured by the Mental Health Inventory, Social Well-being Index, and Symptoms List. Results indicated that optimism explained a significant percentage of the variance in well-being of multiple role women. Role demand as measured in hours was not related to well-being of multiple role women, however, perceptions of role overload were negatively correlated with well-being and perceptions of reward were positively correlated with well-being. Social problem solving did not explain any variance in well-being beyond optimism. Unexpected was the finding that time spent within the marriage role was significantly and positively related to well-being. The multiple role women in this study were more distressed than a normative sample of men and women. The findings supported research suggesting that the multiple role experience is one of stress and reward occurring simultaneously, each experience relatively independent of the other, and that general disposition toward positive or negative outlook and perceptions about the role demand are the more significant factors determining well-being. Implications of these findings for counseling and research of multiple role women were presented as well as suggestions for future research. (PsycINFO Database Record (c) 2003 APA ) 2002Availability UMI Dissertation Order Number AAI3021698 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 62(7-B), Feb 2002, pp. 3410 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Female; Adulthood (18 yrs & older) Human Females; Optimism; Problem Solving; Roles; Well Being women; role demand; social problem solving; optimism; well being; multiple roles Adulthood (18 yrs & older)@:Rushforth, D., Brooker, C., Winstanley, J. & Repper, D. T. (2000)|The use of HoNOS in the evaluation of partial hospitalisation in mental health day care. Health of the Nation Outcome Scales(!Clinical Effectiveness in Nursing43121-127 HON-00099*4-HoNOS, partial hospitalization, mental health& Objectives: the North Mersey Community NHS Trust commissioned an evaluation of a new partial hospitalization service following the restructuring of the mental health day units.The study was undertaken to examine the profile of people with serious mental illness and subsequent changes in in-patient admissions and duration of hospital stay. Method: baseline characteristics of the total population of day unit patients were assessed by Health of the Nation Outcome Scales (HoNOS) ratings and compared with similar populations elsewhere.A review of hospital admission statistics was undertaken. Results: total HoNOS scores reported were low in all day units, indicative of post hospital admission stability.Other mental health problems was the highest ranked item.The mean score of 1.9 concealed a minority of people requiring further intervention to address secondary mental health needs.Admissions reduced by 4.3% and admission days by 18.9% at 6 months from the commissioning date.This might signify a small effect for partial hospitalization. Summary of findings: the findings provide a baseline for monitoring trends in the day-patient profile. Recommendations for dissemination of evidence-based practice and investment in psycho-social intervention training are identified. 2000 Harcourt Publishers Ltdfn0Link, B. et al.t 2003Part II. Socioeconomic Disparities in Mental Health and Mental Disorder. Section A. Fundamental Cause vs. Mechanism-Based ModelsrkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00027*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughoutHBLittlefield, Christine Abbey, Susan Fiducia, Denise Cardella, Carl 1996NHQuality of life following transplantation of the heart, liver, and lungs"General Hospital Psychiatrye186 Suppl36S-47S Nov 0163-8343 MHI-00025*Human; Adulthood (18 yrs & older) Heart; Liver; Lung; Organ Transplantation; Quality of Life; Tissue Donation quality of life following transplantation; patients who received heart vs lung vs liver transplant6/Describes the quality of life of patients who have received a transplant of the heart, liver, and lungs. The authors document how the different patient groups fared in relation to each other with respect to physical, psychological, and social functioning as well as in relation to published normative data. A questionnaire was mailed and responses received from 55 heart, 149 liver, and 59 lung transplant recipients. Measures included the SF-36, Mental Health Inventory, a quality of life measure that rated degree of improvement since transplantation, a measure of degree of difficulty in following medical and lifestyle regimens, sleep disturbance, and the Illness Intrusiveness Rating Scale. Lung transplant Ss reported better functioning than heart or liver transplant patients in all 3 domains of physical, psychological, and social functioning. Lung recipients' level of functioning was equivalent to or better than published norms for the SF-36. Heart and liver recipients reported equivalent functioning to published norms in some domains, but reported impairment in the areas of physical and social functioning. Heart patients especially reported greater intrusiveness of their illness on their daily lives and indicated more difficulty complying with their lifestyle regimen. (PsycINFO Database Record (c) 2003 APA )f,&Peer Reviewed Journal; Empirical Study'81U Toronto, Toronto Hosp, ON, Canada [Littlefield]; Ljunggren, G. 1992D=Case-mix analyses in long-term care institutions in Stockholmd2+Scandinavian journal of primary health care{102l 151-6eScand J Prim Health Care 0281-3432 RUG-00025Diagnosis Related Groups; Skilled Nursing Facilities Activities of Daily Living; Aged ; Aged, 80 and over; Long Term Care; Relative Value Scales; Sweden HumanhbIn order to describe the patient case-mix in long-term care, several methods have been developed. One resource-based method, Resource Utilization Groups, RUGs, developed in New York and validated in several U.S. states, has also been validated in Stockholm and used there for studying various types of geriatric institutions. The variables used in this analysis, the distribution of the RUG categories, an ADL-index, and a case-mix index, show differences between geriatric departments, local nursing homes, mixed institutions, and private nursing homes. The geriatric departments show a high percentage of patients undergoing rehabilitation, a high case-mix index, and a relatively low ADL-index. In the local nursing homes, there is a majority of patients with behaviour problems and reduced physical functions. They show a low case-mix index but also a low ADL-index. Mixed institutions show results lying between these two types of institutions. The costs of the institutions, however, do not correlate well to the case-mix. This raises issues on efficiency and the need for new reimbursement models in geriatric care. Jun English'XRKarolinska Institute, Department of Geriatric Medicine, Huddinge Hospital, Sweden. F8 Human MalesHuman Sex Differences Husbandshusbands' mental health$ husbands' perceived control over,(Hydrocortisone administration and dosage hyperactivity0+Hypercholesterolemia, Familial diet therapy0+Hypercholesterolemia, Familial epidemiology4.Hypercholesterolemia, Familial physiopathology,)Hypercholesterolemia, Familial psychology Hyperkinesis HyperthermiaHypothyroidism IcelandD?Identification Scale & use in treatment planning & monitoring &DAIII-R symptoms vs stressful life events vs child vs parent report illness Illness (Attitudes Toward)Illness BehaviorIllness MeasureImitation (Learning)Immunodeficiency Virusimpact of life events impairment implications4.implications for inventory combination utility imprisonmentimprovement program@:in assessment of psychopathological symptoms in children & incarcerated male adolescents Incarceration Incidence@=incidence & transition probabilities & risk factors for major Income Levelindependent living skillsindex manic episodeIndia Individualindividual psychotherapyindividual therapy Industrial and Organizationalindustry practice inequitiesInfancy (2-23 mo) Infant Infant Behavior physiology Infant Behavior psychologyInfant, Newborn Infant, Premature physiology Infant, Premature psychology infectionInfectious Disorders infertile Infertilityinformation provisionInformation Systems83Information Systems organization and administrationInfusions, IntravenousInjections, Subcutaneous inmates Inpatientinpatient admission inpatientsinpatients group therapyInpatients psychology,(Inpatients statistics and numerical dataInstitutionalization InstitutionsInstrumentationinsurance cost sharingIntake Interviewintake interviews integratedHBintegrated primary-mental health care services for evaluation of &Integrated Servicesintellectual disability Intelligence intensiveIntensive Care, Neonatalintensive case management inter-raterinter-rater agreementDAinter-rater reliability of the Children's Global Assessment Scale interactioninteractional model($Interdisciplinary Treatment Approach Intergenerational Relations internalinternal consistencyInternal External Controlinternalizing disorders international job assignment,(International Performance Scale--Revised Internetinternet interventions Interpersonal Communicationinterpersonal functioningInterpersonal Interaction Interpersonal PsychotherapyInterpersonal RelationsInterpretation InterraterD>interrater & test retest reliability & discriminant validity &Interrater ReliabilityD>interrater reliability & concurrent & discriminant validity ofDAinterrater reliability & convergent validity of Children's GlobalD>interrater reliability of Axis V of DSM-IV & Children's Globalintervention outcomes interventionsInterview measuresInterview SchedulesInterview, Psychological$ Interview, Psychological methods("Interview, Psychological standards interviewsIntravenous Drug Usage Inventories InventoryInventory modifier scales@8Goodman, R. Ford, T. Simmons, H. Gatward, R. Meltzer, H. 2003~xUsing the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample("International Review of Psychiatry15 1-2166-172u Febs*#0954-0261 Electronic ISSN 1369-1627p SDQ-00044r|vHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Great Britain Child Psychiatry; Mental Disorders; Psychodiagnosis; Questionnaires; Screening Tests; Community Services; Prediction Strengths and Difficulties Questionnaires; prediction; diagnosis; child psychiatric disorders; community screening programsChild psychiatric disorders are common and treatable, but often go undetected and therefore remain untreated. To assess the Strengths and Difficulties Questionnaire (SDQ) as a potential means for improving the detection of child psychiatric disorders in the community, SDQ predictions and independent psychiatric diagnoses were compared in a community sample of 7,984 children (aged 5-15 yrs) from the 1999 British Child Mental Health Survey. Multi-informant (parents, teachers, older children) SDQs identified individuals with a psychiatric diagnosis with a specificity of 94.6% and a sensitivity of 63.3%. The questionnaires identified over 70% of individuals with conduct, hyperactivity, depressive, and some anxiety disorders, but fewer than 50% of individuals with specific phobias, separation anxiety and eating disorders. Sensitivity was substantially poorer with single-informant rather than multi-informant SDQs. It is concluded that community screening programs based on multi-informant SDQs could potentially increase the detection of child psychiatric disorders, thereby improving access to effective treatments. (PsycINFO Database Record (c) 2003 APA )6/Peer Reviewed Journal; Empirical Study; Reprint'King's Coll, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, United Kingdom [Goodman, Ford, Simmons]; Office for National Statistics, Social Survey Div, London, United Kingdom [Gatward, Meltzer] Email Address [mailto:r.goodman@iop.kcl.ac.uk] Contact Individual Goodman, R, Dept of Child & Adolescent Psychiatry, Inst of Psychiatry, De Crespigny Park, London, United Kingdom, SE5 8AF, [mailto:r.goodman@iop.kcl.ac.uk]i; Quantitative Study; Journal Articlee'Youth Detention Ctr "de Hartelborgt", Spijkenisse, Netherlands [Vreugdenhil]; Child & Adolescent Psychiatry, Free U, Amsterdam, Netherlands [Doreleijers, Vermeiren]; Dept of Psychiatry, U Amsterdam, Amsterdam, Netherlands [Wouters]; Academic Medical Ctr, U Amsterdam, Amsterdam, Netherlands [van den Brink] Email Address [mailto:postbus@vreugd.demon.nl] Contact Individual Vreugdenhil, Coby, R.I.J. de Hartelborgt, Borgtweg 1, 3202 LJ, [mailto:postbus@vreugd.demon.nl] AXSuicidal Ideation suicidality Suicidesuicide attemptsSuicide psychologysupply and distribution supportSupport, Non U.S. Gov't$Support, U.S. Gov't, Non P.H.S. Support, U.S. Gov't, P.H.S.Supportive Psychotherapy Survey SurveysSurvival Analysis Survivors suspected rheumatic illnessesSustained Attention SwedenSweden epidemiologySwedish translation Switzerland symptomsymptom identificationsymptomatology Symptoms,'symptoms of PTSD & anxiety & depression41symptoms reported on mental illness questionnaire SyndromeSyndrome Scale systemSystem Disorders("systemic behavioral family therapy Taiwan Tasmania Taxoids Taxonomies Teacher@;teacher & parental & self ratings of behavior & self-esteemTeacher Attitudesteacher ratingD>teacher's direct vs indirect teaching methods & rural vs urban teacher-rated observations Teachers TeachingTeaching Methodsteam functionsteam structureTeams Techniques Telemedicine TelephoneD?telephone psychoeducational intervention based on interpersonal@;telephone screening test vs social worker clinical judgmenttelepsychiatry termination Terminology TerrorismTestTest Constructiontest development Test Forms Test Normstest of confirmatory$Test of Nonverbal IntelligenceTest Reliability Test Scorestest validation Test Validity(%test-retest & inter-rater reliabilitytest-retest stabilityTeststextile workers vs Thailandthe@:The impact of training in the health realization/communitytheir assessment & their Theoriestherapeutic efficacyTherapeutic ProcessesTherapeutic Social Clubs Therapist Therapists therapy ThirtiesThirties (30-39Thirties (30-39 yrs)Thyroid Hormonesthyroid-stimulating Thyrotropin tianeptineTime and Motion Studies Time FactorsTissue Donation to cancer tolerabilitytool developmentTooth Injuries etiology top-down topiramate Toward)traffic accident Trainees training traitsTranscultural Psychiatry Transferases Transgenerational Patterns transition Translation Treatmenttreatment adherenceTreatment ApproachTreatment Compliance4.treatment costs & diagnosis & functional leveltreatment courttreatment discontinuationTreatment DurationTreatment Effectiveness("treatment effectiveness evaluationtreatment frequencytreatment guidelines@7Outcomes in child and adolescent mental health services$Current Opinion in Psychiatry124439-443 OUT-MH-00035*Despite a number of reviews outlining methodological difficulties in the area of outcome assessment in child and adolescent mental health services, the past year has seen a proliferation of public policy initiatives drawing attention to the merits of outcome measurement in these services. In the UK, these initiatives focused the attention of many nonacademic services on outcome measurement for the first time.R>Z ,Preston, N. J. 2000~xPredicting community survival in early psychosis and schizophrenia populations after receiving intensive case management60Australian and New Zealand Journal of Psychiatry341 122-8Aust N Z J Psychiatry{ 0004-8674n LSP-00011*Activities of Daily Living psychology; Case Management; Schizophrenia rehabilitation; Schizophrenic Psychology Adult ; Chronic Disease; Community Mental Health Services; Follow Up Studies; Middle Aged; Patient Care Team; Patient Readmission statistics and numerical data; Psychiatric Status Rating Scales; Psychotic Disorders rehabilitation; Rehabilitation, Vocational; Survival Analysis; Treatment Outcome Comparative Study; Female; Human; Male \VOBJECTIVE: The study was undertaken to assess whether social and living skills functioning predicted community survival between subjects with chronic schizophrenia and early episode psychosis after receiving assertive community-based case management. METHOD: Forty-two chronic schizophrenia patients and 49 early psychosis subjects were measured on hospitalisation for up to 3 years after receiving equivalent community-based assertive case management. A Kaplan-Meier survival analysis was performed to compare community survival between the two groups. A Cox-regression analysis was used to investigate whether sex, age, social and occupational functioning measured by the social and occupational functional assessment score (SOFAS), living skills measured by the life skills profile score (LSP), and overall role functioning measured by the role functioning scale (RFS) predicted community survival. Subscales of the LSP were also analysed in a subsequent Cox-regression using the forward selection method. RESULTS: Differences in rate of community survival were not statistically significant (using the log-rank Chi-squared test) between subjects with early psychosis and chronic schizophrenia; however, half of the early psychosis subjects survived past the 12-month period while only a third of the chronic schizophrenia subjects did so within the same time period. The life skill profile was a significant predictor of community survival with low scores on the subscale of non-turbulence (i.e. antisocial behaviour) contributing to poorer community survival. CONCLUSION: The amount of antisocial behaviour displayed while receiving assertive community-based case management may be an important predictor of community survival among subjects with early psychosis and chronic schizophrenia. Treatment of such behaviour may improve community survival among these populations. Feb Englishaf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=122&goto=abstract'hbFremantle Hospital and Health Service, Western Australia, Australia. neil.preston@health.wa.gov.auPreston, N. J. 2000xqThe Health of the Nation Outcome Scales: Validating factorial structure and invariance across two health servicesh4-Australian and New Zealand Journal Psychiatry343 512-9 Junc10881977 HON-00005**Mental Disorders diagnosis; *Mental Disorders rehabilitation; *Mental Health Services standards; *Psychiatric Status Rating Scales statistics and numerical data Adult ; Catchment Area Health; Factor Analysis, Statistical; Hospitalization ; Hospitals, Psychiatric; Length of Stay; Psychometrics statistics and numerical data; Reproducibility of Results; Sensitivity and Specificity; Treatment Outcome diagnosis; rehabilitation; standards; statistics and numerical datab\OBJECTIVE: The Health of the Nation Outcome Scale (HoNOS) was developed in the mid-1990s as an inclusive and comprehensive instrument to measure patient outcomes in four main factors: behaviour, impairment, symptoms and social problems. This paper attempts to investigate whether similar health services rate the HoNOS with equivalent psychometric calibration. METHOD: The purpose of this study was to test for invariant construct interpretation of the instrument across two equivalent health services, using simultaneous confirmatory factor analysis. RESULTS: Although the four-factor model of the HoNOS was confirmed, structural non-invariance occurred, casting doubt on the equivalent interpretability and generalisability of the instrument across similar heath services. CONCLUSIONS: Over-inclusiveness, lack of specificity and questionable independence of observations may have contributed to the non-invariant factor structure between the two health services. Such results shed some doubt on the ability of the HoNOS and like observational instruments to provide equivalent comparisons between health services.("discussion 520-1 0004-8674 Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=512&goto=abstract'zMental Health Services, Fremantle Hospital and Health Service, Western Australia, Australia. neil.preston@health.wa.gov.au\UPriebe, S McCabe, R Bullenkamp, J Hansson, L Rossler, W Torres-Gonzales, F Wiersma, Da 2002The impact of routine outcome measurement on treatment processes in community mental health care: approach and methods of the MECCA study*#Epidemiologia e Psichiatria Sociale113198-204 OUT-MH-00077* Bj60Hadzi-Pavlovic, Dusan Rosen, Alan Parker, Gordon 199260The relevance and use of life skills assessments Kavanagh, David J.81Schizophrenia: An Overview and Practical Handbookp London Chapman and Hall206-220`Y0412389002 (hardcover, Chapman & Hall); 1565930541 (hardcover, Singular Publishing Group)n LSP-00063gAbility; Measurement; Schizophrenia; Activities of Daily Living; Quality of Life; Self Care Skills discusses the nature of life skills; their assessment & their relationship with the course of schizophrenia(From the book) discusses the nature of life skills and their relationship with the course of [schizophrenia] and with the quality of life that is enjoyed by patients and their families / reviews a number of assessment devices, including the authors' Life Skills Profile, and discusses some of the problems that they encounter (From the chapter) life skills can be defined as those abilities which are components of essential functional roles; which are expressed in terms of self-care, work, leisure and relationships; and which contribute to an individual's survival in the fullest sense when she or he is attempting to live in some form of community (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Researchl'ZTU New South Wales, School of Psychiatry, Kensington, NSW, Australia [Hadzi-Pavlovic]Hafkenschied, Al 2000xrPsychometric measures of individual change: an empirical comparison with the Brief Psychiatric Rating Scale (BPRS)$Acta Psychiatrica Scandanavica 101a235-2424 OUT-MH-00025*KyObjective: An empirical comparison of treatment efcacy estimates as based on psychometric measures of intra-individual change (Reliable Change methods). Method: All seven different methods of assessing Reliable Change that have been advocated in the past two decades are compared empirically in a large in-patient sample (n=107). Estimates of treatment efficacy by each of these seven Reliable Change methods are computed, using pre-/ post-score changes on the Brief Psychiatric Rating Scale (BPRS). Results: It is demonstrated that Reliable Change methods may yield very different estimates of treatment efficacy. The Reliable Change method with the fewest statistical assumptions is one of the least sensitive Reliable Change methods. Conclusion: Disagreement on the proper denition of Reliable Change is not merely of theoretical importance, but also has major practical implications.n"Hageman, WJJM Arrindell, WA  1999Establishing clinically significant change: increment of precision and the distinction between the individual and group level of analysist$Behaviour Research and therapy37 1169-1193 OUT-MH-00031*Some essential adaptations to the method for determining clinically signicant change originally introduced by Jacobson, Follette and Revenstorf [Jacobson, N. S., Follette, W. C. & Revenstorf, D. (1984a). Psychotherapy outcome research: methods for reporting variability and evaluating clinical signicance. Behavior Therapy, 15, 336352.] are presented. One adaptation deals with the failure in the original method to distinguish between analysis at the individual versus analysis at the group level. A second adaptation entails the provision of a closer approximation of the underlying true scores. This renement represents an enhancement in precision. Specic aspects of this renement may be understood in terms of a correction for error-based regression to the mean. Taking into account these adaptations, new procedures are described for determining (clinically signicant) change. Some guidelines for the publication of outcome ndings are also presentedB 7The aims of this study were to determine whether or not post-treatment adolescent cancer survivors (ACS) make causal attributions when confronted by a cancer diagnosis, the nature of those attributions, and whether or not those attributions are associated with psychological adjustment. The causal attributions of thirty-four ACS (23 males, 11 females), ranging in age from 12-20 years (M = 16.3, SD = 2.3) were elicited by semi-structured interview and rated for causal source (internal vs. external) and causal controllability (controllable vs. uncontrollable) using an adaptation of the Content Analysis of Verbatim Explanations method (Schulman, Castellon, & Seligman, 1988). Psychological adjustment was measured by the Mental Health Inventory (MHI). Social desirability was evaluated by the Crowne and Marlowe Social Desirability Scale. One-way ANOVAS were used to evaluate the relationship between causal variables and MHI scores. Multiple regression models were used to evaluate sociodemographic characteristics and illness-related factors for potential effects. The findings confirm that ACS, like adults, begin an attributional search when faced with a diagnosis of cancer. Ninety-one percent of participants reported asking themselves "Why me?" and 90% specified personal theories. ACS gave a broad range of reasons why they got cancer, most commonly citing environmental exposures and heredity. The majority of adolescents attributed their cancers to external and uncontrollable causes. There were no statistically significant differences based on the causal source or causal controllability variables. The participants were psychologically well-adjusted, with MHI scores comparable to the normative sample. Age, in the context of other sociodemographics, had a significant effect on the relationship between causal attributions and psychological adjustment Older adolescents were relatively more distressed than younger adolescents. Illness-related factors were not significant predictors for this group of ACS. Social desirability response set did not affect MHI variables. The findings support Abramson, Seligman, and Teasdale's (1978) reformulation of the learned helplessness model that external causes are associated with better psychological outcomes for illness events. If the association between external/uncontrollable attributions and adjustment is borne out by future research, then clinicians could profitably focus on reframing adolescents' attributions, when necessary, to causes which are perceived as outside of oneself and beyond one's control. (PsycINFO Database Record (c) 2003 APA ) 1999Availability UMI Dissertation Order Number AAI9930722 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 60(6-B), Jan 1999, pp. 2944 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyhaHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Adolescent Psychology; Attribution; Emotional Adjustment; Neoplasms; Survivors causal attributions; psychological adjustment; 12-20 yr old post-treatment adolescent cancer survivors (mean age 16.3 yrs)l $Hawes, David J. Dadds, Mark R. 2004b[Australian data and psychometric properties of the Strengths and Difficulties Questionnaire\2,Australian New Zealand Journal of Psychiatry388644-651 Aug2004-17339-010 SDQ-00075**psychometric properties; Strengths and Difficulties Questionnaire; Australian children; SDQ; parent-report SDQ; internal consistency; stability; external validity; internal reliabilityWe examine the Australian psychometric properties of the Strengths and Difficulties Questionnaire (SQD), a brief screening measure of behavioural and emotional problems in children and adolescents. Using a large community sample (n = 1359) of young Australian children (4-9 years), we assessed the internal consistency, stability, and external validity of the parent-report SDQ. Normative data and cut-offs were also produced. Moderate to strong internal reliability was exhibited across all SDQ subscales, and support was found for the original five-factor structure of the measure. Adequate validity was evidenced in the relationship of these scales to one another, while correlations between the SDQ subscales, teacher ratings, and diagnostic interviews demonstrated sound external validity. SDQ total difficulties scores were associated with concurrent treatment status and scores over a 12-month period were stable. The current study of the SDQ with Australian children presents evidence of sound psychometric properties. Being the first study to empirically support the use of the SDQ in Australia, it is recommended that the youth and teacher-report forms of the measure receive similar attention in the future. (PsycINFO Database Record (c) 2004 APA )0F@Hawthorne, W. B. Green, E. E. Lohr, J. B. Hough, R. Smith, P. G. 1999pjComparison of outcomes of acute care in short-term residential treatment and psychiatric hospital settingsPsychiatric Services503401-406d^Evaluating cognitive-behavioral group treatment for disruptive adolescents in a special schoolHebert, Deborah A. ,%Antioch U/New England Graduate SchoolaThis research compares the effects of an 8-week manualized cognitive behavioral group treatment program to the effects of the issue-based treatment program typically used in a special school setting for severely disturbed adolescents. Twenty-one students were divided into control and treatment groups, with control groups continuing to receive a previously scheduled weekly issue-based group, and the treatment group receiving an abbreviated manualized cognitive-behavioral treatment based on Wexler's (1991) Program for Innovative Self-Management (PRISM). Teachers, caretakers, and students were asked to rate participating students' functioning at pretreatment, posttreatment, and 2-month follow-up points using the Total Problems score from the Child Behavior Checklist (CBCL), Child Behavior Checklist, Teacher Report Form (CBCL-TRF), and Youth Self-Report (YSR) (Achenbach, 1991; Achenbach, Mc Conaughy, & Howell, 1987) and a single number chosen to represent the students' overall functioning, from the Children's Global Assessment Scale (CGAS) (Shaffer, Gould, Brasic, Ambrosini, Fisher, Bird, & Aluwahlia, 1983). Indicators of behavioral functioning in the school environment served as secondary sources of outcome data. The hypothesis that a cognitive behavioral group treatment would yield significant treatment effects superior to those of the favored topic-based treatment format was not supported. The expectation that a brief treatment model might yield effective results with this severely disturbed population, particularly when the treatment is offered in isolation rather that as one part of a more comprehensive treatment program, appears to have been overly optimistic. Treatment effects for this intervention may increase with boundary conditions consistent with Wexler's (1991) original model, where PRISM was integrated in a comprehensive wrap-around treatment program, with all program staff trained to simultaneously and consistently implement the treatment. (PsycINFO Database Record (c) 2003 APA )  2002Availability UMI Dissertation Order Number AAI3040420 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 63(1-B), Jul 2002, pp. 528 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Treatment OutcomesHuman; Adolescence (13-17 yrs) Behavioral Contrast; Cognitive Therapy; Group Psychotherapy; Special Education Students cognitive behavioral group treatment; disruptive behavior; adolescents; special school Hepper, F. Garralda, M. E. 2001jcPsychiatric adjustment to leaving school in adolescents with intellectual disability: A pilot studytpiJournal of Intellectual Disability Research. Special Issue: Mental health and intellectual disability: IX456521-525 Dec2001-10106-006 SDQ-00001*^X*Adjustment; *Comorbidity; *Learning Disabilities; *Mental Disorders; *School AttendanceThe negotiation of stressful life cycle transitions may contribute to the higher prevalence of psychiatric disorders among people with intellectual disability (ID). It is possible that leaving school at age of 16 yrs might place particular psychological demands on adolescents, increasing the risk of psychiatric morbidity at a time when they are vulnerable as a result of losing the links with health services sustained through school attendance. This pilot study was designed as a prospective cohort study to investigate whether there is an increase of psychiatric morbidity [rated with the Strengths and Difficulties Questionnaire (SDQ), and through semi-structured interviews with parents] in adolescents with ID at the time of the transition from school to adult education and services. Although there was a high frequency (eight out of 10 subjects) of reported emotional and behavioural problems prior to transition, there was no increase or decrease in psychiatric morbidity for the group as a whole during the 6 months after leaving school. However, there were marked individual differences in scores on the SDQ, which may be worth investigating in a larger study. (PsycINFO Database Record (c) 2003 APA )rEnglishe("http://www.blackwellpublishing.comTherapy methods*Mood Disorders therapyHodges, K Wotring, J 2004rlThe role of monitoring outcomes in initiating implementation of evidence-based treatments at the State levelPsychiatric Services55396-400 OUT-MH-00059.(Hodgson, R. E. Lewis, M. Boardman, A. P. 2001:4Prediction of readmission to acute psychiatric units2,Social Psychiatry & Psychiatric Epidemiology366304-309*#0933-7954 Electronic ISSN 1433-9285g LSP-00038*tnHuman United Kingdom Prediction; Psychiatric Hospital Readmission readmission to psychiatric wards; predictionNotes that many factors are known to influence readmission to psychiatric wards, and readmission rates have been suggested as proxy outcome indicators of quality. For this study, Korner returns were used to ascertain readmission rates for all psychiatric admissions to acute wards in North Staffordshire, 1987-1993. Predictor variables were derived from Korner returns or obtained from the 1991 Census data. Survival analysis techniques were used to examine which variables predicted readmission. A predictive model was derived using Cox regression, which followed the observed data at greater than chance probability. A psychotic diagnosis was the most influential predictor of readmission. It is concluded that length of stay is not predictive in the Cox regression model, which suggests patients are not being prematurely discharged. The derived models may have value in service planning, audit and resource allocation. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s001270170049 Peer Reviewed Journal; Empirical Study'\VKeele U, School of Postgraduate Medicine, Dept of Psychiatry, Keele, England [Hodgson]9,TD.d]Valenstein, M., Mitchinson, A., Ronis, D., Alexander, J., Duffy, S., Craig, T., and Barry, K.l 2004f_Quality indicators and monitoring of mental health services: what do frontline providers think?x$American Journal of Psychiatry 161k1461530 MIS-00013*voObjective: Many health care organizations are giving feedback to mental health care providers about their performance on quality indicators. Mental health care providers may be more likely to respond to this feedback if they believe the indicators are meaningful and within their sphere of influence. The authors surveyed frontline mental health care providers to elicit their perceptions of widely used indicators for quality monitoring in mental health services. Method: The survey was distributed to a stratified, random sample of 1,094 eligible mental health care providers at 52 Department of Veterans Affairs facilities; 684 (63%) returned the survey. The survey elicited perceptions of 21 widely used indicators in five quality domains (access, utilization, satisfaction, process, and outcomes). The data were analyzed with descriptive and multivariate methods. Results: Most mental health care providers (65%) felt that feedback about these widely used indicators would be valuable in efforts to improve care; however, only 38% felt able to influence performance related to these monitors and just 13% were willing to accept incentives/risk for their performance. Providers were most positive about satisfaction monitors and preferentially included satisfaction, access, and process monitors in performance sets to measure overall quality. Despite providers relatively positive views of monitors, 41% felt that monitoring programs did not assist them in improving care. Providers cited numerous barriers to improving care processes. Conclusions: Mental health care providers may be more receptive to monitoring efforts if satisfaction, access, and process monitors are emphasized. However, providers views of monitoring programs appear to be less affected by concerns about specific monitors than by concerns about the accuracy of quality measurement and barriers to changing care processes.r`YValleni-Basile, Laura A. Garrison, Carol Z. Jackson, Kirby L. Waller, Jennifer L. et al., 1994\UFrequency of obsessive-compulsive disorder in a community sample of young adolescentsaF@Journal of the American Academy of Child & Adolescent Psychiatry336782-791Jul-Augi 0890-8567  CGA-00063Human; Adolescence (13-17 yrs) Obsessive Compulsive Disorder; Comorbidity; Compulsions; Longitudinal Studies; Obsessions prevalence of clinical & subclinical obsessive compulsive disorder; 7th-9th graders; 3 yr studypjInvestigated the frequency of obsessive-compulsive disorder (OCD) and subclinical OCD in young adolescents. 3,283 adolescent Ss were administered a self-report depressive symptom questionnaire. The Schedule for Affective Disorders and Schizophrenia for School-Age Children and the Children's Global Assessment Scale were administered to 488 mother-child pairs. The prevalences of OCD and subclinical OCD were found to be 3% and 19%, respectively. Prevalences were similar in males and females. Females reported more symptoms of compulsions, and males reported more obsessions. About 55% of Ss with OCD reported both. The most common compulsions were arranging (56%), counting (41%), collecting (38%), and washing (17%). Major depressive disorder (45%), separation anxiety (34%), and dysthymia (29%) were frequently comorbid with OCD. (PsycINFO Database Record (c) 2003 APA )@:Peer Reviewed Journal; Empirical Study; Longitudinal Study'\UU South Carolina, Dept of Epidemiology & Biostatistics, Columbia, US [Valleni-Basile].\VValleni-Basile, Laura A. Garrison, Carol Z. Jackson, Kirby Waller, Jennifer L. et al., 1995tnFamily and psychosocial predictors of obsessive compulsive disorder in a community sample of young adolescents(!Journal of Child & Family Studies42193-206d Jun 1062-1024 CGA-00071Human; Female; Adolescence (13-17 yrs); Adulthood (18 yrs & older) Family Relations; Obsessive Compulsive Disorder; Prediction; Psychosocial Factors; Mothers family & psychosocial predictors of obsessive compulsive disorder; 7th-10th graders & their mothersxqA 2-stage epidemiologic study investigated family and psychosocial predictors of obsessive compulsive disorder (OCD) and subclinical OCD (SOCD). In Stage 1, 3,283 7th-10th graders completed the Life Events Scale for Adolescents and the Family Adaptability and Cohesion Evaluation Scales. In Stage 2, 488 mother-child pairs completed the Schedule for Affective Disorders and Schizophrenia in School Age Children and the Children's Global Assessment Scale. In multivariable models, family cohesion was the only significant demographic correlate of OCD. Separate analyses of individual life events indicated 7 specific events were significantly associated with OCD or SOCD. These findings suggest overinvolvement of family members may not be a risk factor for OCD, though an association with overly rigid family structure cannot be eliminated. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'\UU South Carolina, Dept of Epidemiology & Biostatistics, Columbia, US [Valleni-Basile]~van Os, Jim Altamura, A. C. Bobes, J. Owens, D. C. Gerlach, J. Hellewell, J. S. E. Kasper, S. Naber, D. Tarrier, N. Robert, P. 2002hb2-COM: An instrument to facilitate patient-professional communication in routine clinical practice$Acta Psychiatrica Scandinavica 106s6o446-452s Dect2002-06238-006 MIS-00003m*Client Characteristics; *Health Care Delivery; *Needs; *Self Report; *Therapeutic Processes; Communication; Patients; PsychosisA simple patient-completed self-report instrument may facilitate patient-professional carer communication. A 19-item self-report needs schedule was used in a sample of 243 out-patients (mean age 38.1 yrs) with non-affective psychosis. Patients and professional carers commented on the usefulness of the instrument. In a subgroup of 95 patient-carer dyads, the professional carer was asked to rate the needs in addition to the patient. Patients scored their needs reliably and lower than the professionals. Concordance between patients and professional carers on individual needs was very low. More than 50% of the professional carers and more than 80% of the patients found 2-COM useful. The higher the number of needs indicated by the patient, the greater the discrepancy between patients and professional carers with regard to the usefulness of the schedule. 2-COM is a useful instrument to expose, and subsequently bridge, patient-professional carer discordance on patient needs. (PsycINFO Database Record (c) 2003 APA )0Englishp("http://www.blackwellpublishing.com^HLMcLean Hospital, 2004*#http://www.basissurvey.org/basis24/lMcLean Hospital, 2004&http://basissurvey.org/basis32/tmMcLeer, Susan V. Dixon, J. Faye Henry, Delmina Ruggiero, Kenneth Escovitz, Karen Niedda, Teresa Scholle, Rita 1998JCPsychopathology in non-clinically referred sexually abused children^F@Journal of the American Academy of Child & Adolescent Psychiatry3712 1326-1333e Dec6 0890-8567u CGA-00041*leHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Us Child Abuse; Posttraumatic Stress Disorder; Psychiatric Symptoms; Sexual Abuse; Victimization; Anxiety Disorders; Major Depression symptoms of PTSD & anxiety & depression; 6-16 yr old sexually abused children 30- to 60-days after abuse disclosure & terminationiExamined the prevalence of psychiatric symptoms and disorders found in non-clinically referred, sexually abused children (SAC) during the 30- to 60-day period after disclosure and termination of abuse. 80 SAC (aged 6-16 yrs) were compared with clinical (recruitees from an urban psychiatric outpatient department) and nonclinical groups of nonabused children matched by age, race, and SES. Structured and semistructured interviews and standardized rating scales, including Children's Depression Inventory and Children's Global Assessment Scale, were used for assessment. More posttraumatic stress disorder (PTSD) was found in the SAC than in the 2 comparison groups, and symptom severity was intermediate, except for symptoms of posttraumatic stress, trait anxiety, and depression, which were highest in the SAC. SAC are at high risk for PTSD and symptoms of posttraumatic stress, anxiety, and depression in the immediate period after disclosure and termination of abuse. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'rkState U New York, School of Medicine & Biomedical Sciences, Dept of Psychiatry, Binghamton, NY, US [McLeer] Validity development & reliability & validity issues & interpretive strategy & status of available norms of Behavior & Symptom Identification Scale & use in treatment planning & monitoring & outcome assessment(From the chapter) This chapter provides an overview of the BASIS-32 (Behavior and Symptom Identification Scale), including a summary of its development, information about its reliability and validity, a basic interpretive strategy, and the status of available norms. The overview is followed by a discussion of the use of the instrument for treatment planning, treatment monitoring, and outcomes assessment, including a focus on its use in managed care settings. Limitations of the use of the BASIS-32 for these purposes are also presented. Several brief case studies are described to present how BASIS-32 assessments can be clinically useful on an individual level. (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Research'*$McLean Hosp, Belmont, MA, US [Eisen] `9K Schizophrenia rehabilitation$schizophrenia spectrum disorder$ schizophrenia spectrum disordersHBschizophrenia symptoms vs neurocognitive measures as predictors ofSchizophrenia therapy Schizophrenia, Third Edition schizophrenic schizophrenic 19-78 yr oldsschizophrenic adult malesSchizophrenic Psychologyschizophrenic subjectsschizophreniform disorder SchoolSchool Age (6-12School Age (6-12 yrs)school age childrenschool characteristics$ School Health Services standards("School Health Services utilizationSchool Students("school-based mental health service Schools0,scores on Children's Global Assessment ScaleScoring (Testing) Scotland Screening@=screening accuracy of 5 vs 18 item Mental Health Inventory vs@;screening for & monitoring drug &/or treatment side effectsscreening instrumentscreening scalesScreening TestsSDQ seclusion4/secondary diagnosis of substance abuse disorderSeeking BehaviorSelf Self CareSelf Care Skills Self Concept Self ControlSelf Destructive Behavior Self Efficacy Self EsteemSelf Evaluation Self HelpSelf Help GroupsSelf ManagementSelf Perception Self Reportself report version self reports$!self-administered outcome measure0,self-concept dimensions & global self-esteemself-concept for physicalself-destructive behavior self-esteemself-management self-report$ self-report vs observer measures Sensitivity and Specificitysensory disability September 11 terrorist attackserious mental illness($seriously mentally ill 17-64 yr olds("Serotonin Agonists adverse effects("Serotonin Agonists therapeutic useSerotonin metabolism0+Serotonin Uptake Inhibitors adverse effects0+Serotonin Uptake Inhibitors therapeutic use Sertralineservice delivery Service Needsservice outcomesservice system planners &service use behavior[U "Garralda, Elena Yates, Peter 2000$HoNOSCA: Uses and limitationsp,&Child Psychology and Psychiatry Review5l3i131-132r2000-12267-005 HCA-00009*ng*Adolescent Psychiatry; *Child Psychiatry; *Mental Health Services; *Rating Scales; *Treatment OutcomesThe Health of the Nation Outcome Scales for Child and Adolescent Mental Health (HoNOSCA) is a timely newcomer to the field of child and adolescent mental health services research. The user-friendliness of the HoNOSCA has made it acceptable and even popular in routine clinical practice. Reasons for the measure's popularity, limitations, and possible future uses are discussed. (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.com.'Garralda, M. E. Yates, P. Higginson, I.o 2000TMChild and adolescent mental health service use. HoNOSCA as an outcome measure$British Journal of Psychiatry 177 52-8 Jul10945089 HCA-00003*rk*Adolescent Health Services utilization; *Child Health Services utilization; *Mental Health Services utilization; *Outcome Assessment Health Care methods Adolescent ; Child ; Child, Preschool; London ; Mental Disorders therapy; Outpatients ; Patient Compliance; Prospective Studies; Questionnaires ; Urban Health Services utilization utilization; therapy; methods. BACKGROUND: HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents) is a recently developed measure of outcome for use in child and adolescent mental health services (CAMHS). AIMS: To examine HoNOSCA's sensitivity to change, convergent validity and clinical usefulness. METHOD: Prospective study of new CAMHS attenders. Questionnaires completed by clinicians, parents and referrers at initial assessment and after 6 months. RESULTS: Follow-up HoNOSCAs on 203 children indicated statistically significant change. There were significant associations between change in HoNOSCA scores, changes in other clinician- and parent-rated scales (r = 0.51 to 0.32) and in global outcome ratings by referrers, parents and clinicians. Intraclass correlation coefficients for the summated HoNOSCA scores were high. HoNOSCA change was positively correlated with initial HoNOSCA score (r = 0.46, P < 0.001) and it was linked to psychiatric diagnosis. CONCLUSIONS: HoNOSCA is a sensitive, valid measure of change among CAMHS attenders.0007-1250 English'vpAcademic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine and Dentistry, London, UK.3 Keys, R. 2000D=HoNOS: does it have a role to play in mental health services?eMental Health Practice3s7 22-24 not available2,Kirkby, K. Daniels, B. Jones, I. McInnes, M. 1997>7A survey of social outcome in schizophrenia in Tasmania{60Australian and New Zealand Journal of Psychiatry313 405-10Aust N Z J Psychiatry 0004-8674 LSP-00045Schizophrenia ; Social Behavior Adaptation, Psychological; Adult ; Questionnaires ; Retrospective Studies; Schizophrenic Psychology; Tasmania Female; Human; MaleOBJECTIVE: To survey the social outcome of patients with schizophrenia attending State mental health facilities in southern Tasmania. METHOD: Using the Statewide Mental Health Register, patients using inpatient and outpatient facilities who received a diagnosis of schizophrenia between 1981 and 1988 were identified (n = 771), and demographic and illness measures, and admissions and length of inpatient stay were compiled. The Life Skills Profile (LSP) was completed by mental health personnel for the 247 who were regular attenders or inpatients in 1991. RESULTS: Social morbidity as indexed by the LSP was highest in psychiatric hospital inpatients and patients in long-term rehabilitation programs, and lower in patients attending community centres. The majority of patients in suburban settings and attending community centres lived with their families, whereas patients in the inner city or in the rehabilitation service were mainly in hostel accommodation or living alone. Patients with schizophrenia attending State services were of a similar age range but had a longer duration of illness and more admissions, and had spent more days in hospital than patients who were not in regular contact with the service. CONCLUSIONS: The distribution of social morbidity in schizophrenia confirms that the public health system is supporting a group with high social morbidity. Patients with the highest morbidity are receiving the highest levels of care and intervention. Jun English'PIDivision of Clinical Sciences, University of Tasmania, Hobart, Australia.l(!Kisely, S. Preston, N. Rooney, M.i 2000d]Pathways and outcomes of psychiatric care: Does it depend on who you are, or what you've got?p60Australian and New Zealand Journal of Psychiatry3461009-14Aust N Z J Psychiatryd 0004-8674c MIS-00009*F@Community Mental Health Services economics; Mental Disorders economics; Outcome Assessment Health Care; Patient Admission economics Adult ; Aged ; Chronic Disease; Cost Benefit Analysis; Length of Stay economics; Mental Disorders therapy; Middle Aged; Patient Readmission economics; Western Australia Female; Human; MalejdOBJECTIVES: To investigate predictors of outcome and cost for patients treated by Mental Health Services in the south metropolitan area of Perth using logistic regression to control for potential confounding factors. METHOD: Data were collected over a 3-month period on 2691 subjects (47% male, 53% female) as part of the Mental Health Classification and Services Cost Project. RESULTS: The average age of subjects was 44.3 years. Nearly 80% of care occurred in community settings and virtually all inpatient care was for acute emergencies. The most common diagnosis was schizophrenia (33%) followed by mood disorders (30%). Within the study period, 88% of patients had only one episode of care (n = 2361) and a further 8% two (n = 223). Patients with schizophrenia were one-third as likely to be discharged from care (95% CI = 0.2-0.4) and 30% as likely to have longer episodes of care (95% CI = 1.1-1.6). Patients with personality, substance or adjustment disorders spent less time in treatment, and those with personality or substance disorders were more likely to be discharged from psychiatric care. A past history of inpatient care was associated with a worse outcome in terms of length of care, or not being successfully discharged. Severity of illness as determined by involuntary treatment or elevated Health of the Nation Outcome Scales and Life Skills Profile (LSP) scores was associated with increased costs. Greater disability on the LSP was also associated with increased length of care. Sociodemographic factors were as least as important as diagnosis in predicting the cost and outcome of treatment. CONCLUSIONS: Demographic factors may better predict increased health service use than diagnostic casemix. Since sociodemographic variables contribute as much to outcome as diagnosis, comparing results between units is likely to be misleading unless adjusted for these factors. Dec EnglishohaBlackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=1009&goto=abstracte'b\Fremantle Hospital and Mental Health Services, Perth, Australia. stephenk@cyllene.uwa.edu.aub Adulthood (18 yrs & older)Fossey, E Harvey, C 2001haA conceptual review of functioning: implications for the development of consumer outcome measures{60Australian and New Zealand Journal of Psychiatry35 91-98 OUT-MH-00026*h<5consumer outcome, functional assessment, functioning.:4Objective: Australias National Mental Health Strategy aims to achieve improved consumer outcomes. The development and refinement of consumer outcome measures is targeted within the Second National Mental Health Plan. The National Standards for Mental Health Services identify measures of functioning, quality of life and satisfaction with services as relevant to assessing and monitoring consumer outcome. Consumers have described gauging their own recovery through the achievement of functional goals in everyday life. This paper reviews how functioning is viewed within the mental health field, and implications for developing better functional outcome measures. Method: Literature describing the development of measures of functioning, principles of outcome measurement, and functional outcomes for people with severe mental illness was identified, using PsycLIT. A review yielded themes reflecting a number of assumptions about the concept of functioning. Results: Functioning is inadequately defined, raising issues about what is focused on, and from whose viewpoint, each of which has implications for using measures of functioning to monitor consumer outcome. Conflation of dissimilar functional domains, and flawed assumptions about the importance of symptomatology in influencing functional outcome limit the sensitivity to meaningful change of functional measures. Consumer perspectives are relatively neglected in functional tool development. Conclusions: A conceptual framework that recognizes lived experience and the interaction between persons and their environment is much needed to guide the development of functional outcome measures. Qualitative and quantitative research methodologies should be used to advance understanding of functioning and to address limitations of current approaches to functional outcome measurement.bhFE^jW`YRosenberg, David R. Stewart, Carol M. Fitzgerald, Kate D. Tawile, Viviane Carroll, ElaineH 1999b[Paroxetine open-label treatment of pediatric outpatients with obsessive-compulsive disorderfF@Journal of the American Academy of Child & Adolescent Psychiatry389r 1180-1185m Sep  0890-8567R CGA-00047*.'Human; Male; Female; Outpatient; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Us Drug Therapy; Obsessive Compulsive Disorder; Paroxetine; Safety; Side Effects (Drug) safety & effectiveness & side effects of paroxetine; 8-17 yr olds with obsessive-compulsive disordergEvaluated the safety and effectiveness of paroxetine in pediatric obsessive-compulsive disorder (OCD) patients. In a 12-wk, open-label trial of paroxetine, 20 OCD outpatients, aged 8-17 yrs, were treated for OCD with daily doses ranging from 10 to 60 mg. Target symptoms were rated at regular intervals with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), the Children's Global Assessment Scale, the Clinical Global Impression Scale, the Hamilton Anxiety Rating Scale, and the Yale Global Tic Severity Scale. Paroxetine proved relatively safe in this brief trial with a small sample and appeared to be effective in patients with OCD; mean CY-BOCS scores decreased significantly. The most common side effects were hyperactivity/behavioral activation, headache, insomnia, nausea, and anxiety. Paroxetine did not have to be discontinued in any of the Ss because of side effects; the most serious side effects included hyperactivity/behavioral activation in 3 younger patients (aged <10 yrs) necessitating dosage reduction but not discontinuation. Preliminary evidence suggests that short-term treatment of pediatric OCD outpatients with paroxetine may be relatively safe and effective. (PsycINFO Database Record (c) 2003 APA )D@:Peer Reviewed Journal; Empirical Study; Treatment Outcomes'rlWayne State U School of Medicine, Dept of Psychiatry & Behavioral Neurosciences, Detroit, MI, US [Rosenberg]*$Rosenblatt, A., and Attkisson, C. C. 1993d]Assessing outcomes for sufferers of severe mental disorder: a conceptual framework and review&Evaluation and Program Planning16 47-363OUT-MH-requestRKRosenthal, Ted L. Downs, John M. Arheart, Kristopher L. Deal, Nancy et al.,i 1991`YSimilarities and differences on five inventories among mood and anxiety disorder patients$Behaviour Research and Therapy293d239-247 0005-7967n MHI-00041fHuman; Adulthood (18 yrs & older); Aged (65 yrs & older) Affective Disorders; Anxiety Disorders; Eysenck Personality Inventory; Measurement; Test Norms; Leisure Time; Mental Health; Self Efficacy norms on Eysenck Personality Questionnaire & BAROMAS self efficacy scale & leisure interests & body problems checklists & mental health inventory; 19-76 yr olds with mood or anxiety disorderss<6Administered the Eysenck Personality Questionnaire (EPQ), the BAROMAS self-efficacy scale of mastering signs of distress (T. L. Rosenthal and R. H. Rosenthal, 1985), a leisure interests checklist (LIC), a mental health inventory (MHI), and a checklist of body problems to 128 patients (aged 19-76 yrs) with serious mood or anxiety disorders. Compared to normative data published on the 1st 4 devices, Ss were "sicker" in nearly all comparisons. However, anxiety and mood Ss did not differ on the EPQ, BAROMAS, or LIC. On body problems, strong contrasts emerged, especially when obsessive compulsive cases were excluded. Small anxiety subtype groups also differed. On the MHI, both total and core groups of mood patients, especially depressives, differed from the anxiety disorders. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'XRU Tennessee Ctr for the Health Sciences, Coll of Medicine, Memphis, US [Rosenthal]@:Roy, A. Matthews, H. Clifford, P. Fowler, V. Martin, D. M. 2002~wHealth of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD): glossary for HoNOS-LD score sheetU$British Journal of PsychiatryV 180 67-70i Jant11772854 HLD-00002**Health Status Indicators; *Learning Disorders therapy; *Outcome Assessment Health Care standards; *Psychiatric Status Rating Scales England ; Learning Disorders diagnosis; Outcome Assessment Health Care classification; Terminology diagnosis; therapy; classification; standards0007-1250 English'HBBrooklands, Coleshill Road, Marston Green, Birmingham B37 7HL, UK.@:Roy, A. Matthews, H. Clifford, P. Fowler, V. Martin, D. M. 2002ZTHealth of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD)$British Journal of Psychiatry  180 61-6 Jan11772853 HLD-00001**Health Status Indicators; *Learning Disorders therapy; *Outcome Assessment Health Care standards; *Psychiatric Status Rating Scales England ; Learning Disorders complications; Mental Disorders complications; Outcome Assessment Health Care classification; Patient Satisfaction; Pilot Projects; Psychometrics ; Reproducibility of Results; Sex Distribution complications; therapy; classification; standardsBACKGROUND: The Health of the Nation Outcomes Scales (HoNOS) have been developed to measure outcomes in people with mental health problems. AIMS: Frequent impaired social functioning, problems with communication and associated physical conditions meant that a bespoke instrument was needed for people with learning disabilities. We describe the development of the Health of the Nation Outcomes Scales for People with Learning Disabilities (HoNOS-LD). METHOD: HoNOS-LD was piloted at 26 sites. Two raters, at two points in time, rated 372 subjects. Analysis determined acceptability, ease of use, interrater reliability, sensitivity to change and reliability with the Aberrant Behavior Checklist (ABC). RESULTS: The resulting 18-item instrument demonstrated good reliability and validity characteristics and is generally acceptable to clinicians. CONCLUSIONS: HoNOS-LD is an appropriate instrument for measuring outcome in people with learning disabilities with additional mental health needs.@90007-1250 English ; Multicenter-Study; Validation-Studies'HBBrooklands, Coleshill Road, Marston Green, Birmingham B37 7HL, UK.&Royal College of Psychiatrists, 200460http://www.rcpsych.ac.uk/cru/honoscales/faqs.htmRuggeri, M Tansella, M 1995.(Evaluating outcome in mental health care$Current Opinion in Psychiatry8\2116-121s OUT-MH-00036*tThe need for increasing awareness on how to measure the efficacy and effectiveness of psychiatric care is emphasized in this paper.Comprehensiveness, multiaxiality and specificity are proposed as guidelines for future developments. The past year's literature is discussed with particular regard to studies on the effectiveness of alternative treatments to hospitalization. The relevance of the subjective view of users is outlined. ZH>8Parker, Gordon Rosen, A. Emdur, N. Hadzi-Pavlovic, Dusan 1991vpThe Life Skills Profile: Psychometric properties of a measure assessing function and disability in schizophrenia$Acta Psychiatrica Scandinavica832145-152i Febs*#0001-690X Electronic ISSN 1600-0447r LSP-00050etmHuman; Adulthood (18 yrs & older) Adjustment; Profiles (Measurement); Schizophrenia; Test Reliability; Test Validity; Health Personnel Attitudes; Mental Health Personnel; Parental Attitudes; Parents; Social Workers reliability & validity of Life Skills Profile; assessment of function & disability in schizophrenia; case workers vs residential caregivers vs parentsReports a number of studies assessing the psychometric properties of the Life Skills Profile (LSP; A. Rosen et al; see record 1990-00156-001), a measure of function and disability in schizophrenia. The properties of the LSP are demonstrated principally when completed by case workers, residential carers, and parents. Results demonstrate high test-retest reliability for all 3 rater groups. High interrater reliability was demonstrated between raters of the same background (such as parent vs parent) and when co-ratings by case workers and residential carers were examined. Differential ratings by parents vs case workers and residential carers may reflect different raters "knowing" Ss in different ways, or the effects of response biases. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'NGU New South Wales, School of Psychiatry, Kensington, Australia [Parker]*$Parker, Gordon Hadzi-Pavlovic, Dusan 1995tmThe capacity of a measure of disability (the LSP) to predict hospital readmission in those with schizophreniaaPsychological Medicine251o157-163l Janc 0033-2917s LSP-00041e Human; Adulthood (18 yrs & older); Aged (65 yrs & older) Measurement; Psychiatric Hospital Readmission; Schizophrenia; Statistical Validity validity of Life Skills Profile rating; prediction of hospital readmission; 18-72 yr olds with schizophrenia; AustraliaReassessed 118 patients (aged 18-72 yrs) with an admission diagnosis of schizophrenia after 12 mo to establish whether hospital readmission had occurred. All Ss were rated at baseline and after 12 mo on the Life Skills Profile (LSP), a 39-item measure of disability. The baseline LSP score was a significant predictor of readmission, in both univariate and multivariate analyses. Several univariate variables (e.g., unemployment, noncompliance with medication) did not maintain their predictive capacity in multivariate analyses, suggesting that they were manifestations or consequences of significant disability, rather than independent contributors to poor outcome. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'LFPrince of Wales Hosp, Psychiatry Unit, Sydney, NSW, Australia [Parker]PIParker, Gordon O'Donnell, Maryanne Hadzi-Pavlovic, Dusan Proberts, Miriam 2002`YAssessing outcome in community mental health patients: A comparative analysis of measures0*International Journal of Social Psychiatry481 11-19 Mar 0020-7640 HON-00095Human; Male; Female; Adulthood (18 yrs & older) Community Mental Health Services; Measurement; Mental Disorders; Prediction; Treatment Outcomes; Ability Level; Patients; Profiles (Measurement); Quality of Life; Questionnaires; Rating Scales community mental health patients; outcome status prediction; quality of life questionnaire; Global Assessment of Functioning; Life Skills Profile; Health of the Nation Outcome ScalesThe authors undertook a 12-mo intervention study for community mental health patients (with a diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder or bipolar disorder) using a number of measures administered at baseline and at 12 mo. Overall improvement in that sample allowed for comparative analyses of the key measures in terms of their ability to measure and to predict outcome. The aims of this study were to assess and compare the usefulness of each of the measures in predicting outcome status. A patient-rated quality of life questionnaire, the DSM-III-R Global Assessment of Functioning (GAF), the Life Skills Profile (LSP) and the Health of the Nation Outcome Scales (HoNOS) were compared and evaluated in a sample of 79 patients. The LSP appeared to measure disability only, while the HoNOS and the GAF assessed composite symptoms and general functioning. The HoNOS was identified as the most distinctive predictor of outcome. It is concluded that the utility of the HoNOS as an overall service measure is supported, while properties and likely utility of other measures in outcome studies are detailed. (PsycINFO Database Record (c) 2003 APA )<6Peer Reviewed Journal; Empirical Study; Followup Study'U New South Wales, School of Psychiatry, Sydney, NSW, Australia [Parker, O'Donnell, Hadzi-Pavlovic, Proberts] Email Address [mailto:g.parker@unsw.edu.au] Contact Individual Parker, Gordon, Prince of Wales Hosp, Euroa Unit, Randwick, Australia, 2031, [mailto:g.parker@unsw.edu.au]aRLPatterson, J. Barlow, J. Mockford, C. Klimes, I. Pyper, C. Stewart Brown, S. 2002^WImproving mental health through parenting programmes: block randomised controlled trialr& Archives of disease in childhood876{ 472-7Arch Dis Child 1468-2044o SDQ-00005*jcChild Behavior Disorders prevention and control; Mental Health; Parenting psychology Child ; Child Behavior psychology; Child Behavior Disorders psychology; Child, Preschool; Family Practice; Parent Child Relations; Patient Acceptance of Health Care psychology; Program Evaluation; Psychological Tests; Socioeconomic Factors Human; Support, Non U.S. Gov't.(AIMS: To assess the effectiveness of a parenting programme, delivered by health visitors in primary care, in improving the mental health of children and their parents among a representative general practice population. METHODS: Parents of children aged 2-8 years who scored in the upper 50% on a behaviour inventory were randomised to the Webster-Stratton 10 week parenting programme delivered by trained health visitors, or no intervention. Main outcome measures were the Eyberg Child Behaviour Inventory and the Goodman Strengths and Difficulties Questionnaire to measure child behaviour, and the General Health Questionnaire, Abidin's Parenting Stress Index, and Rosenberg's Self Esteem Scale to measure parents' mental health. These outcomes were measured before and immediately after the intervention, and at six months follow up. RESULTS: The intervention was more effective at improving some aspects of the children's mental health, notably conduct problems, than the no intervention control condition. The Goodman conduct problem score was reduced at immediate and six month follow up, and the Eyberg Child Behaviour Inventory was reduced at six months. The intervention also had a short term impact on social dysfunction among parents. These benefits were seen among families with children scoring in the clinical range for behaviour problems and also among children scoring in the non-clinical (normal) range. CONCLUSION: This intervention could make a useful contribution to the prevention of child behaviour problems and to mental health promotion in primary care.RLDec English Comment In: Arch Dis Child. 2003 Jun;88(6):553; author reply 553'Health Services Research Unit, Institute of Health Sciences, Old Road, Headington, Oxford OX3 7LF, UK John Radcliffe Hospital, Oxford, UK. jacoby@ukgateway.neta /P(#13-17 yr old psychiatric inpatients 13-18 yr olds 13-19 yr old 13-69 yr olds 14 yr study 14-19 yr olds 16 yr olds with acute mania17-18 yr old students 18 mo study18+ yr old patients0+18-30 vs 31-45 vs 46-65 vs 65+ yr old women(#18-65 yr olds with bipolar disorder$ 18-72 yr olds with schizophrenia18-74 yr old smokers who 18-75 yr old inpatients with0,19-76 yr olds with mood or anxiety disorders 1986-19891st time biological vs0,1st vs 2nd vs 3rd generation kibbutz members2 Houses Technique(#20-50 yr old schizophrenic patients20-61 yr olds in process,)20-63 yr olds with serious mental illness20-64 yr old HMO members20-67 yr old psychiatric 21-47 yr olds4/23-51 yr old primiparous vs multiparous females4.3 & 6 & 11 & 16 yr olds residing in Gaza strip 3 yr study("3-19 yr olds in children's homes &,(3.5-15 yr old short-term inpatients with$30-50 yr old male iv drug users 30-64 yr<635-85 yr olds with breast or lung or colorectal cancer 4 yr study4-10 & 12-13 yr olds("4-15 yr old psychiatric inpatients 4-16 yr 4-16 yr olds4-16 yr olds & their4-16 yr olds with 4-18 yr old4.4-7 yr olds from psychiatric vs dental clinics4/4-yr-olds-adolescents with behavior problems in 5 yr study 5-15 yr5-15 yr old children6D>6 & 9 yr old males with autistic disorder & mental retardation("6-11 yr old psychiatric inpatients 6-12 yr olds6-16 yr old sexually 6-17 yrs6-23 yr old offspring of 60+ yr old 60-80 yr olds,'60-94 yr olds with rheumatoid arthritis 7-11 yr old refugee children417-12 yr olds with borderline personality disorder4.7-12 yr olds with predominately inattentive vs,'7-16 yr olds & their parents & teachers7-16 yr olds with7-17 yr olds with7-8$ 7th-10th graders & their mothers7th-9th graders8-16 yr olds with mania 8-17 yr olds8-17 yr olds with9-17 yr olds & parents 9-17 yr olds & their parents@=9-17 yr olds & their parents participating in Epidemiology of9-18 Abdomen Aberrantaberrant behavior Aberrant Behavior Checklist abilities Ability Ability Level,)abuse & family violence & psychopathology<7abused children 30- to 60-days after abuse disclosure &Academic Achievement4.academic achievement in mathematics & literacyacademic medical centersAcademic Self Concept(#academic self-concept & achievement,'Accidents statistics and numerical data40Accidents, Traffic statistics and numerical data accommodationaccompanying spouses Acculturation,'acculturation experiences & religiosity Achievement Acne Vulgaris epidemiologyAcne Vulgaris psychology(#Acquired Immune Deficiency Syndrome40Acquired Immunodeficiency Syndrome complications82Acquired Immunodeficiency Syndrome physiopathologyACT actigraphyActivities of Daily Activities of Daily Living,)Activities of Daily Living classification(%Activities of Daily Living psychologyActivity Level Acute DiseaseAcute PsychosisAdaptation, PsychologicalAdaptive BehaviorADHDADHD as symptom dimension adherence adherence toadjunctive treatment AdjustmentAdjustment Disorders$!Adjustment Disorders epidemiology Adjustment Disorders etiologyadjustment problemsADLAdministration, Oral admission<8admissions & life skills & quality of life & psychiatric AdolescenceAdolescence (13-17Adolescence (13-17 yrs) AdolescentAdolescent AttitudesAdolescent Behavior$Adolescent Behavior psychologyadolescent daughtersAdolescent Development Adolescent Health Servicesadolescent inpatientadolescent malesadolescent mental healthadolescent onsetAdolescent PsychiatryAdolescent Psychologypc tis, Leonard R. Lynn, Larry L., II 2000PIScreening and monitoring psychiatric disorder in primary care populationss Maruish, Mark E.D=Handbook of psychological assessment in primary care settings  Mahwah, NJ .'Lawrence Erlbaum Associates, Publishers115-1520805829997 (hardcover) OUT-MH-00071Integrated Services; Mental Health Services; Primary Health Care0*Spear, J. Chawla, S. O'Reilly, M. Rock, D. 2002xrDoes the HoNOS 65+ meet the criteria for a clinical outcome indicator for mental health services for older people?4-International Journal of Geriatric Psychiatry173 226-30 Mari11921150 H65-00005**Alzheimer Disease therapy; *Geriatric Assessment statistics and numerical data; *Mental Disorders therapy; *National Health Programs statistics and numerical data; *Outcome and Process Assessment Health Care statistics and numerical data Aged ; Aged, 80 and over; Alzheimer Disease diagnosis; Alzheimer Disease psychology; Cohort Studies; Comorbidity ; Disability Evaluation; Mental Disorders diagnosis; Mental Disorders psychology; Neuropsychological Tests statistics and numerical data; Observer Variation; Pilot Projects; Psychiatric Status Rating Scales statistics and numerical data; Psychometrics ; Reproducibility of Results; Western Australia diagnosis; psychology; therapy; statistics and numerical datanBACKGROUND: A clinical indicator should demonstrate clinically meaningful change, be relevant, allow comparisons between services, be acceptable to clinicians, and have acceptable validity, reliability and sensitivity to change. The HoNOS 65+ has been suggested as a clinical outcome indicator. The sensitivity to change of the HoNOS 65+ is not known. METHODS: This is a prospective study using routine clinical data. A pilot cohort (n = 42) was used to measure the concurrent validity of the HoNOS 65+ with the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15) and Brief Agitation Rating Scale (BARS). The main cohort of 245 consecutive referrals to a community mental health service for older adults was used to assess sensitivity to change against the CIBIC+. RESULTS: The HoNOS 65+ was acceptable to case managers, most HoNOS 65+ items had excellent interrater reliability and the HoNOS 65+ had good concurrent validity. Changes in the HoNOS 65+ scores between assessment and discharge had a moderate, but significant correlation with CIBIC+ scores. CONCLUSION: The HoNOS 65+ meets the criteria for a clinical outcome indicator for community mental health services for older people. The HoNOS 65+ is sensitive to change. Copyright 2002 John Wiley & Sons, Ltd.,%0885-6230 English Evaluation-Studies;'Peel and Rockingham-Kwinana Mental Health Service for Older People, PO Box 288, Goddard Street, Rockingham, Perth, Western Australia 6169, Australia. jon.spear@health.wa.gov.au Speer, DCc 1992HBClinically significant change: Jacobson and Traux (1991) revisited4-Journal of Consulting and Clinical Psychologye603u402-408l OUT-MH-00037*^The relationship between statistically and clinically significant change has been enigmatic. Jacobson and Traux (1991) have proposed an important step towards rapprochment. However, their suggested index of clinically significant change neglects possible confounding of improvement rate estimates by regression to the means. An alternative method is described that incorporates an adjustment that minimises this confounding when statistical regression has been shown to be present. If regression is not present, the Jacobson and Traux method is more appropriate; if regression is present, the Edward-Nunnally method (Edwards, Yarvis, Mueller, Zingale, and Wagman, 1978) is more appropriate. The two methods are compared, and the effects of instrument reliability and sample deviance on estimated improvement rates are demonstrated using general well-being test-retest data from a sample of older adult mental health outpatients.2)00318-9 Peer Reviewed Journal; Empirical Study'U Kansas Medical Ctr, Dept of Occupational Therapy Education, Kansas City, KS, US [Rempfer, Brown]; U Kansas Medical Ctr, School of Nursing, Kansas City, KS, US [Hamera]; U Kansas, Dept of Psychology, Lawrence, KS, US [Cromwell] Email Address [mailto:mrempfer@kumc.edu] Contact Individual Rempfer, Melisa V, Dept of Occupational Therapy Education, U Kansas Medical Ctr, 3033 Robinson, 3901 Rainbow Blvd, Kansas City, KS, US, 66160, [mailto:mrempfer@kumc.edu]6k\ AlcoholismAlcoholism complicationsAlcoholism diagnosisAlcoholism psychologyAlcoholism therapy Alienationalienation & well being Alleles$ allocation to detention programsVOFakhoury, Walid K. H. Kaiser, Wolfgang Roeder-Wanner, Ute-Ulrike Priebe, Stefan 2002>8Subjective evaluation: Is there more than one criterion?Schizophrenia Bulletin282319-327i2003-06009-014 HON-00069*vp*Evaluation; *Evaluation Criteria; *Schizophrenia; *Subjectivity; Needs Assessment; Self Evaluation; Self ReportPrevious cross-sectional investigations have shown that subjective evaluation criteria do overlap and that there exists a single general factor underlying all these criteria. In this study, we tested longitudinally and in two different samples of schizophrenia patients (51 first admission patients and 58 long-term hospitalized patients) the distinctness and covariation at baseline and at followup of three common subjective evaluation criteria (subjective quality of life, self-rated needs, and self-reported symptoms). Scores were intercorrelated at both baseline and followup and showed some intercorrelations over time, suggesting temporal covariation. One stable subjective appraisal factor was identified at both baseline and followup, summarizing a negative subjective quality of life and more symptoms and needs. This factor explained 50 percent to 69 percent of the variance. It was found to be strongly associated with observer-rated mood and was mainly predicted by reporting dark thoughts and being dissatisfied with life as a whole. In subjective evaluation, there appears to be a need to distinguish between a general appraisal factor and specific aspects of different criteria. (PsycINFO Database Record (c) 2003 APA )rEnglishe82Fava, Joseph L. Ruggiero, Laurie Grimley, Diane M. 1998b[The development and structural confirmation of the Rhode Island Stress and Coping Inventory$Journal of Behavioral Medicine216[601-611 Dec\ 0160-7715  MHI-00028*Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Coping Behavior; Measurement; Smoking Cessation; Stress; Test Construction; Factor Analysis; Test Validity development & confirmatory factor analysis & validity of Rhode Island Stress & Coping Inventory; 18-74 yr old smokers who successfully quit vs relapsers>8A new measure, the Rhode Island Stress and Coping Inventory (RISCI), was developed to examine perceived stress and coping independent of specific stress situations. A sample of 466 adults was randomly divided into 2 equal halves for developmental and confirmatory instrument development. Initial instrument development used principal component analysis, and a measure of internal consistency (Coefficient alpha). Confirmatory factor analysis (CFA) was employed on the confirmatory sample to examine the structure of the refined item set. Several CFA fit indices indicated excellent fit for a model that represents perceived stress and coping as 2 moderately correlated dimensions. Validity analyses found strong relationships in the expected directions for both RISCI subscales with the 5-item Mental Health Inventory. Further validity analyses supported the utility of the RISCI in applied research with smokers and confirmed past research findings that successful quitters experience less perceived stress and cope better than relapsers. (PsycINFO Database Record (c) 2003 APA )HBDoi 10.1023/a:1018752813896 Peer Reviewed Journal; Empirical Study'NGU Rhode Island, Cancer Prevention Research Ctr, Kingston, RI, US [Fava]l.'Ferguson, R. Robinson, A. & Splaine, M.e 2002ZTUse of the Reliable Change Index to evaluate clinical significance in SF-36 outcomesxrQuality of life research an international journal of quality of life aspects of treatment, care and rehabilitation11509516OUT-NMH-00011* qFE4-Mental Health Statistics Improvement Program, YearTMMHSIP Task Force on Mental Health Report Card: Proposed Consumer Survey ItemsdUSA-MHS-00021* 4-Mental Health Statistics Improvement Program,a YearXQTables Relating Measures to Data Sources and Populations for Report Card Measures USA-MHS-00024*XRMikulincer, Mario Horesh, Netta Levy-Shiff, Rachel Manovich, Rachel Shalev, Joseph 1998RKThe contribution of adult attachment style to the adjustment to infertility{,%British Journal of Medical Psychology|713}265-280 Sepo 0007-1129n MHI-00022*Human; Male; Female; Adulthood (18 yrs & older); Thirties (30-39 yrs) Israel Attachment Behavior; Emotional Adjustment; Husbands; Infertility; Wives adult attachment style & adjustment to infertility; infertile couplesZSBoth husbands and wives of 80 infertile couples undergoing medical treatment completed the Attachment Style Scale (C. Hazan and P. Shaver, 1987), the Mental Health Inventory (C. T. Veit and J. E. Ware, 1983) and the Dyadic Adjustment Scale. One year later, data were collected on whether women became pregnant. Diagnosis of male infertility was significantly more distressing than diagnosis of female infertility. Significant differences were found among attachment groups: secure persons, either men or women, reported more well-being, less distress and more dyadic adjustment than avoidant and anxious-ambivalent persons. Partners of secure persons also reported significantly higher levels of well-being and dyadic adjustment and significantly lower levels of distress than partners of anxious ambivalent persons. However, these effects of attachment style were significant mainly when male infertility was diagnosed. Husbands' secure attachment made a significant positive contribution to pregnancy likelihood and this effect was mediated by adjustment measures. (PsycINFO Database Record (c) 2003 APA )b,&Peer Reviewed Journal; Empirical Study'D>Bar-Ilan U, Dept of Psychology, Ramat Gan, Israel [Mikulincer]hbMiles, Helen Johnson, Sonia Amponsah-Afuwape, Sarah Leese, Morven Finch, Emily Thornicroft, Graham 2003nhCharacteristics of subgroups of individuals with psychotic illness and a comorbid substance use disorderPsychiatric Services544g554-561n Aprn 1075-2730o LSP-00025*JDHuman; Male; Female; Adulthood (18 yrs & older) United Kingdom Client Characteristics; Comorbidity; Drug Abuse; Psychosis; Psychiatric Hospital Admission; Self Destructive Behavior; Violence comorbidity; substance use disorder; psychotic illness; stimulant users; subgroup variation; inpatient admission; violence; self harmThe co-occurrence of severe mental illness and substance use disorder (SUD), or dual diagnosis, is prevalent and is associated with significant clinical and social problems. The present study examined whether subgroups defined by their main substances of misuse were heterogeneous. The primary hypothesis was that users of stimulants, such as cocaine or amphetamines, would be characterized by especially high rates of inpatient admission, violence, and self-harm. Case managers' ratings were used to identify 233 individuals (mean age 31 yrs) with serious mental illness and comorbid SUD or dependence who were being treated by 13 community mental health teams in South London. 78 Ss were classified as alcohol misusers only, 52 as alcohol and cannabis users, 29 as users of cannabis only, and 55 as stimulant users. No significant differences were found between subgroups in the use of inpatient services and lifetime history of self-harm, but there was a significant difference in lifetime history of violence, which was more frequent among stimulant users. Alcohol users were older and more likely to be White, but otherwise few differences between subgroups were suggested by exploratory analyses. (PsycINFO Database Record (c) 2003 APA )t^WDOI 10.1176/appi.ps.54.4.554 Peer Reviewed Journal; Empirical Study; Quantitative Study('King's Coll, Inst of Psychiatry, COMO Dual Diagnosis Project, London, United Kingdom [Miles, Amponsah-Afuwape]; Royal Free & U Coll London Medical Schools, Dept of Psychiatry & Behavioural Sciences, London, United Kingdom [Johnson]; King's Coll, Inst of Psychiatry, London, United Kingdom [Leese]; King's Coll, Inst of Psychiatry, Addictions Directorate, London, United Kingdom [Finch]; King's Coll, Inst of Psychiatry, Community Psychiatry (PRiSM), London, United Kingdom [Thornicroft] Email Address [mailto:h.miles@iop.kcl.ac.uk] Contact Individual Miles, Helen, Clinical Psychology Dept, Inst of Psychiatry, King's Coll, De Crespigny Park, Denmark Hill, London, United Kingdom, SE5 8AF, [mailto:h.miles@iop.kcl.ac.uk] 84DC(#Community Health Services standards$!Community Institutional Relationscommunity living community living skills groupCommunity MentalCommunity Mental Health$Community Mental Health Centers$ community mental health patients$ Community Mental Health Services0*Community Mental Health Services economics,)Community Mental Health Services manpower,(Community Mental Health Services methodsD@Community Mental Health Services organization and administration0*Community Mental Health Services standardsD>Community Mental Health Services statistics and numerical data<8Community Mental Health Services supply and distribution0,Community Mental Health Services utilizationcommunity practicecommunity programs community screening programsCommunity Servicescommunity treatmentcommunity youth communty care Comorbidity,)comorbidity & course & global functioningComparative Study comparison competence complications Comprehension CompulsionsCompulsive Disordercompulsory community computerComputer Assisted Computer Assisted DiagnosisComputer Assisted TestingComputer Attitudes4/computerized algorithm for predicting diagnosis$computerized assessment systemD?computerized self-report Strengths & Difficulties Questionnaire concurrentconcurrent validity conductConduct Disorder Conduct Disorder diagnosis Conduct Disorder epidemiology Conduct Disorder psychologyconduct disordersconduct problemsconference presentationconfidant reportsConfidence Intervals confirmatory factor analysisConnecticut epidemiology consistency Constipation complicationsConstipation psychologyConstipation therapy ConstructionD>construction & interrater reliability & concurrent validity of<9construction & standardization of mental health inventory@:construction & validity of alternate form of Mental HealthHDconsultationliaison psychiatry, HoNOS, routine outcome measurement.consumer advocacyConsumer Behavior4.Trauer, Tom Duckmanton, Robert A. Chiu, Edmond 1998:3Estimation of costs of public psychiatric treatmentPsychiatric Services494o440-442\ Aprd 1075-2730 LSP-00027*TMHuman; Male; Female; Adulthood (18 yrs & older) Australia Community Mental Health Services; Health Care Costs; Psychiatric Hospitals; Psychodiagnosis; Public Health Service Nurses; Psychiatric Patients treatment costs & diagnosis & functional level; public psychiatric hospital vs community care clients (mean age 40 yrs); Australia82Compared psychiatric hospital and community care costs and examined their relationship to patients' diagnosis and functioning. Ss consisted of 200 clients (mean age 40 yrs) who were registered with a public psychiatric service in Australia. Diagnostic information was obtained and functional level was assessed using the Life Skills Profile. Costs were estimated separately for hospital, community, and mixed care. Results show that costs for hospital care were far greater than for mixed hospital and community care, which in turn were far greater than costs for community care only. Antisocial and bizarre behavior and a diagnosis of schizophrenia were associated with hospitalized status, and additional analyses suggest that antisocial and bizarre behavior were the primary determinants. The fact that measures of functioning were able to account for nearly 15% of the variance in log-transformed costs is significant given that use of diagnosis-related groups to account for cost variance in mental health care has rarely exceeded 20%. The most costly clients treated in the community were those with a personality disorder and Ss with a high level of social withdrawal. The authors conclude that a clear and interpretable relationship exists between client characteristics and costs. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'f_Monash U, Monash Medical Ctr, Dept of Physiological Medicine, Victoria, NSW, Australia [Trauer]t ")L& Godleski, Linda S. Tasman, Allan 2001<5Role of academic medical centers in achieving quality. (!Dickey, Barbara Sederer, Lloyd I. :3Improving mental health care: Commitment to quality Washington, DC *$American Psychiatric Publishing, Inc 61-710880489634 (paperback) MIS-00018Us Client Rights; Health Care Services; Quality of Care; School Facilities academic medical centers; health care institutions; quality of medical care; patients; quality improvement & management; health care processestn(From the chapter) Academic medical centers are primary health care institutions in which the educational, research, and clinical missions of the schools of medicine are fulfilled. The traditional role of these medical centers has been to educate individual physicians to provide the highest quality of medical care possible to the individual patient. Today, this concept of quality has been expanded to mean total quality improvement and quality management of health care processes. Quality improvement now includes evidence-based medicine, practice guidelines and patient care protocols, risk assessment of populations, and resource allocation. With this evolution of quality, academic medical centers are challenged to broaden their role in achieving the highest quality in health care, and this challenge is the focus of the chapter. (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Research'xqU Louisville, School of Medicine, Dept of Psychiatry & Behavioral Sciences, Louisville, KY, US [Godleski, Tasman]k\VGoldfinger, Stephen M. Schutt, Russell K. Seidman, Larry J. Turner, Winston M. et al., 1996{Self-report and observer measures of substance abuse among homeless mentally ill persons in the cross-section and over timel*#Journal of Nervous & Mental Disease 18411667-672 Nov 0022-3018 LSP-00022*Human; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs) Us Drug Abuse; Homeless Mentally Ill; Measurement; Self Report self-report vs observer measures; assessment of substance abuse; homeless mentally ill (mean age 37.5 yrs),%Assessed the comparability of self-report and observer measures of substance abuse among 118 homeless mentally ill persons using cross-sectional and longitudinal measures. Data include clinical evaluations at baseline using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R); self-reported measures using the Addiction Severity Index at baseline, 6, 12, and 18 mo; and case manager observations, and the Life Skills Profile at 6, 12, and 18 mo. Possible correlates of nondisclosure were identified from demographic variables and clinical indicators. Lifetime abuse reported at baseline was a sensitive predictor of subsequent abuse behavior in the project, but cross-sectional measures based only on self-report or observer ratings failed to identify many abusers. Findings indicate the level of substance abuse was likely to be severely underestimated among homeless mentally ill persons when only 1 self-report measure is used at just one point in time. (PsycINFO Database Record (c) 2003 APA )RKDoi 10.1097/00005053-199611000-00003 Peer Reviewed Journal; Empirical Study'B8Goodman, S.H., Sewell, D.R., Cooley, E.L., & Leavitt, N. 1993LEAssessing levels of adaptive functioning: the Role Functioning Scale.u&Community Mental Health Journall292 119-131 OUT-MH-00015 yDemeter, Christine A.Department of Health("Department of Health and Aged Care$Department of Health and Ageing Department of Human Service Department of Human Services,'Department of Human Services and Health<8Department of Mental Health & Developmental DisabilitiesDerogatis, Leonard R. Deverill, M.Deverill, MarkDevinney, David JacksonDeVries, Michael R.Dewa, Carolyn S. Dewan, N. A. Dhadphale, M.Diaz, KristineDickerson, F. B. Dickey, B.Dickey, BarbaraDickinson, DwightDierberger, AmyDietz, Karen Rubin Dill, D. L.Dimola, Elaine VidettiDinges, Katherine Dirmaier, J.@;Disabilities, Department of Mental Health and DevelopmentalDivision of Mental HealthDixon, J. FayeDockrell, JulieDoerfler, L. A.Doerfler, Leonard A.Doherty, IngridDolgin, Michael J.Domeshek, L. J.Dominguez, A. I.Donnelly, MaureenDonovan, AbigailDoran, MichaelDoreleijers, Theo A. H.Dorfman, Rachelle A. Dorian, P.Dorn, Lorah D. Dornelas, EADornelas, Ellen A.Dossetor, David R.Down, Gwynneth Downe-Wamboldt, Barbara L.Downs, John M.Dowrick, Christopher Doyle, Eugene Drake, S.Drew, Leslie R. H. Driscoll, Pat Drory, Y.Du Toit, Pieter L. Duan, W.Duckmanton, R. A.Duckmanton, Robert A. Duffy, Jan Dulcan, Mina Dunn, Carol Dunn, G. Dunn, Judy Dupuy, H. J. Durbin, JanetDwyer-O'Connor, Ed Dyb, Grete Dyck, DGDyer-Friedman, J. Dyrborg, J. Eagar, K.TNEagar, K., Buckingham, W., Callaly, T., Trauer, T., Coombs, T., and Graham, C.0*Eagar, K., Burgess, P., and Buckingham, B.Eagles, John M. Eaglesham, J.Eaglesham, JamesEckblad, Gudrun Fleischer Edwards, H. Edwards, Jane Egert, J. Ehlers, A. Eisen, S. V. Eisen, S. V., & Dickey, B.,&Eisen, S. V., Dill D. L. and Grob M.C.0+Eisen, S. V., Grob, M. C., and Klein, A. A. Eisen, SusanEisen, Susan V.Eley, Thalia C.Ell, Kathleen O.Ellens, Jeffrey K. Ellerton, J. Ellila, H.Elliott, Timothy R. Ellis, D. Ellwood, PM0+Elzibga, R., Meredith, F., and Clifford, P. Emdur, N. Emery, B. Emery, BrianEmond, Claudia Endicott, J.Epstein, A. M.Epstein, JenniferEpstein, Joan F. Erlicher, A.Ermentini, AugustoErskine, AliciaEscobar, JavierEscovitz, Karen et al. Eu, P. W. Evans, A. L. Evans, MarkEvans, SherrillEverett, James Eyers, K.Fairclough, D. L.Fakhoury, Walid K. H. Farhall, J.Farrell, A. D.Farrell, Louise Faust, MiriamFava, Joseph L.Favilla, Letizia Favrod, J.Fazzari, Giuseppe Fear, S. Federman, EBFeldman, Ronald B.Fendrich, MichaelFerdinand, Robert F.,'Ferguson, R. Robinson, A. & Splaine, M.Fernandez de Larrinoa, P.Ferrell, Courtney B.Ferreras, Angel Albeniz Ferrero, F.Ferrero, Francois Ferro, TovaFiducia, DeniseFields, Scott A. Fife, Alison Finch, EmilyFindling, Robert L. Finney, JW Firn, MikeFischer, Edward H.Fisher, DanielleFisher, Kathryn E. Fisher, L. J.Fisher, Laura J.Fisher, Prudence Fisman, S.Fitzgerald, Kate D.Fitzpatrick, Carol Flato, B.Fleishman, Stewart B. Fleiss, J.Flodstrom, Caroli Florian, V.Florian, V., & Drory, Y.Florian, VictorFloyd, R. LouiseFogel, Barry S. Fokianos, C.Foley, William J.Foliaki, S. A.Foliaki, Siale Alo Foltz, Carol Fombonne, E.Fombonne, Eric Ford, R. Ford, Richard Ford, T. Ford, Tamsin Form, A. F.Forshee, Wade J. D=Glazebrook, C. Hollis, C. Heussler, H. Goodman, R. Coates, L.d 2003HBDetecting emotional and behavioural problems in paediatric clinics("Child care, health and development292 141-9Child Care Health Dev 0305-1862; SDQ-00013*Chronic Disease psychology; Mental Disorders epidemiology; Outpatient Clinics, Hospital Adolescent ; Affective Symptoms diagnosis; Affective Symptoms epidemiology; Child ; Child Behavior Disorders diagnosis; Child Behavior Disorders epidemiology; Child, Preschool; Cross Sectional Studies; England epidemiology; Mental Disorders diagnosis; Parents ; Prevalence ; Psychometrics ; Questionnaires ; Risk Factors; Sex Distribution Female; Human; MaleBACKGROUND: Children with chronic illness have increased rates of mental health problems and psychological difficulties often present as physical conditions. This prevalence survey aims to determine whether children attending general paediatric out-patient clinics are at increased risk of suffering from emotional and behavioural disturbance and whether there is an unmet need for psychiatric liaison to paediatric clinics. METHODS: Participants were 307 children aged 5-15 years attending a representative sample of paediatric out-patient clinics in one UK hospital. A national community sample of 10,438 children aged 5-15 years was used as a comparison group. Parental ratings of child behaviour were obtained using the Strengths and Difficulties Questionnaire (SDQ). Doctors rated the extent of any emotional difficulties using a modification of the SDQ 'impact supplement'. RESULTS: Children attending paediatric out-patient clinics were more than twice as likely (OR = 2.3, 95% CI 1.7-3.1) to score in the abnormal range of the SDQ. Of the 60 (20%) children with a probable psychiatric disorder only 15 had received specialist help from Child Mental Health Services. There were no gender differences in the profile of difficulties with emotional symptoms being particularly evident in both boys (OR = 2.85, 95% CI 1.97-4.11) and girls (OR = 3.04, 95% CI 1.92-4.70). The risk of psychiatric disorder was highest among those children with brain disorders attending neurological clinics (OR = 5.8, 95% CI 2.5-11.3). Clinicians only identified emotional or behaviour problems in a quarter of those children with parent-rated disorder. CONCLUSION: There is an increased prevalence of emotional and behavioural disturbance in children attending paediatric out-patient clinics. The SDQ could be added to routine paediatric assessments to aid appropriate referral of children with a possible psychiatric disorder to child mental health services. Mar Englishcf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=CCH&vol=29&page=141&goto=abstract'Behavioural Sciences Section, School of Community Health Sciences, Queens Medical Centre, Nottingham, NG7 2UH, UK. cris.glazebrook@nottingham.ac.uksS pUc <5Yung, Alison R. Organ, Bridget A. Harris, Meredith G. 2003LFManagement of early psychosis in a generic adult mental health service4.Australian & New Zealand Journal of Psychiatry374v429-326n Augs 0004-8674s LSP-00015*@9Human; Male; Female; Inpatient; Outpatient; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Australia Acute Psychosis; Mental Health Services; Treatment Outcomes early psychosis; generic adult mental health service; patient managementRKObjective: To evaluate current practice at a generic adult mental health service, St Vincent's Mental Health Service (SVMHS) in relation to management of patients with early psychosis. A further aim was to compare treatment of early psychosis patients within this generic service with management of a similar group in a specialized early psychosis service. Method: A case file audit of all patients identified as having early psychosis (within the first 2 years of treatment) was undertaken using a standardized audit tool. Variables including proportion of early psychosis admitted as inpatients to the psychiatric unit, average length of stay (LOS), use of seclusion, involvement of police in admission process, mean neuroleptic dose and estimated duration of untreated psychosis (DUP) were studied. Results of this audit were then compared with published evaluative data from the Early Psychosis Prevention and Intervention Centre (EPPIC), a service specifically catering for young people with early psychosis (within the first 18 months of treatment). Results: Within the generic service, mean DUP was found to be about 15 months, a high proportion (81%) of patients were admitted and secluded, average length of stay was 46.5 days and use of police in the admission process was also high... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)vpDOI 10.1046/j.1440-1614.2003.01196.x Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'ORYGEN Research Centre, University of Melbourne Department of Psychiatry, Parkville, VIC, Australia [Yung, Harris]; Hawthorn Com-munity Mental Health Service, Melbourne, Australia [Organ] Email Address [mailto:aryung@unimelb.edu.au] Contact Individual Yung, Alison R, ORYGEN Research Centre, University of Melbourne Department of Psychiatry, 35 Poplar Road, Parkville, VIC, Australia, 3052, [mailto:aryung@unimelb.edu.au]<5Zautra, Alex J. Guarnaccia, Charles A. Reich, John W.i 1988B;Factor structure of mental health measures for older adultso4-Journal of Consulting and Clinical Psychology564c514-519 Augd 0022-006Xd MHI-00036*2,Human; Adulthood (18 yrs & older); Aged (65 yrs & older) Factor Structure; Grief; Inventories; Mental Health; Physical Disorders factor structure of Mental Health Inventory vs Psychiatric Epidemiology Research Interview Demoralization Composite; physically disabled or recently bereaved 60-80 yr oldsThis article examines the factor structure of mental health self-reports among 246 older adults, ages 60 to 80 years, who were either recently physically disabled (n = 62), recently bereaved (n = 61), or matched control subjects (n = 123). Confirmatory factor analyses were carried out on the Mental Health Inventory and the Psychiatric Epidemiology Research Interview (PERI) Demoralization Composite to test whether factor structures obtained in previous studies would fit the data for this older adult sample and whether those structures would be equivalent among groups that differ in degree of life stress. The structure of these two inventories was reorganized as a result of these analyses, resulting in 9 subscales that varied somewhat from the original subscale structure. The Bradburn Positive Affect Scale was added, and a second order confirmatory factor analysis was performed on these 10 scales. Two highly correlated superordinate factors emerged: Psychological Distress and Psychological Well-Being. Although the factor structure was generally similar across groups, there were some notable exceptions that could be attributed to between-groups differences in exposure to life stress. (PsycINFO Database Record (c) 2003 APA )LFDoi 10.1037//0022-006x.56.4.514 Peer Reviewed Journal; Empirical Study'*#Arizona State U, Tempe, US [Zautra]r ,&Health Research Council of New Zealand 2002\UEpisode Registration and Clinical Ratings Software Design Specifications Version 2.02\ Auckland 82New Zealand Health Research Council of New Zealand NZ-00003*& http://www.hrc.govt.nz/MHR&D.htm&Zika, Sheryl Chamberlain, Kerryh 1992JDOn the relation between meaning in life and psychological well-being$British Journal of Psychology831133-145 Febr 0007-1269 MHI-00023*Human; Female; Adulthood (18 yrs & older); Aged (65 yrs & older) Life Satisfaction; Meaningfulness; Mental Health; Mothers meaning in life & psychological well being; mothers at home with young children & elderlyInvestigated the relation between meaning in life and psychological well-being, using several meaning measures and both positive and negative well-being dimensions. 179 mothers (mean age 29 yrs) at home with small children and 129 elderly (mean age 69 yrs) completed 3 sets of questionnaires over 6 mo. Instruments included C. T. Viet and J. E. Ware's (see record 1984-02935-001) Mental Health Inventory and the Purpose in Life Test. A strong association was found between meaning in life and well-being. Meaning in life had a stronger association with positive than with negative well-being dimensions, suggesting the value of taking a salutogenic approach to mental health research. (PsycINFO Database Record (c) 2003 APA )o,&Peer Reviewed Journal; Empirical Study'4.Massey U, Palmerston North, New Zealand [Zika]piZima, Bonnie T. Bussing, Regina Bystritsky, Marina Widawski, Mel H. Belin, Thomas R. Benjamin, Bernadette\ 1999zsPsychosocial stressors among sheltered homeless children: Relationship to behavior problems and depressive symptomsm*#American Journal of Orthopsychiatryl691a127-133 Jan 0002-9432 MHI-00052B7This study examined the correspondence between parent and teacher ratings, when using the Strengths and Difficulties Questionnaire (SDQ) for the evaluation of mental health in school-aged children. The children's sex, age, school achievement and parental mental health functioning were used as probable explanatory factors for the correspondence between teachers and parents in evaluating children's strengths and difficulties. Correlations of the scores between parents and teachers were in the moderate range and varied according to the type of problem. Parents rated children as showing higher frequencies of emotional problems, whereas teachers rated children as presenting higher frequencies of conduct disorders. Boys had higher problem scores than girls on the measures of conduct disorders, hyperactivity-inattention problems and prosocial behavior. These sex differences were more marked among the teachers than parents. The children's school achievement according to teacher ratings was a predictive factor that would explain the differences in the teacher reports, while family dysfunction, as assessed by the General Health Questionnaire, explained the evaluation of difficulties by parents. The SDQ proves a significant and reliable instrument in assessing children's difficulties. (PsycINFO Database Record (c) 2003 APA )2,Greek Peer Reviewed Journal; Empirical Study'Aristotle U Thessaloniki, Thessaloniki, Greece [Bibou-Nakou] Email Address [mailto:bibou@eled.auth.gr] Contact Individual Bibou-Nakou, Ioanna, 35 P. Mela str., 546 23, [mailto:bibou@eled.auth.gr]r TMBickman, L., Nurcombe, B., Townsend, C., Belle, M., Schut, J., and Karver, M.H 1998HBConsumer Measurement Systems in Child and Adolescent Mental Health >8Canberra, ACT: Department of Health and Family Services.AUS-COM-00002*^WBilanakis, Nikolaos D. Pappas, Evangellos E. Lecic-Tosevski, Dusika Alexiou, Dimitra B.r 1999~xChildren of war fostered by Greek families for six months: The effect of the programme on children and foster mothers by$European Journal of Psychiatry134n215-222eOct-Decl 0213-6163w SDQ-00054/B;Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adulthood (18 yrs & older) Greece Behavior Disorders; Foster Care; Mental Health; Victimization; War; Adaptive Behavior; Protective Services; Violence fostering program; behavior disorder & mental health; children of war & Greek foster families D=Examines the effects of a fostering program on refugee children (aged 8-9 yrs) and their foster parents. Ss included 20 children, who were fostered by Greek families in the Greek town of Ioannina for six months, as well as of 20 foster "mothers". Twelve out of 20 children were Serbs, from the fighting regions of Bosnia-Herzegovina, and the rest were non-refugee children, inhabitants of Serbia. The Strengths and Difficulties Questionnaire was used in order to detect the potential behavioral disorders of these children and the General Health Questionnaire--28 items--to detect the effect the fostering program had on the mental health of the mothers of the foster families. The main results of this study are: a) the refugee children do not differ significantly from the non-refugee children in regard to the level of their emotional and behavioral difficulties. b) children, during their stay in Greek families, faced some psychological problems during the third month compared with the first month. These problems were basically expressed in school and were recorded only by their teacher. c) a progressive deterioration of the mental health of the foster mothers during the stay of these children was observed, which improved over the six months following the children's departure from Greece. (PsycINFO Database Record (c) 2003 APA ),,&Peer Reviewed Journal; Empirical Study'JDRehabilitation Ctr for Torture Victims, Ioannina, Greece [Bilanakis]s also proposed to determine whether the magnitude of change for a given client is statistically reliable. The inclusion of the RC leads to a twofold criterion for clinically significant change.F@Jacobson, N.S., Roberts, L.J., Berns, S.B., and McGlinchey, J.B. 1999Methods for defining and determining the clinical significance of treatment effects: Description, application, and alternatives4-Journal of Consulting and Clinical Psychology0673d300-307s OUT-MH-00079*0[Yr B Brooker, Charlie 2001A decade of evidence-based training for work with people with serious mental health problems: Progress in the development of psychosocial interventionsd$Journal of Mental Health (UK)101 17-312001-17037-003 HON-00089*Clinical Methods Training; *Counselor Education; *Mental Disorders; *Mental Health Personnel; *Psychosocial Rehabilitation; Severity (Disorders)The training of mental health professionals in skills subsumed under the title of 'psychosocial interventions' (PSI) has been provided in formal accredited programmes since 1992. The programmes aim to teach mental health professionals the skills to work with people with serious mental health problems with curricula that are based upon research evidence about effective interventions. This paper describes the development of 'psychosocial intervention' training to date and reviews the studies that have evaluated the impact of such training. It concludes that whilst investment in PSI training may bring some benefits, several major issues require resolution including: the implementation of evidence-based interventions in routine clinical settings; the constant review of PSI curriculum design in line with resources; and the pressing need for PSI trainers/teachers and commissioners to articulate the manner in which they involve service users and their families. (PsycINFO Database Record (c) 2003 APA )(English http://www.tandf.co.uk Brooks, R. 2000{The reliability and validity of the Health of the Nation Outcome Scales: Validation in relation to patient derived measures4-Australian and New Zealand Journal Psychiatryc343c 504-11 Jun10881976 HON-00001**Health Personnel education; *Mental Disorders diagnosis; *Psychiatric Status Rating Scales statistics and numerical data Catchment Area Health; Hospitalization ; Hospitals, Psychiatric; Mental Disorders rehabilitation; Observer Variation; Pilot Projects; Psychometrics statistics and numerical data; Random Allocation; Reproducibility of Results; Severity of Illness Index; Teaching ; Treatment Outcome education; diagnosis; rehabilitation; statistics and numerical datacOBJECTIVE: The Health of Nation Outcome Scales (HoNOS) was developed to assess mental health outcomes. The aim of the studies is to examine the psychometric properties, reliability and validity of the HoNOS. METHOD: Three studies were conducted within St John of God Hospitals in New South Wales, Australia. They examined the reliability and the validity of the HoNOS. The first study examined the interrater reliability of the HoNOS, before and after staff training in the use of the HoNOS. The second study examined the validity of the HoNOS with the Symptom Checklist 90 Revised (SCL90-R) and the third study examined the validity of the HoNOS with the Short-Form 36 (SF-36). RESULTS: The first study showed an improvement in the interrater reliability (IRR) of the HoNOS due to training. However, a generally unsatisfactory IRR (range 0.50-0.65) was achieved. The second study found no correlation between the SCL90-R and the HoNOS on admission (r = 0.04) and discharge (r = 0.06). The third study found no significant correlation between the Mental Component Score of the SF-36 and the HoNOS on admission (r = -0.033) nor on discharge (r = -0.104). CONCLUSIONS: The HoNOS has at best moderate interrater reliabilities. Further, the validity of the HoNOS is under question, that is, it does not correlate with a major measure of mental health symptoms, nor with a major measure of health status. As such, it is concluded that the psychometric properties of the HoNOS do not warrant its use as a routine measure.("discussion 520-1 0004-8674 Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=504&goto=abstract'ZSSt John of God Hospital Richmond, New South Wales, Australia. rbrooks@stjohn.com.aur Brophy, Marcia Dunn, Judyl 2002haWhat did Mummy say? Dyadic interactions between young "hard to manage" children and their motherso*$Journal of Abnormal Child Psychology302C103-112  Apri 0091-0627y SDQ-00028*~Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); Adulthood (18 yrs & older) England Attention Deficit Disorder with Hyperactivity; Behavior Problems; Conduct Disorder; Interpersonal Communication; Mother Child Relations; Dyads; Mothers dyadic interactions; behavior disorders; children; mothers; mother-child interaction; communication; ADHD; conduct disorderThirty male and female preschoolers (mean age 51.8 mo) rated as "hard to manage" on R. Goodman's (1997) Strengths and Difficulties Questionnaire (SDQ), and a group of matched control children were observed and recorded on audiotape at home, interacting with their mothers (Time 1). At the 18-month follow-up home visits (Time 2), the children and mothers were filmed across 4 observation settings. Mother-child interactions were rated on affect, control, responsiveness and "connectedness" of communication. At Time 1, mothers of the "hard to manage" group used more negative control and engaged in fewer connected conversations than did mothers in the control group. At Time 2, mothers of the "hard to manage" group displayed higher levels of negative control and lower levels of positive control. These results are discussed in terms of the importance of examining connected communication and different observation contexts when examining dyadic mother-child interactions. (PsycINFO Database Record (c) 2003 APA )XRDoi 10.1023/a:1014705314406 Peer Reviewed Journal; Empirical Study; Followup Study':4U London, Kings Coll, Inst of Psychiatry, Social, Genetic & Developmental Psychiatry Research Ctr, MRC Child & Adolescent Psychiatry Unit, London, United Kingdom [Brophy]; U London, Kings Coll, Inst of Psychiatry, Social, Genetic & Developmental Psychhiatry Research Ctr, London, United Kingdom [Dunn] Email Address [mailto:spjwmjb@iop.kcl.ac.uk] Contact Individual Brophy, Marcia, U London, Kings Coll, Inst of Psychiatry, SGDP Research Ctr, MRC Child & Adolescent Psychiatry Unit, 113 Denmark Hill, London, United Kingdom, SE5 8AF, [mailto:spjwmjb@iop.kcl.ac.uk] Brower, LA 2003jcThe Ohio Mental Health Consumer Outcomes System: reflections on a major policy initiative in the USs,%Clinical Psychology and Psychotherapy10400-406 OUT-MH-00033*This article describes the key elements of Ohios development and implementation of a statewide system of consumer outcomes measurement for adults and youth, 19962003. A complete history would include the view from each component of this decentralized mental health system and from its major participants: consumers and families, providers, and local boards. Copyright 2003 John Wiley & Sons, Ltd.  Brown, J.n 200182Benchmarking Outcomes: Lessons from the Real World<6Fiftieth Annual Conference on Mental Health Statistics Washington, DC &Centre for Clinical InformaticsJUSA-CCI-00003*  Brown, J.r 2001LEPatterns of Change: An Item Analysis of the Life Status Questionnaire &Centre for Clinical InformaticsoUSA-CCI-00001* al Disorders diagnosis0+*Psychiatric  Slade, Mikeo 2002ngWhat outcomes to measure in routine mental health services, and how to assess them: A systematic reviewJ4.Australian & New Zealand Journal of Psychiatry366743-753 Dec2002-08176-003 OUT-MH-00001*le*Mental Health Services; *Treatment Effectiveness Evaluation; *Treatment Outcomes; Community Services<6The goals of this review were (1) to identify principles that have been proposed for implementing routine outcome assessment, (2) to identify the full range of outcome domains that have been proposed for assessment, and (3) to synthesize proposals for specific outcome domains into emergent categories. A systematic review of published and unpublished research was undertaken, using electronic databases, research registers, conference proceedings, expert informants and the World Wide Web. For goal 1, studies were included that proposed principles for implementing routine outcome assessment. For goal 2, studies were included that identified at least two patient-level outcome domains for patients using adult mental health services and made some reference to a broader literature base. 6,400 publications matched initial search criteria. Seven distinct sets of principles for choosing patient-level outcomes were located, which showed a fair degree of consensus. Sixteen outcome domain proposals were identified, which were synthesized into seven emergent categories: wellbeing, cognition/emotion, behaviour, physical health, interpersonal, society and services. The findings were used to develop a four-step method for adult mental health services implementing routine outcome assessment. (PsycINFO Database Record (c) 2003 APA )Englishs("http://www.blackwellpublishing.com682Audin, K. Margison, F. R. Clark, J. M. Barkham, M. 2001jdValue of HoNOS in assessing patient change in NHS psychotherapy and psychological treatment services$British Journal of Psychiatry\ 178 561-6 Jun]11388975 HON-00013**Health Status Indicators; *Mental Disorders therapy; *Psychiatric Status Rating Scales; *Psychotherapy ; *Treatment Outcome Adult ; Great Britain; State Medicine therapyBACKGROUND: Little research on the value of Health of the Nation Outcome Scales (HoNOS) has occurred in out-patient settings, particularly psychotherapy services. AIMS: To determine whether HoNOS provides an adequate assessment for psychotherapy services which is sensitive to change. METHODS: HoNOS ratings from 1688 patients from eight out-patient psychotherapy services were collected. Of these, 362 also had ratings post-treatment. Mean scores, pre-to post-treatment differences, and reliable and clinically significant change criteria were calculated for HoNOS items and for total scores. RESULTS: The mean total HoNOS rating was 8.93, which is comparable to psychiatric out-patients. Only three items showed sufficient variability to use in assessing pre- to post-treatment change. CONCLUSIONS: Significant limitations were found in rating items that commonly present to psychotherapists. The lack of variability in most items limits HoNOS's usefulness in this population.0007-1250 Englishs'f_Psychological Therapies Research Centre, University of Leeds, UK. kerrya@psychology.leeds.ac.uky a  yDickey, Barbara Normand, Sharon-Lise T. Hermann, Richard C. Eisen, Susan V. Cortes, Dharma E. Cleary, Paul D. Ware, Norma\ 2003>8Guideline recommendations for treatment of schizophrenia$Archives of General Psychiatry604t340-348i Apre 0003-990Xa LSP-00004*Human; Male; Female; Inpatient; Outpatient; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Us Managed Care; Medicaid; Medicare; Schizophrenia; Treatment Guidelines; Hospitalization; Outpatient Treatment; Professional Standards; Quality of Care; Quality of Life treatment guidelines; adherence; managed care; fee-for-service; Medicaid; Medicare; quality of care; quality of life; schizophrenia; inpatients; outpatients(!Prospectively compared the treatment of schizophrenia for 420 disabled Medicaid inpatient and outpatient beneficiaries (aged 24-64 yrs) who were and were not enrolled in managed care. Patients were followed up for 6 mo. A private managed behavioral health care organization administered the Medicaid mental health benefit for about half the Ss in the study. The other half were enrolled in the dually insured fee-for-service Medicare/Medicaid plan. The main outcome measures were adherence to the Schizophrenia Patient Outcomes Research Team treatment recommendations from inpatient and outpatient medical records, self-reported quality of interpersonal interactions between patient and clinician, self-reported care experiences and outcomes, and clinician-reported outcomes. There were no differences between the managed care plan and the unmanaged fee-for-service plan in adherence to the schizophrenia treatment guidelines. However, much outpatient care in both programs was inconsistent with treatment guidelines. Inpatient treatment was far more likely to conform to guidelines than outpatient treatment. Patient ratings of their care were positive and not different between plans. Clinical outcome and health-related quality of life were not different between plans. (PsycINFO Database Record (c) 2003 APA )DOI 10.1001/archpsyc.60.4.340 Peer Reviewed Journal; Conference Proceedings/Symposia; Empirical Study; Longitudinal Study; Prospective Study' Harvard Medical School, Dept of Psychiatry, Boston, MA, US [Dickey, Hermann, Cortes, Ware]; Harvard Medical School, Dept of Health Care Policy, Boston, MA, US [Normand]; Boston U School of Public Health, Dept of Health Services, Bedford, MA, US [Eisen]; Harvard Medical School, Dept of Social Medicine, Boston, MA, US [Cleary] Email Address [mailto:barbara_dickey@hms.harvard.edu] Contact Individual Dickey, Barbara, Dept of Psychiatry, Cambridge Hosp, 1493 Cambridge St, Cambridge, MA, US, 02139, [mailto:barbara_dickey@hms.harvard.edu]tmExploring WAIS-III variables and everyday functioning among individuals with schizophrenia spectrum disordersiDickinson, Dwightu U Maryland Coll ParkThis exploratory study was designed to investigate how, in a sample of individuals with schizophrenia spectrum disorders, specific variables from the Wechsler Adult Intelligence Scale-III ("WAIS-III") were associated with specific facets of everyday functioning, as assessed by the Life Skills Profile ("LSP"). The subjects were forty individuals participating in a community-based psychiatric rehabilitation program. Subjects provided background information and completed the WAIS-III. Ratings on the functional scale were provided by the program director. Data were analyzed using bivariate correlations, simple and multiple regression analyses, and canonical correlation analyses. A modest association between total scores for the WAIS-III and the LSP was present in this sample. WAIS-III indices for Processing Speed and Working Memory were closely associated with results on the LSP, accounting for 34% of the variance in the functional scale, while indices for Verbal Comprehension, Perceptual Organization and Social Reasoning were redundant or unnecessary. The Processing Speed index showed a significant association with negative symptomatology in this sample. Among LSP variables, the Bizarre Communication and Social Withdrawal subscales showed important associations with IQ indices. Antisocial Behavior and Treatment Compliance subscales had more complicated relationships to WAIS-III results. A Self-Care subscale was redundant in this variable set. Study results suggested that a substantial proportion of the variance in very basic everyday functioning could be captured by an assessment focused on processing speed (or negative symptoms) and working memory. (PsycINFO Database Record (c) 2003 APA )o 2001Availability UMI Dissertation Order Number AAI9982794 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 61(8-B), Mar 2001, pp. 4398 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyfHuman; Adulthood (18 yrs & older) Adaptive Behavior; Schizophrenia; Wechsler Adult Intelligence Scale WAIS-III; everyday functioning; schizophrenia spectrum disorders*$Dickinson, Dwight Coursey, Robert D. 2002hbIndependence and overlap among neurocognitive correlates of community functioning in schizophreniaSchizophrenia Research56 1-2 161-170y Juls 0920-9964a LSP-00032*Human; Male; Female; Outpatient; Adulthood (18 yrs & older) Us Ability Level; Cognitive Ability; Schizophrenia; Wechsler Adult Intelligence Scale; Cognitive Processing Speed; Neuropsychology; Perception; Psychiatric Symptoms; Psychosis; Schizoaffective Disorder; Short Term Memory; Verbal Comprehension schizophrenia; community functioning; positive & negative symptoms; WAIS-III indexes; neurocognitive correlates; general cognitive ability; processing speed; working memory; psychosis@9Studied 2 sets of variables expected to be related to broad ratings of community functioning (CF) in 40 outpatients with schizophrenia, schizoaffective disorder, or psychotic disorder: (1) the Wechsler Adult Intelligence Scale-III (WAIS-III) index scores for verbal comprehension, perceptual organization, working memory (WM), and processing speed (PS); and (2) positive, negative, disorganized, and affective symptom variables. Of the WAIS-III index scores, WM and PS entered a stepwise regression, together accounting for substantial variance in CF ratings. However, only PS remained significantly associated with CF after controlling for the other indexes. In relation to CF, the remaining indexes appeared to be overlapping markers of general neurocognitive ability, rather than specific measures of discrete cognitive domains. Addition of positive and negative symptom variables in a further analysis greatly increased the explained functional variance. PS overlapped substantially with negative symptoms in predicting CF, while the other WAIS-III indexes were independent of symptoms. Results illustrate the importance of knowing which neurocognitive variables have specific relationships to functional status and which reflect the influence of more general cognitive ability in daily life. (PsycINFO Database Record (c) 2003 APA )NHDoi 10.1016/s0920-9964(01)00229-8 Peer Reviewed Journal; Empirical Study'VA Maryland Health Care System, VA Capitol Network Mental Illness Research, Education & Clinical Ctr, Baltimore, MD, US [Dickinson]; U Maryland, Dept of Psychology, College Park, MD, US [Coursey] Contact Individual Dickinson, Dwight, VA Maryland Health Care System, VA Capitol Network Mental Illness Research, Education & Clinical Ctr, 10 N Greene Street, Room 6A-165 (BT/MIRECC), Baltimore, MD, US, 21201 V Brandon2003 Brandt19969Branicky20033Branicky20030\ Brann2001K Brann2002 Brasic1997Brassard20033 Bravo2004 Brayman2003 Brazier1996 Bream2003 Breed1992 Brems2002 Brems2002s Brent2004 Brettle1998 Breuer20032s Bridge2004 Bridges20041 Briggs20020 Broadbent2001 Broman1999 Broman2001 Brook1980 Brooker1997 Brooker1999 Brooker2001B Brooks2000 Brophy2002 Brovedani2001 Brovedani2003 Brower2003 Brown1984 Brown2000Y Brown2001[ Brown2001 Brown2001 Brown2001Z Brown2002 Brown2003 Browne20004 Browne2004 Bruce1999 Bruce20031 Brugha19991 Bruni2003~ Brunier2002 Brunton2003 Bryant2004Buchanan2003ZBuchvald1999 Buckingham1998 Buckingham1998 Buckingham1999  Buckingham2001 Buckingham2001 Buckingham2002 Buckingham2004 Budman20011 Bufka2002 Buhl Nielsen2000 Buhrich1996 Buhrich1998 Bulbena1992 Bulbena1992 Bulbena2002 Bullenkamp2002 Burgess1998 Burgess1998 Burgess1999 Burgess1999 Burgess2003K Burgess2004XBurhouse2002 Burke2002 Burlingame2001 Burnett2002, Burns1998d Burns1999f Burns1999g Burns1999b Burns2000^ Burns2002t Burns2004M Burns2004 Burns2004 Burton2001 Buscema2004 Busch2000 Busch2002P BusseyYearS Bussing1999Q Butler1999 Butler20030 Buttar2001 Byman2000 Byrne2003S Bystritsky1999 Cahill2001) Cahill2002 Calabrese2003v Calabrese2004R Callaghan2003L Callaghan2004 Callaly1998- Callaly1999< Callaly1999 Callaly2001 Callaly20013 Callaly2002  Callaly2003 Callaly2003 Cameron2001Cancer and Leukemia Group2001C Canetti2004 Canino1987 Canino1988 Canino1996c Canino2004 Cann20011 Capelli1997 Caputi20022g Carbone2000J Carbray2004nCardella19969 Caron2004 Carpenter1995 Carpenter2001 Carpenter2002 Carpenter2003o Carr20010 Carroll1999o Carson1988a Carthew1999l Carthew2003C Carvill2002Casebeer2003 Casella2002 Casi Arbonies1999 Cassileth1984 Catalan2003 Cauce1997 Caverly1997 Cayer20033-Centre for Population Studies in Epidemiology2002 Chafetz2002d Challis1999b Challis2000 Challis2002M Challis2004Chalmers2001p Chamberlain1992{ Chang2002 Chant2000 Chaplin2004 Chapple2000 Chavez20044c Chawla2002 Cheah1998 Cheah2000 Cheng1999 Cheng2000 Cheng2004 Chesla20022 Cheung20011 Chi2001 Chiang1992 Chiang1996c Chipps2002 Chiu1995n Chiu1997n Chiu1998n Chiu1998n Chiu2002 Cho1998 Cho1998 Chou2001 Chow2001 Christensen1986 Christensen2003 Christensen2004 Christensen2004 Christenson1996 Christian19967 Church20011Q Churchyard2003 Ciarlo1982 Civenti2001 Clancy19707 Clancy1998Clarbour2004 Clardy1998m Clark20016 Clark2001: Clark2004( Clarke19977 Clarke20002Clarkson2002 Cleary20033Clelland2003EClifford2002FClifford2002Clifford2002 Clinton1998 Close-Goedjen2002 Coates20033 Cocks2002VCoeni^ Coetzer2001 Cohen1960 Cohen1976 Cohen1996 Cohen1999 Cohen2000QColarado2003O+%Colarado Department of Human Services2002R+%Colarado Department of Human Services2004 Coleman1996\ Coleman2001 Coleman2003 Colgan2002V Coll20032College Research Unit2002 Colpe2002 Colpe2003 Combrinck2001 Conn20010 Connell2001Connolly2002 Cook19999 Cook20000 Cook2003 Cook2003 Cooke2003  Coombs Coombs2001 Coombs20022 Coombs2003 Coombs2003; Coombs2003 Coombs20033 Cooper20011 Cooper2003lCopeland2002Corbiere2001Corbiere2002d Cordingley1999b Cordingley2000SCornerstone Project2003 Correll1996N Corrigall2002 Corriss1999 Cortes20033 Cortese1999 Cortese2000 Cortese2002 Cosden2003 Cosenza2001 Cosenza2003 Coursey2002D Courtenay20024Courtney2004; Cowling2004 Cox1992 Craig1997 Craig1997ritsky1999 Cahill2001) Cahill2002̶ Calabrese2003v Calabrese2004R Callaghan2003L Callaghan2004 Callaly1998- Callaly1999< Callaly1999 Callaly20013 Callaly2002  Callaly2003Cancer and Leukemia Group2001Cancer and Leukemia Group2001C Canetti2004 Canino1987̒ Canino1988 Canino1996c Cann20011 Caputi20022g Carbone2000nCardella19969 Carpenter1995 Carpenter2001 Carpenter2002 Carpenter2003o Carr20010 Carroll1999o Carson1988a Carthew1999l Carthew2003C Carvill2002 Casella2002 Catalan2003 Cauce1997 Caverly1997 Cayer2003 Chafetz2002d Challis1999b Challis2000 Challis2002Chalmers2001p Chamberlain1992{ Chang2002 Chant2000 Chaplin2004 Chapple2000c Chawla2002 Cheah1998 Cheah2000 Cheng1999 Cheng2000 Chesla20022 Cheung20011 Chi2001 Chiang1996c Chiu1995n Chiu1997n Chiu1998n Chiu1998n Chiu2002̬ Chou2001 Christensen1986 Christensen2003 Christensen2004 Christensen2004 Christenson1996 Christian19967 Church20011Q Churchyard2003 Ciarlo1982̄ Clancy19707 Clancy1998 Clardy1998m Clark20016 Clark2001 Clarke20002Clarkson2002 Cleary20033EClifford2002FClifford2002̴ Clinton1998 Close-Goedjen2002 Coates20033 Cocks2002^ Coetzer2001 Cohen1996 Cohen2000QColarado2003O+%Colarado Department of Human Services2002R+%Colarado Department of Human Services2004\ Coleman2001 Coleman2003 Colgan2002V Coll20032 Colpe2002 Colpe2003 Combrinck2001 Conn20010 Connell2001Connolly2002 Cook19999 Cook20000 Cook2003 Cook2003 Coombs2003 Coombs2003; Coombs2003̀ Cooper20011 Cooper2003lCopeland2002̳Corbiere2002d Cordingley1999b Cordingley2000SCornerstone Project2003 Correll1996N Corrigall2002 Cortes20033 Cortese1999 Cortese2000 Cortese2002 Cosenza2001 Cosenza2003 Coursey2002D Courtenay20024Courtney2004̶ Cox1992 Craig1997*| .(Niederhofer, Helmut Staffen, W. Mair, A. 2003hbTianeptine: A novel strategy of psychopharmacological treatment of children with autistic disorder81Human Psychopharmacology: Clinical & Experimentalc185c389-393 Jul *#0885-6222 Electronic ISSN 1099-1077C CGA-00015*Human; Male; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs) Antidepressant Drugs; Autistic Children; Behavior Problems; Drug Therapy; Psychopharmacology tianeptine; aberrant behavior; children with autism; Aberrant Behavior Checklist; Cattell Infant Intelligence Scale; Leiter International Performance Scale--Revised Aberrant Behavior Checklist; Cattell Infant Intelligence Scale; Leiter International Performance Scale--RevisedTMObjectives Many autistic children have problems of eye contact and expressive language that limit the effectiveness of educational and behavioural interventions. Few controlled psychopharmacological trials have been conducted in autistic children to determine which agents may be effective for these associated features. Methods Twelve male children (7.3+-3.3 years) with autistic disorder, diagnosed by ICD-10 criteria, completed a placebo-controlled, double-blind crossover trial of tianeptine, which lasted for 12 weeks. Subjects were included in the study if their eye contact and expressive language was inadequate for their developmental level. Subjects had not tolerated or responded to other psychopharmacological treatments (neuroleptics, methylphenidate, clonidine or desipramine). Results Teacher ratings on the aberrant behaviour checklist irritability, stereotypy and inappropriate speech factors were lower during treatment with tianepone than during treatment with placebo. Clinician ratings (children's psychiatric rating scale autism, anger and speech deviance factors; children's global assessment scale; clinical global impressions efficacy) of videotaped sessions were not significantly different between tianeptine and placebo. Discussion Tianeptine were modestly effective... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)f_DOI 10.1002/hup.491 Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'VPRegional Hosp of Bolzano, Dept of Pediatria, Bolzano, Italy [Niederhofer]; Christian Doppler Klinik, Dept of Neurology, Salzberg, Austria [Staffen, Mair] Email Address [mailto:helmut.niederhofer@uibk.ac.at] Contact Individual Niederhofer, Helmut, Regional Hosp of Bolzano, Rep. Pediatria, I-39100, [mailto:helmut.niederhofer@uibk.ac.at]Norman, Ross M. G. Malla, Ashok K. Cortese, Leonardo Cheng, Stephen Diaz, Kristine McIntosh, Elizabeth McLean, Terry S. Rickwood, Ann Voruganti, L. P. 1999\USymptoms and cognition as predictors of community functioning: A prospective analysise$American Journal of Psychiatry 156e3 400-405f Marg 0002-953Xs LSP-00003*~wHuman; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Canada Cognitive Ability; Community Mental Health; Psychosocial Factors; Schizophrenia; Symptoms; Measurement; Neuropsychology schizophrenia symptoms vs neurocognitive measures as predictors of community functioning; 20-50 yr old schizophrenic patientsm"It has been suggested that cognitive functioning as assessed by formal neurocognitive tests may be as important as, or even more important than, symptoms in predicting level of community functioning for patients with schizophrenia. Past prospective studies do not consistently support this hypothesis. In this study, the authors used symptom and neurocognitive data to predict subsequent level of functioning in the community. Neurocognitive and symptom data collected in an earlier study were used to predict the community functioning of 50 schizophrenic patients between the ages of 20-50. Using the Life Skills Profile, staff of a community mental health program assessed community functioning while blind to the earlier symptom ratings and neurocognitive performance. Symptoms were more predictive than neurocognitive measures of community functioning. Disorganization symptoms were more predictive of community functioning than psychomotor poverty or reality distortion. These results suggest the importance of using symptom levels after optimal treatment, rather than symptoms during acute episodes, as predictors of community functioning. They also indicate the need to evaluate the effects of treatment on disorganization as a separable dimension of symptoms. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'>7London Health Sciences Ctr, London, ON, Canada [Norman]Norman, Ross M. G. Malla, Ashok K. McLean, Terry Voruganti, L. Panth N. Cortese, Leonard McIntosh, Elizabeth Cheng, Stephen Rickwood, Ann 2000yThe relationship of symptoms and level of functioning in schizophrenia to general wellbeing and the Quality of Life Scalel$Acta Psychiatrica Scandinavica 102p4r303-309y Octi*#0001-690X Electronic ISSN 1600-0447n LSP-00002*Human; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Canada Positive and Negative Symptoms; Quality of Life; Rating Scales; Schizoaffective Disorder; Schizophrenia; Ability Level Quality of Life Scale; negative symptoms; positive symptoms; schizoaffective disorder; schizophrenia; General WellBeing Scale; level of community functioningztExamined symptoms, level of community functioning as well as living circumstances as correlates of Quality of Life Scale scores and scores on the General Well-Being Scale. 128 patients (aged 17-56 yrs) with either schizophrenia or a schizoaffective disorder completed the General Well-Being Scale and were rated on the Quality of Life Scale as well as scales assessing positive and negative symptoms. While negative symptoms, level of functioning and positive symptoms all were related to the scores on the Quality of Life Scale, General Well-Being Scale scores were primarily related to positive symptoms, particularly reality distortion. The results highlight the importance of recognizing the complex nature of the concept of quality of life. They demonstrate that varying indices of quality of life are likely to have different predictors. (PsycINFO Database Record (c) 2003 APA )VODOI 10.1034/j.1600-0447.2000.102004303.x Peer Reviewed Journal; Empirical Study'London Health Sciences Ctr, Psychosis Program, London, ON, Canada [Norman, Malla, McLean, Voruganti, Cortese, McIntosh, Cheng, Rickwood] Contact Individual Norman, Ross M G, London Health Sciences Ctr, WMCH Bldg, Rm 113C, 392 South St, London, ON, Canada, N6A 4G5r/(<<bA| Gallagher, J. Teesson, M.l 2000\UMeasuring disability, need and outcome in Australian community mental health servicesJ4-Australian and New Zealand Journal Psychiatryb345 850-5 Octc11037373 HON-00002**Case Management; *Community Mental Health Services statistics and numerical data; *Disability Evaluation; *Mental Disorders therapy; *Needs Assessment; *Outcome Assessment Health Care methods Adult ; Community Mental Health Services organization and administration; Feasibility Studies; Mental Disorders diagnosis; New South Wales; Population Surveillance; Psychiatric Status Rating Scales; Urban Population organization and administration; statistics and numerical data; diagnosis; therapy; methodsOBJECTIVE: This study trialled routine measurement of disability, need and outcome in mental health services within Sydney. METHOD: Fifteen community mental health clinicians with a combined caseload of 283 patients participated in the study. The Health of the Nation Outcome Scales (HoNOS) was used to assess disability and outcome and the patient and staff versions of the Camberwell Assessment of Need (CAN) were used to assess need. RESULTS: The HoNOS and CAN appear to be promising contenders for routine use. Patients receiving assertive case management were rated as having higher levels of disability and need than patients receiving standard case management. Significant change in outcome was demonstrated with the HoNOS. CONCLUSIONS: To ensure the continued measurement of consumer outcome, issues such as staff education, training, and the development of computerised information systems should be addressed.0004-8674 Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=850&goto=abstract'f`National Drug and Alcohol Research Centre, The University of New South Wales, Sydney, Australia.  Ganju, V.{ 19992+The MHSIP Consumer Survey. Draft for review USA-MHS-00015*  Ganju, V.{ 1999XQThe MHSIP Consumer Survey. Draft for review. MHSIP Consumer-Oriented Report Card.oUSA-MHS-00015*Ganster, D., et al 2003Part II. Socioeconomic Disparities in Mental Health and Mental Disorder. Section B. Stressful Economic Contexts Linked to Job Holding, Job Loss, and Job Seeking in a Globalizing SocietyrkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicytUSA-MHS-00028*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughout0*Garber, Judy Zeman, Janice Walker, Lynn S. 1990^XRecurrent abdominal pain in children: Psychiatric diagnoses and parental psychopathologyF@Journal of the American Academy of Child & Adolescent Psychiatry294r648-656s Julr 0890-8567 CGA-00065Human; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Abdomen; Anxiety; Pain; Psychopathology; Mothers psychiatric disorders & mother's anxiety; 8-17 yr olds with recurrent abdominal pain with vs without organic cause vs psychiatric disordersLE13 children with recurrent abdominal pain (RAP) with no identifiable organic cause were compared to 11 children with an organic diagnosis for their abdominal pain, 19 children with psychiatric disorders, and 16 healthy controls. Ss were 8-17 yrs old. Both groups with abdominal pain had significantly more psychiatric disorders (predominantly anxiety and depression) than did controls. Both RAP and psychiatric Ss had significantly higher Child Behavior Checklist internalizing scores; psychiatric Ss were rated as significantly more maladjusted on a children's global assessment scale. Mothers of RAP Ss were significantly more anxious than mothers of organic pain and healthy Ss. Psychiatric Ss were significantly more likely to underreport their psychiatric symptoms relative to their mothers. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'.(Vanderbilt U, Nashville, TN, US [Garber]b\Garcia, P. Goodman, R. Mazaira, J. Torres, A. Rodriguez-Sacristan, J. Hervas, A. Fuentes, J. 2000`ZThe strengths and difficulties questionnaire/El Cuestionario de Capacidades y Dificultades,&Revista de Psiquiatria Infanto-Juvenil No 1 12-17l 1130-9512n SDQ-00056T("Human; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Psychiatric Symptoms; Psychological Assessment; Psychopathology; Test Validity; Questionnaires main features & validity of Strengths & Difficulties Questionnaire in assessment of psychopathological symptoms in children & adolescentsDescribes the main features of the Strengths and Difficulties Questionnaire (R. Goodman, 1997), an instrument designed to measure psychopathological symptoms in children and adolescents. The principle validation and epidemiological studies using the instrument are also reviewed. The characteristics of the instrument are compared to those of the Child Behavior Checklist and the Child Behavior Questionnaire (M. Rutter, 1967). (PsycINFO Database Record (c) 2003 APA )$Spanish Peer Reviewed Journal'xqHosp de San Jose, Unidad de Salud Mental Infanto-Juvenil, Complejo Hospitalario Xeral-Calde, Lugo, Spain [Garcia]S !$#x 4ZZTFactors contributing to the long-term adjustment of college women abused as childrenAugusto, Kerri Weise ,%Virginia Polytechnic Inst and State UmThe current study examines psychological correlates of childhood maltreatment, including adult attachment, attributional style, perceived family environment, and current social support and demonstrates their main effects and interactions for predicting long-term psychological distress. Further, this study expands upon past research by broadly defining childhood maltreatment, to include sexual, physical, and psychological aspects of maltreatment. This perspective enables the examination of abuse main effects as well as the interactional effect of the various types of abuse. Three hundred and twenty college women completed the Family Experiences Survey, Conflict Tactics Scale, Childhood Maltreatment Interview-Revised, Social Support Questionnaire, Insecure Attachment Inventory, Bell Object Relations Reality Testing Inventory, Mental Health Inventory, and Brief Symptom Inventory. One hundred and twenty eight women reported a history of maltreatment. Multiple regressions and a discriminant analysis showed attributional style, attachment, and specific maltreatment experiences significantly contributed to the prediction of psychological distress in adulthood. A significant interaction was noted for psychological abuse and attributional style. Further, the unique combinations of specific maltreatment experiences significantly predicted differences in paranoia and depression in the group of maltreated women. (PsycINFO Database Record (c) 2003 APA ) 1995Availability UMI Dissertation Order Number AAM9529837 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 56(5-B), Nov 1995, pp. 2852 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Attachment Behavior; Attribution; Child Abuse; Family Background; Depression (Emotion); Distress; Human Females; Paranoia; Social Support Networks adult attachment & attributional style & family environment & social support & prediction of psychological distress & childhood maltreatment; college women victim of child abuseZSAuquier, P. Simeoni, M. C. Sapin, C. Reine, G. Aghababian, V. Cramer, J. Lancon, C.  2003|vDevelopment and validation of a patient-based health-related quality of life questionnaire in schizophrenia: the S-QoLSchizophrenia Research63 1-2.137-149, Sep2 0920-9964, LSP-00031*Human France Quality of Life; Questionnaires; Schizophrenia; Test Construction; Test Validity schizophrenia; quality of life questionnaire; development; validation; Positive and Negative Syndrome Scale; SF-36 Health Survey; Global Assessment of Function Scale; Lehman Quality of Life Interview Positive and Negative Syndrome Scale; SF-36 Health Survey; Global Assessment of Function Scale; Lehman Quality of Life Interview.'We developed a self-administered instrument to assess health-related quality of life (HRQL) among people with schizophrenia. The S-QoL, based on Caiman's approach to the subject's point of view, is a multidimensional instrument that is sensitive to change. The scale is a 41-item questionnaire with eight subscales (psychological well-being, self-esteem, family relationships, relationships with friends, resilience, physical well-being, autonomy and sentimental life) and a total score. In-depth interviews with patients determined the pertinent issues for item development. The validation study, performed with 207 depth patients, showed high internal consistency reliability, reproducibility and responsiveness. Construct validity was confirmed using established clinical and HRQL measures. S-QoL covers domains that differ from areas tapped in other measures, with greater responsiveness. The S-QoL is an efficient instrument for the measurement of the impact of schizophrenia on individuals' lives. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)a`YDoi 10.1016/s0920-9964(02)00355-9 Peer Reviewed Journal; Empirical Study; Journal Articlea'Public Health Department, University Hospital Timone, Marseilles, France [Auquier, Simeoni, Sapin, Reine, Aghababian, Lancon]; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, US [Cramer] Email Address [mailto:lsp@medecine.univ-mrs.fr] Contact Individual Auquier, P, Service de Sante Publique, Faculte de Medecine 27, bd J. Moulin-13385, Marseilles, France, Cedex 5, [mailto:lsp@medecine.univ-mrs.fr]Ausin, B. Munoz, M.y 2001Using HoNOS65+ in Spainu$International Psychogeriatrics1387 "Australian Health Ministers, 1992"National Mental Health Plang Canberra .(Australian Government Publishing Service "Australian Health Ministers, 1992$National Mental Health Policy\ Canberra .(Australian Government Publishing Service "Australian Health Ministers, 1998("Second National Mental Health Plan Canberra RKMental Health Branch, Commonwealth Department of Health and Family Services1 "Australian Health Ministers, 1998.'National Mental Health Plan (2003-2008) Canberra Australian Government "Australian Health Ministers, 2003.'National Mental Health Plan (2003-2008), Canberra Australian Governmentb $Australian Health Ministers.,d>8Second National Mental Health Plan, Mental Health Branch HACommonwealth Department of Health and Family Services, July 1998. July 1998hAUS-COM-00008*,&http://www.health.gov.au/hsdd/mentalhe $Australian Health Ministers.,l,%National Mental Health Plan 20032008 ,&Canberra: Australian Government, 2003.AUS-COM-00007*www.mentalhealth.gov.au @9Australian Institute for Suicide Research and Prevention,A 2003RKInternational Suicide Rates Recent Trends and Implications for Australia. F@Australian Government Department of Health and Ageing, Canberra.AUS-COM-00010*th a mean rating of 7.0 met and 3.6 unmet needs per patient. Unmet need was higher in the non-Caucasian group. In this locality, patients with functional psychosis were largely in contact with mental health services, were in employment, were disproportionately looked after by a few City centre General Practitioners, and high levels were in supported accommodation. Higher levels of need were found than previously demonstrated. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.springer.devK r660Pirkis, J., Burgess, P., Dunt, D., and Henry, L. 1999<6Measuring quality in Australian mental health services December 1999aAUS-COM-00015* XQPirkis, J., Burgess, P., Coombs, T., Clarke, A., Jones-Ellis, D., and Dickson, R.  2004$Stakeholder Consultations 2004 AMH-00002*Jane Pirkis Jenni Livingston Helen Herrman Isaac Schweitzer Lisa Gill Belinda Morley Margaret Grigg Amgad Tanaghow Alison Yung Tom Trauer Philip Burgess 2004Improving collaboration between private psychiatrists, the public mental health sector and general practitioners: evaluation of the Partnership Project60Australian and New Zealand Journal of Psychiatry38125134 MIS-00026*RKcollaboration, private psychiatrists, public sector mental health services.voObjectives: We describe the evaluation of the Partnership Project, which was designed toimprove linkages between public and private sector mental health services. We consider the Projects key elements: a Linkage Unit, designed to improve collaborative arrangements for consumers and promote systems-level and cultural change; and the expansion of private psychiatrists roles to include supervision and training, case conferencing and secondary consultation. The evaluation aimed to describe the impacts and outcomes of these elements. Method: The evaluation used de-identified data from the Linkage Unit database, the Projects billing system, and the Health Insurance Commission (HIC). It drew on consultations with key stakeholders (semistructured interviews with 36 key informants, and information from a forum attended by over 40 carers and a meeting of five public sector and three private sector psychiatrists) and a series of case studies. Results: The Linkage Unit facilitated 224 episodes of collaborative care, many of which had positive outcomes for providers, consumers and carers. It had a significant impact at a systems level, raising consciousness about collaboration and influencing procedural changes. Thirty-two private psychiatrists consented to undertaking expanded roles, and the Project was billed $78 032 accordingly. Supervision and training were most common, involving 16 psychiatrists and accounting for approximately 80% of the total hours and cost. Commonwealth expenditure on private psychiatrists participation in the expanded roles was not associated with a reduction in benefits paid by the HIC. Key informants were generally positive about the expanded roles. Conclusions: The Project represented a considered, innovative approach to dealing with poor collaboration between the public mental health sector, private psychiatrists and GPs. The Linkage Unit achieved significant systems-level and cultural change, which has the potential to be sustained. Expanded roles for private psychiatrists, particularly supervision andtraining, may improve collaboration, and warrant further exploration in terms of costs and benefits."Pollack, L. E. Cramer, R. D. 2000ngPerceptions of problems in people hospitalized for bipolar disorder: implications for patient educatione&Issues in Mental Health Nursing218765-778Issues Ment Health Nurs 0161-2840 BAS-00030Activities of Daily Living; Adaptation, Psychological; Bipolar Disorder psychology; Bipolar Disorder therapy; Inpatients psychology; Mentally Ill Persons psychology; Needs Assessment; Patient Acceptance of Health Care psychology; Patient Education methods Adult ; Diagnosis, Dual Psychiatry; Hospitalization ; Middle Aged; Nursing Methodology Research; Psychiatric Status Rating Scales; Questionnaires ; Role ; Self Concept; Social Support Female; Human; Male; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.pThis study explored the perceptions of people hospitalized for bipolar disorder in regard to their difficulties in functioning and the most important problem with which they would like the hospital's help. One-hundred-twenty-two patients diagnosed with bipolar disorder completed the Behavior and Symptom Identification Scale (BASIS-32) at the beginning of their hospitalization. The relationships between subjective distress (measured by the BASIS-32 scores) and background characteristics were examined. In addition, participants' perceptions of their most important problems were coded as (1) psychiatric problems, (2) social or physical problems, or (3) no problems, and examined with respect to background characteristics. Race, admission status, and a secondary diagnosis of a substance use disorder were significantly related to overall subjective distress; a substance use disorder diagnosis was significantly related to all five BASIS subscale scores. No background variable was significantly related to the problems with which participants reported wanting the hospital's help, although admission status and race were of borderline significance. Dec English'School of Nursing, University of Texas-Houston (UT-H) Health Science Center and UT-H Harris County Psychiatric Center, 1100 Holcombe Boulevard, 5.540, Houston, TX 77030, USA.E"M"Berry, Helen Rodgers, Bryans 2003BCentre for Mental Health Research, Australian National University, Canberra, ACT, Australia [Berry, Rodgers] Email Address [mailto:Helen.Berry@anu.edu.au] Contact Individual Berry, Helen, Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia, 0200, [mailto:Helen.Berry@anu.edu.au]PJBerwick, Donald M. Murphy, Jane M. Goldman, Paula A. Ware, John E. et al., 1991>7Performance of a five-item mental health screening test Medical Care292169-176H Febe 0025-7079l MHI-00058nVOHuman; Adulthood (18 yrs & older) Health Maintenance Organizations; Mental Disorders; Screening Tests; Test Forms; Test Validity; General Health Questionnaire screening accuracy of 5 vs 18 item Mental Health Inventory vs General Health Questionnaire-30 vs somatic symptom inventory-28; 20-64 yr old HMO members; conference presentation*$Compared the screening accuracy of a short, 5-item version of the Mental Health Inventory (MHI-5) with that of the 18-item MHI, the 30-item version of the General Health Questionnaire (GHQ-30), and a 28-item somatic symptom inventory (SSI-28). Ss were 213 newly enrolled members of a health maintenance organization, and the criterion diagnoses were those found through use of the Diagnostic Interview Schedule (DIS) in a stratified sample of respondents to an initial, mailed GHQ. Using receiver operating characteristic analysis to compare questionnaires, the MHI-5 was equal to the MHI-18 and the GHQ-30, and better than the SSI-28, for detecting most significant DIS disorders, including major depression, affective disorders generally, and anxiety disorders. (PsycINFO Database Record (c) 2003 APA )NGPeer Reviewed Journal; Conference Proceedings/Symposia; Empirical Study'>7Harvard Community Health Plan, Boston, MA, US [Berwick];.'Bethoux, F. Miller, D. M. Kinkel, R. P.  2001f`Recovery following acute exacerbations of multiple sclerosis: from impairment to quality of life:3Multiple sclerosis Houndmills, Basingstoke, EnglandU7U2V 137-42 Mult Scler 1352-4585i MHI-00066nD=Glucocorticoids therapeutic use; Methylprednisolone therapeutic use; Multiple Sclerosis, Relapsing Remitting rehabilitation; Neuroprotective Agents therapeutic use; Quality of Life Adult ; Middle Aged; Multiple Sclerosis, Relapsing Remitting drug therapy; Pilot Projects; Severity of Illness Index Female; Human; MaleTo observe the pattern of recovery after treatment with intravenous Methylprednisolone (i.v. MP) for a relapse of multiple sclerosis (MS), and to determine the best time to plan further interventions such as rehabilitation, we assessed consecutive outpatients (n = 24) treated with i.v. MP for a relapse over a period of 12 weeks. Outcomes measures used were the Expanded Disability Status Scale (EDSS), the Incapacity Status Scale (ISS), the MOS Short Form-36 (SF-36), the Mental Health Inventory (MHI), and the MS-Related Symptom Checklist (MSSCL). There was statistically significant early improvement of EDSS and ISS scores, which was sustained until week 12, and significant improvement of MHI and MSSCL scores between 4 and 12 weeks. Although trends for improvement of scores reflecting the same pattern of recovery were observed with the SF-36 physical and mental composites, these changes did not reach statistical significance. Our results suggest that improvement of impairments and disability after treatment with i.v. MP for a relapse of MS occurs early, while improvement of subjective health status is delayed. Even after maximum improvement is reached, patients are left with multiple symptoms and functional limitations, and may benefit from additional rehabilitative interventions. Apr English'Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.$ HBCheah, Y. C. Parker, G. Hadzi-Pavlovic, D. Gladstone, G. Eyers, K. 1998d^Development of a measure profiling problems and needs of psychiatric patients in the community2,Social Psychiatry & Psychiatric Epidemiology337i337-344l Jule*#0933-7954 Electronic ISSN 1433-9285l HON-00070*Human; Male; Female; Outpatient; Adulthood (18 yrs & older); Middle Age (40-64 yrs) Australia Behavior Problems; Coping Behavior; Psychiatric Patients; Social Support Networks; Test Construction; Case Management; Profiles (Measurement); Test Reliability; Test Validity development & reliability & validity of Profile of Community Psychiatry Clients; assessment of common problems; case managed vs non-case managed psychiatric patients}Describes the development of the 35-item Profile of Community Psychiatry Clients (PCPC), a measure to assess common problems. Component scales of the PCPC assessed coping limitations, behavioral problems, levels of social support, and organic problems in 311 case-managed (CM) and 36 non-CM psychiatric patients. High test-retest reliability was established, and a number of tests of the PCPC's validity were undertaken. Discriminant validity was established by demonstrating that CM Ss in a community mental health service returned significantly higher scale scores than non-CM Ss. Additionally, scale scores were associated with a number of categorical and dimensional validators reflecting aspects of service need, and distinctly with service costs. PCPC scores corresponded with scores generated by the Life Skills Profile, a measure of disability. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s001270050063 Peer Reviewed Journal; Empirical Study'82Ministry of Health, Kuala Lumpur, Malaysia [Cheah]&Cheah, Y. C. Parker, G. Roy, K.N 2000Evaluation and validation of a measure profiling needs and problems of psychiatric patients in the community: a Malaysian studyp4.Social psychiatry and psychiatric epidemiology354s 170-6;("Soc Psychiatry Psychiatr Epidemiol 0933-7954 HON-00071*Community Mental Health Services standards; Community Mental Health Services supply and distribution; Mental Disorders therapy; Needs Assessment Adult ; Catchment Area Health; Malaysia epidemiology; Mental Disorders epidemiology; Reproducibility of Results Female; Human; MaleBACKGROUND: The Profile of Community Psychiatry Clients (PCPC) was developed in a Sydney-based sample of those with a mental illness as a 35-item measure of likely need for service recognition, review and possible assistance. METHODS: This study has three principal objectives. Firstly, to test the utility of the PCPC measure in a very different region and culture. Secondly, to review the factor structure in an independent sample. Thirdly, to pursue the extent to which the PCPC might serve as a measure of likely need, by obtaining three differing reference viewpoints of need (i.e. clients, their carers, and case managers) and examining responses against PCPC scores. The PCPC was given to a sample of 333 Malaysian clients living in the community, together with two other measures of morbidity and disability. In addition, case managers, family members and clients were requested to directly rate the level of need for service assistance. RESULTS: A principal components analysis favoured a six-factor solution, with PCPC factor scores and total scores intercorrelated with subscale and total scores on the Life Skills Profile (LSP) and Health of the Nation Outcome Scales (HoNOS). The correlation coefficients supported the concurrent validity of the derived PCPC scales. Family members rated the clients' needs as greater than did case managers who, in turn, rated severity of needs greater than the clients themselves. Most importantly, PCPC scores correlated more highly than did LSP and HoNOS scores with need estimates derived by all three rating groups, providing strong support for the PCPC meeting its objective as a measure of putative need. In addition, a refined 23-item version of the PCPC was derived, which retained the capacity of the PCPC to correlate strongly with needs estimates. CONCLUSIONS: This Malaysian study supports the use of the PCPC in a culture where service provision and family support for those with a mental illness vary considerably from Western regions, while its validation as a measure of need for service is supported. Apr EnglishB8Andreas, S. Harfst, T. Dirmaier, J. Koch, U. Schultz, H. 2003"Research on HoNOS in GermanyHoNOS Workshop London4-Andrews, G. Teesson, M. Stewart, G. Hoult, J. 1990VOFollow-up of community placement in the chronic mentally ill in New South Wales\(!Hospital and Community Psychiatry41184-188 ("Andrews, G. Peters, L. Teesson, M. 1994~wMeasurement of Consumer Outcome in Mental Health: A Report to the National Mental Health Information Strategy Committee\ Sydney 2,Clinical Research Unit for Anxiety Disorders.'Andrews, G., Sanderson, K., Beard, J.u 1998PIBurden of disease. Methods of calculating disability from mental disorder $British Journal of Psychiatry 173e 123-31 OUT-MH-00019XQBackground: The Global Burden of Disease Studies are important because they encompass morbidity as well as mortality. Burden due to morbidity is calculatde from incidence, duration and disability. There is a dearth of epidemiological measurements of disability. Method: Data from a quai-community sample (n+13364) were analysed. Diagnoses of mental and physical disorders, and reports of disability, were based on established methods. Results: The disabilities reported in mental and physical disorders were comparable. Disability was correlated with comorbidity. The disability in mental disorders was examined by three methods: pure disorders, main probalem and regresssion. It appears that major depression and substance disorder weights were over estimated, and anxiety disorder weights were understimated in the global burden of disease studies. Conclusion: A method for disentangling the effects of concurrent comorbidity is presented. The size of the burden attributed to mental disorders is of portential benefit for funding mental health services. It is important that we get the estimated right.r  (@=*Outcome Assessment Health Care statistics and numerical data *Outpatient *Outpatients*Parent Child Relations *Parental *Parents *Partial*Partial Hospitalization*Patient Admission*Patient Care Team *Performance *personality84*Personality Inventory statistics and numerical data *Phenotypes *Poetry *Prediction *predictors*Prescription Drugs*Primary Health Care *Professional Consultation*Professional Development*Professional Referral *Program*Program Evaluation*Prosocial Behavior *Psychiatric*Psychiatric Clinics*psychiatric diagnosis*Psychiatric Evaluation$*Psychiatric Hospital Admission$*Psychiatric Hospital Discharge *Psychiatric Hospitalization*Psychiatric Hospitals*Psychiatric Nurses*Psychiatric Nursing$*Psychiatric Nursing education$*Psychiatric Nursing standards82*Psychiatric Nursing statistics and numerical data*Psychiatric Patients$!*Psychiatric Status Rating Scales0+*Psychiatric Status Rating Scales standardsD?*Psychiatric Status Rating Scales statistics and numerical data*Psychiatric Symptoms*Psychiatric Units*Psychiatrists*Psychiatry standards*Psychodiagnosis *Psychodiagnostic Typologies*Psychological*Psychological Assessment *Psychology*psychometric properties*Psychometrics*Psychometrics methods*Psychopathology *Psychosis*Psychosocial Factors *Psychosocial Rehabilitation*Psychotherapeutic *Psychotherapeutic Outcomes *Psychotherapeutic Processes*Psychotherapy *Psychotherapy, Group methods *Psychotic Disorders therapy*Quality of Life*Questionnaires *Rating*Rating Scales*Rehabilitation$*Remote Consultation standards *Reproducibility of Results*Scaling (Testing)*Schizophrenia *Schizophrenia complications*Schizophrenia therapy*School Attendance *Scientific*Scientific Communication*Selective Attention*Self *Self Assessment Psychology *Self Report *self-report*Sensory System*Severity (Disorders) *Severity of Illness Index*Social Behavior*Social Support(#*Social Work, Psychiatric standards *sociodemographic variables*Standardized Tests4/*State Medicine organization and administration *Statistical*Statistical Data *Stepparents *Subjectivity*Suicidal Ideation *Suicide*Suicide Prevention41*Suicide, Attempted statistics and numerical data *Symptoms*Systems Integration *Teams *Terminology*Test*Test Construction*Test Reliability*Test Validity *Testing*Therapeutic Community*Therapeutic Processes*Therapist Attitudes *Therapist Characteristics *Treatment*Treatment Compliance*Treatment Duration(#*Treatment Effectiveness Evaluation*Treatment Outcome*Treatment Outcomes *Trends *Twins *Violence *Well Being *Writers,'1 Naphthylamine analogs and derivatives$1 Naphthylamine therapeutic use 1 yr followup1-17 yr olds with(#10-12 yr old middle school students11-16 yr old females 11-16 yr olds4012-17 yr olds with childhood onset schizophrenia 12-18 yr olds 12-20 yr old 13-16 yr olds in primary care S6 Hooke, G. R. Page, A. C. 2002pjPredicting outcomes of group cognitive behavior therapy for patients with affective and neurotic disordersBehaviour Modification265y 648-59 Octt12375379 HON-00056o*Cognitive Therapy methods; *Mood Disorders therapy; *Neurotic Disorders therapy; *Personality Inventory statistics and numerical data; *Psychotherapy, Group methods Adult ; Day Care; Hospitals, Psychiatric; Internal External Control; Middle Aged; Mood Disorders psychology; Neurotic Disorders psychology; Outcome and Process Assessment Health Care; Psychometrics ; Self Concept; Stress, Psychological complications methods; psychology; therapy; statistics and numerical data; complicationsAn attempt was made to predict outcomes following group Cognitive Behavior Therapy (CBT) for patients with affective and neurotic disorders. A group of 348 patients at a private psychiatric clinic, treated in a group CBT program, completed the Depression, Anxiety, and Stress Scale (DASS) before and after treatment. Prior to treatment, data from the Locus of Control of Behavior (LCB), a Global Assessment of Function (GAF), the Health of the Nation Outcome Scales (HoNOS), and the Rosenberg Self Esteem Scale (RSE) were also collected. Results indicated that posttreatment stress scores of all patients were predicted by pretreatment stress and self-esteem. Among patients with neurotic disorders, posttreatment anxiety was predicted by initial anxiety and self-esteem whereas among patients with affective disorders, posttreatment anxiety scores were predicted by initial anxiety and GAF. For patients with neurotic disorders, self-esteem did not predict variance in posttreatment depression in addition to that explained by pretreatment depression. In contrast, for patients with affective disorders, pretreatment depression and Locus of Control predicted posttreatment depression.0145-4455 English'& Perth Clinic, Western Australia.("Hope, J. D. Keks, N. A. Trauer, T. 1997Validity, reliability and relationship to services use and cost of the HoNOS outcome measure scale in adult psychiatric and psychogeriatric servicesSchizophrenia Research24 1,2, 2515 HON-00108*("Hope, J. D. Trauer, T. Keks, N. A. 1998}Reliability, validity and utility of the Health of the Nation Outcomes Scale (HoNOS) in Australian adult psychiatric servicesuSchizophrenia Research29 1,2`  9-10` HON-00107*Howlin, Patricia 20002,Assessment instruments for Asperger syndrome*$Child Psychology & Psychiatry Review53120-1292000-12267-003 HCA-00011*F?*Aspergers Syndrome; *Diagnosis; *Neuropsychological AssessmentThis review describes the current situation with regard to diagnostic instruments for Asperger syndrome. The paucity of such instruments, and the lack of adequate standardization data amongst the few that do exist, represent a serious omission for both clinicians and researchers. The major problem limiting the development of effective diagnostic or screening instruments is the confusion inherent in International Classification of Diseases (ICD)-10 and Mental Disorders-IV (DSM-IV) systems in differentiating autism from Asperger syndrome. In the absence of clear and clinically satisfactory diagnostic criteria, efforts to develop valid assessment instruments may be attempting to put the horse before the cart. (PsycINFO Database Record (c) 2003 APA )English ("http://www.blackwellpublishing.com|vHuang, Zheng-Bo Neufeld, Richard R. Likourezos, Antonios Breuer, Brenda Khaski, Albert Milano, Evelin Libow, Leslie S. 2003~xSociodemographic and Health Characteristics of Older Chinese on Admission to a Nursing Home: A Cross-Racial/Ethnic Study0*Journal of the American Geriatrics Society513404-409 Mar 0002-8614 RUG-00010*Human; Male; Female; Inpatient; Adulthood (18 yrs & older); Aged (65 yrs & older) Us Chinese Cultural Groups; Demographic Characteristics; Health; Nursing Homes; Racial and Ethnic Differences; Blacks; Client Characteristics; Cognitive Impairment; Hispanics; Whites sociodemographic characteristics; health characteristics; older Chinese; nursing homes; ethnic groups; health status; cognitive impairment; dementia diagnosis; physical functioning; morbiditytInvestigates sociodemographic characteristics (SDCs) and health status of older Chinese newly admitted to a New York City nursing home (NH) and compares them with the characteristics of other racial/ethnic group residents. Design was secondary analysis of the admission Minimum Data Set Plus (MDS+). 258 of 292 residents consecutively admitted from November 1992 to May 1997 were selected after excluding those below 60 or transferred from another NH. SDCs, health status parameters and morbidity information were measured. Compared with whites, Chinese were more likely to be married, less likely to have lived alone, more likely to be using Medicaid, less likely to make medical decision alone, and more likely to depend on family members for decision-making. Nearly three-quarters of Chinese had cognitive impairment. There was an underdiagnosis of dementia in the Chinese Ss on admission. Severe dependence in activity of daily living was identified in more than one-third of Chinese. Many of the Chinese Ss were incontinent of bowel and bladder and had chewing or swallowing problems, hypertension, anemia, and stroke. Findings suggest that Chinese residents are as frail as other racial/ethnic residents on admission. (PsycINFO Database Record (c) 2004 APA )RKPeer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'\USection of Geriatrics, Department of Medicine, Saint Vincents Hospital and Medical Center, New York, NY, US [Huang]; Jewish Home and Hospital, New York, NY, US [Neufeld, Likourezos, Breuer, Libow]; Medical Affair for CNR Health Care Network, New York, NY, US [Khaski]; New Rochelle Nursing Home, New Rochelle, NY, US [Milano] Email Address [mailto:zhuang@saintvincentsnyc.org] Contact Individual Huang, Zheng-Bo, Section of Geriatrics, Department of Medicine, Saint Vincents Hospital and Medical Center, 170 West 12th Street, NR# 1214, New York, NY, US, 10011, [mailto:zhuang@saintvincentsnyc.org].T Hansson, L 2001:4Outcome assessment in psychiatric service evaluation4.Social Psychiatry and Psychiatric Epidemiology36244-248 OUT-MH-00049*Abstract Background: The present paper gives an overview of outcome assessment issues in psychiatric service evaluation,based on seven proposals concerning the content and methodology of outcome assessment. It is stressed that outcome assessments should be performed on both the system and the patient level and that multiple outcome domains should be used, reflecting multiple perspectives of the services. It is also argued that outcome studies benefit from incorporating service use measures in order to enable analyses of costs and cost-effectiveness of services. Outcome studies of community- based psychiatric services have so far mainly investigated service models or programs. Conclusions: It is concluded that there is a need to investigate the relationship between particular parts and content of services and outcome, in order to increase knowledge of what is effective in community-based psychiatric services. Harrison, G and Eaton, W.d 1999NHFrom research world to real world: routine outcome measures are the key.$Current Opinion in psychiatryl122187 -189 OUT-MH-00007*xrHarrison-Read, Phil Lucas, B. Tyrer, P. Ray, J. Shipley, K. Simmonds, S. Knapp, M. Lowin, A. Patel, A. Hickman, M. 2002~Heavy users of acute psychiatric beds: Randomized controlled trial of enhanced community management in an outer London boroughPsychological Medicine323403-416 Apr2002-02793-002 HON-00065**Community Mental Health Services; *Health Care Costs; *Hospital Admission; *Psychiatric Hospitalization; Experimentation; Health Service Needs; Symptoms The effectiveness of enhanced community management (ECM) was compared with standard care alone in heavy users, who represented the 10% of patients with the highest number of hospital admissions and occupied bed days over the previous 6-5 years in an outer London borough. 193 patients (males and females, aged 16-64 yrs) were randomly assigned to ECM or standard care and their use of services was determined after 1 and 2 yrs, with assessments of costs, clinical symptoms, needs, and social function made before entry into the study and after 1 and 2 yrs. Despite a 2-4 fold increase in community contacts in the study group, there were no significant differences between the two groups in any of the main outcome measures. Small savings on in-patient and day-hospital service costs were counterbalanced by the increased costs of outpatient and community care for the subjects assigned to ECM. Clinical outcome data derived from interviews in two-thirds of the subjects were similar in both groups. Providing additional intensive community-focused care to a group of heavy users of psychiatric in-patient services in an outer London borough does not lead to any important clinical gains or reduced costs of psychiatric care. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.cup.org[Trauer] Contact Individual Trauer, T, Department of Psychological Medicine, Monash University, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, Australia, 3168, [mailto:Tom.Trauer@med.monash.edu.au](!Trauer, T. Coombs, T. & Eagar, K.m 2002NGTraining in mental health outcome measurement: the Victorian experience.TMAustralian health review a publication of the Australian Hospital Association]252]122-128 OUT-MH-00010**#The routine outcome assessment of client outcomes was set as an objective in the Australian National Mental Health Policy in 1992. Victoria was the first jurisdiction to begin the implementation. This paper reports this process, and describes the background to outcome measurement in mental health, assembly of the implementation team, certain concepts, development of the training materials, the approach to training, and a brief description of the evaluation. We end with a number of observation and recommendation that arose out of the process. xfXB;Adams, Malcolm Palmer, Anne O'Brien, John T. Crook, Williame 2000JCHealth of the Nation Outcome Scales for psychiatry: Are they valid?uJournal of Mental Health902193-198 Apr2000-12102-007 HON-00046*rk*Psychological Assessment; *Rating Scales; *Social Behavior; *Test Validity; Psychiatric Patients; SymptomsExamined the validity of the Health of the Nation Outcome Scales (J. K. Wing et al, 1994, HoNOS) concerning psychiatric symptoms and social functioning. 89 individuals (mean age 35.3 yrs) admitted to an acute psychiatric ward completed at admission and discharge the HoNOS, the Brief Psychiatric Rating Scale (J. E. Overall and D. R. Gorham, 1962), the Symptom Checklist 90--Revised (L. R. Derogatis and P. A. Cleary, 1977), and the Social Adjustment Scale (M. M. Weissman, 1978). Results show that all 4 subscales of the HoNOS were sensitive to change, as overall severity ratings decreased significantly during Ss' hospitalization. However, only half the correlations between HoNOS scales and the psychometric measures were significant and these were not particularly high. Overall, HoNOS scores were relatively low despite the high level of S morbidity. Findings casts doubt on the validity of the HoNOS. (PsycINFO Database Record (c) 2003 APA )Englishnhttp://www.tandf.co.uk*$Adams, John W. Snowling, Margaret J. 2001jcExecutive function and reading impairments in children reported by their teachers as "hyperactive."2+British Journal of Developmental Psychology~192293-306 Jun 0261-510Xv SDQ-00050i*$Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) United Kingdom Age Differences; Cognitive Ability; Hyperkinesis; Reading Ability; Reasoning; Human Sex Differences hyperactivity; gender differences; age differences; non-verbal reasoning; cognitive ability; reading abilityjdTwenty-one 8- to 11-yr-olds identified by the Strengths and Difficulties Questionnaire (R. Goodman, 1997) as "Hyperactive" were compared with controls matched for gender, age, and non-verbal reasoning on a battery of cognitive tasks. Significant group differences were found on literacy measures, tasks of inhibition and executive function, but not verbal working memory measures. These results are consistent with the hypothesis that children with hyperactivity have difficulty in behavioral inhibition, and the previously reported high incidence of comorbidity between reading impairment and attention disorders. However, the data suggest that the core cognitive deficits in executive function that are associated with hyperactivity in children are independent of the phonological deficits associated with reading impairment. (PsycINFO Database Record (c) 2003 APA )HBDoi 10.1348/026151001166083 Peer Reviewed Journal; Empirical Study'pjU Durham, Dept of Psychology, Durham, United Kingdom [Adams] Email Address [mailto:J.W.Adams@Durham.ac.uk] y V4.Smith, M. Y. Egert, J. Winkel, G. Jacobson, J. 2002D>The impact of PTSD on pain experience in persons with HIV/AIDS Pain98 1-2e 9-17 Pain 0304-3959 MHI-00014*Acquired Immunodeficiency Syndrome complications; Acquired Immunodeficiency Syndrome physiopathology; HIV Infections complications; HIV Infections physiopathology; Pain physiopathology; Stress Disorders, Post Traumatic complications Adult ; Forecasting ; Health Status; Incidence ; Middle Aged; Pain Measurement; Wounds and Injuries complications; Wounds and Injuries epidemiology Female; Human; Male; Support, U.S. Gov't, P.H.S.Pain is a common and pervasive symptom for persons infected with the human immunodeficiency virus (HIV). Individuals with persistent pain are known to be at heightened risk for posttraumatic stress disorder (PTSD), an anxiety disorder that manifests itself following exposure to a traumatic event. Moreover, research suggests that patients with persistent pain who develop PTSD often experience greater pain intensity and pain-related disability than those who do not develop PTSD. The purpose of this study was to assess the relation of PTSD to pain intensity and pain-related interference in HIV-infected persons suffering from persistent pain. Study participants included 145 ambulatory persons living with HIV/AIDS (PWHAs) who were enrolled in a randomized clinical trial assessing the impact of a pain communication intervention. Participants completed a series of self-report measures including the Stressful Life Events Checklist (SLE), the Posttraumatic Stress Disorder Checklist-Civilian (PCL-C), the Mental Health Inventory (MHI), and the Brief Pain Inventory (BPI). On average, participants reported being exposed to 6.3 different types of trauma over the course of their lifetime, of which receiving an HIV diagnosis was rated as being among the most stressful. Over half (53.8%) merited a PTSD diagnosis according to the PCL-C. Those with PTSD reported having significantly higher pain intensity and greater pain-related interference in performance of daily activities (i.e., working, sleeping, walking ability and general activity), and affect (i.e., mood, relations with other people, enjoyment of life) over time than those who did not meet the diagnostic criteria. Possible explanations for these findings are discussed along with implications for clinical care.s Jul English \UScienceDirect (tm) http://www.sciencedirect.com/science?10.1016/S0304-3959(01)00431-6 'f`Purdue Pharma, L.P., One Stamford Forum, Stamford, CT 06901-3431, USA. meredith.smith@pharma.com4-Smith, David Fisher, Laura J. Goldney, Robert  2002\UDo suicidal ideation and behaviour influence duration of psychiatric hospitalization?4.International Journal of Mental Health Nursing114220-224j Dec2002-08179-003 HON-00043**Psychiatric Hospitalization; *Suicidal Ideation; *Suicide; *Treatment Duration; Hospitalized Patients; Psychiatric Hospitals; Psychiatric Patients("Suicidal ideation and behavior are sometimes considered to be manipulative, with the intention of escaping from intolerable situations leading to prolonged hospitalization. The present study examined the length of hospitalization of those who had attempted suicide or had suicidal ideation compared to non-suicidal patients, as measured by the Health of the Nation Outcome Scales in 2 private psychiatric hospitals. The sample were inpatients (aged 12-92 yrs). Suicidal patients had a significantly shorter length of hospitalization, despite their significantly greater degree of psychiatric morbidity. Results indicated that it is erroneous to preclude inpatient care for those who are suicidal on the assumption that it will promote prolonged hospitalization. (PsycINFO Database Record (c) 2003 APA )Englishn("http://www.blackwellpublishing.com2+Smithard, A. Glazebrook, C. Williams, H. C. 2001tmAcne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community-based study$British journal of dermatology 145a2e 274-9t Br J DermatolH 0007-0963v SDQ-00007*vpAcne Vulgaris epidemiology; Adjustment Disorders epidemiology; Adolescent Psychology; Health Knowledge, Attitudes, Practice Acne Vulgaris psychology; Adjustment Disorders etiology; Adolescent ; Cross Sectional Studies; England epidemiology; Patient Acceptance of Health Care; Prevalence ; Psychological Tests; Severity of Illness Index; Sex Factors Female; Human; MaleJCBACKGROUND: Acne vulgaris is a distressing condition that affects the majority of adolescents, but its impact on mental health in this age group is poorly understood. OBJECTIVES: To determine the prevalence of acne, knowledge about acne and rates of help-seeking behaviour in English teenagers. It was hypothesized that presence of acne would be associated with higher rates of emotional and behavioural difficulties. METHODS: Three hundred and seventeen pupils (80% response rate) aged 14-16 years participated from a comprehensive school in Nottingham. An age-appropriate, validated measure of emotional well-being, the Strengths and Difficulties Questionnaire (SDQ), and an Acne Management Questionnaire were used to assess participants' psychological health, level of acne knowledge and help-seeking behaviour. Acne severity was by graded by visual facial examination using an adaptation of the Leeds Acne Grading Technique. RESULTS: There was a prevalence of acne in 50% of the study sample, with 11% of participants having moderate to severe acne (> 20 inflammatory lesions). Participants with definite acne (12+ lesions) (P < 0.01) and girls (P < 0.05) had higher levels of emotional and behavioural difficulties. Participants with acne were nearly twice as likely as those without acne to score in the abnormal/borderline range of the SDQ (32% vs. 20%; odds ratio 1.86, 95% confidence interval 1.03-3.34). Knowledge about the causes of acne was low (mean 45%), and was unrelated to acne status. Fewer than a third of participants with definite acne had sought help from a doctor. CONCLUSIONS: Acne is a common disorder in English adolescents and appears to have a considerable impact on emotional health in this age group. Low levels of acne knowledge and poor acne management are concerns that could be amenable to a school-based education programme.e Aug EnglishfhaBlackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=BJD&vol=145&page=274&goto=abstractL'tmBehavioural Sciences Section, Division of Psychiatry, A Floor, Queens Medical Centre, Nottingham NG7 2UH, UK.mhXF?Wright, Steve Gournay, Kevin Glorney, Emily Thornicroft, Graham  2002`ZMental illness, substance abuse, demographics and offending: Dual diagnosis in the suburbs$Journal of Forensic Psychiatry131 35-52 Apr2002-13751-004 HON-00094~x*Crime; *Drug Abuse; *Dual Diagnosis; *Mental Disorders; *Violence; Demographic Characteristics; Perpetrators; Psychosis,%Compared offending and violence rates in patients with dual diagnosis (DD) severe mental illness and substance misuse and patients with psychosis only. 40 patients with severe mental disorders were interviewed in a geographically defined catchment area in Croydon, Surrey. Cases of alcohol or drug misuse were identified, and measures of lifetime history of offending (including violence) and recent violence were obtained. DD patients were more likely to report a lifetime history of both offending and violence than patients with psychosis only (although gender may play a greater role than substance misuse). Few instances of recent violence were found, and no between-group differences were detected. The medical case-records of DD patients were significantly more likely to contain a lifetime history of non-substance misuse-related offending, but not violence. However, the extent to which substance misuse contributes to violence and offending independently of contextual variables requires further investigation. (PsycINFO Database Record (c) 2003 APA )eEnglish0http://www.tandf.co.uk Wright, JG`n 2003haInterpreting health-related quality of life scores: the simple rule of seven may not be so simple Medical Care415;597-598OUT-NMH-00008*& Wyrwich, K., and Wolinsky, F. I. 2000jdIdentifying meaningful intra-individual change standards for health-related quality of life measures0*Journal of Evaluation in Clinical Practice61 39-49OUT-NMH-00014* Wyshak, Gracen 2001Women's college physical activity and self-reports of physician-diagnosed depression and of current symptoms of psychiatric distress:3Journal of Women's Health and Gender-Based Medicine9104M363-370H Mays 1524-6094n MHI-00031*>7Human; Female; Adulthood (18 yrs & older) Activity Level; College Athletes; Human Females; Major Depression; Self Report; Distress; Mental Health; Physical Fitness college athletes; physical activity; women; depression; precollege; postcollege; psychiatric distress; self reports; Rand Mental Health Inventory-5dHAInvestigates the association between women's athletic activity in the college and precollege years and physician-diagnosed depression in postcollege yrs. 3940 alumnae, former college athletes (mean age 52.51 yrs) and nonathletes (mean age 54.67 yrs), completed a detailed self-administered questionnaire that sought information on health histories up to the present time, including questions on history of physician-diagnosed depression and current symptoms of psychiatric distress. A negative association between college athletic activity and self-reported physician-diagnosed depression in the last 10 yrs was observed. Other factors significantly associated with depression are living with a spouse, at time of reporting--protective; self-rated current health good to poor compared with very good or excellent; alcoholism; and having a doctoral degree-risk factors. Current state variables based on the Rand Mental Health Inventory-5 were also more favorable among athletes. This is the 1st study to report a long-term beneficial association between women's college athletic activity and self-reported physician-diagnosed depression in the postcollege years and current symptoms of psychiatric distress. The findings support the Surgeon General's promotion of the health benefits of physical activity. (PsycINFO Database Record (c) 2003 APA )\UDoi 10.1089/152460901750269689 Peer Reviewed Journal; Empirical Study; Followup Study'JCHarvard Medical School, Dept of Psychiatry, Boston, MA, US [Wyshak]@9Yamauchi, Keita Ono, Yutaka Baba, Kunihiro Ikegami, Naokil 2001NGThe actual process of rating the Global Assessment of Functioning ScalenComprehensive Psychiatry425S403-409dSep-Octs 0010-440Xi RUG-00001*Human; Inpatient; Adulthood (18 yrs & older) Japan Clinical Judgment (Not Diagnosis); Psychiatric Evaluation; Psychiatric Patients; Rating Scales clinical judgment; Global Assessment of Functioning Scale; tree model; rating; psychiatric inpatients:3The Global Assessment of Functioning Scale (GAF) was developed for the overall assessment of psychological, social, and occupational functioning. This study investigated the actual process of how clinicians assign GAF scores. 2,462 inpatients of 19 psychiatric hospitals in Japan were assessed by their primary psychiatrists using the following rating scales: GAF, Brief Psychiatric Rating Scale (BPRS), World Health Organization Psychiatric Disability Assessment Schedule (DAS), and physical Activities of Daily Living index. A tree-based model analysis (also referred to as Automatic Interaction Detector or Classification and Regression Tree) was used to construct a statistical model with the GAF score as the dependent variable. In the statistically best-fitted tree to predict the GAF score, the first split is based on the "conceptual disorganization" score in the BPRS, followed by splits based on DAS item scores, such as "conversation" and "underactivity." The tree model obtained suggests that Japanese clinicians judge the level of global functioning by integrating the information on both the severity of psychiatric symptoms and the level of impaired behaviour and social functioning. This logic structure was clinically acceptable and agreed well with the concept of the GAF. (PsycINFO Database Record (c) 2003 APA )lHBDOI 10.1053/comp.2001.26268 Peer Reviewed Journal; Empirical Study'f`Keio U School of Medicine, Dept of Health Policy & Management, Tokyo, Japan [Yamauchi] Contact Individual Yamauchi, Keita, Japan, Keio U School of Medicine, Dept of Health Policy & Management, Shinanomachi 35, Shinjuku-ku, Tokyo; Yamauchi, Keita, Japan, Keio U School of Medicine, Dept of Health Policy & Management, Shinanomachi 35, Shinjuku-ku, Tokyo8y vXRBarkham, Michael Rees, Anne Stiles, William B. Hardy, Gillian E. Shapiro, David A. 2002Dose-effect relations for psychotherapy of mild depression: A Quasi-experimental comparison of effects of 2, 8, and 16 sessionshPsychotherapy Research124463-474 Dec2002-08435-005 HON-00068*jc*Depression (Emotion); *Psychotherapy; *Treatment Duration; *Treatment Outcomes; Distress; SymptomsClients (N=105) presenting with mild depression were assigned to receive 2, 8, or 16 sessions of psychotherapy in a quasi-experimental design involving 2 clinical trials. Rates of recovery were estimated as the proportion of each group achieving reliable and clinically significant change at the end of treatment (shortly after the prescribed dose had been administered) and at a follow-up assessment 2 to 3 months later. Results supported the hypothesis that recovery from interpersonal problems typically requires higher doses of psychotherapy than does recovery from symptoms of depression or broader distress. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.oup.com0*Barrett, P. Healy-Farrell, L. March, J. S. 2004jdCognitive-behavioral family treatment of childhood obsessive-compulsive disorder: A controlled trialHBJournal of the American Academy of Child and Adolescent Psychiatry431 46-62` Jan 0890-8567 CGA-00085*|Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Child Psychiatry; Cognitive Behavior Therapy; Family Therapy; Obsessive Compulsive Disorder; Distress; Family Relations; Parents; Severity (Disorders); Siblings; Symptoms; Treatment Outcomes cognitive-behavioral family treatment; childhood obsessive compulsive disorder; individual therapy; group therapy; symptom severity; distress; parents; siblings; family functioning; accommodation; Children's Depression Inventory; Multidimensional Anxiety Scale for Children Children's Depression Inventory; Multidimensional Anxiety Scale for Children@9Evaluated the efficacy of individual cognitive-behavioral family-based therapy (CBFT), group CBFT, and a waitlist control group in the treatment of childhood obsessive-compulsive disorder (OCD). Seventy-seven children and adolescents with OCD who were randomized to individual CBFT, group CBFT, or a 4- to 6-wk waitlist control condition participated. Children were assessed before and after treatment and at 3 mos and 6 mos following the completion of treatment using diagnostic interviews, symptom severity interviews, and self-report measures. Parental distress, family functioning, sibling distress, and levels of accommodation to OCD demands were also assessed. By an evaluable patient analysis, statistically and clinically significant pretreatment-to-posttreatment change occurred in OCD diagnostic status and severity across both individual and group CBFT, with no significant differences in improvement ratings between these conditions. There were no significant changes across measures for the waitlist condition. Treatment gains were maintained up to 6 mos of follow-up. The authors conclude that, contrary to previous findings, group CBFT is as effective in reducing OCD symptoms as individual treatment. Findings support the efficacy and durability of CBFT in treating childhood OCD. (PsycINFO Database Record (c) 2004 APA )RKPeer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'lfSchool of Applied Psychology, Griffith U, Brisbane, QLD, Australia [Barrett, Healy-Farrell]; Dept of Psychiatry, Duke U, Durham, NC, US [March] Email Address [mailto:p.barrett@griffith.edu.au] Contact Individual Barrett, Paula, School of Applied Psychology, Griffith U, Mount Gravatt Campus, Brisbane, QLD, Australia, 4111, [mailto:p.barrett@griffith.edu.au] Bartlett, J. 1997VOTreatment outcomes: the psychiatrist's and health care executive's perspectivessPsychiatric Annals272s100-103\ OUT-MH-00005RKBartlett, Christopher Holloway, John Evans, Mark Owen, John Harrison, Glynn 2001`ZAlternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements$Journal of Mental Health (UK)105535-546 Oct2001-11738-006request*Health Service Needs; *Mental Health Services; *Psychiatric Hospital Admission; *Psychiatric Hospital Discharge; *Client Treatment MatchingSurveyed 23 consultant psychiatrists to ascertain their opinions regarding: the proportion of their patients who were inappropriately placed at any point in a hospital stay, whether alternatives to standard hospital care were more frequently required at the admission stage or at the discharge stage, and which types of alternative services were required. Data were collected on 730 cases (614 patients, some having multiple admissions) admitted to the psychiatric units of 4 hospitals over a 5-mo period. Using a structured instrument, consultant psychiatrists recorded their opinion, on a case-by-case basis, on whether the case represented a divertible admission (DA) and/or delayed discharge (DD), and recommending alternative placements where applicable. 179 of 543 cases with stays completed in the study period were deemed inappropriately placed at some point (33.0%) with 112 (21%) being DAs. Clinicians report that many inpatients could benefit from alternative care settings, the majority being community-based services, although more specialized hospital beds are also needed. DAs are judged to impose more pressure on acute beds than DDs, although a small number of difficult-to-place patients with protracted stays can occupy many bed-days. (PsycINFO Database Record (c) 2003 APA )JCwww.catchword.com/rpsv/catchword/carfax/13600567/contp1.htm Englishphttp://www.tandf.co.uk HXRCraig, Tom Doherty, Ingrid Jamieson-Craig, Rebekah Boocock, Anne Attafua, Godfried 2004tnThe consumer-employee as a member of a Mental Health Assertive Outreach Team: (1) Clinical and social outcomesJournal of Mental Health131a 59-69p Feb*#0963-8237 Electronic ISSN 1360-0867 LSP-00053Human; Male; Female; Adulthood (18 yrs & older) United Kingdom Health Care Delivery; Mental Health Services; Outreach Programs; Treatment Outcomes; Health Personnel; Case Management; Employee Characteristics; Patients; Work Teams consumer-employee; mental health assertive outreach team; mental health service users; mental health services; health care assistants; case management; treatment outcomes; social outcomese@9Background: The Health Service is among the largest employers in Britain and has the potential to provide supported work for significant numbers of people who have been long-term unemployed as a result of mental health problems. Aims: The study set out to investigate the feasibility and impact of employing mental health service users as health care assistants within an assertive outreach team. Method: Forty-five clients of the assertive outreach team were randomly assigned to receive either standard case management (n = 21) or to case management plus additional input from a consumer-employee (n = 24) working as a health care assistant (HCA) to the team. Results: Clients allocated to the HCAs were more engaged with treatment as reflected in lower rates of non-attendance at appointments, higher levels of participation in structured social care activities and significantly fewer unmet needs in the domains of daytime activity, company, finances, transport and access to benefits. There were no differences between groups in terms of social networks (size or subjective quality) or in satisfaction with the service received. Conclusions: Employing service consumers in front-line caring roles is feasible and may contribute to improved client engagement with services. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)tRKPeer Reviewed Journal; Empirical Study; Quantitative Study; Journal Articler'Health Services Research, Institute of Psychiatry, London, United Kingdom [Craig]; South London & Maudsley NHS Trust, London, United Kingdom [Doherty, Jamieson-Craig, Boocock, Attafua] Email Address [mailto:Ingrid.Doherty@slam.nhs.uk] Contact Individual Doherty, Ingrid, Rehabilitation Services, Lambeth Hospital, South London & Maudsley NHS Trust, 198 Landor Road, London, United Kingdom, SE1 7EH, [mailto:Ingrid.Doherty@slam.nhs.uk].(Crawford, A. Melissa Manassis, Katharina 2001NGFamilial predictors of treatment outcome in childhood anxiety disordersiF@Journal of the American Academy of Child & Adolescent Psychiatry4010 1182-1189` Oct 0890-8567a CGA-00022*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) Canada Anxiety Disorders; Cognitive Therapy; Family Relations; Prediction; Treatment Outcomes; Child Psychiatry familial predictors; childhood anxiety disorders; cognitive behavior therapy; treatment outcomes Examined whether family factors are predictive of outcome in children with anxiety disorders who are receiving cognitive-behavioral treatment. Participants were 61 children (aged 8-12 yrs) with Axis I anxiety disorders who had been referred to a large Toronto children's hospital. Parents and children completed measures assessing family functioning, parenting stress, parental frustration, and parental psychopathology before and after treatment. Outcome measures included clinician-rated functioning (Children's Global Assessment Scale) and self- and parent-rated anxiety (Revised Children's Manifest Anxiety Scale). Child ratings of family dysfunction and frustration predicted clinician-rated improvement. Mother and father reports of family dysfunction, and maternal parenting stress, predicted mother-rated child improvement. Father-rated somatization and child reports of family dysfunction and frustration predicted child-rated improvement. Several family factors improved with treatment. (PsycINFO Database Record (c) 2003 APA ) ,&Peer Reviewed Journal; Empirical Study'B Hansen2002 Hansson2001 Hansson2002- Hantz1999< Hantz1999 Hanze1994x Hapke2001 Hardy2001' Hardy2001 Hardy2002 Hardy2003 Harfst20033t Hargis20040 Harrington1997Y Harrington1999Z Harrington1999 Harrington2001O Harrington2001 Harris1999s Harris20011 Harris2003Harrison19992Harrison1999PHarrison2001Harrison2001Harrison20033 Harrison-Read2002 Harvey19979 Harvey2001 Harvin20011Hastings2002Hatfield2000Hatfield20010Hatfield2001,Hatfield-Timajchy1993> Hatling2002 Hawes2004 Hawkins2003 Hawthorne1999 Hawthorne2002 Hayden20030 Hayes19985 Haynes20032 Hays19889Hazelton20022Hazelton2002Hazelton2003y Healy-Farrell2004 Hebel2001l Hebert2002J Heidenreich2004qHelenius19966zHelenius19966qHelenius200119 Hellewell2002 Hendryx1997Hennessy1999 Henry1998 Henry2003J Henry2004 Hepper2001 Hermann2003 Hermann2003m Hernandez2003 Herndon2001 Herndon2001} Herndon2002I Herrick2003 Herrman1997 Herrman2002K Herrman2004  Herrman-Doig2003 Herrmann-Doig2002r Hervas2000a Hetta1999 Hetta2001\ Heubeck2000Heussler20030 Heyman19966v Heywood2003 Hickman2002 Hicks2001H Higginson1996* Higginson1999[ Higginson2000 Higginson2000  Higgitt20001 Hill19999h Hill2002 Hill2002iW Hill200338 Hilsenroth2001 Hirdes2000 Hirdes2002 Hiripi20022 Hiripi20030 Hirst2004Hoagwood1996G Hoath2002 Hobbs2000 Hobbs2002u Hodes2000{ Hodges1995M Hodges2003 Hodges2004 Hodgson1999 Hodgson2001 Hodgson2002h Hodgson2004 Hoefer19877 Hoffart2000Hoffmann1997$ Hogman20010 Hohmann2004 Holden19999 Holen2003J Holland1996 Holland1996 Holland2001} Holland2002} Holland2002 Holland2004@ Hollins2004 Hollis20032Holloway2001%Holloway2002j Holte1996? Hooke2001  Hooke20029 Hooke2002 Hooke2003 Hope1997 Hope1998y Hope20010 Hopko2001q Horesh19981 Horwitz2001 Hough1999 Hoult1990r House2001& House2002 Hoven1996 Hoven1997 Howe2003 Howell19871 Howes2003 Howie2001S Howlin2000z Huang2001 Huang2003` Huba19848y Huddy2001 Huebeck2000 Huffman2004 Hughes1998 Hughes2000n Hughes2001M Hughes20044 Hugo1998: Hugo2000" Hugo2002lHukkanen19977Hukkanen1999mHukkanen2003Huline-Dickens2004 Hull19999H Hunter1996 Hunter2004 Huryn1996 Hutz20022d Huxley1999b Huxley20000 Huxley20011  Huxley2002 Huxley2003{ Hwang2002% Hyer2002 HylandYear$ Hyslop20010 Ibarra20020 Ikegami2000 Ikegami2001 Ikegami2002P Imrie2001 Indredavik2003 Irvine2002 Issakidis1996 Issakidis1998@ Issakidis1999 Jackson1994 Jackson1995 Jackson1995. Jackson2003o Jacob1999p Jacobs2000Jacobson1984Jacobson1988Jacobson1991Jacobson1999yJacobson2002i Jaffa1997W Jaffa2003 Jaffe1997 James1999 James1999 James2002 James2002| James2003Jamieson-Craig2004# Janmohamed20020z Jarvik20011Jellinek1999 Jenkins1990 Jenkins1997 Jenkins2002 Jensen1996 Jensen20000 Jette1986 Jezzard1997Y Jezzard1999Z Jezzard1999 Jhingan2001 Jiang1997x John200112 Johnson1999y Johnson2001 Johnson2002 Johnson2002 Johnson2003Johnston19966Johnston19986 Joiner20020C=Joint Commission on Accreditation of Healthcare Organizations1997 Jolley19999 Jones19972 Jones1999 Jones2001 Jones2002 Jones2003 Jonsson2000 Jordan2000 Jorm2004 Jorm2004 Judd19977i Justice1977 Kaiser20020 Kalijonen2000z Kanerva1996 Karon2001 Karon2001L Karus1996b Karus1997 Kaschnitz2000{ Kasimis2002 Kasius19979 Kasl199999 Kasper20020 Katsavdakis2002 Katz200004 Kaufman2002x Kaufman2004 Kehoe1999 Keks19970 Keks1998 Keks19989 Keller19985 Kelly2000 Kelly2001 Kelly2002I Kelly2003 Kelsey2001) Kelsey2002 Kendall1999 Kennedy1996 Kennedy2003 Kessler2002 Kessler2003 Kessler2003 Kewman20000 Keys2000  Khademy-Deljo2003 Khaski20032 Kiima2002 Kind19991 King20011# King2002i@ King20040E Kinkel20011 Kinsey20033 Kiosseoglou2001 Kirkby1996 Kirkby1997 Kirkby19983 Kisely20006/Browne, Stephen Doran, Michael McGauran, Sheila 2000d^Health of the Nation Outcome Scales (HoNOS): Use in an Irish psychiatric outpatient population.'Irish Journal of Psychological Medicine171 17-19 MarW2000-03340-004 HON-00096NH*Mental Disorders; *Rating Scales; *Severity (Disorders); *Test Validity Evaluated the clinical utility and validity of the Health of the Nation Outcome Scales (HoNOS) in an Irish catchment area psychiatric service. 100 consecutive outpatients (mean age 43.1 yrs) were assessed using the HoNOS and Global Assessment of Functioning (GAF) scales. Results indicated that it was feasible to administer HoNOS in day-to-day clinical practice. There was a statistically significant correlation between the HoNOS and GAF scores. Attenders at the outpatient department had significantly lower HoNOS scores compared to individuals assessed on domiciliary visits or at the day hospital. Individuals with schizophrenia had significantly higher HoNOS scores compared to affective disordered patients. However, this difference was confined to the Social subscale of HoNOS. It was concluded that although these findings indicate that HoNOS has significant convergent and criterion validity as a measure of psychiatric morbidity, its widespread use in day-to-day clinical practice may be premature. (PsycINFO Database Record (c) 2003 APA )Englishthttp://www.ijpm.orga~nt Satisfaction*$Sharma, V. K. Wilkinson, G. Fear, S. 1999NGHealth of the Nation Outcome Scales: a case study in general psychiatry$British Journal of Psychiatry 174 395-8 Mayg10616603 HON-00053;zt*Community Mental Health Services organization and administration; *Health Status Indicators; *Mental Disorders therapy; *Outcome Assessment Health Care; *Patient Care Team; *Psychiatric Status Rating Scales standards Adolescent ; Adult ; Cohort Studies; England ; Feasibility Studies; Middle Aged; Multivariate Analysis organization and administration; therapy; standardsxrBACKGROUND: Health of the Nation Outcome Scales (HoNOS) were incorporated in a data set recording the routine clinical activities of a mental health team in Liverpool. AIMS: To evaluate the use of HoNOS in general adult psychiatry. METHOD: All consecutive patients who came in contact with the mental health team were administered HoNOS by the consultant psychiatrist. A cohort (n = 204) of patients was identified over a period of 8 months. All patients (n = 156) who had a repeat HoNOS after an interval of 6 months were included in the study. RESULTS: There was an overall reduction in HoNOS scores after an interval of 6 months, more so among patients with psychotic and affective disorders. Patients scoring on other disorders showed no change on HoNOS. The measured change in clinical state based on the Clinical Global Impression scale was broadly consistent with HoNOS scores. CONCLUSIONS: It was feasible to administer HoNOS during routine assessments, but HoNOS data were of limited value in care-planning in day-to-day clinical practice. The widespread adoption of HoNOS for use in routine clinical practice would be premature.xq0007-1250 English Comment In: Br J Psychiatry. 1999 May;174:375-7 Comment In: Br J Psychiatry. 2000 Apr;176:392-5'.'University Hospital Aintree, Liverpool..4 |RLJohnston, S. Salkeld, G. Sanderson, K. Issakidis, C. Teesson, M. Buhrich, N. 1998>8Intensive case management: A cost-effectiveness analysis60Australian and New Zealand Journal of Psychiatry324d 551-9dAust N Z J Psychiatry 0004-8674 LSP-00010*tnCase Management economics; Mental Disorders economics; Mental Health Services economics; Outcome and Process Assessment Health Care Adolescent ; Adult ; Aged ; Case Management standards; Chi Square Distribution; Cost Benefit Analysis; Dependency Psychology; Hospitalization economics; Hospitalization statistics and numerical data; Mental Disorders therapy; Mental Health Services standards; Middle Aged; New South Wales; Personnel Staffing and Scheduling economics; Personnel Staffing and Scheduling statistics and numerical data; Statistics, Nonparametric; Workload economics Female; Human; Male; Support, Non U.S. Gov'tb[OBJECTIVE: The objective of this study was to compare the outcomes and costs of intensive case management with routine case management for a group of severely disabled patients with a mental illness. METHOD: A cost-effectiveness analysis was conducted alongside a randomised controlled trial. Seventy-three patients, who reside in the eastern suburbs of Sydney, were randomly allocated to either intensive or routine case management. Staff providing intensive case management and substantially lower caseloads than staff providing routine case management. The main health outcome measured was patients' level of functioning as measured by the Life Skills Profile. Costing data were collected from hospital services, mental health services, general health services, community services and informal carers. RESULTS: At 12 months, outcome and costing data were analysed on 58 patients and hospitalisation data were analysed on 68 patients. Significantly more patients in the intensive case management group remained in treatment (chi 2 = 6.00, df = 1, p < 0.01) and showed a clinically significant improvement in functioning from baseline to 12 months (chi 2 = 4.50, df = 1, p < 0.05). The mean cost per patient was $7745 more in the intensive group than in the routine group (t = 1.49, df = 56, p > 0.01) over 12 months. The cost-effectiveness ratio indicated a cost of $27,661 per year for one additional patient in the intensive case management group to make a clinically significant improvement in functioning. CONCLUSION: Intensive case management led to an increased rate of retention in treatment and a clinically significant improvement in functioning. Further comparative cost-effectiveness studies are required to determine whether $27,661 per year for one patient to make a clinically significant improvement in functioning is a cost-effective use of mental health resources.i Aug Englishi'jcSusan Johnston Consultancy Services, Leichhardt, New South Wales, Australia. sgjohns@ozemail.com.au D>Joint Commission on Accreditation of Healthcare Organizations, 19970)ORYX: The Next Evolution in Accreditationn Oakbrook Terrace, IL D=Joint Commission on Accreditation of Healthcare OrganizationsLFJorm, A. F. Griffiths, K. M. Christensen, H. Parslow, R. A. Rogers, B. 2004`YActions taken to cope with depression at different levels of severity: A community surveyPsychological Medicine342i293-299  Febs 0033-2917h KES-00007*("Human; Male; Female; Adulthood (18 yrs & older) Australia Coping Behavior; Distress; Major Depression; Self Help Techniques; Severity (Disorders); Professional Consultation psychological distress; major depression; coping behavior; self help strategies; professional help; disorder severityBackground. Many people with symptoms of psychological distress do not seek professional help. Little is known about the actions taken by these people to reduce their symptoms. The present study aimed to assess, in a community sample, actions taken to cope with depression at different levels of psychological distress. Method. A postal survey was carried out with 6618 adults living in Canberra and south-east New South Wales, Australia. Measures covered psychological distress and a checklist of actions taken to cope with depression in the previous 6 months. Results. Actions taken to cope with depression could be classified as: intensification of everyday strategies, initiation of new self-help (including complementary therapies, non-prescription medication and dietary changes) and seeking professional help. Use of everyday strategies peaked with mild psychological distress, new self-help showed a peak in moderate distress, while professional help-seeking peaked in severe distress. Conclusion. Self-help strategies are very commonly used, particularly in mild-moderate psychological distress. More evidence is needed to evaluate their effectiveness, so that optimal self-help can be encouraged. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)piDoi 10.1017/s003329170300895x Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Articles' Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia [Jorm, Griffiths, Christensen, Parslow, Rogers] Contact Individual Jorm, A F, Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia, 0200"Kaufman, James C. Baer, John 2002D>I bask in dreams of suicide: Mental illness, poetry, and women"Review of General Psychology6c3e271-286\ Sep2002-15593-003 MIS-00008*PJ*Creativity; *Human Females; *Mental Disorders; *Poetry; *Writers; SuicideHBA consistent research finding in creativity research has been the tendency of poets--especially female poets--to suffer from mental illness. We explore (a) Why poets? and (b) Why female poets? We posit that poetry may attract those with a predisposition toward illness, the domain of poetry may particularly reward those who exhibit illness, and unusual aspects of the domain of poetry writing may increase the likelihood of poets succumbing to illness. These domain-specific aspects of writing poetry affect men and women alike. In addition, the greater difficulty that women tend to experience in ignoring extrinsic motivational constraints may cause successful female poets to have an even higher incidence of psychological stress, and of mental illness, than male poets. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)Englishhttp://www.apa.orgG Hirdes, John P. Smith, Trevor F. Rabinowitz, Terry Yamauchi, Keita Perez, Edgardo Telegdi, Nancy Curtin Prendergast, Peter Morris, John N. Ikegami, Naoki Phillips, Charles D. Fries, Brant E. On Behalf of th Rai-Mh Group, 2002pjThe Resident Assessment Instrument-Mental Health (RAI-MH): Inter-rater reliability and convergent validity82Journal of Behavioral Health Services and Research294i419-432f Nov 1094-3412 RUG-00006*Human; Male; Female; Inpatient; Adulthood (18 yrs & older) Canada Interrater Reliability; Mental Health Services; Psychiatric Hospitalization; Psychological Assessment; Test Validity; Activities of Daily Living; Geriatric Patients; Long Term Care; Prisons reliability; validity; Resident Assessment Instrument-Mental Health; mental health assessment protocols; patient functioning; patients in acute & long-term & geriatric & forensic facilitiesrAn important challenge facing behavioral health services is the lack of good quality, clinically relevant data at the individual level. The article describes a multinational research effort to develop a comprehensive, multidisciplinary mental health assessment system for use with adults in facilities providing acute, long-stay, forensic, and geriatric services. The Resident Assessment Instrument-Mental Health (RAI-MH) comprehensively assesses psychiatric, social, environmental, and medical issues at intake, emphasizing patient functioning. Data from the RAI-MH are intended to support care planning, quality improvement, outcome measurement, and case mix-based payment systems. The article provides the first set of evidence on the reliability and validity of the RAI-MH with a sample of 261 psychiatric patients in acute, long-term, geriatric, and forensic mental health beds in 14 Ontario hospitals. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study' U Waterloo, Dept of Health Studies & Gerontology, Waterloo, ON, Canada [Hirdes]; U Waterloo, Dept of Health Studies, Waterloo, ON, Canada [Smith]; Keio U, Faculty of Nursing & Medical Care, Japan [Yamauchi]; Homewood Health Ctr, Canada [Perez]; Homewood Research Inst, Canada [Telegdi]; Keio U School of Medicine, Dept of Health Policy & Management, Japan [Ikegami]; Texas A&M U System Health Ctr, School of Rural Public Health, Health Services Research Program, TX, US [Phillips]; U Michigan, Inst of Gerontology, Ann Arbor, MI, US [Fries] Email Address [mailto:hirdes@healthy.uwaterloo.ca] Contact Individual Hirdes, John P, U Waterloo, Dept of Health Studies & Gerontology, 200 University Avenue West, Waterloo, ON, Canada, N2L 3G1, [mailto:hirdes@healthy.uwaterloo.ca]*#Hoath, Fiona E. Sanders, Matthew R.. 2002A Feasibility Study of Enhanced Group Triple P - Positive Parenting Program for Parents of Children with Attention-deficit/Hyperactivity DisorderBehaviour Change194191-2062003-07643-002 HCA-00023*Attention Deficit Disorder with Hyperactivity; *Behavior Problems; *Childrearing Practices; *Family Intervention; *Parental Characteristics; Parent Child Relations; Parents; Self EfficacyThe aim of this randomised controlled trial was to examine the efficacy of an Attention-deficit/ hyperactivity Disorder (ADHD)-specific, Enhanced (Level 5) Group Triple intervention. Twenty families with a child with clinically diagnosed ADHD aged between 5 and 9 years participated. Families were randomly assigned to either an enhanced intervention group Enhanced Group Triple P; EGTP) or a wait list (WL) condition. Using parent reports of child behaviour, parenting practices and family functioning in addition to teacher reports of child behaviour in the school environment, parents in the EGTP condition reported significant reductions in intensity of disruptive child behaviour problems, aversive parenting practices and increases in parental self-efficacy when compared to the WL condition. Parents' reports at 3-month follow-up indicated the gains in child behaviour and parenting practices achieved at post-intervention were maintained. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)English0)http://www.australianacademicpress.com.aud al Disorders epidemiology*$Lalloo, R. Sheiham, A. Nazroo, J. Y. 2003b\Behavioural characteristics and accidents: findings from the Health Survey for England, 1997& Accident analysis and prevention355t 661-7tAccid Anal Prev 0001-4575 SDQ-00003*Accidents statistics and numerical data; Child Behavior; Risk Taking Accidents, Traffic statistics and numerical data; Adolescent ; Affective Symptoms epidemiology; Child ; Child Behavior Disorders epidemiology; Child, Preschool; England epidemiology; Family Characteristics; Health Surveys; Logistic Models; Sex Distribution; Socioeconomic Factors Female; Human; Male; Support, Non U.S. Gov'tThis study analysed the relationship between major and minor accidents, and major accidents involving a moving vehicle, and behavioural and emotional factors in children, aged 4-15 years, using the Strengths and Difficulties Questionnaire (SDQ), and adjusting for demographic, socio-economic and family type factors. Data from a large representative national sample of about 6000 children were analysed using simple and multiple logistic regression. The analysis shows that the prevalence of SDQ scales, such as hyperactivity and conduct disorder were significantly higher in boys, lower social classes and step- and single-parent families. After adjusting for the demographic, socio-economic and family type factors, children who scored borderline or high for hyperactivity were almost two times more likely to report having major accidents. Children who scored high for hyperactivity and emotional symptoms were one and a half times more likely to report having minor accidents. For major accidents involving moving vehicles, the relationships with the behavioural and emotional factors were generally stronger than for major accidents in general. Hyperactivity, in particular, was significantly associated with the occurrence of major and minor accidents, and major accidents involving moving vehicles. The behavioural risk factors were significantly more common in the lower social classes, families receiving benefits and step- and single-parent families. Sep Englishu'Department of Epidemiology and Public Health, Royal Free and University College London Medical School, 1-19 Torrington Place, London WC1E 6BT, UK. rlallo@uwc.ac.zapeZTDorfman, Rachelle A. Lubben, James E. Mayer-Oakes, Allison Atchison, Kathryn et al., 1995>8Screening for depression among a well elderly population Social Workl403l295-304 Mayl 0037-8046l MHI-00034*Human; Adulthood (18 yrs & older); Aged (65 yrs & older) Major Depression; Psychodiagnosis; Screening; Telephone Surveys; Social Casework telephone screening test vs social worker clinical judgment; assessment of depression; healthy 65 yr olds & older;Discusses the use of a telephone screening test for depression among a well elderly population and compares the results of that screening with the clinical judgment of social workers. 38.4% of the 973 experimental participants (aged 65+ yrs) were found to be at risk for depression. Of those, 220 attended a diagnostic clinic and major depression was confirmed in 22.3% of the subset. 42.3% were referred for further assessment. Findings indicate that the telephone screening instrument incorporating the Rand Mental Health Inventory and the Center for Epidemiological Studies Depression Scale was an efficient tool for assessing a population with a higher rate of major depression. Furthermore, the social workers identified many previously undetected cases of major depression, and a majority of people referred for treatment completed those referrals. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'F?U California, Dept of Social Welfare, Los Angeles, US [Dorfman]@:Dornelas, EA Correll, RE Lothstein, L Wilber, C Goethe, JW 1996XQDesigning and implementing outcome evaluations: some guidelines for practitioners PsychotherapyH332237-245 OUT-MH-00063In the current health care environment, practitioners are increasingly asked to provide data about patients outcomes. Many of the outcome variables valued by third-party payers may seem reductionistic to clinicians, and a comprehensive assessment of the multidimentional nature of reponse to psychotherpay is an overwhelming task for the practioner. Nevertheless, it is possible to produce data that are quantifiable and understandable to non-clinicians and that also contribute to a clinicians understanding of patient outcomes. This article discusses some of the issues involved in conducting such research and offers practical suggestions for clinicians interested in designing and implementing outcome evaluations. F 8JewsJobJob CharacteristicsJob Satisfaction,&job satisfaction & occupational stress job stress Junior High School TeachersJuvenile Delinquencyjuvenile delinquents juvenile idiopathic arthritis$juvenile-onset bipolar disorder juveniles Kibbutz Kiddie Schedule for Affective,'Kiddie Schedule for Affective Disorders0+Kiddie Schedule for Affective Disorders and<9Kiddie Schedule for Affective Disorders and SchizophreniaKidney Diseases("Kidney Failure, Chronic psychology$Kidney Failure, Chronic therapy Kidneys KnowledgeKrishna movement Labeling Language ArtsLanguage Disorders Latino LatinosLearning Disabilities$ Learning Disorders complications Learning Disorders diagnosis Learning Disorders psychologyLegal DetentionLehman Quality of$ Lehman Quality of Life Interview Leisure Activities psychology Leisure Time LeiterLeiter International,&Leiter International Performance Scale4/Leiter International Performance Scale--RevisedLength of StayLength of Stay economics0,Length of Stay statistics and numerical data lesbian youth Lesbianism letter Leukemia, B Cell drug therapy Leukemia, B Cell psychologyLevel$level of community functioninglevel of functioningLife life attitudeLife Change EventsLife ExperiencesLife InterviewLife Satisfactionlife skills deficitsLife Skills Profilelifetime history$Linkage Disequilibrium geneticslinkage disequilibrium of LithiumLithium therapeutic uselithium treatmentlithium-inducedLiver livingLiving Arrangements85living in long-term psychiatric hospital vs community living skillLogistic Models London long stayLong Term Care Long Term Care classificationLong Term Care economicsD@long term care facilities in Canada vs Japan vs Iceland vs Czech Long Term Care utilizationlong term mental illnesslong-term carelong-term care facilitieslong-term mental illness longitudinallongitudinal dataLongitudinal Studieslooked after childrenLung Magnetic Resonance ImagingHBmain features & validity of Strengths & Difficulties QuestionnaireMaintenance OrganizationsMajorMajor DepressionMalaysia epidemiologyMale male 6-12 yrmale adolescentsMale Homosexuality male vs,&males vs females from refugee familiesmales vs females of Hare Malingering maltreatment$managed behavioral health care Managed Care managementManiamanic symptoms manpower ManualMarijuana UsageMarital Satisfaction0-marital satisfaction & emotional well-being &Marital SeparationMarital Statusmarried couplesMass Screening$Mass Screening instrumentation4.Mass Screening organization and administration MassachusettsMastectomy methodsMastectomy psychologymaternal depressionmaternal psychopathologymath self concept MathematicsMathematics EducationMaxilla surgery$Maxillary Neoplasms psychology Maxillary Neoplasms surgery(#Maxillofacial Prosthesis psychology0*meaning in life & psychological well beingMeaningfulness Measurement,(measurement of impairment in functioning@8Alfred Hospital, Monash University, Victoria, Australia.& Trauer, T. Callaly, T. Hantz, P. 1999ZSThe measurement of improvement during hospitalisation for acute psychiatric illness2+Australian & New Zealand Journal Psychiatry333H 379-84 Junt10442794 HON-00007**Hospitalization statistics and numerical data; *Mental Health Services standards; *Mood Disorders therapy; *Outcome Assessment Health Care methods; *Schizophrenia therapy Australia ; Health Care Surveys; Hospitals, Private statistics and numerical data; Hospitals, Public statistics and numerical data; Prospective Studies; Severity of Illness Index statistics and numerical data; standards; therapy; methods{OBJECTIVE: The aim of this paper is to compare clinical changes and lengths of stay of patients with schizophrenic and affective disorders in public and private hospital settings. METHOD: Recently published Australian work using the Health of the Nation Outcome Scales (HoNOS) was compared with new data collected in a public setting. Changes in HoNOS scores between admission and discharge were analysed against length of stay. Individual HoNOS items were also examined. RESULTS: Public facilities tended to show greater improvements, owing to higher admission severities, and their lengths of stay tended to be shorter. Certain HoNOS items, notably the self-harm item, were significantly more severe in both diagnostic groups on admission in the public facilities. CONCLUSIONS: The findings are discussed in terms of the fact that self-harm is a criterion for involuntary hospitalisation, and private facilities do not treat involuntary patients. Certain problems assessed by the HoNOS are more amenable to rapid reduction than others, and this may contribute to differences in length of stay. Implications for outcome measurement are discussed.r(!0004-8674 English ; Meta-Analysiscf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=33&page=379&goto=abstract'~wDepartment of Psychological Medicine, Monash Medical Centre, Clayton, Victoria, Australia. trauer@vaxc.cc.monash.edu.au Trauer, T. 2000Update from Down Under$British Journal of Psychiatry 176h393- 394 HON-00100* `Hb,%Hunter, J. Higginson, I. Garralda, E.h 1996d]Sytematic literature review: Outcome measures for child and adolescent mental health servicese(!Journal of Public Health Medicine 182a197-206i HCA-00022F?child and adolescent psychiatry, mental health, outcomes, auditn*#Background: Outcome measurement is an important component of mental health care service evaluation. The aim of this paper is to review child and adolescne mental health outcome measures and identify outcome emasiremetn rolls for ise in routine clinical practice. Method: A systmeatic literature review was undertaken, using medline and psycinfo and supplemented by correspondence with relevant institutions and authorities in the field. The review indentifies potential specific outcome measurement tools. These tools are evaluated using the specific criteria of validity and reliability, responsiveness to change, and appropriateness of each tool's forat for use in routine clincal practice. Results: Three broad categories of outcome are identified: population outcomes, specific outcomes and performance indicators. Nineteen specific outcome measurement tools are short-listed and compared in detail. No single tool as suitable for use as a comprehensive outcome measurement tool in routine clinical practice. Conclusions: A combination of some of the tools short-listed will cover all the necessary outcome items. However, the increase in assessment time will reduce clinical usefulness. Further research is needed to modify or create appropriate outcome measurement tools for use in routine clinical practice.xrHunter, R. McLean, J. Peck, D. Pullen, I. Greenfield, A. McArthur, W. Quinn, C. Eaglesham, J. Hagen, S. Norrie, J. 2004The Scottish 700 Outcomes Study: A comparative evaluation of the Health of the Nation Outcome Scale (HoNOS), the Avon Mental Health Measure (AVON), and an Idiographic Scale (OPUS) in adult mental healthJournal of Mental Health131h 93-105 Febe2004-11240-012 HON-00090f*Measurement; *Mental Health; *Standardized Tests; *Test Validity; *Treatment Outcomes; Mental Health Personnel; Mental Health Services; Patients; Health PersonnelPIBackground: Although many outcome measures are available, there is little empirical evidence to help clinicians to decide which to adopt in clinical, as opposed to research settings. Aims: To assess the content validity and levels of agreement between professionals and service users of three approaches to outcome measurement--a standard measure devised by mental health professionals (Health of the Nation Outcome Scale, HoNOS), a standard measure devised by service users and health professionals in partnership (the Avon Mental Health Measure, AVON), and an idiographic scale the Outcome of Problems of Users of Services (OPUS). Method: The three measures were completed by nearly 700 predominantly long-term users of mental health services, and by their key worker clinicians. All major psychiatric diagnoses were represented in the cohort. A small sub-sample had repeat testing after 3 months to assess sensitivity to change of the three measures. Results: Agreement between the three measures was low. Avon was more likely to detect problems, and to produce agreement between service users and key-workers, than HoNOS. Both omit key problem areas elicited using OPUS. All measures were sensitive to change. Conclusion: The Avon detects problems that service users judge to be important. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)rEnglishA&http://www.taylorandfrancis.com$Huxley, Peter Evans, Sherrillt 2002b[Quality of life routine outcomes measurement: Lessons from experience in the USA and the UK*#Epidemiologia e Psichiatria Sociale113192-197Jul-Sep2002-08114-005 OUT-MH-00022*Measurement; *Mental Health; *Quality of Life; *Treatment Effectiveness Evaluation; *Treatment Outcomes; Mental Health ServicesThis paper is concerned with issues regarding the routine measurement of quality of life (QoL) in a mental health context. The paper is in 3 parts. The 1st author briefly reviews lessons from a decade of experience in the use of data produced by routine measurement using the Colorado Client Assessment Record in the Mental Health Center of Boulder County (Colorado). In the 2nd part of the paper, the specific issues surrounding QoL assessment as a routine outcome measure are considered. Evidence is presented to counter some of the commonly held beliefs about QoL measurement problems. The authors discuss the NHS expert outcomes advisory group for a national pilot study (UK) of the use of routine measures of outcome in practice. Finally, general problems that affect QoL and all other routine measures are described and analyzed using a framework devised by P. Peterson (1989). (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.pensiero.itXRHuxley, P. Reilly, S. Robinshaw, E. Mohamad, H. Harrison, J. Windle, B. Butler, T. 2003~wInterventions and outcomes of health and social care service provision for people with severe mental illness in Englandn2,Social Psychiatry & Psychiatric Epidemiology381t 44-8 Jang12563558 HON-00075**Community Mental Health Services organization and administration; *Outcome Assessment Health Care; *Psychiatric Nursing standards; *Psychotic Disorders therapy; *Social Work, Psychiatric standards Cooperative Behavior; England ; Health Services Research; Psychiatric Nursing methods; Psychotic Disorders nursing; Social Work, Psychiatric methods organization and administration; methods; standards; nursing; therapyBACKGROUND: Mental health policy in England is undergoing radical change involving the integration of services aimed at improving outcomes for patients. At the same time, there is limited evidence about how conventional services are performing. The present paper reports data on the services provided and short-term outcomes achieved in eight community services in England. METHOD: A survey of caseloads of nurses and social workers was undertaken using a single-page assessment tool (MARC1) (n = 3024). After 5 months a random sample of psychotic cases was followed up (n = 393). RESULTS: A tendency was observed for health and social care practitioners to use the services available from within their own organisation. Over time, in the most severe cases, there was a substantial increase in provision of the services of the other organisation. Outcomes in terms of changes in HoNOS, GAS and MARC1 scores were similar for both professional groups, and both reported similar amounts of met and unmet need (and in the same categories) at follow-up. CONCLUSION: The most likely explanation for the change in service provision is the separate operation of different professional groups acting as gatekeepers for their own resources.0933-7954 EnglishtBSlade, M., Thornicroft, G., Beck, A., Bindman, J. & Wright, S. 2000*$Assessment: from Theory to Practice.$British Journal of Psychiatry 176r394-395 HON-00100*f`Slade, Mike Cahill, Sharon Kelsey, Wendy Powell, Robin Strathdee, Geraldine Valiakalayil, Agitha 2001Threshold 3: The feasibility of the Threshold Assessment Grid (TAG) for routine assessment of the severity of mental health problems2,Social Psychiatry & Psychiatric Epidemiology3610516-521i2001-09300-007 HON-00079*^W*Measurement; *Mental Health Personnel; *Mental Health Services; *Professional ReferralAssessed the feasibility of a new assessment--the Threshold Assessment Grid (TAG)--for use when making referrals to mental health services by training mental health teams in using the TAG and other standardised assessments, asking referrers to 10 mental health services in London also to complete a TAG, surveying TAG users, and evaluating a feedback meeting at which TAG data were presented. 101 mental health staff received training, and 445 referrers of 600 patients completed TAGs. 65 questionnaires from TAG users were completed, and 24 people attending feedback meetings evaluated the TAG. These allowed the extent to which the TAG is brief, simple, relevant, acceptable, available and valuable to be investigated. Overall, the TAG exhibited good feasibility when used by mental health staff, and moderate feasibility when used by referrers. This approach can be used to investigate the feasibility of other standardised assessments. (PsycINFO Database Record (c) 2003 APA )Englishnhttp://www.springer.de Slade, Mike. 2002<5The use of patient-level outcomes to inform treatment *#Epidemiologia e Psichiatria Sociale111 20-27Jan-Mar2002-01244-004 OUT-MH-00023B<*Mental Health Services; *Treatment Effectiveness EvaluationDiscusses the merits of using outcome data to inform the planning of mental health care for individual patients, and provides practical advice to support the implementation of this approach. The use of outcomes in North America and Europe is briefly reviewed. A conceptual basis is proposed for routine outcome assessment: the ongoing measurement and use of outcome data to inform decisions about whether to continue, change or curtail treatment. A cognitive psychology model is developed, which indicates that the routine use of outcomes will improve mental health care. Perceived problems with routine outcome assessment are discussed, and principles for implementation are identified. The review suggests that outcomes are used mainly for generating local-level rather than patient-level data in North America, and are rarely used in Europe. It is suggested that the routine use of outcome data may facilitate reflective clinical practice, a model of decision-making that leads to a higher quality of clinical care than automated problem-solving. The use of standardized assessments designed for research purposes in clinical settings is being addressed through the development of a new generation of outcome measures explicitly designed for clinical use. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.pensiero.it Slade, Miker 2002:4Routine outcome assessment in mental health servicesPsychological Medicine328e 1339-1343e Nov}2002-11181-004 OUT-MH-00002*@:*Measurement; *Mental Health Services; *Treatment OutcomesNotes that measuring and interpreting outcome is more difficult in mental health services than in some other areas of health care. The author suggests that the solution to these issues is to assess a wide range of treatment and program-level outcomes, from multiple perspectives. Research findings, current practice, routine outcome assessment, benefits for patients, and implementation strategies are discussed. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.cup.org*#Fortney, J Rost, K Zhang, M Pyne, J 2001NHThe relationship between quality and outcomes in routine depression carePsychiatric Services521l 56-62 OUT-MH-00043*^Objective: This longitudinal, nonexperimental study examined whether depression treatment provided in concordance with guidelines developed by the Agency for Healthcare Research and Quality (AHRQ) is associated with improved clinical outcomes. Methods: The medical, insurance, and pharmacy records of a community-based sample of 435 subjects who screened positive for current major depression were abstracted to ascertain whether depression treatment was received and whether it was provided in accordance with AHRQ guidelines. Regression analyses estimated the impact of guideline-concordant treatment on the change in depression severity and on mental and physical health over a six-month period. An instrumental variables analysis was used to check the sensitivity of the results to selection bias. Results: A total of 106 subjects were treated for depression by 105 different primary care and specialty providers. Sixty percent of the sample had current major depression, and about 40 percent had subthreshold depression. Only 29 percent of the patients received guideline-concordant treatment. For patients with major depression, guideline-concordant care was significantly and substantially associated with improved depression severity but not with improvements in overall mental or physical health. The instrumental variables analysis indicated that the standard regression analysis underestimated the treatment effect by 21 percent. For those with subthreshold depression, guideline-concordant care was not associated with improved outcomes. Discussion and conclusions: This community-based, nonexperimental study found a positive relationship between the quality of care for depression and clinical outcomes for patients with major depression in routine practice settingso 1^9,%Bauer, S., Lambert, M., & Nielsen, S.f 2004LFClinical Significance Methods: A Comparison of Statistical Techniques.(!Journal of Personality Assessment;  82s1}60 OUT-MH-00081*O@9Bebbington, P. Brugha, T. Hill, T. Marsden, L. Window, S.\ 1999<5Validation of the Health of the Nation Outcome Scales$British Journal of Psychiatry 174 389-94 MayE10616602 HON-00018i*Health Status Indicators; *Mental Disorders therapy; *Mental Health Services standards; *Outcome Assessment Health Care; *Psychiatric Status Rating Scales standards Bias Epidemiology; Critical Illness; England ; Sensitivity and Specificity; Urban Health therapy; standards~xBACKGROUND: The Health of the Nation Outcome Scales (HoNOS) were developed to assess the outcome of severe mental disorders in relation to the Health of the Nation Strategy for England. AIMS: To validate the HoNOS. METHOD: One hundred and fifteen patients were assessed by keyworkers using HoNOS, and by research workers using SCAN, SBS, and SRPS, and completing HoNOS in the light of this additional material. These assessments were repeated after 6 weeks. RESULTS: The performance of HoNOS in the hands of keyworkers was generally poor, in relation both to the research workers' rating of HoNOS and to the criterion instruments. Performance was particularly poor when the change in scores was used as a measure of outcome. CONCLUSIONS: There are serious problems in using HoNOS as a routine measure of clinical status in busy psychiatric services. Its performance is probably related to the training and experience of keyworkers. Sequential ratings are not a good method for assessing outcome. Managers and planners should be cautious in adopting HoNOS, but it is worthy consideration in developing a suite of locally agreed outcome measures.xq0007-1250 English Comment In: Br J Psychiatry. 1999 May;174:375-7 Comment In: Br J Psychiatry. 2000 Apr;176:392-5'f`University College London Medical School, Department of Psychiatry and Behavioural Sciences, UK.JCBech, P. Bille, J. Schutze, T. Sondergaard, S. Wiese, M. Waarst, S. 2003Health of the Nation Outcome Scales (HoNOS): Implementability, subscale structure and responsiveness in the daily psychiatric hospital routine over the first 18 monthsa"Nordic Journal of Psychiatry574p 285-9012888403 HON-00059i*Health Status Indicators; *Mental Disorders therapy; *Outcome Assessment Health Care standards Denmark ; Hospitals, Psychiatric organization and administration; Medical Staff education; Middle Aged; Outcome Assessment Health Care statistics and numerical data; Psychometrics ; Reproducibility of Results; Sampling Studies; Treatment Outcome organization and administration; education; therapy; standards; statistics and numerical dataiThe Health of the Nation Outcome Scales (HoNOS) includes 12 items designed to measure the problems patients have when admitted to a psychiatric hospital and to monitor to what extent these problems have diminished at discharge from hospital. The Danish version of the HoNOS was translated from the original English version in accordance with the WHO guidelines for scale translation. The HoNOS was evaluated for inter-staff agreement using a case vignette from the English training sessions. The HoNOS was then applied in a consecutive sample of 1769 inpatients over a period of 18 months. This sample covered 89% of all admissions in this period and was found representative with regard to age and gender. The diagnostic distribution according to ICD-10 showed that half of the patients were listed within schizophrenia and mood disorders. The HoNOS profile, using all 12 items of the scale, showed that schizophrenia was associated with hallucinations or delusional symptoms, with social and cognitive problems; mania with aggressive behaviour, with drinking or drug-taking and with anxiety; whereas depression was associated with suicidal behaviour, physical illness and depressed mood. Long-term stay in hospital was associated with a higher level of psychopathological symptoms at admission for schizophrenia, mania and depression. Among the diagnostic groupings, mania was associated with the greatest improvement in behavioural problems and psychological symptoms. The use of lithium was diagnostically associated with bipolar and schizoaffective disorders. Within these categories, the lithium-treated patients had a greater improvement in behavioural problems and psychological symptoms than the non-lithium-treated. The use of electroconvulsive therapy (ECT) in depressive patients was associated with a HoNOS admission profile of higher scores on psychological problems (delusions and depressed mood) than those seen in the non-ECT-treated depressive patients. The ECT-treated patients had a higher level of improvement at discharge. In conclusion, this first Scandinavian study with HoNOS showed that the scale is easy to implement in the daily routine of a psychiatric ward and that the HoNOS can give useful information about the quality of care in hospitalized patients.m0803-9488 Englishh'^XPsychiatric Research Unit, Frederiksborg General Hospital, Hillerod, Denmark. pebe@fa.dkNGBehan, Joanne Fitzpatrick, Carol Sharry, John Carr, Alan Waldron, Briani 20010*Evaluation of the Parenting Plus Programme"Irish Journal of Psychologya22 3-4 238-256 0303-3910 SDQ-00059Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adulthood (18 yrs & older) Ireland Behavior Disorders; Behavior Problems; Childrearing Practices; Parent Child Relations; Parent Training; Goals program evaluation; Parenting Plus Programme; disruptive behavior disorders; child behavior; parenting goal attainment; parent child interaction; behavior problems60In a comparative group outcome study involving 40 parents of children (aged 3-12 yrs) with disruptive behaviour disorders, it was found that those who participated in the Parenting Plus Programme reported greater gains in the attainment of personal parenting goals. Also, there were trends for participants in the Programme to report fewer child behaviour problems on the externalizing scale of the Child Behaviour Checklist (CBCL) and the total problems, conduct problems and hyperactivity scales of the Strengths and Difficulties Questionnaire (SDQ). In addition, parents who participated in the Programme reported significant improvements in parent-child interaction on the Parenting Stress Index. Gains on the Parent Goals Scales, the total problem scale of the SDQ and the externalizing scale of the CBCL were maintained at 5.5 months follow-up. Twice as many parents who participated in the Programme reported that their children had moved from the clinical to the non-clinical range on the total problem scale of the SDQ and the externalizing scale of the CBCL by the end of the programme. Improvers had less severe behavioural and psychosomatic difficulties and more severe emotional problems at intake and their parents were more distressed and had less familial social support. (PsycINFO Database Record (c) 2003 APA )@:Peer Reviewed Journal; Empirical Study; Program Evaluation'U Coll Dublin, Dublin, Ireland [Behan, Fitzpatrick, Sharry, Carr, Waldron] Contact Individual Carr, Alan, U Coll Dublin, Dept of Psychology, Room 232, Science Building, Belfield, Dublin, Ireland,Andrews, G. Slade, T.s 2001LEInterpreting scores on the Kessler Psychological Distress Scale (K10)n:3Australian and New Zealand Journal of Public Healthi256a 494-7Aust N Z J Public Health 1326-0200 KES-00010*RLHealth Surveys; Psychological Tests; Stress, Psychological epidemiology; Stress, Psychological physiopathology Adolescent ; Adult ; Aged ; Australia epidemiology; Family Characteristics; Mental Disorders classification; Mental Disorders epidemiology; Mental Health Services utilization; Middle Aged; Prevalence ; Psychometrics HumanD=OBJECTIVE: To provide normative data on the Kessler Psychological Distress Scale (K10), a scale that is being increasingly used for clinical and epidemiological purposes. METHOD: The National Survey of Mental Health And Well-Being was used to provide normative comparative data on symptoms, disability, service utilisation and diagnosis for the range of possible K10 scores. RESULTS: The K10 is related in predictable ways to these other measures. IMPLICATIONS: The K10 is suitable to assess morbidity in the population, and may be appropriate for use in clinical practice. Dec English'World Health Organization Collaborating Centre in Evidence for Mental Health Policy and School of Psychiatry, University of New South Wales at St Vincent's Hospital, Darlinghurst. gavina@crufad.unsw.edu.au$Andrews, Gavin Erskine, Alicia 2003lfReducing the burden of anxiety and depressive disorders: The role of computerized clinician assistance$Current Opinion in Psychiatry161a 41-44y Jan_ 0951-7367` KES-00004*Anxiety Disorders; Cognitive Therapy; Computer Assisted Diagnosis; Major Depression depressive disorders; cognitive behavior therapy; clinical excellence; patient education; chronic disorders; computer program; expert systems Coverage and availability of evidence-based treatment for people with anxiety and depressive disorders is poor. Anxiety and depression are chronic disorders and so need to be managed accordingly. Computer support to provide patient education, to reorganize practice to be proactive and to provide expert systems in accord with the Wagner model are desired. Going one step further and using the computers to deliver computerized cognitive behavior therapy for anxiety and depressive disorders may, according to the UK National Institute for Clinical Excellence, be of value and should be further assessed. An inexpensive computer program that attempts to do these tasks for patients with anxiety and depressive disorders is described. (PsycINFO Database Record (c) 2003 APA )TMDoi 10.1097/00001504-200301000-00009 Peer Reviewed Journal; Literature Reviewb'TNU New South Wales at St Vincent's Hosp, School of Psychiatry, WHO Collaborating Ctr for Evidence for Mental Health Policy, Sydney, NSW, Australia [Andrews, Erskine] Email Address [mailto:gavina@crufad.unsw.edu.au] Contact Individual Andrews, Gavin, 299 Forbes St, Darlinghurst, NSW, Australia, 2010, [mailto:gavina@crufad.unsw.edu.au]Aneshensel, C., et al. 2003VOPart IV. Stressful Community Contexts: On Multidimensional and Salient Concepts rkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00031*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughoutt4vpLarzelere, Robert E. Dinges, Katherine Schmidt, M. Diane Spellman, Douglas F. Criste, Thomas R. Connell, Patrick 2001b[Outcomes of residential treatment: A study of the adolescent clients of Girls and Boys Town Child & Youth Care Forum303c175-185a June 1053-1890 CGA-00007*>8Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Us Mental Disorders; Mental Health Services; Residential Care Institutions; Treatment mental health treatment effectiveness; residential treatment; mental disorders; treatment outcomes; school age children; adolescentsStudied the effectiveness of mental health treatment at the residential treatment center at Girls and Boys Town. Pre-treatment and post-treatment data were collected from 43 clients (aged 6-17 years). Youth who received treatment improved significantly on the Child Behavior Checklist and the Children's Global Assessment Scale and were maintaining their treatment gains at follow-up. Ten months following discharge, the majority were stabilized and functioning adequately in school and with their primary caregiver. For these youth, residential treatment succeeded where other interventions failed (PsycINFO Database Record (c) 2003 APA )alfDoi 10.1023/a:1012236824230 Peer Reviewed Journal; Empirical Study; Followup Study; Treatment Outcomes'Girls and Boys Town, NE, US [Larzelere] Contact Individual Larzelere, Robert E, Father Flanagan's Boys' Home, Behavioral Health Research, Youth Care Bldg, Boys Town, NE, US, 68010eLELauzon, S. Corbiere, M. Bonin, J-P. Bonsack, C. Lesage, A. Ricard, N.t 2001XRValidation of the French version of the Health of the Nation Outcome Scale (HoNOS)$Canadian Journal of Psychiatry46841-8462,Lavidor, Michal Weller, Aron Babkoff, Harvey 2002@9Multidimensional fatigue, somatic symptoms and depressionC*$British Journal of Health Psychology7e1\ 67-75 Febv 1359-107Xv MHI-00019*Human; Male; Female; Adulthood (18 yrs & older) Israel Fatigue; Major Depression; Multidimensional Scaling; Somatization depression; somatic symptoms; multidimensional fatigueAssessed the moderating role of somatization on depression in the perception of fatigue for a healthy adult population. Several fatigue questionnaires, a mental health inventory, somatic complaints and demographic data were collected from a targeted, randomly selected sample of 278 adults (mean age 37.89 yrs). Depression levels were positively and significantly related to all aspects of fatigue except fatigue that responds to rest and sleep (i.e. tiredness). When high levels of depression were coupled with somatization, fatigue complaints were more severe. Even within a non-patient population, somatization and depression had interactive effects on fatigue. Somatization increased fatigue level for the relatively dysphoric individuals. (PsycINFO Database Record (c) 2003 APA )HBDoi 10.1348/135910702169367 Peer Reviewed Journal; Empirical Study'U York, Dept of Psychology, York, United Kingdom [Lavidor] Email Address [mailto:M.Lavidor@psych.york.ac.uk] Contact Individual Lavidor, Michal, U York, Dept of Psychology, York, United Kingdom, YO10 5DD, [mailto:M.Lavidor@psych.york.ac.uk]bzRosansky20011I Roscoe2003 Rosen1989 Rosen1991 Rosen1992 Rosen1994 Rosen2000 Rosen2001 Rosen2001 Rosen2002 Rosenberg1999W Rosenblatt1993 Rosenheck1995^ Rosenthal1991 Rossi2001 Rossler2002 Rost20010 Rothenberger2000Rotheram-Borus2002~ Rothman2002| Rothman2003ORothwell2001 Rowe20040 Roy2000E Roy2002F Roy2002 Roy2003 Roy-Byrne1997%Royal College of Psychiatrists2004 Rubio Stipec2004 Rubio-Stipec1987 Rubio-Stipec1988 Rubio-Stipec1996 Rucci1998 Ruggeri1995 Ruggeri1998 Ruggeri2002kRuggiero1998Ruggiero1998x Rumpf2001f Rumpf2004Rungreangkulkij2002 Rush2003s Rushforth(2000)x Russell2001 Russo1997? Rutherford20019 Rutherford2002> Ruud20022 Ruud2003 Ryan1997x Ryan20040n Rydell20030y Sacks2002 Safronova2003Salamero2003z Salisbury2002 Salkeld1996 Salkeld1998 Salter2004eSalvador-Carulla1999 Samra1996G Sanders2002{ Sanders2003 Sanderson1996 Sanderson1998 Sanderson1998 Sanderson2002 Santor2001 Santosh1998 Sapin2003Savarese20011 Sawyer20044 Scahill1999Schachar2000Schaefer1997Schaefer1999Schaefer1999Schaffer1983/Schapira19999 Scherz20000}Schiffer2002s Schmidt1998 Schmidt2001 Schmitz2000 Schneider1994X Schneider1995 Schneider2001 Schneider2002 Schneider2002 Schneider2002 Schneider2003 Schneider2003 Schnell2003w Schnoll2001| Schnoll2003 Scholle1998 Schultz2003 Schulz20033 Schutt19961 Schutze2003 Schwab Stone2000 Schwab-Stone1996 Schwab-Stone1999K Schweitzer2004Schwiers2002 Scott1999 Scourfield2002 Sederer1992 Sederer1995} Sederer1996 Sederer2000: Seeman2001 Seidman1996r Selby2001v Seman2004 Seneviratna1999 Seneviratna1999~ Senturk2002Seracini19988)Services2002Seshadri20030r Shaffer1993 Shaffer2000 Shah19969q Shalev19989d Shalit20011 Sham20010 Shankar1999 Shapiro2002 Shapiro2003L Shapiro20045 Sharkey2000 Sharma1999= Sharma20017 Sharma2001 Sharpen2000o Sharry2001 Shashikiran2003 Shaw20012 Sheiham2003Sheitman1997& Sheldon2002 Shelton2001 Sherbourne1988A Sherbourne1992B Sherbourne1994Shergill1999Shergill19999Sherlock1992~ Sherman2002- Shields1999 Shiels2001 Shipley2002 Shirk1994T Shore2000X Shore2002Shotwell20033 Shrout2004 Shugarman1999 Shugarman2002Sidoli-LeBlanc1999L Siegel1996b Siegel1997 Siegel20033!Siggins Miller Consultants2003 Silaj2001} Silverman2002 Simeoni2003Simmonds2002 Simmons2000 Simmons2001z Simmons2003~ Simmons2003 Simon2001 Simon2001 Simon2002 Simon2003 Simpson2003Sinclair Smith2000 Singh19832 Singh1999 Sivertsen1997 Skarupski2002 Slade1999. Slade1999 Slade2000 Slade2000 Slade2001 Slade2001  Slade2002 Slade2002  Slade2002 Slade2002) Slade20025 Slade2003 Slade2003 Slobodskaya2003 Small2001 Smart2003 Smedje1999 Smedje2001n Smedje20030 Smith1997  Smith1997 Smith1997 Smith1998 Smith1998- Smith1999 Smith1999 Smith1999r Smith2001 Smith2002y Smith2002 Smith2002 Smith2003Smithard2001" Smout2002 Smukler1994 Snowden2001 Snowden2003Snowling1999xSnowling2001 Solomon1998 Solomon1998 Solomon1999Z Somer1999 Somer2002  Sondergaard2003 Sonuga-Barke2004Sorgaard2002 Sorokin2003 Sorter19966q Sourander1996z Sourander1996k Sourander1997l Sourander1997 Sourander1999 Sourander2000q Sourander2001 Sourander2001 Sourander2002m Sourander2003N Sourander2004 Sourander2004 Sousa2004c Spear2002 Speer1992X Speer1996Spellman1998Spellman20011 Spence Speredelozzi2003 Spiro1996 Spitzer1976w Spitzer2003 Sporn2002 Spratt19999 Srebnik1997 Srinath2003B Srinivasan1987 Srivastava1983? Srivastava1999 St Martin2004 St Martin2004 Staffen2003=Stafrace2002 Staghezza1990QStallard2003Stallard2004v Stancombe2003 Stansbrey2003|Starling1995 Startup2003State of Tennessee2003YState of Tennessee2003 State of Utah2000 State of Utah2003 Staudenmeier2002( Stedman1997 Stedman2000 Stedman2001 Steele1996 Stein1999 Steinhausen1987 Steinhausen2001 Steinwachs1989 Sternberg1992 Stevenson1997 Stevenson2000 Stewart1988 Stewart1990 Stewart1999 Stewart Brown2002 Stiles20022 Stiles20033 Stogiannidou2001 Stores2004 Strakowski2002?9Strategic Planning Group for Private Psychiatric Services2002 Strathdee2001) Strathdee2002; Strauss2002v Street20030Streiner1995OStreiner2004{ Stretch2000 Strong19969r Strong2001 Strong2003 Strouse1984V Sturm2001 Subbakrishna2003> Subramanian1987 Suchinsky20005 Summerfield2003Surgenor20033d Sutcliffe1999b Sutcliffe2000K Sutherland2002 Swan20012 Swan20012 Swanson1996 Swinson1996 Szobot2002KTanaghow20040` Tanaka1984Tancredi2002V Tang20011 Tannock2000Tansella1995Tansella1998Tansella199999 Tarrier2002) Tasman20010 Tawile19991 Taylor1997 Taylor20011z Taylor20010 Teare1998 Teesson1990 Teesson1994 Teesson1996 Teesson1998@ Teesson1999A Teesson2000 Teesson2001 Telegdi2002Tenaglia19844 Tennant2000 Tennant2002?8Texas Department of Mental Health and Mental Retardation2002?8Texas Department of Mental Health and Mental Retardation2003_XTexas Department of Mental Health and Mental Retardation Program Statistics and Planning2003al Retardation Program Statistics and Planning200350*#Keks, N.A., Hope, J.D. & Trauer, T. 1998xqRelationship between quality of life measures and clinical symptomatology in people with persistent schizophreniaSchizophrenia Research29 1,2 190 MIS-00011* Keller, Suzie Hayes, Robyn 1998ZSThe relationship between the Allen Cognitive Level Test and the Life Skills Profile.(American Journal of Occupational Therapy5210851-856aNov-Dect 0272-9490l LSP-00048i}Human; Male; Female; Inpatient; Outpatient; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Australia Cognitive Ability; Psychiatric Patients; Schizophrenia; Test Validity; Institutionalization; Outpatients validity of Allen Cognitive Level Test; persons with schizophrenia living in long-term psychiatric hospital vs community(Evaluated the validity of the Allen Cognitive Level Test (ACL-90; C. K. Allen, 1985) as a measure of the construct of adaptive functioning and to determine its effectiveness in discriminating between persons who live in the community and persons who are institutionalized. 41 persons with schizophrenia living in the community and 17 persons with schizophrenia living in a long-term psychiatric hospital were assessed with the ACL-90 and the Life Skills Profile (LSP). All Ss were 20-57 yrs old. Scores on the 2 measures were compared as was the effectiveness of the 2 measures in discriminating between the participant groups Results show the ACL-90 scores correlated moderately with the LSP total and Self-Care Subscale. Only the Nonturbulence subscale of the LSP discriminated between the community and institutionalized participant groups. The behavior of the participants living in the community was less turbulent than that of the participants who were institutionalized. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'd]Wolston Park Hosp Complex, Queensland Ctr for Schizophrenia Research, QLD, Australia [Keller]rHAKelly, C. Sharkey, V. Morrison, G. Allardyce, J. McCreadie, R. G.e 2000{Nithsdale Schizophrenia Surveys. 20. Cognitive function in a catchment-area-based population of patients with schizophreniad$British Journal of Psychiatry  177; 348-53 Octc11116777 HON-00014*XQ*Cognition Disorders complications; *Schizophrenia complications Adult ; Aged ; Aged, 80 and over; Ambulatory Care; Analysis of Variance; Chronic Disease; Cognition Disorders psychology; Health Surveys; Middle Aged; Psychiatric Status Rating Scales; Scotland ; Social Isolation psychology; Socioeconomic Factors complications; psychologyBACKGROUND: Cognitive deficits are a core aspect of schizophrenia but there has been no study of cognitive function in a catchment-area-based population of patients with schizophrenia. AIMS: To assess cognitive function in a population of patients with schizophrenia, and relate it to community functioning. METHOD: All patients with schizophrenia in Nithsdale, south-west Scotland, were identified (n = 182). Measures of assessment were: National Adult Reading Test (NART), Mini-Mental State Examination (MMSE), Rivermead Behavioural Memory Test (RBMT), Executive Interview (EXIT), FAS Verbal Fluency and Health of the Nation Outcome Scales (HoNOS). RESULTS: We assessed 138 patients, mean age 48 years (standard deviation (s.d.) 15). Only 14% were in-patients. The mean premorbid IQ as assessed by NART was 98 (s.d. 14); 15% of patients had significant global cognitive impairment (MMSE); 81% had impaired memory (RBMT); 25% had executive dyscontrol (EXIT); and 49% had impaired verbal fluency (FAS). Scores on the functional impairment sub-scale of HoNOS correlated with all measures of cognitive impairment. CONCLUSIONS: Cognitive dysfunction is pervasive in a community-based population of patients with schizophrenia.0007-1250 English'HAAcademic Department, Gartnavel Royal Hospital, Glasgow, Scotland.HXʿ Drake, S.Drew, Leslie R. H. Driscoll, PatDu Toit, Pieter L.2,Schaffer, D., Gould, M.S., Brasic, J., et al 19832+A children's global assessment scale (CGAS)h$Archives of General Psychiatry40 1228-1231r CGA-00069rWe evaluated the children's global assessment scale (CGAS), an adaptation of the global assessment scale for adults. Our findings indicate that the CGAS cab be a useful measure of overall severity of disturbance. It was found to be reliable between raters and across time. Moreover, it demonstated noth discriminant and concurrent validity. Given these favourable psychometric properties and its relative simplicity, the CGAS is recommended to both clinicians and researchers as a complement ro syndrome-specific scales.& Schneider, Bob Varghese, Raju K. 1995|vScores on the SF-36 scales and the Beck Depression Inventory in assessing mental health among patients on hemodialysisPsychological ReportsX763, Pt 1719-720Y Jun 0033-2941h MHI-00047pJCHuman; Adulthood (18 yrs & older) Beck Depression Inventory; Hemodialysis; Kidney Diseases; Mental Health; Psychodiagnosis; Inventories; Subtests Mental Health Inventory SF-36 subscales & Beck Depression Inventory; mental health measurement; patients undergoing hemodialysis; implications for inventory combination utilityZAssessed the mental health of 45 patients (mean age 49.9 yrs), who were on hemodialysis. The Medical Outcomes Study SF-36 and the Beck Depression Inventory were administered to the Ss. Scores on the SF-36 Mental Health Inventory (MHI-5) were regressed on those of the SF-36 Role-Emotional subscale, to assess each of the independent variables in partially explaining variance on the more global MHI-5; 46% of the variance in the MHI-5 scores were accounted for by age category, the Role-Emotional subscale and the Beck Depression Inventory scores. Age category was not found to be significant. It was concluded that emotional role and the severity of depression were the only 2 facets of emotional or psychological functioning. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'B7Hwang, S. S. Chang, V. T. Fairclough, D. L. Kasimis, B.g 20024-Development of a cancer pain prognostic scalep,&Journal of pain and symptom management244e 366-78J Pain Symptom Manage. 0885-3924t MHI-00012*Neoplasms complications; Pain etiology; Pain therapy; Palliative Care Adult ; Aged ; Aged, 80 and over; Longitudinal Studies; Middle Aged; Models, Theoretical; Prognosis ; Prospective Studies Human; Support, U.S. Gov't, Non P.H.S.f`The purpose of this study was to develop a Cancer Pain Prognostic Scale (CPPS) which could predict the likelihood of pain relief within 2 weeks for cancer patients with moderate to severe pain. Seventy-four (74) consecutive patients who presented with cancer-related pain were managed in accordance with the guidelines for pain management developed by the United States Agency for Health Care Policy and Research (AHCPR). Patients were followed weekly using the Brief Pain Inventory (BPI), and medications were recorded weekly for 3 weeks. Baseline scores from the Functional Assessment of Cancer Therapy (FACT-G), Mental Health Inventory (MHI), Karnofsky Performance Status (KPS), and Memorial Symptom Assessment Scale Short Form (MSAS-SF) at initial interview served as explanatory variables in a logistic regression model. Pain relief > or = 80% at the end of weeks 1 and 2 were used as outcomes in this model. From this analysis, we developed a predictive formula, the CPPS, which includes the worst pain severity, FACT-G emotional well being, daily opioid dose, and pain characteristics. The rule yields a numerical score that ranges from 0-17. Higher scores correspond to a higher probability of good pain relief. The CPPS has the potential to rapidly identify patients with poor pain prognosis. It can be used as a research tool to characterize pain in cancer patients. Oct English'xqSection of Hematology/Oncology, VA New Jersey Health Care System, 375 Tremont Avenue, East Orange, NJ 07018, USA."Hyer, Lee A. Ragan, Amie M.e 2002<6Training in long-term care facilities: Critical issuesClinical Gerontologist25 3-4n197-237u 0731-7115l MIS-00022ZHuman; Adulthood (18 yrs & older) Behavior Modification; Caregivers; Education; Long Term Care; Health Personnel; Nursing Homes training; long-term care facilities; caregivers; behavior management*#Caregivers can make a difference in the quality of life of residents in long-term care facilities (LTC) through the application of behavioral management techniques. This is widely accepted, but has little supporting data. In reality , a clear definition of the practice of caregiving in these facilities does not yet exist. Here, we present an overview of extant training in an LTC facility, identify problems, and point to core modules for such training. We also discuss quality of care in these settings. We discuss studies that support these ideas. We then discuss what we call the necessary ingredients of care. These involve the caregiver, the resident, and the system, Importantly, all must be committed for quality indicators to change. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)Peer Reviewed Journal'>8U Medicine & Dentistry, Piscataway, NJ, US [Hyer, Ragan](CCarvill, Sue Marston, G. 2002d^People with intellectual disability, sensory impairments and behaviour disorder: A case seriesnhJournal of Intellectual Disability Research. Special Issue: Mental health and intellectual disability: X463264-272X Mar2002-12852-009 HLD-00004TN*Behavior Problems; *Mental Retardation; *Sensory System Disorders; *TreatmentSensory impairments (SIs) are more prevalent in people with intellectual disability (ID). Both conditions lead to higher rates of emotional and behavioural problems than in the general population. The identification of psychiatric disorders in this group can be difficult, particularly in those with severe ID and limited communication skills. The present paper presents a series of 18 case reports of individuals with ID, SI and behavioural problems (aged 22-45 yrs). The majority of cases were young male Caucasians with congenital rubella syndrome and autistic spectrum disorder, referred because of self-injurious behaviour (SIB) or aggression. Nine cases were treated with antidepressants, five underwent environmental changes and two had medication reduced. All showed some improvement. The benefits of comprehensive assessments, the use of standardized assessment tools and trials of treatments are discussed in the context of making psychiatric diagnoses. (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.comChaplin, Robert  2004^WGeneral psychiatric services for adults with intellectual disability and mental illnesse2+Journal of Intellectual Disability Research 481N 1-10 JanN 0964-2633N HON-00112OMental Disorders; Mental Health Services; Mental Retardation psychiatric services; adults; intellectual disability; mental illnessLEAdults with intellectual disability (ID) and mental illness may use general or specialist psychiatric services. This review aims to assess if there is evidence for a difference in outcome between them. A literature review was conducted using a variety of electronic databases and hand-search strategies to identify all studies evaluating the outcome of people with ID and mental illness using general psychiatric services. There is no conclusive evidence to favour the use of general or specialist psychiatric services. People with ID stay less time on general psychiatric than specialist inpatient units. People with severe ID appear not to be well served in general services. Older studies of inpatient samples suggest a worse outcome for people with ID. Novel specialist services generally improve upon pre-existing general services. Assertive outreach in general services may preferentially benefit those with ID. Recent studies suggest similar lengths of stay in general psychiatric beds for people with and without ID. Although 27 studies were located, only two were randomized controlled trials. The evidence is poor quality therefore further evaluation of services employing a variety of designs needs to be employed to give more robust evidence as to which services are preferred. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)d^DOI 10.1111/j.1365-2788.2004.00580.x Peer Reviewed Journal; Literature Review; Journal Article'Littlemore Hospital, Oxford, United Kingdom [Chaplin] Email Address [mailto:rchaplin@doctors.org.uk] Contact Individual Chaplin, Robert, Littlemore Hospital,, 33, Sandford Road, Oxford, United Kingdom, OX4 4XN, [mailto:rchaplin@doctors.org.uk] Knyazev, Gennadij G. Slobodskaya, Helena R. Safronova, Margarita V. Sorokin, Oleg V. Goodman, Robert Wilson, Glenn D. 2003:3Personality, psychopathology and brain oscillations*$Personality & Individual Differences356 1331-1349 Oct4 0191-8869a SDQ-00034*Human; Male; Female; Childhood (bi.(Klinkenberg, W. D. Cho, D. W. Vieweg, B. 1998XRReliability and validity of the interview and self-report versions of the BASIS-32,%Psychiatric services Washington, D.C.499^1229-31Psychiatr Serv 1075-2730 BAS-00025**#Mental Retardation complications; Mental Retardation diagnosis; Mental Retardation rehabilitation; Psychiatric Status Rating Scales standards; Psychometrics methods; Psychometrics standards Adult ; Interview, Psychological standards; Mental Disorders complications; Mental Disorders diagnosis; Middle Aged; Missouri ; Multivariate Analysis; Outcome Assessment Health Care methods; Outcome Assessment Health Care standards; Questionnaires standards; Reproducibility of Results; Severity of Illness Index Female; Human; Male; Support, Non U.S. Gov'toThe psychometric properties of the interview and self-report versions of the BASIS-32 were compared. A total of 120 severely mentally ill adults enrolled in psychosocial rehabilitation were randomly assigned to either a self-report or an interview condition. The BASIS-32 had good internal consistency and test-retest reliability on most subscales; coefficients were higher in the self-report condition. Only the interview version of the psychosis subscale had unacceptable internal consistency. Validity correlations were generally good for the symptom subscales but disappointing for the functional domains. The subscale scores did not discriminate between diagnostic subgroups.D>Sep English Comment In: Psychiatr Serv. 1998 Dec;49(12):1621-2'vpMissouri Institute of Mental Health of the University of Missouri School of Medicine, St. Louis 63139-1361, USA.  F}|$Mental Disorders classification$Mental Disorders complications Mental Disorders diagnosis Mental Disorders drug therapy Mental Disorders economics Mental Disorders epidemiologyMental Disorders nursing Mental Disorders psychology$Mental Disorders rehabilitationMental Disorders therapy Mental Healthmental health &<9mental health & adjustment & incidence of psychopathology,'mental health & psychosocial adjustmentDAmental health & substance abuse service use in community & school(%mental health assertive outreach team("mental health assessment protocolsmental health clinicmental health concernsmental health disparitiesmental health facilities<9Mental Health Inventory SF-36 subscales & Beck DepressionMental Health Inventory-5mental health literacymental health measurementmental health needsMental Health Personnelmental health problemsMental Health Program$ Mental Health Program Evaluation$ mental health program monitoringMental Health Programsmental health screeningmental health service0,mental health service utilization predictionMental Health Services$!mental health services allocation$ Mental Health Services economics<6Mental Health Services organization and administration$ Mental Health Services standards84Mental Health Services statistics and numerical data("Mental Health Services utilizationmental health status<9mental health status & psychosocial factors & adequacy ofmental health systems(%mental health treatment effectivenessmental illnessMental Retardation$ Mental Retardation complications Mental Retardation diagnosis$!Mental Retardation rehabilitation$ Mental Status Schedule standards($Mentally Disabled Persons psychology,(Mentally Disabled Persons rehabilitation mentally ill$Mentally Ill Persons psychology MentorMethadone Maintenancemethodological concerns Methodology methods$Methylphenidate therapeutic use("Methylprednisolone therapeutic use MI Choice Screening AlgorithmMicrocomputers MiddleMiddle Age (40-64Middle Age (40-64 yrs) Middle AgedMiddle School Studentsmigrant school childrenMilieu Therapy MilitaryMilitary Recruitment<9military service & family status & health & psychological($Millon Clinical Multiaxial InventoryMinerals metabolismmini mental stateminimum data set$Minisatellite Repeats genetics MinnesotaMinority Groups Missouri mo studymodel@=modeling & seating arrangement as factors of interviewer bias ModelsModels, OrganizationalModels, Theoretical Monitoringmood mood & agemood & subjectiveMood Disorders psychology morbidity MotherMother Child Relationsmother-child interaction Mothersmothers at home with mothers of,)mothers of children with chronic motor orMothers psychologyMotor PerformanceMotor Traffic Accidents MovementMRI characteristicsMultidimensional$Multidimensional Anxiety Scalemultidimensional fatigueMultidimensional Scaling$!Multiphasic Personality Inventorymultiple roles84Multiple Sclerosis, Relapsing Remitting drug therapy<6Multiple Sclerosis, Relapsing Remitting rehabilitationMultivariate Analysis$!Multnomah Community Ability Scale Music Therapy,&Myelodysplastic Syndromes drug therapy($Myelodysplastic Syndromes psychologynation outcome scales National0+National Adult Reading Test, Second Edition native-born need basedNeed SatisfactionNeedsNeeds Assessment b8$!Business and Industrial Personnel BuspironeBuspirone adverse effectsBuspirone therapeutic use Canada Canadian cancer patients & spouse vs,&cancer patients receiving chemotherapy CarbonateCard Sorting Test CardiologyCardiovascular Reactivitycare Care Costscare processes\Vcareers, stress, support, Experiences of Care-giving Inventory and Life Skills ProfileCaregiver Burden CaregiversCaregivers psychologyCarrier Proteins geneticscaseCase Control Studiescase managed vsCase ManagementD>case management as rehabilitation strategy to personalize careCase Management economics4/Case Management organization and administrationCase Management standards case mix84case mix classification & assessment of cost related Case Reportcase workers vsCatchment Area Health$!catechol-O-methyltransferase gene$!Cattell Infant Intelligence Scale(%Caucasian vs African American 7th-9th Caucasianscausal attributions41Central Nervous System Stimulants therapeutic use@:changes in payments systems for rehabilitation health careCharacteristics($characteristics & daily resource useChi Square DistributionChild4.child & adolescent clinical & community sample,)Child & Adolescent Mental Disorders Study child & adolescent psychiatry Child Abuse child and0+Child and Adolescent Mental Health ServicesD?child and adolescent psychiatry, mental health, outcomes, auditChild AttitudesChild BehaviorChild Behavior ChecklistD>Child Behavior Checklist in ability to distinguish high vs lowChild Behavior Disorders,&Child Behavior Disorders complications("Child Behavior Disorders diagnosis(%Child Behavior Disorders drug therapy(%Child Behavior Disorders epidemiology4/Child Behavior Disorders prevention and control(#Child Behavior Disorders psychologyChild Behavior psychologyChild Development40Child Development Disorders, Pervasive diagnosis83Child Development Disorders, Pervasive drug therapy83Child Development Disorders, Pervasive epidemiology41Child Development Disorders, Pervasive psychologyChild Health Services85Child Health Services organization and administration$Child Health Services standards Child Neglect child psychiatric disorders0,child psychiatric disorders in the communityChild Psychiatry child psychological healthChild PsychologyChild PsychotherapyChild Relations child therapy Child WelfareChild, Preschool childbearing childhoodChildhood (birth-12Childhood (birth-12 yrs)childhood ADHD childhood anxiety disorders(#Childhood Autism Rating Scale (The)childhood obsessiveChildhood SchizophreniaChildrearing Practices childrenchildren & adolescents85children & adolescents with Major Depressive Disorderchildren & adultschildren homes children ofchildren of motherschildren with autism0+children with autism vs learning impairment(#children with psychiatric disorders$Children's Depression Inventory Children's Depression Rating0+Children's Depression Rating Scale, Revised("Children's Global Assessment Scale<6Children's Global Assessment Scale impairment criteriachildren's homesChina ChineseChinese Cultural Groups$Chinese version of the MinimumChlorimipramine4.Cholesterol, Dietary administration and dosageChronic Disease$Chronic Disease classification Chronic Disease psychologychronic disordersChronic Fatigue Syndrome(%chronic fatigue syndrome of childhoodChronic Illness4/chronic stress & social support & mental healthchronic stressors<9chronicity & distress & social impairment & family burdenChronicity (Disorders) circumvention Citalopram adverse effects Citalopram therapeutic useClassification ClientClient AttitudesClient Characteristics Client Rightsn<6Fernandez de Larrinoa, P. Bulbena, A. Dominguez, A. I. 1992Estudio de fiabilidad, validez y consistencia interna de la escala LSP (Life Skills Profile) perfil de habilidades de la vida cotidianai("Actas Luso-Eso. Neurol. Psiquiatr.20 71-75f@9Ferrell, Courtney B. Beidel, Deborah C. Turner, Samuel M.3 2004XQAssessment and Treatment of Socially Phobic Children: A Cross Cultural Comparisona6/Journal of Clinical Child Adolescent Psychologyo332e260-268i Juny 1537-4416e CGA-00096e`ZHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Us Behavior Therapy; Cross Cultural Differences; Psychological Assessment; Psychopathology; Social Phobia; Blacks; Whites social phobia; preadolescent children; psychopathology; behavioral treatment; African Americans; Whites; cross cultural comparisonIn this study we examined the psychopathology and behavioral treatment of White and African American preadolescent children with social phobia. The comprehensive assessment strategy, including semistructured diagnostic interviews, clinician ratings of impairment, behavioral observations, parental ratings, and self-report inventories, did not reveal differences in symptomatic presentation between African American and White children. Whereas all children improved from pre- to posttreatment, there were no significant differences based on race. The results are discussed in terms of the applicability of models 0of social phobia and treatment outcome across these 2 ethnic groups. (PsycINFO Database Record (c) 2004 APA ) (journal abstract ):rkDOI 10.1207/s15374424jccp3302_6 Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Articlee'University of Maryland, College Park, MD, US [Ferrell, Beidel, Turner]; Maryland Center for Anxiety Disorders, University of Maryland, College Park, MD, US [Ferrell] Email Address [mailto:cferrell@psyc.umd.edu]; [mailto:cferrell@psyc.umd.edu]Ij BKelly, Ciaran Allan, Susan Roscoe, Patricia Herrick, Elizabeth 2003`ZThe Mental Health Needs of Looked After Children: An Integrated Multi-Agency Model of CareTMClinical Child Psychology & Psychiatry. Special Issue: ADOPTION AND FOSTERING83323-335 Jul2003-99694-004 HCA-00021d^*Child Care; *Community Mental Health Services; *Health Service Needs; *Mental Health ServicesThe mental health needs of looked after children are reviewed and the challenges involved with developing accessible mental health services are discussed. This article describes a multi-agency approach to the delivery of mental health services and focuses on the development, operation and evaluation of a Tier 4 multi-agency team; The Behaviour Resource Service (BRS). The BRS community and residential teams provide an intensive service to children and young people identified as having the most complex needs. Approximately 50% of the service users are looked after children. The needs-led model of multi-agency assessment, intervention and collaborative working is described with attention to the role of the BRS within the professional network. Particular issues pertinent to multi-agency work with looked after children are considered. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)Englishhttp://www.sagepub.com Kendall, P.C.a 1999Clinical Significancee4-Journal of Consulting and Clinical Psychologyg673e283-284OUT-NMH-00013* Kennedy, C. Yellowlees, P. 2003yThe effectiveness of telepsychiatry measured using the Health of the Nation Outcome Scale and the Mental Health Inventoryb*$Journal of Telemedicine and Telecare9g1g 12-612641887 HON-00081**Mental Disorders therapy; *Psychiatry standards; *Remote Consultation standards Adolescent ; Adult ; Aged ; Follow Up Studies; Health Status; Middle Aged; Reproducibility of Results therapy; standardsRLIn a telepsychiatry project in rural Queensland, data were collected from 124 patients attending hospital and general practice facilities for mental health-care and then again at follow-up one year later. Thirty-two of the patients were dealt with using telepsychiatry. Two health status scales were used to measure effectiveness: the Health of the Nation Outcome Scale (HoNOS), administered by the practitioners; and the Mental Health Inventory (MHI), which was self-administered by the patients. There was a significant difference between the initial assessment and follow-up groups on most subscales of the HoNOS, but no significant difference between the face-to-face and telepsychiatry groups. Similarly, the MHI results showed a significant difference on all subscales between the initial assessment and follow-up groups, but no significant difference between the face-to-face and telepsychiatry groups. Individuals who used and did not use telepsychiatry all had improved health outcome scores on the HoNOS and MHI during the study period. Telepsychiatry was as effective as face-to-face care.1357-633x English'`ZDepartment of Psychiatry, University of Queensland, Australia. c.kennedy@mailbox.qu.edu.auzsKessler, R. C. Andrews, G. Colpe, L. J. Hiripi, E. Mroczek, D. K. Normand, S. L. T. Walters, E. E. Zaslavsky, A. M. 2002pjShort screening scales to monitor population prevalences and trends in non-specific psychological distressPsychological Medicine326s959-976n Augu 0033-2917  KES-00008*&Human; Adulthood (18 yrs & older) Australia; US Distress; Epidemiology; Population; Screening Tests; Test Construction; Psychometrics non-specific psychological distress; population prevalences; test development; short screening scales; precision; discrimination; psychometric propertiesD=A 10-question screening scale of psychological distress and a 6-question short-form scale embedded within the 10-question scale were developed for the redesigned US National Health Interview Survey (NHIS). Initial pilot questions were administered in a US national mail survey (N=1401 adults). A reduced set of questions was subsequently administered in a US national telephone survey (N=1574 adults). The 10-question and 6-question scales, referred to as K10 and K6, were constructed from the reduced set of questions based on Item Response Theory models. The scales were subsequently validated in a 2-stage clinical reappraisal survey (N=1153) in a local convenience sample. The 2nd-stage sample was administered the screening scales along with the Structured Clinical Interview for DSM-IV (SCID). The K6 was subsequently included in the 1997 (N=36,116 adults) and 1998 (N=32,440 adults) US NHIS, while the K10 was included in the 1997 (N=10,641 adults) Australian National Survey of Mental Health and Well-Being. The K10 and K6 have good precision in the 90th-99th percentile range of the population distribution as well as consistent psychometric properties across major sociodemographic subsamples. The scales strongly discriminate between community cases and non-cases of DSM-IV/SCID disorders. (PsycINFO Database Record (c) 2003 APA )aJDDoi 10.1017/s0033291702006074 Peer Reviewed Journal; Empirical Study'Contact Individual Kessler, R C, Harvard Medical School, Dept of Health Care Policy, 180 Longwood Avenue, Boston, MA, US, 02115lLk z@q2+Sourander, Andre Helenius, Hans Piha, Jorma, 1996RKChild psychiatric short-term inpatient treatment: CGAS as follow-up measuren,&Child Psychiatry and Human Development272 93-104 Wind 0009-398Xd CGA-00093Human; Male; Female; Inpatient; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Finland Behavioral Assessment; Mental Disorders; Rating Scales; Test Validity; Treatment Effectiveness Evaluation; Antisocial Behavior; Behavior Disorders; Emotionally Disturbed; Followup Studies; Treatment Duration follow up validity of Children's Global Assessment Scale & treatment outcomes; 3.5-15 yr old short-term inpatients with antisocial or behavior or emotional disorders; Finlandf`Investigated the outcome of 50 children (aged 3.5-15 yrs) admitted to short-term inpatient treatment. Ss were evaluated with the Children's Global Assessment Scale (CGAS), which, in turn, was evaluated for its usefulness as a follow-up instrument in inpatient settings. Improvements made by the Ss over the course of short-term hospitalization were examined, as well as the course of their adjustment after discharge. Results suggest that there were significant changes in Ss global functioning and behavior symptoms at follow-up after treatment. Furthermore, a structured and secure inpatient environment had immediate results in Ss' functioning level at discharge. The correlations between CGAS ratings and symptoms scores obtained from parents and teachers were nonsignificant on admission but significant at follow-ups. (PsycINFO Database Record (c) 2003 APA )<6Peer Reviewed Journal; Empirical Study; Followup Study'F@Turku U Hospital, Dept of Psychiatry, Turku, Finland [Sourander]NGSourander, A. Leijala, H. Lehtila, A. Kanerva, A. Helenius, H. Piha, J.l 1996f`Short-term child psychiatric inpatient treatment. Place of residence as one-year outcome measure.(European Child and Adolescent Psychiatry5d1p 38-43H"Eur Child Adolesc Psychiatry 1018-8827a CGA-00084 f_Antisocial Personality Disorder rehabilitation Adolescent ; Antisocial Personality Disorder diagnosis; Antisocial Personality Disorder psychology; Child ; Child, Preschool; Follow Up Studies; Hospitalization ; Hospitals, Psychiatric; Prospective Studies; Psychiatric Status Rating Scales; Questionnaires ; Referral and Consultation Female; Human; Maleb<6In this study, 100 patients consecutively admitted to four child psychiatric inpatient wards in Finland were prospectively followed 12 months after discharge from short-term inpatient treatment. It turned out that 50 patients were discharged back to their previous residence and to outpatient treatment, 40 patients were admitted to long-term inpatient treatment and 10 patients were placed in some institution. The child's antisocial behaviour on admission was the strongest determinant for long-term treatment or placement at the 12 month follow-up. Other predictors of long-term treatment or placement in an institution included a high total score in teacher's behaviour ratings, being referred by a psychiatric agency and living in a semi-rural area. No statistically significant relationship was found in the child's age, gender, parents' education level or occupation, family characteristics, total life events, parent's ratings of total behaviour, total life events, parent's ratings of total behaviour, CGAS ratings by a clinician or a wide range of treatment variables. Apr English'@:Department of Child Psychiatry, Turku University, Finland."Sourander, Andre Piha, Jorma 1997Parent, teacher and clinical ratings on admission to child psychiatric inpatient treatment: A study of cross-informant correlations using the CBCL, Rutter scales and the CGAS"Nordic Journal of Psychiatry515365-370 0803-9488 CGA-00099Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Finland Child Psychiatry; Psychiatric Evaluation; Psychiatric Patients; Rating Scales; Affective Disorders; Age Differences; Anxiety Disorders; Behavior Disorders; Human Sex Differences; Interrater Reliability; Psychiatric Hospital Admission patient age & sex & behavior vs anxiety or affective disorder; agreement between parents' & teachers' & clinicians' ratings on admission; 4-15 yr old psychiatric inpatients82Examined cross informant correlations of standardized ratings and questionnaire results obtained from parents, teachers, and clinicians (including effects of sex, age, and disorder) for 91 4-15 yr olds admitted with severe behavioral and emotional disorders, classified as externalizing or internalizing disorders. Parents completed the Child Behavior Checklist (T. M. Achenback and C. Edelbrock, 1983) and Rutter's Parental Questionnaire; teachers the Teacher Report Form and Rutter's Teacher Questionnaire; and clinicians the Children's Global Assessment Scale (CGAS). When the Child Behavior Checklist was compared with Rutter's Parental Questionnaire, and the Teacher Report Form with Rutter's Teacher Questionnaire, there was a satisfactory correlation between total scores. Correlations between global functioning evaluated by clinicians and total symptom scores evaluated by parents were modest. Agreement between clinician and teacher was nonsignificant, as were correlations between parent and teacher evaluations of symptom scores. There were no significant differences between the sexes, and the difference between age groups was significant only in the CGAS. Children with externalizing disorders had higher total parent- and teacher-rated symptom scores and lower CGAS scores. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'HBTurku U Hosp, Dept of Child Psychiatry, Turku, Finland [Sourander]2,Sourander, Andre Hukkanen, Raija Piha, Jorma 1997RLMental health among children in children's homes and in psychiatric hospitalPsychiatria Fennicae28183-191n 0079-7227 CGA-00098HBHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Finland Mental Disorders; Residential Care Institutions psychiatric disturbance; 3-19 yr olds in children's homes & psychiatric hospitals; FinlandCompared the degree of psychiatric disturbance in children and young adolescents placed in 3 types of residential setting, children's homes and special children's homes, and patients admitted to child psychiatric hospital treatment. Behavior problems of 141 children (aged 3-19 yrs) were examined using the Child Behaviour Checklist, the Teacher Report Form and the Children's Global Assessment Scale. Scores for behavioral problems and social competence were deviant in all 3 groups. Although the psychiatric hospital group had more severe behavioral symptoms than the other groups, the differences between the psychiatric group and the special children's home group were not significant. The findings suggest that, in Finland, children with serious emotional and behavioral disorders are currently often placed or treated both in children's homes and in psychiatric hospital settings. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'RKTurku University Hosp, Dept of Child Psychiatry, Turku, Finland [Sourander]3fx2!tJDAbas, M. Vanderpyl, J. Prou, T. L. Kydd, R. Emery, B. Foliaki, S. A. 2003voPsychiatric hospitalization: reasons for admission and alternatives to admission in South Auckland, New Zealand.60Australian and New Zealand Journal of Psychiatry375,620-625  Oct2003-08335-017 HON-00034**At Risk Populations; *Involuntary Treatment; *Mental Health Services; *Psychiatric Hospital Admission; *Psychiatric Hospitalization; Psychiatric UnitsoRLObjective: To describe reasons for admission and alternatives to admission in a government funded acute inpatient unit. Method: Reasons for admission and alternatives to admission were rated for a consecutive sample of 255 admissions to an acute psychiatric unit in Auckland, using interviews with staff and case note review. Result: Most patients had a functional psychosis and were admitted involuntarily. Forty percent came from areas of marked social deprivation. The major reasons for admission were for reinstatement of medication (mainly linked to non-concordance with prescribed medication), intensive observation, risk to self and risk to others. Only 12% of admissions could have been diverted, of whom most would have required daily home treatment. For those still admitted at 5 weeks, 26% could have been discharged, mainly to 24 hr nurse-staffed accommodation. If the alternatives had all been available, simulated bed-day savings were 11 bed years per year. Simulated bed-day savings were greater through implementing early discharge than by diverting new admissions. Conclusion: Greater availability of assertive community treatment and of interventions to improve medication concordance may have prevented a small number of admissions. For patients admitted longer than 5 weeks... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)Englishc("http://www.blackwellpublishing.com60Achenbach, T. M. McConaughy, S. H. Howell, C. T. 1987|Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificityPsychological Bulletin 101`213-232RKAd-Dab'bagh, Yasser Greenfield, Brian Milne-Smith, Jennifer Freedman, Hyman\ 2000f`Inpatient treatment of severe disruptive behaviour disorders with risperidone and milieu therapy$Canadian Journal of Psychiatry454r376-382. Mayd 0706-7437 CGA-00056Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) Behavior Disorders; Drug Therapy; Milieu Therapy; Risperidone; Severity (Disorders) treatment with risperidone & milieu therapy; patients with severe disruptive behavior disorders (mean age 9.99 yrs old)>8Evaluated the therapeutic impact of adding risperidone to milieu therapy of latency-aged inpatients with severe disruptive disorders. The charts of 90 latency-aged patients consecutively admitted to a psychiatry ward were reviewed retrospectively. 15 of these patients received risperidone treatment, were nonpsychotic, and did not suffer from pervasive developmental disorder (12 male, 3 female; mean age 9.99 yrs). All Ss were diagnosed with a disruptive behavioural disorder. 10 had additional learning difficulties, and 13 had pathological personality traits. The characteristics of the sample suggested borderline pathology or multiple complex developmental disorder. Following a mean of 38 days after admission, the patients received risperidone for a mean of 46 days before being discharged. The mean maintenance dose of risperidone was 1.27 mg daily. Mean CGAS (Children's Global Assessment Scale) scores increased from admission (21.9) to before risperidone treatment (26.8) and to discharge (50.3). Only 2 patients had documented side effects. Results indicate that low-dose risperidone used adjunctively to milieu therapy led to statistically and clinically significant additional improvement in the functioning of hospitalized latency-aged children with severe behavioural disorders. (PsycINFO Database Record (c) 2003 APA )VOPeer Reviewed Journal; Empirical Study; Longitudinal Study; Retrospective Studyn'VOMcGill U, Dept of Psychiatry-Diploma Office, Montreal, PQ, Canada [Ad-Dab'bagh]o Adair, C.E. Simpson, L. Birdsell, J.M. Omelchuk, K. Casebeer, A.L. Gardiner, H.P. Newman, S. Beckie, A. Clelland, S. Hayden, K.A. Beausejour, P. 2003piPerformance Measurement Systems in Health and Mental Health Services: Models, Practices and Effectiveness, 60Alberta Heritage Foundation for Medical ResearchCAN-ALB-00001*The purpose of this State of the Science Review was to summarize and outline the strengths and weaknesses of the current research literature on models, practice and effectiveness of PM systems in health and mental health services, and to place the research information in the context of current policy and practice in Canada. The review identified critical gaps in research that need to be addressed for the optimal development and implementation of health and mental health performance measurement systems in Alberta and nationally.HBAdams, John W. Snowling, Margaret J. Hennessy, Susan M. Kind, Paul 1999|Problems of behaviour, reading and arithmetic: Assessments of comorbidity using the Strengths and Difficulties Questionnaire0)British Journal of Educational Psychologya694n571-585p Decn 0007-0998i SDQ-00008*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) England Academic Achievement; Behavior Problems; Language Arts Education; Mathematics Education; Primary School Students behavior problems; academic achievement in mathematics & literacy; primary school students~wExamines the relationship between behavior problems and academic attainment in a large UK primary school. A school population (364 children aged 8-11 yrs) was assessed on a range of cognitive ability tasks. These included standardized tests of reading, arithmetic and verbal and non-verbal intelligence. Underachievement was assessed using different criteria. To assess behavior, teachers completed the Strengths and Difficulties Questionnaire (R. Goodman, 1997) for each participating child. Finally, academic progress of a subset of children was assessed after one year. Results indicated a significant relationship between behavior and academic attainment; prosocial behavior was positively correlated with reading and arithmetic, hyperactivity and conduct problems were negatively correlated. This association was especially strong in the children rated by the questionnaire as hyperactive, where around 1 in 5 had a specific reading deficit. However, there was no evidence to indicate that children with behavior problems made less academic progress over a one-year period relative to their peers. (PsycINFO Database Record (c) 2003 APA )rHBDoi 10.1348/000709999157905 Peer Reviewed Journal; Empirical Study'4.U York, Psychology Dept, York, England [Adams] rZSCull, A. Gould, A. House, A. Smith, A. Strong, V. Velikova, G. Wright, P. Selby, P.  2001Validating automated screening for psychological distress by means of computer touchscreens for use in routine oncology practice British Journal of Cancer 8512 1842-9 Br J Canceri 0007-0920e MHI-00021*piMass Screening instrumentation; Medical Oncology methods; Neoplasms psychology; Outpatients psychology; Stress, Psychological diagnosis; User Computer Interface Depression diagnosis; Interview, Psychological; Predictive Value of Tests; Psychological Tests; Quality of Life; Questionnaires ; Sensitivity and Specificity Comparative Study; Support, Non U.S. Gov'tiThe aim of the study was to confirm the validity of using touchscreen computers for screening for clinically significant levels of distress among cancer patients in routine oncology practice. The Hospital Anxiety and Depression Scale (HADS), EORTC Quality of Life questionnaire (QLQ-C30), Mental Health Inventory-MHI5 and a Concerns Checklist were administered via touchscreen computer to 172 chemotherapy out-patients, twice, 2-4 weeks apart. A standard psychiatric interview (Present State Examination - PSE) was conducted within a week of the second assessment. On interview, 23% of patients were identified as 'cases'. Using the available data (questionnaires, sociodemographic details, self-reported past psychiatric history), the best screening strategy combined scores from MHI-5 and HADS from a single time-point with the following rules: if MHI-5 < 11 = non-case; if MHI-5 > or = 11 then use HADS; then, if HADS > or = 9 = 'case' (sensitivity 85%; specificity 71%; misclassification rate 26%; positive predictive value 47%). The computerized screening system enabled data to be collected, scored, collated and reported in real time to identify patients who warrant further clinical assessment. It offers the potential for improving 'case' detection in routine oncology practice while reducing the burden of questions put to 'non-cases'. Further work is needed to develop optimal choice of screening questions for this purpose.Dec 14 English'd^Imperial Cancer Research Fund, Medical Oncology Unit, Western General Hospital, Edinburgh, UK.TMCurran, S. Mill, J. Sham, P. Rijsdijk, F. Marusic, K. Taylor, E. Asherson, P.d 2001QTL association analysis of the DRD4 exon 3 VNTR polymorphism in a population sample of children screened with a parent rating scale for ADHD symptoms*$American journal of medical genetics 105v4t 387-93Am J Med Genet 0148-7299a SDQ-00004*Attention Deficit Disorder with Hyperactivity genetics; Exons ; Minisatellite Repeats genetics; Quantitative Trait, Heritable; Receptors, Dopamine D2 genetics Adolescent ; Alleles ; Attention Deficit Disorder with Hyperactivity pathology; Child ; Child, Preschool; DNA genetics; Gene Frequency; Genotype ; Parents ; Polymorphism Genetics; Questionnaires ; Teaching Human; Support, Non U.S. Gov't$Current developments in molecular genetics have led to a rapid increase in research aimed at the identification of genetic variation that influences complex human phenotypes. One phenotype that has aroused a great deal of interest is the behavioral trait hyperactivity and the related clinical disorder attention-deficit hyperactivity disorder (ADHD). The driving force behind the molecular genetic research in this area is the overwhelming evidence from quantitative genetic studies that show high heritablility (h(2) = 0.7-0.9) for the behaviors characterizing the diagnosis of ADHD, whether the disorder is viewed as a categorical entity or a continuous trait. To date, molecular studies have aimed at identifying susceptibility genes for ADHD, defined using operational diagnostic criteria, and have focused on variation within genes that regulate dopamine neurotransmission. Several studies report ADHD to be associated with the 7-repeat allele of a 48 bp repeat polymorphism (DRD4-7) in exon 3 of the dopamine D4 receptor gene (DRD4). In this study, we take a dimensional perspective of ADHD and examine the relationship of this DRD4 polymorphism in a sample of children selected from the general population on the basis of high and low scores on the five ADHD items of the Strengths and Difficulties Questionnaire (SDQ) as rated by their parents. We found a significant relationship between DRD4-7 and high-scoring individuals [chi-square = 8.63; P = 0.003; OR = 2.09 (95% CI 1.24 < OR < 3.54), F-statistic = 7.245; P = 0.008]. Copyright 2001 Wiley-Liss, Inc. May 8 English 'Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, London, United Kingdom. s.curran@iop.kcl.ac.ukction of spurious PTSD claims; personal injury claimantsCompared 119 personal injury claimants' scores on MMPI-2 and Millon Clinical Multiaxial Inventory-II (MCMI-II) validity scales. Data from 32 male and 23 female pseudo-posttraumatic stress disorder (PTSD) patients (mean age 38.9 yrs) and 64 controls (mean 39.1 yrs) confirm the utility of these scales. The following cutoffs were most effective for identifying spurious PTSD: F > 62, F-K >= -4, Ego Strength (Es) >= 30, Fake Bad Scale (FBS) >= 24 (men), FBS >= 26 (women), total obvious minus subtle >= 90, DIS >= 60, and DEB >= 60. Pseudo-PTSD patients were those who (1) claimed to be suffering a psychological injury, (2) that was so severe that it was disabling, (3) due to an experience that was implausible as a candidate for PTSD criterion A in Mental Disorders-III-Revised (DSM-III-R), and (4) scored T = 65 or higher on both PK and PS, the PTSD subscales of the MMPI-2. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical StudyR<Q d]Butler, G. S. Vallis, T. M. Perey, B. Veldhuyzen van Zanten, S. J. MacDonald, A. S. Konok, G.m 1999pjThe Obesity Adjustment Survey: development of a scale to assess psychological adjustment to morbid obesityInternational journal of obesity and related metabolic disorders journal of the International Association for the Study of Obesity235r 505-11$Int J Obes Relat Metab Disord 0307-0565 MHI-00054Adaptation, Psychological; Obesity, Morbid psychology; Quality of Life; Questionnaires standards Adult ; Body Mass Index; Chi Square Distribution; Factor Analysis, Statistical; Longitudinal Studies; Multivariate Analysis; Obesity, Morbid surgery; Patient Dropouts psychology; Postoperative Period; Psychometrics ; Reproducibility of Results; Sensitivity and Specificity; Severity of Illness Index Female; Human; MaleOBJECTIVE: To develop a reliable and valid measure of distress, related to extreme obesity. DESIGN: Items related to distress over obesity were selected from the literature, clinical experience and from input provided by a gastroplasty patient support group. The items were assessed in a longitudinal study, with the body mass index (BMI) and psychological assessment occurring 2-6 months prior to, and 12 months following, gastroplasty surgery. SUBJECTS: 81 females and eight males (mean age 35.9 y) who had been accepted for gastroplasty surgery. All but two of the patients had BMIs > 40 (Mean = 48.11, s.d. = 6.84). MEASUREMENTS: BMIs were calculated using weight and height. Psychological characteristics were assessed using the Mental Health Inventory (MHI), the Sickness Impact Profile (SIP), and the Eating Inventory (EI). Demographic information was collected with a questionnaire. RESULTS: Attempts to factor analyse the 95 item questionnaire were unsuccessful. Alternatively, a shorter, 20 item questionnaire was developed. The questionnaire shows good test-retest reliability (r = 0.867), good internal consistency (coefficient alpha = 0.719), good face and construct validity, and is sensitive to pre-post surgical change. CONCLUSIONS: The Obesity Adjustment Survey (OAS) may be useful as a brief measure of distress in obese individuals. This measure can be used to index the psychological impact of gastroplasty surgery on psychological functioning, and can be used in future research as a disease-specific measure to predict success of surgery. May English'tmQueen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada. gordon.butler@dal.ca0)Buttar, Amna Blaum, Caroline Fries, Brantd 2001~xClinical Characteristics and six-month outcomes of nursing home residents with low activities of daily living dependencyPIJournals of Gerontology: Series A: Biological Sciences & Medical Sciencesv 56At5p M292-M297c Maye 1079-5006d RUG-00011*<6Human; Male; Female; Adulthood (18 yrs & older); Aged (65 yrs & older) Us Activities of Daily Living; Aging; Geriatric Patients; Nervous System Disorders; Nursing Homes; Ability Level nursing home residents; activities of daily living; living dependency; ability level; geriatric symptoms; neurological diseaseCompared the characteristics and 6-mo outcomes of a sample of low-activities of daily living (ADL)-dependent nursing home residents (LDR) with other residents. 3,955 residents with a length of stay greater than 60 days and age 65+ yrs were studied and followed-up 6-mo later. The baseline characteristics of 985 LDR were compared with all other residents. The authors then compared 6-mo outcomes of LDR with other residents and characteristics of LDR with poor outcomes (death or worsened ADL disability) with LDR who remained stable. The results show that LDR had a significantly decreased frequency of geriatric syndromes (i.e., cognitive impairment, urinary incontinence, under-nutrition, vision problems, poor balance, and pressure ulcers) and neurological disease but had the same frequency of non-neurological chronic diseases and were on more medications. Thirty-one percent had poor 6-mo outcomes associated with baseline poor cognition, incontinence, poor appetite, and presence of vascular disease, daily pain, shortness of breath, and multiple medications. Those LDR with a higher risk of poor outcomes could be prospectively identified. LDR who remained stable for 6 mo may represent a group who could potentially be maintained in the community. (PsycINFO Database Record (c) 2003 APA )<6Peer Reviewed Journal; Empirical Study; Followup Study'VPU Michigan Medical School, Dept of Internal Medicine, Ann Arbor, MI, US [Buttar]B or = 18 mo responded to a quantitative food-frequency questionnaire that was self- (ages 13-17 y) or dietitian-(ages 7-12 y) administered. One hundred nine subjects also completed a weighed food record. Psychosocial assessments included the Child Behavior Checklist, Youth Self Report, and Children's Global Assessment Scale. The weighed record showed better adherence to dietary guidelines than the food-frequency questionnaire, but energy intake was underestimated. Low energy reporters had a healthier diet than the rest with the weighed record. According to the questionnaire, energy intake was underreported in only 9% of subjects and was not associated with a healthier diet, thus, further analyses were based on the questionnaire. Intakes of vitamin C (P = 0.0001), folate (P = 0.0001), riboflavin (P = 0.03), thiamine (P = 0.0001), and magnesium (P = 0.0001) per megajoule increased as quartile of total fat intake (as a % of total energy) decreased, reflecting increased intakes of cereals (P = 0.002), pasta (P = 0.01), fruit (P = 0.0001), pure meat (not minced or meat products; P = 0.047), skim milk (P = 0.0001), and skim cheese (P = 0.005). Energy and sugar (% of total energy) intakes were not significantly different across all fat intakes; energy density decreased with decreasing fat quartile. Overall psychosocial function score and parental educational level were associated with lower fat intake in multivariate analysis, explaining 11% of the variance in fat intake. We conclude that adherence to fat restriction among children treated for familial hypercholesterolemia is associated with increased micronutrient density, decreased energy density, and psychosocial factors that facilitate adherence. Apr Englishc'VOMedical Department A, National Hospital, Oslo, Norway. serena.tonstad@rh.uio.noi>]DBilenberg, Niels 2003rkHealth of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Results of a Danish field trial .(European Child and Adolescent Psychiatry126298-302 Dec2004-10649-006 HCA-00001**Health; *Mental Health Services; *Psychodiagnosis; *Rating Scales; *Test Validity; Adolescent Psychiatry; Child Psychiatry; Mental DisordersAssessment of the effectiveness of clinical practice requires appropriate outcome measures. Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a recently developed measure of outcome for use in child and adolescent mental health services (CAMHS). The aims of the present study were to evaluate sensitivity to change, face validity and clinical feasibility of HoNOSCA in a Danish field trial. A prospective design in which HoNOSCA, Global Assessment of Psychosocial Disability (GAPD) and a clinician rated global outcome measure were completed at 15 field sites. 173 patients were rated both at initial assessment and at follow-up after three months. HoNOSCA demonstrated satisfactory face validity. There was a strong correlation between HoNOSCA scores and GAPD scores (r = 0.6,P<0.001) and a highly significant association (ANOVA; F = 25.4, P< 0.001) between change in HoNOSCA scores and global clinical ratings of change. Mean HoNOSCA scores varied between psychiatric diagnoses. HoNOSCA is a sensitive and valid measure of change for children and adolescents attending CAMHS. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)English&Bilsker, Dan Goldner, Elliot M.l 2002VORoutine outcome measurement by mental health-care providers: Is it worth doing? Lancet 360e 9346 1689-1690u Nov02002-08434-003 OUT-MH-00029*Data Collection; *Mental Health Program Evaluation; *Mental Health Services; *Treatment Effectiveness Evaluation; *Treatment Outcomes; Measurement& Discusses methodological concerns and proposes alternatives to current routine outcome measurement by mental health service providers. Planners of mental health services have called for routine assessment of mental health programs with clinical ratings by treatment providers as an important source of information for client outcomes. Such measurement is generally presented as one component of an outcomes management approach to mental health services in which information about the functioning and well-being of patients is routinely and systematically collected, allowing the pooling of clinical and outcome data on a massive scale. The health of the nation outcome scales (HoNOS) is a provider-based outcome measure mandated by UK and Australian health authorities to be implemented by all providers of mental health care. In the US, many HMOs and state governments require specific outcome measures to be used by mental health care providers. Concerns include possible bias if treatment providers are the source of data, and the expense of independent ratings. Proposals include selective independent rating, and assessment of fidelity (degree to which programs adhere to estimated evidence-based practices) as the best ways to improve mental health client outcomes. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.thelancet.comPIBird, Hector R. Canino, Glorisa J. Rubio-Stipec, Maritza Ribera, Julio C.\ 1987`YFurther measures of the psychometric properties of the Children's Global Assessment Scale0$Archives of General Psychiatry449821-824 Sepl 0003-990Xl CGA-00061fZTHuman; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Interrater Reliability; Mental Disorders; Rating Scales; Statistical Validity interrater reliability & concurrent & discriminant validity of Children's Global Assessment Scale; assessment of mental disorders; 4-16 yr olds; Puerto Rico>7Obtained data using the Children's Global Assessment Scale (CGAS) during a pilot study with 191 children (aged 4-16 yrs) conducted in Puerto Rico. Two child psychiatrists administered a structured interview to both parents and children. Each child was categorized according to Diagnostic and Statistical Manual of Mental Disorders (DSM-III) into those who had at least 1 diagnosis (cases) and those who had none (noncases). Two other psychiatrists based their ratings on observations of videotapes of these initial interviews. Following a test-retest design, the 2 interviewing psychiatrists provided independent psychiatric ratings on a subsample of 91 Ss, 61 of whom had been judged to be cases and 30 noncases. Results indicate the usefulness of the CGAS as a diagnostic measure. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'RKColumbia U, New York State Psychiatric Inst, Div of Child Psychiatry [Bird]VOBird, Hector R. Canino, Glorisa Rubio-Stipec, Maritza Gould, Madelyn S. et al.,n 1988yEstimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico: The use of combined measuresu$Archives of General Psychiatry4512 1120-1126  Dec  0003-990Xe CGA-00060hHuman; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Puerto Rico Behavior Problems; Emotional Adjustment; Epidemiology prevalence of childhood maladjustment; 4-16 yr olds; Puerto RicoInvestigated the prevalence of childhood maladjustment in Puerto Rico, using data from a survey of 777 households containing children (aged 4-16 yrs). Children's parents and teachers completed the Child Behavior Checklist (CBCL). 386 children were positive for a disorder on the CBCL. Ss and their parents were subsequently assessed on the Diagnostic Interview Schedule for Children and on a children's global assessment scale. Results suggest that the cutoff points of the CBCL are low for children in Puerto Rico. Findings indicate a major public health problem for children in the island, particularly for children from families of lower socioeconomic status (SES), for whom the availability of services is more limited. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'`ZColumbia U Coll of Physicians & Surgeons, Div of Child Psychiatry, New York, NY, US [Bird] &82Rosen, A. Trauer, T. Hadzi Pavlovic, D. Parker, G. 2001HBDevelopment of a brief form of the Life Skills Profile: the LSP-204.Australian & New Zealand journal of psychiatry355e 677-83Aust N Z J Psychiatry 0004-8674 LSP-00001*Disability Evaluation; Mental Disorders diagnosis; Psychiatric Status Rating Scales standards Adult ; New South Wales; Psychometrics ; Reproducibility of Results; Severity of Illness Index Female; Human; Male; Support, Non U.S. Gov'tOBJECTIVE: To develop a brief form of the Life Skills Profile (LSP) that incorporates all five subscales of the full form. METHOD: A new short form of the LSP (LSP-20) was developed to incorporate all five subscales of the full form. The LSP-20 development was based on a reanalysis of data from previously published studies. These data sets were also reanalysed to determine any differential effects of numbers and percentages of items in the LSP-39, LSP-16 and LSP-20, comparability of scores of the different forms, of test-retest and interrater reliability, and validity of the LSP-20 by comparison with the Positive and Negative Syndrome Scale (PANSS). RESULTS: A twenty-item short form of the LSP-39 (LSP-20) is described which retains 16 items of an earlier short form but which also reproduces the subscale concerned with disability associated with positive psychotic phenomena. The subscales correlated highly with their counterparts in the full form, interrater and test-retest reliabilities were comparable, and concurrent validity was good. CONCLUSIONS: The LSP-20 is a brief form of a widely used instrument that offers equivalent coverage to the full form with sound empirical properties, though unlike the LSP-39, it can be scored in the direction of impairments or strengths. Therefore the LSP-20 may be more suited to routine service disability and aggregated outcome assessments, but less suited than the LSP-39 to detailed research, or to interactive use as part of service user's individual care planning and review. Oct Englishtf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=35&page=677&goto=abstract'Community Mental Health Services, Royal North Shore Hospital, 55 Hercules Street, Chatswood, New South Wales 2067, Australia. arosen@doh.health.nsw.gov.auP|v bX~TNGowers, Simon Levine, Warren Bailey-Rogers, Sarah Shore, Alison Burhouse, Emma 2002b\Use of a routine, self-report outcome measure (HoNOSCA-SR) in two adolescent mental services$British Journal of Psychiatryc 1803266-269 Mar2002-12088-014 HCA-00006**Self Report; *Test Reliability; *Test Validity; *Treatment Effectiveness Evaluation; *Treatment Outcomes; Clinical Judgment (Not Diagnosis); Clinicians; Eating Disorders; Mental Health Services; Psychiatric Patients; Test Construction,%The Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) is an established outcome measure for child and adolescent mental health. Little is known of adolescent views on outcome. The aim of this study was to develop and test the properties of an adolescent, self-rated version of the HoNOSCA (HoNOSCA-SR) against the established clinician-rated version. A comparison was made of 6-weekly clinician-rated and self-rated assessments of adolescents attending 2 mental health services, using the HoNOSCA and other mental health measures. 96 Ss (aged 13-18 yrs) were admitted to an inpatient unit and 54 female Ss (mean age 15.6 yrs) were admitted to an outpatient eating disorders service. Ss found the HoNOSCA-SR acceptable and easy to rate. They rated themselves as having fewer difficulties than did the clinicians, and these difficulties were felt to improve less during treatment compared to clinician ratings, although this varied with diagnosis and length of treatment. Although HoNOSCA-SR showed satisfactory reliability and validity, agreement between clinicians and users in individual cases was poor. Routine outcome measurement can include adolescent self-rating, but the discrepancy between staff and adolescent views requires further evaluation. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.rcpsych.ac.ukzGracious, Barbara L. Findling, Robert L. Seman, Christopher Youngstrom, Eric A. Demeter, Christine A. Calabrese, Joseph R. 2004ZTElevated Thyrotropin in Bipolar Youths Prescribed Both Lithium and Divalproex SodiumF@Journal of the American Academy of Child & Adolescent Psychiatry432215-220 Feb 0890-8567 CGA-00088*`YHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Bipolar Disorder; Drug Therapy; Hypothyroidism; Lithium; Thyrotropin; Risk Factors; Sodium; Thyroid Hormones lithium; divalproex sodium; thyrotropin; thyroid-stimulating hormone; bipolar disorders; risk factors; lithium-induced hypothyroidism; bipolar youths; Children's Depression Rating Scale, Revised; Schedule for Affective Disorders and Schizophrenia, Third Edition Children's Depression Rating Scale, Revised; Schedule for Affective Disorders and Schizophrenia, Third EditionExamined the effect of combined lithium and divalproex sodium on thyroid-stimulating hormone (TSH) levels in children and adolescents with bipolar disorders and to identify risk factors for lithium-induced hypothyroidism. Bipolar youths aged 5 to 17 years participating in an open-label clinical trial received treatment with lithium and divalproex sodium for up to 20 weeks. TSH levels were measured at baseline and at the end of the study. Subjects were divided into two groups for analysis: group 1 had TSH levels of less than 10.0 mU/L at the end of the study and group 2 had TSH levels of 10.0 mU/L or more at end of the study. Twenty of the 82 subjects showed TSH elevations of at least 10 mU/L within an average exposure of less than 3 months. The mean baseline TSH level for group 2 was significantly higher than for group 1. Mean lithium levels at the end of the study were 1.00 mEq/L for group 2 compared to 0.76 mEq/L for group 1. Lithium is associated with significant rates of thyrotropin elevation in bipolar youths. Factors associated with elevation in TSH in lithium-treated subjects include a higher baseline TSH level and a higher lithium level. Close monitoring of thyroid function in children and adolescents taking lithium is recommended. (PsycINFO Database Record (c) 2004 APA )b[Peer Reviewed Journal; Empirical Study; Clinical Trial; Quantitative Study; Journal Article2' Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY, US [Gracious]; Case Western Reserve University, Cleveland, OH, US [Findling, Youngstrom, Calabrese]; University Hospitals of Cleveland, Cleveland, OH, US [Seman, Demeter] Email Address [mailto:Barbara_Gracious@URMC.Rochester.edu] Contact Individual Gracious, Barbara L, Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Box PSYCH, Rochester, NY, US, 14642, [mailto:Barbara_Gracious@URMC.Rochester.edu] LEGraham, C. Coombs, T. Buckingham, W. Eagar, K. Trauer, T. Callaly, T.i 2001Victorian Mental Health Outcomes Measurement Strategy: Consumer Perspectives on Future Directions for Outcome Self-Assessment: Report of the Consumer Consultation Project ,&Department of Human Services, VictoriaAUS-VIC-00001*4-This report presents the results and recommendations of consultations with mental health consumers about the introduction of measures designed to regularly assess their health outcomes. Consultations focused on gathering information from consumers about their opinions on the range of areas that should be covered in a self-rating instrument and the process of outcome measurement more generally. Consumers were also asked to evaluate the suitability of the BASIS-32, the interim consumer self-rating instrument being introduced for routine use in Victoria.\UGrando, V. T. Mehr, D. Popejoy, L. Maas, M. Rantz, M. Wipke Tevis, D. D. Westhoff, R. 2002NHWhy older adults with light care needs enter and remain in nursing homes(!Journal of gerontological nursing287 47-53J Gerontol Nurs 0098-9134 RUG-00008*Attitude to Health; Health Status; Length of Stay; Mental Health; Nursing Homes Activities of Daily Living; Aged ; Aged, 80 and over; Decision Making; Middle Aged Female; Human; Male; Support, Non U.S. Gov'tMany patients in nursing homes receive limited services. In 1996, approximately 17% of the 1.6 million nursing home residents received assistance with two or less activities of daily living (ADL). This descriptive study addressed this issue by investigating why residents with light care needs enter and remain in nursing homes. Residents with light care needs (N = 20) identified by directors of nursing were interviewed to elicit why they entered and remain in nursing homes. Their care level was estimated using the Minimum Data Set (MDS) and Resource Utilization Groups, Version III (RUG-III). In this study, older adults with light care needs who decide to enter and remain in nursing homes were found to be influenced by a prior hospitalization or a health event; the perceived inability to manage instrumental ADLs (IADLs), ADLs, or health monitoring at home; and lack of knowledge about alternatives to nursing home care. This study demonstrates the vital role nurse case managers can play in both acute care settings and nursing homes. They can help older adults with light care needs to make informed decisions about long-term care, seek out community options, and set in place assistive care systems that can help them age in the community. Jul English'NHUniversity of Missouri-Columbia, Sinclair School of Nursing, 65211, USA.&h=LEGeller, Barbara Tillman, Rebecca Craney, James L. Bolhofner, Kristine  2004Four-year prospective outcome and natural history of mania in children with a prepubertal and early adolescent bipolar disorder phenotype$Archives of General Psychiatry615459-467 May2004-14147-004 CGA-00103*ZS*Bipolar Disorder; *Childhood Development; *Dysthymic Disorder; *Mania; *PhenotypesInvestigated natural history and prospective validation of the existence and long-episode duration of mania in children. Four-year prospective longitudinal study of 86 subjects with intake episode mania who were all assessed at 6, 12, 18, 24, 36, and 48 months. Subjects were obtained from psychiatric and pediatric sites by consecutive new case ascertainment, and their baseline age was 10.8 years. Prospective episode duration of manic diagnoses, using onset of mania as baseline date, was 79.2 consecutive weeks. Any bipolar disorder diagnosis occurred during 67.1% of total weeks, during the 209.4 weeks of follow-up. Subjects spent 56.9% of total weeks with mania or hypomania (unipolar or mixed), and 38.7% of these were with mania. Major or minor depression and dysthymia (unipolar or mixed) occurred during 47.1% of total weeks. Polarity switches occurred 1.1 times per year. Low maternal warmth predicted faster relapse after recovery from mania, and psychosis predicted more weeks ill with mania or hypomania. Pubertal status and sex were not predictive. These findings validate the existence, long episode duration, and chronicity of child mania. Differences from the natural history of adult bipolar disorder are discussed. (PsycINFO Database Record (c) 2004 APA )0)Gilbody, S.M., House, A.O., Sheldon, T.A.i 2002(!Outcome research in mental healthoPsychiatric Bulletin 181p1i 8-16 OUT-MH-00012*Background: Outcomes research involves the secondary analysis of data collected routinely by clinical services, in order to judge the effectiveness of interventions and policy initiatives. It permits the study of large databases of patients who are representative of real world practice. However, there are potential problems with this observational design. Aims: To establish the strengths and establish the limitations of outcomes research when applied in mental health. Method: A systematic review was made of the application of outcomes research in research in mental health services research. Results: Nine examples of outcomes research in mental health services were research in mental health found.Those that used insurance claims used insurance data have information on large numbers of patients but use surrogate outcomes that are of questionable value to clinicians and patients. Problems arise when attempting to adjust for important confounding variables using routinely collected claims data, making results difficult to interpret. Conclusions: Outcomes research is unlikely to be a quick or cheap means of establishing evidence for the effectiveness of mental health practice and policy.:4Gilbody, Simon M. House, Allan O. Sheldon, Trevor A. 2002LEPsychiatrists in the UK do not use outcomes measures: National survey$British Journal of Psychiatry 1802101-103f Feb2002-10593-002 HON-00029*ZS*Measurement; *Mental Disorders; *Psychiatrists; *Psychological Assessment; *Trends:4Surveyed the current use of outcomes measures in psychiatric practice in the UK. The authors received 340 questionnaires completed by general psychiatrists mostly working in non-teaching hospital settings. Depression/anxiety and cognitive impairment were the disorders where outcomes measures were used most commonly for identifying and assessing the severity of psychiatric disorders, with around half of clinicians using these measures either routinely or occasionally. The most commonly used were the Beck Depression Inventory, the Hospital Anxiety and Depression Scale, and the Hamilton Rating Scale for Depression. The most commonly used measure in detecting cognitive impairment was the Mini-Mental State Examination. For disorders such as schizophrenia, the majority of consultants never used standardized measures. For drug and alcohol problems, the most commonly reported measure was the CAGE questionnaire. The main finding was that the majority of the psychiatrists do not use outcomes measures in their day-to-day practice. (PsycINFO Database Record (c) 2003 APA )English http://www.rcpsych.ac.uk Giolas, D..L 1998B;Interweaving outcomes measurement with the clinical processU$Behavioral Healthcare Tomorrow7c 27-280 OUT-NMH-00004r&Giuffrida,A Gravelle,H Roland,M 1999xrMeasuring quality of care with routine data: avoiding confusion between performance indicators and health outcomes BMJe 319u 94-98 OUT-MH-00032*]Objective To investigate the impact of factors outside the control of primary care on performance indicators proposed as measures of the quality of primary care. Design Multiple regression analysis relating admission rates standardised for age and sex for asthma, diabetes, and epilepsy to socioeconomic population characteristics and to the supply of secondary care resources. Setting 90 family health services authorities in England, 198990 to 19945. Results At health authority level socioeconomic characteristics, health status, and secondary care supply factors explained 45% of the variation in admission rates for asthma, 33% for diabetes, and 55% for epilepsy. When health authorities were ranked, only four of the 10 with the highest agesex standardised admission rates for asthma in 19945 remained in the top 10 when allowance was made for socioeconomic characteristics, health status, and secondary care supply factors. There was also substantial year to year variation in the rates. Conclusion Health outcomes should relate to crude rates of adverse events in the population. These give the best indication of the size of a health problem. Performance indicators, however, should relate to those aspects of care which can be altered by the staff whose performance is being measured.JBa xrAlfaro, Cara L. Wudarsky, Marianne Nicolson, Rob Gochman, Peter Sporn, Alexandra Lenane, Marge Rapoport, Judith L. 2002Correlation of antipsychotic and prolactin concentrations in children and adolescents acutely treated with haloperidol, clozapine, or olanzapine82Journal of Child and Adolescent Psychopharmacology122e 83-91e Sumn 1044-5463r CGA-00016*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Us Blood; Neuroleptic Drugs; Prolactin; Psychosis; Schizophrenia; Clozapine; Drug Therapy; Haloperidol antipsychotics; prolactin; blood concentrations; haloperidol; clozapine; olanzapine; drug treatment; children; adolescents; schizophrenia; psychotic disorder not otherwise specified40 patients with a Mental Disorders-III-Revised (DSM-III-R) diagnosis of schizophrenia or psychotic disorder not otherwise specified with onset of psychosis before the age of 13 participated in 6- to 8-wk open or double-blind trials of haloperidol (n=15; aged 11.7-16.6 yrs), clozapine (n=30; aged 9.4-19 yrs), or olanzapine (n=12; aged 9.1-18.6 yrs). Blood samples were obtained at 6 wks for evaluation of haloperidol, reduced haloperidol, clozapine, desmethylclozapine, and olanzapine plasma concentrations and serum prolactin concentrations. Results indicate that no gender differences were noted for antipsychotic dose or concentration within each treatment group. Correlations between antipsychotic plasma concentration and serum prolactin concentration were significant only for the olanzapine treatment group. Separate correlations for gender were significant only for females receiving olanzapine; the patient with the highest serum prolactin experienced galactorrhea. The authors conclude that further studies evaluating the prolactin-elevating properties of antipsychotics are warranted in this population. (PsycINFO Database Record (c) 2003 APA ) LEDoi 10.1089/104454602760219126 Peer Reviewed Journal; Empirical Study'National Insts of Health, Clinical Ctr Pharmacy Dept, Bethesda, MD, US [Alfaro]; National Inst of Mental Health, Child Psychiatry Branch, Bethesda, MD, US [Wudarsky, Nicolson, Gochman, Sporn, Lenane, Rapoport] Email Address [mailto:calfaro@nih.gov] Contact Individual Alfaro, Cara L, National Insts of Health, Clinical Ctr Pharmacy Dept, Building 10, Room 1N257, Bethesda, MD, US, 20892, [mailto:calfaro@nih.gov]Allan, S. McGonagle, I.o 1997PJA comparison of HoNOS with the Social Behaviour Schedule in three settingsJournal of Mental Health6f2{117-1240 Aprl1997-04564-003 HON-00088n*Mental Disorders; *Rating Scales; *Social Behavior; *Statistical Validity; *Disability Discrimination; Expectations; Psychiatric PatientsCompared the usefulness of the Health of the Nation Outcome Scale (HoNOS) and the Social Behaviour Schedule to discriminate levels of disability among 17 28-70, 21 23-62 and 11 19-57 yr old long-standing psychiatric patients from the low expectation group/long-stay traditional ward, medium expectation group/acute wards and high expectation group, respectively. Data were compared across groups selected on the basis of likelihood for discharge. Results showed that the Social Behaviour Schedule but not the HoNOS, was found to discriminate between the patient group with the least likelihood for discharge from the 2 patient groups with less severe difficulties, the low and medium expectation groups. The HoNOS, but not the Social Behaviour Schedule, discriminated between the 2 less severe groups, the medium and high expectation groups. The HoNOS has many advantages with regard to brevity but may lack sufficient discrimatory power for certain patient groups. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.tandf.co.uk{Allen, Lesley Bala, Sushila Carthew, Richard Daley, Stephanie Doyle, Eugene Driscoll, Pat Grey, Barbara Macdonald, Alastaird 1999,&Experience and application of HoNOS65+Psychiatric Bulletin234203-206b Apr2000-03455-002 H65-00007f_*Geriatric Psychiatry; *Mental Health Services; *Rating Scales; *Treatment Outcomes; Clinicians2+The implementation of the Health of the Nation Outcomes Scales for Old Age Psychiatry services (HoNOS65+) in the Lewisham & Guy's Mental Health Trust is described. Some preliminary data are reported for illustrative purposes. Lessons learned from this process are identified, and further work needed both on the glossary for the scales and on systems for trapping data is suggested. The clinical implications remain uncertain. It may be that HoNOS65+ will remain a purely administrative tool for use by clinicians. (PsycINFO Database Record (c) 2003 APA )eEnglish http://www.rcpsych.ac.ukZTAlter, Carol L. Fleishman, Stewart B. Kornblith, Alice B. Holland, Jimmie C. et al., 1996LESupportive telephone intervention for patients receiving chemotherapy@:Psychosomatics: Journal of Consultation Liaison Psychiatry375425-431Sep-Oct 0033-3182 MHI-00061Human; Adulthood (18 yrs & older) Drug Therapy; Neoplasms; Psychoeducation; Psychotherapeutic Processes; Quality of Life telephone psychoeducational intervention based on interpersonal therapy; quality of life; cancer patients receiving chemotherapytExamined the effect of a psychoeducational intervention on quality of life (QOL) with 8 cancer patients receiving chemotherapy. The intervention, based on Interpersonal Therapy, consisted of 4 sessions administered by telephone. Ss completed the Functional Living Index-Cancer, the Mental Health Inventory, Symptom Distress Scale, and the Social Adjustment Scale. Ss received assistance with treatment related side effects, reported improved ability to communicate with their physician, and gained an understanding of the stresses they discussed. Ss felt satisfied with the emotional support and medical information provided. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'82Temple U, Cancer Ctr, Philadelphia, PA, US [Alter]  R *D Department of Health,s 2004ngConsumer Rated Outcome Measure in Western Australian Public Mental Health Services: Discussion Document{ :4Perth: Office of Mental Health, Department of Health 19 March 2004 AUS-WA-00004~$The purpose of this document is to: (a) Examine some of the concerns that have been raised with respect to the Mental Health Inventory (MHI), the consumer self report tool currently being utilised in public Mental Health Services (MHS). These concerns include the poor rates of completion to date and the lack of available normative data for an Australian clinical population. (b) Recommend a strategy for consultation that will provide direction in determining whether an alternative instrument, within scope of the available selection, may address current concerns. (c) Provide a range of stakeholders in the mental health sector, including clinicians, consumers, carers and management with an opportunity to raise issues and review and comment on the recommendation contained in this document. *#Department of Health and Aged Care, 1999Mental Health Information Development: National Information Priorities and Strategies under the Second National Mental Health Plan 1998-2003 (First Edition June 1999) NGCommonwealth of Australia, Canberra: Department of Health and Aged CaregAUS-COM-00001* *#Department of Health and Aged Care,i 2001,%Evaluation: A guide for good practiceo 6/Commonwealth Department of Health and Aged CarehAUS-COM-00013*Evaluation is a structured, staged process of identifying, collecting and considering information. Evaluation will help you to describe and understand the goals, progress and outcomes of many types of promotion and prevention initiatives. & Department of Health and Ageing, 2002jdNational Outcomes and Casemix Collection: Overview of Clinical Measures and Data Items. Version 1.02 Canberra 2,Commonwealth Department of Health and Ageing July 2002AUS-NOC-00004* & Department of Health and Ageing, 2002National Outcomes and Casemix Collection: Technical specification of State and Territory reporting requirements for the outcomes and casemix components of Agreed Data under National Mental Health Information Development Funding Agreements.Version 1.0 BBirnbaum, Gurit E. Orr, Idit Mikulincer, Mario Florian, Victor 1997\VWhen marriage breaks up: Does attachment style contribute to coping and mental health?2,Journal of Social and Personal Relationships145e643-654t Octe 0265-4075e MHI-00064 Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Israel Attachment Behavior; Coping Behavior; Divorce; Mental Health attachment style; coping & mental health; 20-61 yr olds in process of divorce; IsraelThis study examines the association between adult attachment style and the way people react to the crisis of divorce. A research group of 120 participants undergoing legal procedures related to divorce and a control group of 108 married participants were classified according to their attachment style (secure, avoidant, anxious-ambivalent) and completed the Mental Health Inventory. In addition, the divorced participants answered scales tapping appraisal of divorce and ways of coping with it. As expected, divorced participants reported more distress than married ones. This effect was found among avoidant and anxious-ambivalent participants, but not among secure participants. Significant differences were also found among attachment groups in appraisal and coping variables. Structural analyses supported the hypothesis that appraisal and coping mediate the association between attachment style and mental health during the crisis of divorce. Results are discussed in terms of attachment theory. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'.(Bar-Ilan U, Ramat Gan, Israel [Birnbaum]NHBlower, Aileen Addo, Ama Hodgson, Jessica Lamington, Linda Towlson, Kate 2004B7Peer Reviewed Journal; Empirical Study; Journal Article' Leiden University Medical Center, Dept. of Child and Adolescent Psychiatry, Oegstgeest, Netherlands [van Widenfelt, Goedhart, Treffers]; King's College London, Institute of Psychiatry, Dept. of Child and Adolescent Psychiatry, London, England [Goodman] Email Address [mailto:b.m.van.widenfelt@umail.leidenuniv.nl] Contact Individual van Widenfelt, Brigit M, Leiden University Medical Center, Dept. of Child and Adolescent Psychiatry, Curium, Endegeesterstraatweg 27, 2342 AK, [mailto:b.m.van.widenfelt@umail.leidenuniv.nl]Vandvik, Inger H.g 1990d]Mental health and psychosocial functioning in children with recent onset of rheumatic diseaseuD=Journal of Child Psychology & Psychiatry & Allied Disciplines316961-971 Sep 0021-9630 CGA-00094Human; Childhood (birth-12 yrs); Infancy (2-23 mo); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Arthritis; Psychopathology; Psychosocial Development psychopathology & psychosocial functioning; 1-17 yr olds with recent onset rheumatic disease; NorwayEvaluated mental health early in the course of juvenile rheumatic disease. 106 parents of 1-17 yr old children with this disorder were interviewed, and 98 of the children were assessed when they were hospitalized. Instruments included a child assessment schedule, the Children's Global Assessment Scale (CGAS) by J. Endicott et al (see record 1979-00080-001), and the Child Behavior Checklist (CBCL). Half of the Ss received a psychiatric diagnosis; psychosocial dysfunction of at least mild severity was found in 64% of the Ss. In polyarthritic Ss, there was a negative correlation between CGAS scores and severity of disease. CBCL scores did not differentiate between patients and siblings when scores were corrected for somatic complaints. (PsycINFO Database Record (c) 2003 APA )c,&Peer Reviewed Journal; Empirical Study'\UNational Hosp of Norway, Div of Child & Adolescent Psychiatry, Oslo, Norway [Vandvik]6/Vandvik, Inger Helene Eckblad, Gudrun Fleischer\ 1994leThe Two-Houses Technique: A clinical method for assessment of children's perception of their families"Nordic Journal of Psychiatry486401-407\ 0803-94881 CGA-00100NHHuman; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Arthritis; Attitude Measures; Child Attitudes; Family Relations; Self Perception; Psychosocial Development 2 Houses Technique; perceptions of own family; 7-16 yr olds with suspected rheumatic illnesses; Norway; psychosocial development implicationsExamined family functioning of 60 children (aged 7-16 yrs) suspected of having rheumatic illnesses, using the Two Houses technique (2HT). Relationships between quantitative findings of the 2HT and interview-based measures are explored. The 2HT is a paper and pencil projective test in which the S enumerates the people living in the household and places each family member in 1 of 2 houses drawn by the examiner. Ss also completed the Children's Global Assessment Scale (CGAS) and the Child Assessment Schedule, and one of their parents completed the Child Behavior Checklist. The 30% of Ss who forgot to include themselves one or more times in the 2HT had lower psychosocial functioning on the CGAS and had less disease severity but had been sick longer than other Ss. Cases of a 9-yr-old girl and a 5-yr-old boy both with arthritis show how the 2HT can be used in clinical work with families. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'RLRikshospitalet, Barne- og Ungdomspsykiatrisk Seksjon, Oslo, Norway [Vandvik] (r  Rickwood, AnnRidge, John A. Ries, RichardRigby, Eleanor DwyerRigby, Elizabeth Rijsdijk, F. Rizzo, P.Robbins, James M. Robert, P. Roberts, R.Robertson, Samantha Robinshaw, E.Robinson, Gail K. Robinson, K. Rock, D. Rock, Danny Rodgers, B.Rodgers, BryanRodriguez-Sacristan, J.Roeder-Wanner, Ute-Ulrike Roger, Derek Rogers, B. Rohde, L. A. Rohrbaugh, R. Roland, MRomagnoli, Giulia Roman, T. Romanelli, S.Ronning, John A. Rooney, M. Rosansky, J.Roscoe, Patricia Rosen, A. Rosen, AlanRosenberg, David R.($Rosenblatt, A., and Attkisson, C. C. Rosenheck, RARosenthal, Ted L. Rossi, F. Rossler, W Rost, KRothenberger, A.Rotheram-Borus, Mary Jane Rothman, B.Rothman, Randi L.Rothwell, Justine Rowe, RichardRowland, Nancy Roy, A. Roy, K.Roy, Marc-AndreRoy-Byrne, Peter$Royal College of PsychiatristsRubio Stipec, M.Rubio-Stipec, Maritza Rucci, P Ruggeri, MRuggiero, KennethRuggiero, Laurie Rumpf, H. J.Rumpf, Hans-JurgenRungreangkulkij, Somporn Rush, Brian@:Rushforth, D., Brooker, C., Winstanley, J. & Repper, D. T.Russell, Tamara Lynne Russo, JoanRutherford, E. M.Rutherford, Elizabeth Ruud, T. Ryan, Neal D. Ryan, Peter Rydell, A. M.Sacks, Sharon KaySafronova, Margarita V.Salamero, ManelSalisbury, Helen Salkeld, G. Salter, EmmaSalvador-Carulla, L. Samra, PamSanders, Larry SterlingSanders, Matthew R. Sanderson, K.Sanderson, KristySantor, Darcy A. Santosh, Paramala Janardhanan Sapin, C. Savarese, D.Sawyer, DonaldScahill, LawrenceSchachar, Russell J. Schaefer, E.0,Schaffer, D., Gould, M.S., Brasic, J., et al Schapira, R.Scherz, JeffreySchiffer, C. A.Schmidt, M. Diane Schmitz, M.Schneider, BobSchneider, Don P. Schneider, J.Schneider, Justine Schneider, R.Schneider, RosemarySchnell, Jeffrey L. Schnoll, R.Schnoll, Robert A. Scholle, Rita Schultz, H.Schulz, S. CharlesSchutt, Russell K. Schutze, T.Schwab Stone, M.Schwab-Stone, MarySchwarz, BenyaminSchweitzer, IsaacSchwiers, Michael L.Scott, StephenScourfield, Jane SedererSederer, L. I. Sederer, L.I. Sederer, L.I., & Dickey, B.,'Sederer, L.I., Hermann, R. & Dickey, B. Sederer, LISederer, Lloyd I.Seeman, Mary V.Seidman, Larry J. Selby, P.Seman, ChristopherSeneviratna, KnightleySenturk, DenizSeracini, Angela M.4.Services, New Jersey Division of Mental HealthSeshadri, Shekhar P. Shaffer, D.Shaffer, David Shah, J. P.Shalev, Joseph Shalit, Miri Sham, P.Shankar, Kuttalalingam K.Shapiro, David A. Sharkey, V.Sharma, Nov Rattan Sharma, V. K.Sharma, Vimal KumarSharpen, Joanna Sharry, JohnShashikiran, M. G. Shaw, Jenny Sheiham, A.Alessi, Norman E.  2003ZSQuantitative Documentation of the Therapeutic Efficacy of Adolescent Telepsychiatryf&Telemedicine Journal & e-Healthb9e3n283-289f Fal 1530-5627 CGA-00034*ngHuman; Adolescence (13-17 yrs) Us Telemedicine; Treatment Outcomes telepsychiatry; therapeutic efficacydThe following is a case report of a 15-year-old adolescent who was evaluated and treated via telepsychiatry as part of an ongoing project at the University of Michigan Health System and the Hiawatha Community Mental Health Center in Michigan. In addition to clinical information, prospective quantitative data was collected at baseline, 6 weeks, and 3 months. Measures included the Youth Self Report (YSR), Child Behavior Checklist (CBCL), Suicide Probability Scale (SPS), Reynold's Adolescent Depression Scale (RADS), Connor's Global Index--Parent Version (CGI-P), and the Children's Global Assessment Scale (CGAS). Prior to the telepsychiatry intervention, the patient was diagnosed as having bipolar disorder with psychosis. During the telepsychiatry intervention, the diagnosis was altered to a posttraumatic stress disorder; medications were discontinued and the patient improved. All scales showed reductions in severity of symptoms after the telepsychiatry interventions. This case represents the first application of adolescent telepsychiatry for the diagnosis, treatment, and tracking of clinical symptoms. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)Doi 10.1089/153056203322502678 Peer Reviewed Journal; Empirical Study; Longitudinal Study; Prospective Study; Quantitative Study; Journal Articlee'JCPsychiatric Informatics Program, Department of Psychiatry, University of Michigan, Ann Arbor, MI, US [Alessi] Email Address [mailto:nalessi@umich.edu] Contact Individual Alessi, Norman E, Psychiatric Informatics Program, Department of Psychiatry, University of Michigan, Ann Arbor, MI, US, 48109, [mailto:nalessi@umich.edu](Js XQBarbe, Remy P. Bridge, Jeffrey A. Birmaher, Boris Kolko, David J. Brent, David A.  2004xrLifetime History of Sexual Abuse, Clinical Presentation, and Outcome in a Clinical Trial for Adolescent Depression$Journal of Clinical Psychiatry651 77-83 Jan 0160-6689 CGA-00091D>Human; Male; Female; Outpatient; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Cognitive Behavior Therapy; Family Therapy; Major Depression; Sexual Abuse; Treatment Outcomes; Adolescent Development; Patient History; Supportive Psychotherapy lifetime history; sexual abuse; clinical presentation; treatment outcome; depressed adolescents; cognitive-behavioral therapy; systemic behavioral family therapy; nondirective supportive therapy; Beck Depression Inventory; Beck Hopelessness Scale Beck Depression Inventory; Beck Hopelessness Scale82Investigated the impact of sexual abuse on clinical presentation and treatment outcome in depressed adolescents. 107 adolescent outpatients, 13 to 18 years old, with DSM-III-R major depression were randomly assigned to cognitive-behavioral therapy (CBT), systemic behavioral family therapy (SBFT), or nondirective supportive therapy (NST) from Oct. 1, 1991 through May 31, 1995. Subjects were classified on the basis of the presence or absence of lifetime history of sexual abuse. Since only 1 subject assigned to SBFT had a history of sexual abuse, we restricted our analyses to those 72 subjects assigned to either CBT or NST. The impact of lifetime history of sexual abuse on service use, depression, and treatment outcome was examined. Depressed adolescents with a past history of sexual abuse were more likely, at 2-year follow-up, to have had a psychiatric hospitalization and have a depressive relapse, even controlling for maternal depression, source of referral, race, and treatment assignment. CBT was more efficacious than NST in absence of sexual abuse but was not better than NST in those with a history of sexual abuse. These findings suggest that a history of sexual abuse should be assessed not only in clinical practice, but also in research studies of depressive outcome. (PsycINFO Database Record (c) 2004 APA )f_Peer Reviewed Journal; Empirical Study; Treatment Outcomes; Quantitative Study; Journal Articlet'Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, US [Barbe, Bridge, Birmaher, Kolko, Brent] Email Address [mailto:barber@msx.upmc.edu] Contact Individual Barbe, Remy P, Western Psychiatric Institute and Clinic, Child and Adolescent Psychiatry, 3811 O'Hara Street, BFT 327, Pittsburgh, PA, US, 15213-2592, [mailto:barber@msx.upmc.edu]t*#Barkham, Michael Mellor-Clark, Johna 2000^XRigour and relevance: The role of practice-based evidence in the psychological therapies "Rowland, Nancy Goss, StephenXQEvidence-based counselling and psychological therapies: Research and applicationsP  New York, NY  RoutledgeA127-144w2000-12572-007 HON-00087 ZS*Experimentation; *Methodology; *Psychotherapy; *Treatment Effectiveness Evaluation(From the book) Offers a brief critique of the failings of the randomized controlled trial (RCT) methodology in assessing psychological therapies and suggests that practice-based evidence should help determine evidence-based practice, along with the contributions of RCTs and qualitative methods. It is suggested that therapists and researchers in practice research networks can collaborate to collect and analyze large bodies of effectiveness, rather than efficacy, data, and that such observational or audit data, while lacking the rigor of RCT methods, may be more clinically relevant than that gathered under experimental conditions. The authors touch upon the strengths of efficacy studies, those carried out with scientific rigor in optimum conditions, but highlight their limitations in terms of their lack of relevance and representativeness in clinical settings that can rarely, if ever, achieve such idealistic conditions. However, they suggest that there should be a greater emphasis on the interface between efficacy and effectiveness studies, and describe models which attempt to link the two approaches. The authors conclude by outlining the need for a national effectiveness initiative. (PsycINFO Database Record (c) 2003 APA )d]New York, NY : Routledge. xvi, 216 pp. 0415205069 (hardcover); 0415205077 (paperback) English|vBarkham, M. Margison, F. Leach, C. Lucock, M. Mellor-Clark,J. Evans, C. Benson, L. Connell, J.Audin, K. and McGrath, G 2001yService profiling and outcomes benchmarking using the CORE-OM: towards practice-based evidence in psychological therapies4-Journal of Consulting and Clinical Psychology692184-196 OUT-MH-00006*To complement the evidence-based practice paradigm, the authors argued for a core outcome measure to provide practice-based evidence for the psychological therapies. Utility requires instruments that are acceptable scientifically, as well as to service users, and a coordinated implementation of the measure at a national level. The development of the Clinical Outcomes in Routine EvaluationOutcome Measure (COREOM) is summarized. Data are presented across 39 secondary-care services (n = 2,710) and within an intensively evaluated single service (n = 1,455). Results suggest that the COREOM is a valid and reliable measure for multiple settings and is acceptable to users and clinicians as well as policy makers. Baseline data levels of patient presenting problem severity, including risk, are reported in addition to outcome benchmarks that use the concept of reliable and clinically significant change. Basic quality improvement in outcomes for a single service is considered.~DvKubota, Hiroya 1991@:Health, stress, and productivity in the Japanese workforce $Green, Gareth M. Baker, Franko$Work, health, and productivity165-1780195057783 (hardcover) MHI-00067V("Japan Databases; Employee Characteristics; Health emphasizes the need for a reliable & valid database that can serve as a foundation for assessing the health status & needs of an organization & its workers; describes such a data system; the Japan Productivity Center Mental Health Inventory(From the book) suggests that, like humans, workplaces can be regarded as passing through various states of health and ill health; and like individuals, organizations must acknowledge the importance of maintaining and improving health / emphasizes the importance of having a reliable and valid database that can serve as a foundation for assessing the health status and needs of the organization and its workers describes such a data system, the Japan Productivity Center (JPC) Mental Health Inventory, which is designed to determine both the physical and mental health of employees and the overall condition of the entire work organization / describes the Japanese health inventory and its uses (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Researche'LEJapan Productivity Ctr, Inst for Mental Health, Tokyo, Japan [Kubota]eKush, Francis R. 2001VOPrimary care and clinical psychology: Assessment strategies in medical settingsy82Journal of Clinical Psychology in Medical Settings8r4219-228c Decy 1068-9583 BAS-00014*Human Clinical Psychology; Comorbidity; Integrated Services; Measurement; Primary Health Care; Strategies primary care; clinical psychology; assessment strategies; medical settings; medical-psychological comorbidityThere is ample evidence regarding medical-psychological comorbidity to consider clinical psychology as a viable component of health care services in medical settings. Psychologists can become valuable assets to primary care physicians who treat a high number of primary psychiatric cases as well as medical cases with secondary psychological symptoms. Psychologists who function in hospital-based clinics as well as affiliates with primary care offices can provide empirically supported assessment services that can make treatment more effective and more efficient. Multiple studies indicate high prevalence rates of psychiatric patients in primary care settings using various instruments. This paper reviewed selected assessment tools that have established diagnostic validity and reliability that can be both strategic for patient care and useful to reinforce psychologist collaboration with primary care physicians. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)JDDoi 10.1023/a:1011973027283 Peer Reviewed Journal; Literature Review'&Allegheny U of the Health Sciences, Psychology Dept, Staunton Clinic, Sewickley, PA, US [Kush] Contact Individual Kush, Francis R, Staunton Clinic, Psychology Department, Allegheny University of the Health Sciences, 720 Blackburn Road, Sewickley Valley Hospital, Sewickley, PA, US, 15143pPJKymissis, Paul Christenson, Elizabeth Swanson, Arthur J. Orlowski, Barbara 1996b[Group treatment of adolescent inpatients: A pilot study using a structured therapy approach2+Journal of Child & Adolescent Group Therapyn6l1n 45-52i Marn 1053-0800s CGA-00074&pjHuman; Inpatient; Adolescence (13-17 yrs) Group Psychotherapy; Hospitalized Patients; Psychiatric Patients; Psychodynamics; Adjustment; Art Therapy; Assertiveness; Peer Relations; Sociability structured psychodynamic group art therapy technique; global functioning & interpersonal assertiveness & sociability & responsibility; 13-17 yr old psychiatric inpatients("Describes a research pilot study using a structured psychodynamic art therapy technique (Synallactic Collective Image Therapy [SCIT]) vs a discussion group on an adolescent psychiatric inpatient unit. Results were measured using the Children's Global Assessment Scale and the Inventory of Interpersonal Relationships. Patients in both the SCIT group and the discussion group showed significant improvement in global functioning, with SCIT members showing the greatest improvement. No significant differences were found in either group on the interpersonal variables of Assertiveness, Sociability, or Responsibility from pre- to posttreatment. Anecdotal data suggest that the patients enjoyed the SCIT group and that using art work facilitated the group process. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'New York Medical Coll/Westchester County Medical Ctr, Psychiatric Institute, Div of Child & Adolescent Psychiatry, Valhalla, NY, US [Kymissis]2,Lachar, D Bailley, SE Rhoades, HM Varner, RV 1999Use of BPRS-A percent change scores to identify significant clinical improvment: accuracy of treatment response classification in acute psychiatric inpatientsPsychiatry Research89259-268 OUT-MH-00046*-~wBrief Psychiatric Rating Scale; Program evaluation; Drugs; Psychotropic; Psychometrics; Classification; InstrumentationiUse of Brief Psychiatric Rating Scale (Overall J.E., Gorham D.R., 1988. The Brief Psychiatric Rating Scale : recent developments in ascertainment and scaling. Psychopharmacology Bulletin 24, 97-99) percent change scores PCSs to measure treatment effects may be problematic because two different item-weighting systems 0-6 and 1-7 have been employed to represent the seven rating options and PCSs have demonstrated sensitivity to the item-weighting system used. This study compared the ability of a range of BPRS total scale PCS categories generated by both item-weighting procedures to predict estimates of clinical improvement in a large N=1415 heterogeneous acute sample of adult psychiatric inpatients. Results revealed significant differences between the two scaling systems in the proportion of patients classified into categories of PCS symptom improvement. Additional analysis suggested different optimal predictive PCS classifications for each item-weighting system: >19% for 1-7 and >39% for 0-6. Guidelines for BPRS publications are presented to facilitate study interpretation and replication. In light of their demonstrated limitations, it is suggested that the use of BPRS PCSs to measure treatment effects be reconsidered.T 4J02,Walker, W. O. LaGrone, R. G. Atkinson, A. W. 1989RLPsychosocial screening in pediatric practice: Identifying high-risk children60Journal of Developmental & Behavioral Pediatrics103\134-138 Jun\ 0196-206X CGA-00029Human; Childhood (birth-12 yrs); School Age (6-12 yrs) At Risk Populations; Pediatrics; Psychosocial Development; Screening Tests; Test Validity validity of Pediatric Symptom Checklist; psychosocial screening; at risk 6-12 yr olds at military outpatient pediatric clinicl|vEvaluated the effectiveness of the Pediatric Symptom Checklist (PSC) as a psychosocial screening instrument administered to 212 patients (aged 6-12 yrs) at a military outpatient pediatric clinic. 21 Ss with scores in the high-risk range were randomly selected and matched with children scoring in the normal, not-high-risk range. Two trained interviewers, blind to individual PSC scores, independently interviewed and rated each S's levels of psychosocial functioning on the Children's Global Assessment Scale (CGAS). The Child Behavior Checklist (CBCL), a standardized psychosocial measure, was also completed by each S's mother. PSC scores were compared to the CGAS and CBCL scores in terms of sensitivity and specificity. Results suggest that the PSC is a valid pediatric psychosocial screening instrument for multiethnic patient populations. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical StudyWalker, Steven 2003VOMultidisciplinary family support in child and adolescent mental health servicesy,&Clinical Child Psychology & Psychiatry8 2\215-226n Aprh2003-03862-007 HCA-00020i*Early Intervention; *Family; *Mental Disorders; *Mental Health Services; *Models; Adolescent Psychotherapy; Child Psychotherapy; Mental Health; Social Support Networks; Trendsb[The increasing incidence and upward trends detected in child and adolescent mental health problems over the past 25 years, nationally and internationally, have caused concern among children and young people, parents or carers, professionals and politicians. In the UK, recent governments have focused attention on this problem, commissioned research and begun to implement measures to provide a response to the growing numbers of troubled children and young people. This article details the development of a multidisciplinary initiative designed to stimulate innovative ideas in the field of early intervention and relieve demand on the specialist child and adolescent mental health services. External evaluation of the service took place over a two-year period using an inclusive qualitative model. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)Englishhttp://www.sagepub.com:4Wallace, C. J. Lecomte, T. Wilde, J. Liberman, R. P. 2001rkCASIG: A consumer-centered assessment for planning individualized treatment and evaluating program outcomespSchizophrenia Research50 1-2 105-19 Schizophr Res` 0920-9964` BAS-00028*Community Mental Health Services organization and administration; Consumer Advocacy; Health Planning; Schizophrenia therapy Activities of Daily Living; Adult ; Middle Aged; Program Evaluation; Psychometrics statistics and numerical data; Quality of Life; Questionnaires ; Reproducibility of Results; Schizophrenia diagnosis; Severity of Illness Index; Social Adjustment; Treatment Outcome Female; Human; Male; Support, Non U.S. Gov'tR.'This paper reports the psychometric characteristics of a measure that assesses the treatment outcomes of individuals with serious and persistent mental illness. Unlike other outcome measures, this one is designed to be embedded in the clinical process of planning and evaluating treatment. It collects individualized data, structures how the data are used to plan and evaluate a client's treatment, and produces aggregate information relevant for research and program purposes. Two parallel versions were developed: one for the client's self-report, and one for an informant's report.The self-report measure was administered by peer-interviewers to 244 community interviewees, and by inpatient peer-interviewers to 93 inpatient interviewees. The community interviewees also completed the BASIS-32 and SF-36. Informants for 103 of the community interviewees completed the informant version of the measure, and the CCAR. Inpatient staff completed the informant version for 161 inpatient residents without regard for matching the 93 inpatient interviewees.The two versions had acceptable internal consistency, test--retest, and interrater reliabilities. Correlations of the community interviewees' and informants' results with the BASIS-32, SF-36, and CCAR provided evidence of convergent and discriminant validity, as did contrasts between community and inpatients interviewees.The usefulness of the instrument for clinical, program and research purposes is discussed, with emphasis on the characteristics that enhance its value in clinical practice --- assessment of meaningful outcomes, operationalization of client empowerment, comprehensiveness, easy administration, and continuity across time and provider. Also discussed is a computer-based program to summarize and present the results in a rapid, clinically meaningful manner.May 30 English\UScienceDirect (tm) http://www.sciencedirect.com/science?10.1016/S0920-9964(00)00068-2'UCLA Intervention Research Center for Schizophrenia, Department of Psychiatry, Neuropsychiatric Institute, 760 Westwood Plaza, Los Angeles, CA 90024, USA. cwall886@concentric.net.'Wallander, Jan L. Noojin, Ashley Bryante 1995d]Mothers' report of stressful experiences related to having a child with a physical disabilityChildren's Health Care244e245-256 Fale*#0273-9615 Electronic ISSN 1532-6888 MHI-00051Human; Female; Adulthood (18 yrs & older) Chronic Illness; Mothers; Physical Disorders; Psychological Stress; Social Stress psychosocial stressors; mothers of children with chronic motor or sensory disabilityInvestigated the psychosocial stressors experienced by 119 mothers of children with a chronic motor or sensory disability. Ss described the most bothersome thing that had happened to them related to their child's disability, and completed the Physical Health Measure and the Mental Health Inventory. Four domains of concern were indicated: medical and legal concerns, concerns for the child, concerns for the family, and concerns for the self. Further subdivisions were also determined. None of the demographic variables were found to associate with the type of concern reported. Specifics of the child's condition were related to the types of problems described. Ss who reported problems in the area of concerns for the self also reported poorer physical health. Neither maternal mental health nor maternal physical health were related to other types of concern reported by the mother. (PsycINFO Database Record (c) 2003 APA )),&Peer Reviewed Journal; Empirical Study'PIU Alabama, Civitan International Research Ctr, Birmingham, US [Wallander]uF?Walter, G Kirkby, K Marks, I Whiteford, H Andrews, G Swinson, R  1996<5Outcome measurement: sharing experiences in AustraliafAustralasian Psychiatry}4e6n316-318l OUT-MH-00060"Walter, G Kirkby, K Marks, I 1998PIGetting better: outcome measurement and resource allocation in psychiatrydAustralasian Psychiatryi6w5 252-254f OUT-MH-00051*HumanZSFortney, J., Sullivan, G., Williams, K., Jackson, C., Morton, S. C., and Koegel, P.  2003NHMeasuring continuity of care for clients of public mental health systemsHealth Services Research384 1157-1175 August 2003 MIS-00017*:4Continuity of care, homeless, serious mental illnessObjectives. The aims of this research were to generate a set of time-variant measures of continuity of outpatient care using administrative data, and to evaluate the validity of thesemeasures for persons in the community with serious mental illness (SMI) who use public mental health services. Data Sources. Individuals with SMI were identified using multistage random sampling from shelters, streets, and public mental health clinics in Houston, Texas. Study Design. The study design was observational, cross-sectional, and retrospective. Based on a review of the literature, five distinct conceptual dimensions of continuity of care were defined: timeliness, intensity, comprehensiveness, stability, and coordination. Repeated measures of continuity were generated for each day of the year. Construct validity was assessed by comparing continuity for housed persons and homeless persons based on the assumption that homelessness is a risk factor for low continuity of outpatient care. Data Collection. Subjects were interviewed to collect sociodemographic and clinical information. Service use was retrospectively tracked through the administrative records of multiple public sector agencies. Principal Findings. All five continuity measures demonstrated good construct validity by the fact that homelessness was significantly ( po0.001) and substantially associated with lower continuity of care. Discussion. The five continuity-of-care measures are relatively easy and inexpensive to generate using administrative data. The five continuity-of-care measures may be useful for identifying individuals at risk for poor outcomes and for evaluating the ability of public service systems to keep clients engaged in care over time.x Perceptions of psychologists and school-based professionals regarding collaboration in mental health services for children and adolescentsRussell, Tamara Lynnec  George Fox U.oBetween 12 and 22% of school-age children in the United States are experiencing mental health problems significant enough to adversely impact their education. Effective intervention requires coordination between the programs and initiatives of a variety of groups. Such coordination works best when there is a common understanding of the seriousness of the mental health problem, targeted service provision, and a school placement that meets the child's needs. The purpose of this study was to explore the similarities and differences of perceptions held by psychologists and educators on these issues. Participants included 23 psychologists and 62 educators who rated ten scenarios of children's behavior for severity of the mental health problem, ideal service provider, the need for multi-agency services, and suggested school placement. The scenarios were based on the Children's Global Assessment Scale and were graded by a panel of psychologists to represent a spectrum of mental health disorders. Though only small differences were found, psychologists perceived a problem as more significant than did educators in 20% of the cases. A second difference found those educators and psychologists with 11 or more years of experience perceived problems as more serious than did those with less than 11 years of experience in 20% of the scenarios. Psychologists suggested that the ideal mental health service provider was a psychologist 59% of the time while educators selected a psychologist as the best provider in 22% of their responses. Implications for coordination of services based on the study's findings are discussed. (PsycINFO Database Record (c) 2003 APA )h 2001Availability UMI Dissertation Order Number AAI9991097 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 61(10-B), May 2001, pp. 5580 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Us Cooperation; Educational Personnel; Mental Health Services; Psychologists psychologists; educators; collaboration; mental health services; children; adolescentsnd mental health: Unraveling community and individual level relationships2+Journal of Mental Health Policy & Economics44197-203` Dec*#1091-4358 Electronic ISSN 1099-176X2 MHI-00049gHuman Us Income Level; Mental Disorders; Mental Health; Psychosocial Factors; Socioeconomic Status; Community Services income level; mental health status; socioeconomic environment; community health care Explores the relationships between mental disorder and individual socioeconomic status and socioeconomic environment, with particular attention to both the level and dispersion of community income and to their interactions with individual income. 6,925 individuals participated in this study. The dependent variable is individual mental health status, measured by the 5 item Mental Health Inventory (MHI-5; average 80.6) and an indicator of probable anxiety or mood disorder based on clinical screening instruments (positive for 14.3 percent of respondents in the sample). MHI-5 decreases (indicating worse mental health), and the probability of an anxiety or depressive disorder increases continuously from the highest to the lowest quintiles of family income. Within-quintile own income level is also strongly associated with mental health among lower income individuals. There was no evidence that higher levels of income inequality are associated with poor mental health outcomes, measured either by the probability of disorder or MHI-5. Regarding income level, MHI-5 is 3.4 to 3.5 points higher among low income individuals in medium or high income states compared to those in low income states. (PsycINFO Database Record (c) 2003 APA )t,&Peer Reviewed Journal; Empirical Study'D>RAND, Arlington, VA, US [Gresenz]; RAND, Santa Monica, CA, US [Sturm]; UCLA Neuropsychiatric Inst, Health Services Research Ctr, Los Angeles, CA, US [Tang] Email Address [mailto:gresenz@rand.org] Contact Individual Gresenz, Carole Roan, 1200 South Hayes Street, Arlington, VA, US, 22202-5050, [mailto:gresenz@rand.org]nhTousignant, Michel Habimana, Emmanuel Biron, Colette Malo, Claire Sidoli-LeBlanc, Esther Bendris, Naiema 1999ngThe Quebec Adolescent Refugee Project: Psychopathology and family variables in a sample from 35 nations F@Journal of the American Academy of Child & Adolescent Psychiatry3811 1426-1432 Nov 0890-8567 CGA-00050*,&Human; Male; Female; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Canada Epidemiology; Family Relations; Human Sex Differences; Psychopathology; Refugees psychopathological epidemiology & family variables; 13-19 yr old males vs females from refugee familiesPresents the results of a psychiatric epidemiological survey using a sample of 203 adolescents (aged 13-19 yrs) from Canadian refugee families, coming from 35 countries. Psychopathology was assessed with the Diagnostic Interview Schedule for Children Version 2.25 and general functioning with the Children's Global Assessment Scale (CGAS). The total rate of psychopathology excluding simple phobia was 21% compared with 11% in a province-wide survey of young adolescents. Overanxious disorder had a high prevalence of 13%. The rates of major depression and conduct disorders were also high, at 5% and 6%. The rate of 3% of attempted suicide was similar to the rate found in Montreal high schools. Girls had a higher rate of psychopathology than boys, with a gender ratio similar to the one found in the provincial survey. Father's long-term unemployment in the 1st year of settlement was associated with psychopathology for the whole sample, and family structure was associated with psychopathology for boys only. The high rate of psychopathology in this group confirmed results from other surveys with similar samples. On the other hand, the CGAS scores indicated that many of the adolescents with a diagnosis had good social adaptation. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study':3U Quebec, LAREHS, Montreal, PQ, Canada [Tousignant]81Trauer, Thomas Duckmanton, Robert A. Chiu, Edmondd 1995F?The Life Skills Profile: A study of its psychometric propertiese60Australian and New Zealand Journal of Psychiatry293492-499d Sep 0004-8674 LSP-00040nhaHuman; Adulthood (18 yrs & older); Aged (65 yrs & older) Factor Structure; Profiles (Measurement); Psychiatric Patients; Test Reliability; Test Validity; Communication Skills; Self Care Skills; Social Skills factor structure & interrater reliability & internal consistency & validity of Life Skills Profile; 20-67 yr old psychiatric patients; AustraliaExamined the factor structure, inter-rater reliability, internal consistency, familiarity of rater with the patient, and validity of the Life Skills Profile ([LSP]; A. Rosen et al, 1989). Mental health professionals rated 200 psychiatric patients (aged 20-67 yrs) using the LSP and the Resource Associated Functional Level Scale ([RAFLS]; H. S. Leff et al, 1985). Factor analyses confirmed the existence of the Self-care and the Non-turbulence scales. The interrater reliability was low for 4 of 5 subscales of LSP, whereas the internal consistency was high for all, except for the Communication subscale. Self assessed familiarity of raters with the Ss was significantly related to the Social Contact and Withdrawal subscales. Validity was assessed by relating scores on LSP to the locus of care (i. e., community or hospital), RAFLS and Brief Psychiatric Rating Scale, and was found to be satisfactory. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'PJMonash U, Dept of Psychological Medicine, Clayton, VIC, Australia [Trauer],%Trauer, T. Duckmanton, R. A. Chiu, E.a 1997TMThe assessment of clinically significant change using the Life Skills Profile{60Australian and New Zealand Journal of Psychiatry312 257-63Aust N Z J Psychiatry 0004-8674 LSP-00026VPMental Disorders rehabilitation Treatment Outcome Human; Support, Non U.S. Gov't2,OBJECTIVE: In the context of the need to develop practical outcome measures, the present study aimed to assess the sensitivity of the Life Skills Profile (LSP) in terms of differences between hospital-based and community-based clients, and to assess the sensitivity of the LSP to changes over time. In this way, criteria could be established whereby the LSP could be used to determine appropriate changes in locus of care, both in terms of the "cut-off' for hospital-based and community-based tenure, and the level of "clinically significant change' in functioning. METHOD: The LSP was administered at 3-monthly intervals to 200 clients of an area public mental health service with serious mental illness over a 21-month period. Locus of care (hospital or community) was noted at each administration. RESULTS: Clients in the community scored significantly better than those in hospital, however there was a great deal of overlap. Using hospital or community tenure as the variable of interest, a measure of reliable and clinically significant change over a 3-month period based on the LSP was developed. A total LSP score of 116.5 or above best discriminated clients in the community from those in hospital, and a difference of 18 points or more in two LSP obtained 3 months apart was unlikely to have arisen by chance. A simple, two-part criterion of significant change based on these results showed 89% accuracy in matching transition (or lack of transition) between hospital and community with changes in LSP scores. CONCLUSIONS: The results need to be understood within the methodological limitations of the present study. The findings provide users of the LSP with guidelines for the interpretation of repeat assessments. This may encourage more services to use formal reassessment methods to monitor the progress of their clients. Apr Englishe'6/Junction Clinic, St Kilda, Victoria, Australia.  Trauer, T. 1998:4Issues in the assessment of outcome in mental health60Australian and New Zealand Journal of Psychiatry32337-343i OUT-MH-00017 Tz,Trauer, T. Tobias, G.  2004The Camberwell Assessment of Need and Behaviour and Symptom Identification Scale as routine outcome measures in a psychiatric disability rehabilitation and support service&Community Mental Health Journal0403211-221 Jun2004-95144-003 BAS-00048*~w*need assessment; mental health; schizophrenia spectrum disorder; psychiatric disability rehabilitation support serviceb\While routine outcome measurement is being progressively introduced into mental health services, there is little evidence of its potential in disability rehabilitation and support services. We report the introduction of a measure of need and a self-report measure of mental health problems in such a service in which most of the consumers have a principal diagnosis of a schizophrenia-spectrum disorder. We found that just over half of the consumers with a key worker were able and willing to complete these instruments. On average, consumers' self-ratings suggested only moderate levels of mental health problems, and consumers with schizophrenia identified lower levels of need than their key workers. Assessments of need showed more stability over time than assessments of mental health problems. (PsycINFO Database Record (c) 2004 APA ) (journal abstract ) Trauer, T. Eagar, K. 2004<6New Zealand Mental Health Consumers and their Outcomes 60Health Research Council of New Zealand: Auckland NZ-00004*d  Trauer, T. Buckingham, B.  2004National Outcomes and Casemix Collection Discussion Paper - The Health of the Nation Outcome Scales (HoNOS): Towards an Agenda for Future Development Canberra 0)Adult Mental Health Outcomes Expert Groupz>8Tripathi, B. M., Lal, Rakesh Jhingan, H. P. Gupta, Sumit 2001"Disability in mental illness0)Journal of Personality & Clinical Studiesp171 1-8l Mare 0970-1206 LSP-00064}Human Affective Disorders; Anxiety Disorders; Schizophrenia disability; schizophrenia; affective disorders; anxiety disordersw"Reviews research on disability associated with schizophrenia, affective disorders, and anxiety disorders in adults. The disability is not necessarily related to the severity of symptoms, and improvement in the symptoms may not lead to a synchronous reduction in disability. Since clinical practice is directed mainly toward symptom reduction, it is important to document disability and then plan towards its reduction to ease the burden on the caregiver and improve quality of life for the patient. (PsycINFO Database Record (c) 2003 APA ).(Peer Reviewed Journal; Literature Review'ZSAll India Inst of Medical Sciences, Dept of Psychiatry, New Delhi, India [Tripathi]a TriWest Group, 200182An Assessment of Community Mental Health Resources Colarado USA-CO-00005*r\UTruman, J. Robinson, K. Evans, A. L. Smith, D. Cunningham, L. Millward, R. Minnis, H.v 2003tnThe Strengths and Difficulties Questionnaire: A pilot study of a new computer version of the self-report scale,&European Child & Adolescent Psychiatry121P 9-14 Marw*#1018-8827 Electronic ISSN 1435-135Xa SDQ-00024*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) United Kingdom Computer Assisted Testing; Psychopathology; Self Report; Test Forms; Test Reliability; Computer Attitudes; Interrater Reliability; Questionnaires; Satisfaction computerized self-report Strengths & Difficulties Questionnaire; paper version; child & adolescent clinical & community sample; test-retest & inter-rater reliability; user satisfactionh:4A computer-based version of the self-report Strengths and Difficulties Questionnaire (SDQ) was developed with colorful graphics illustrating each question. 102 children referred to child and adolescent mental health services were recruited and randomly allocated to complete either the new computer-based version or the paper original. A further 112 children from local schools were recruited and completed the computer-based version of the scale. All study participants were aged 8 to 15 yrs. The paper version of the SDQ is recommended for use in children aged 11 and over and, in this age group, the computer-based questionnaire was able to discriminate between the clinical and community sample. Comparison of the paper-based SDQ and computer-based SDQ within the clinic sample found trends towards better test-retest reliability, inter-rater reliability and significantly better user satisfaction in the computer version compared to the paper-based version. The computer-based SDQ has the added advantage of results being automatically added to a spreadsheet out of view from the user reducing the chance of operator error in coding and entering the data. These preliminary results suggest that the computer-based version of the SDQ may represent a further improvement on the paper SDQ. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'xrU Glasgow, Dept of Child & Adolescent Psychiatry, Yorkhill NHS Trust, Glasgow, United Kingdom [Truman, Cunningham, Millward, Minnis]; Southern General Hosp, Dept of Clinical Physics, Glasgow, United Kingdom [Evans, Smith] Contact Individual Minnis, H, Dept of Child & Adolescent Psychiatry, U Glasgow, Yorkhill NHS Trust, Caledonia House, Glasgow, United Kingdom, G3 8SJ_  1 Pearlin, L., & Turner, R.t 2003d]Part I. An Emerging Synthesis in the Social Stress Model of Mental Health and Mental DisorderorkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00026*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughoutd]Penades, Rafael Boget, Teresa Catalan, Rosa Bernardo, Miquel Gasto, Cristobal Salamero, Manel 2003hbCognitive mechanisms, psychosocial functioning, and neurocognitive rehabilitation in schizophreniaSchizophrenia Research633i219-227i Oct; 0920-9964c LSP-00035*"Human; Male; Female; Outpatient; Adulthood (18 yrs & older) Spain Cognitive Ability; Cognitive Impairment; Cognitive Rehabilitation; Schizophrenia; Treatment Outcomes; Models cognitive disorders; psychosocial functioning; Brenner's model; neurocognitive rehabilitation; schizophrenia; integrated psychological treatment; cognitive functioning; Positive and Negative Syndrome Scale; Wechsler Memory Scale--Revised; Wisconsin Card Sorting Test Positive and Negative Syndrome Scale; Wechsler Memory Scale--Revised; Wisconsin Card Sorting TestthbThe aim of the present study is to test Brenner's model of cognitive functioning in schizophrenia. It is assumed that elementary cognitive disorders (attention and encoding) and complex cognitive disorders (recall, concept formation) reinforce each other. Cognitive disorders are supposed to cause detrimental effects on functional outcome. We used cognitive rehabilitation as a strategy to induce cognitive changes in 27 patients assigned to treatment groups following the cognitive modules of the Integrated Psychological Treatment (IPT). Ten schizophrenic patients without cognitive impairments worked as a control group. With only one minor conceptual change (replacing concept formation with executive function, a more comprehensive construct), we found that our data fitted with Brenner's model. A relationship has been found between neuropsychological improvements and higher levels of autonomy and social functioning. These findings have important implications not only for cognitive assessment but also for selecting targets in cognitive rehabilitation. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)tmDoi 10.1016/s0920-9964(02)00359-6 Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'Institute of Biomedical Research August Pi i Sunyer (IDIBAPS), Barcelona, Spain [Penades, Bernardo, Salamero]; Clinical Institute of Psychiatry and Psychology, Hospital Clinic, Barcelona, Spain [Boget, Catalan, Gasto] Email Address [mailto:tboget@clinic.ub.es] Contact Individual Boget, Teresa, Servei de Psicologia Clinica, Hospital Clinic i Provincial, Villarroel 170, 08036, [mailto:tboget@clinic.ub.es] HBPennsylvania Office of Mental Health and Substance Abuse Services, 2001zsAdult Consumers' Evaluation of Behavioural Health Choices Program SouthEast Pennsylvania: FY 2000. Technical Reporte USA-PA-00002*a4.Pennsylvanias Mental Health Planning Council, 2003\UAn OMHSAS overview of the federal Block Grant and its new data reporting requirements USA-PA-00001*t Petrie, Keith 1989d^Psychological well-being and psychiatric disturbance in dialysis and renal transplant patients,%British Journal of Medical Psychology621 91-96a Marw 0007-1129p MHI-00040nHuman; Adulthood (18 yrs & older) Dialysis; Kidneys; Mental Health; Organ Transplantation; Psychopathology; Adjustment mental health & adjustment & incidence of psychopathology; patients in dialysis treatment or with renal transplant; New Zealand<6Assessed the rate of psychiatric morbidity and levels of psychological well-being and distress in 75 dialysis, 30 renal transplant, and 126 general practice adult patients. Dialysis Ss suffered from significantly higher rates of psychiatric morbidity, with 43% falling into the probable psychiatric case range on the General Health Questionnaire. Results from a mental health inventory also showed dialysis Ss had a significantly poorer level of psychological adjustment than the other groups. While positive mental health states in dialysis Ss were not significantly different from transplant and general practice controls, higher rates of psychological distress were found in dialysis Ss. Distress was characterized by a loss of emotional control and higher levels of depression. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'HBWaikato Hosp, Dept of Psychological Medicine, New Zealand [Petrie].(Pfeffer, C. R. Jiang, H. Domeshek, L. J. 1997Buspirone treatment of psychiatrically hospitalized prepubertal children with symptoms of anxiety and moderately severe aggression82Journal of child and adolescent psychopharmacology73o 145-55&J Child Adolesc Psychopharmacoly 1044-5463  CGA-00076NpiAggression ; Anxiety drug therapy; Buspirone therapeutic use; Child Behavior Disorders drug therapy; Serotonin Agonists therapeutic use Anxiety psychology; Buspirone adverse effects; Child ; Child Behavior Disorders psychology; Psychiatric Status Rating Scales; Serotonin Agonists adverse effects; Suicide psychology Female; Human; Male; Support, Non U.S. Gov'tpVPOpen-label buspirone was studied in 25 prepubertal psychiatric inpatients (age 8.0 +/- 1.8 years, 76% boys) presenting with anxiety symptoms and moderately aggressive behavior. Patients with severe aggression, requiring rapid treatment with mood stabilizers or neuroleptics, were excluded. A 3-week titration (maximum 50 mg daily) preceded a 6-week maintenance phase at optimal dose. Buspirone was discontinued in 6 children (25%): 4 developed increased aggression and agitation, and 2 developed euphoric mania. For the 19 patients who completed the study, mean optimal dose was 28 mg daily. Among completers, depressive symptoms were reduced 52% by Week 6 on Children's Depression Inventory (p < or = 0.001). Decreased aggressivity was reflected in a 29% reduction on Measure of Aggression, Violence, and Rage in Children [MAVRIC] ratings (p < or = 0.02) and in 86% less time in seclusion or physical restraints (p < or = 0.02). Clinical Global Assessment scores improved (CGAS 41 vs. 54, p < or = 0.01). Only 3 children improved sufficiently to continue buspirone after the study. Residual aggressivity and global functioning remained problematic. Buspirone may pose behavioral risks in treating moderate aggressivity in 24% of children with anxiety; in the others, the therapeutic effects on aggression, anxiety, and depression were limited but significant.English 'rlDepartment of Psychiatry, New York Hospital-Cornell Medical Center, Westchester Division, White Plains, USA..'Thomsen, Per Hove Mikkelsen, Hans Ulrik 1995|uCourse of obsessive-compulsive disorder in children and adolescents: A prospective follow-up study of 23 Danish casessF@Journal of the American Academy of Child & Adolescent Psychiatry3411 1432-1440n Novr 0890-85678 CGA-00049*2,Human; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Comorbidity; Disease Course; Obsessive Compulsive Disorder; Longitudinal Studies comorbidity & course & global functioning; 7-17 yr olds with obsessive compulsive disorder; Denmark; 5 yr studyExamined the course of obsessive compulsive disorder (OCD) in childhood and adolescence, and comorbidity and global functioning at follow-up 1.5 to 5 yrs later, when medication and behavioral therapy were available. 23 Danish Ss (aged 12-22 yrs at the 5 yr follow-up) were compared with 24 age and sex matched psychiatric controls. Interviews were conducted with the Ss and their parents every 6 mo. The Children's Global Assessment Scale (D. Shaffer et al, 1983) was used to assess global functioning and The Child Assessment Schedule (K. Hodges, 1985) assessed comorbidity at follow-up. 50% of Ss retained an OCD diagnosis at follow-up. 33% had an episodic course of the illness, and 66% had chronic OCD. Three controls had subclinical OCD symptoms. 13 Ss received medication for 2 yrs, which reduced severity of OCD. It is concluded that OCD is an illness with fluctuating severity. (PsycINFO Database Record (c) 2003 APA )@:Peer Reviewed Journal; Empirical Study; Longitudinal Study'>7Children's Psychiatric Hosp, Risskov, Denmark [Thomsen]Thomsen, P. H. 1997zsChild and adolescent obsessive-compulsive disorder treated with citalopram: findings from an open trial of 23 cases 82Journal of child and adolescent psychopharmacology7h3P 157-66&J Child Adolesc Psychopharmacol  1044-5463r CGA-00075lHBCitalopram therapeutic use; Obsessive Compulsive Disorder drug therapy; Serotonin Uptake Inhibitors therapeutic use Adolescent ; Child ; Child, Preschool; Citalopram adverse effects; Obsessive Compulsive Disorder psychology; Psychiatric Status Rating Scales; Serotonin Uptake Inhibitors adverse effects Female; Human; MaleThe adverse effects and potential clinical value of citalopram, a highly selective serotonin reuptake inhibitor, were examined in 23 children and adolescent (9-18 years old, 11 boys) with obsessive-compulsive disorder (OCD) in an open-label trial of citalopram 10-40 mg (modal 40 mg) daily. After 10 weeks of citalopram treatment, statistically significant improvements were reflected in OCD symptom ratings (mean Total Y-BOCS/CY-BOCS scores, 30 +/- 4 vs. 21 +/- 4, p < 0.001) and global assessment scores (mean CGAS, 59 +/- 11 vs. 71 +/- 11, p < 0.001). Over 75% of these youth showed a marked improvement (4 patients had more than 50% reduction in CY-BOCS scores) or moderate improvement (14 patients had 20%-50% reduction) in OCD symptoms. No patient was found to have worsened during citalopram treatment. Adverse effects appeared minor and transient. None of the 23 patients dropped out of the study or had the medication discontinued because of side effects. These open trials of citalopram do not allow for any firm conclusions regarding its effectiveness in the treatment of childhood and adolescent OCD, but these preliminary findings suggest that citalopram might be particularly well-tolerated in children and adolescents with OCD at doses up to 40 mg daily.English'^WResearch Center, Psychiatric Hospital for Children and Adolescents in Risskov, Denmark.n Thornicroft, G Tansella, M 1999^WTranslating ethical principles into outcome measures for mental health service researchPsychological Medicine29761-769  OUT-MH-00048*Background. Mental health service research continues to use only outcome measures that are available rather than develop measures that are important. This paper argues that it is necessary to select and then dene a set of ethical principles that can be operationalized and validated as outcome measures to provide a wider balance of information for health policy and clinical service decisions. Methods. The method used is to adopt a ve stage procedure: (i) to select ethical principles most directly relevant for mental health services and their evaluation at the local level ; (ii) to propose denitions of these principles ; (iii) to validate these denitions; (iv) to translate the dened principles into operationalized outcome measures; and (v) to use these outcome measures in mental health services research, within the context of evidence-based medicine. Results. We address steps (i) and (ii) of this ve-stage procedure. Nine principles are selected and dened: autonomy, continuity, effectiveness, accessibility, comprehensiveness, equity, accountability, coordination and efficiency. These principles can together be referred to as the three ACEs. Conclusions. Of these nine principles, only two (effectiveness and efficiency) have so far been fully translated into quantitative outcome measures, upon which the evidence-based medicine approach depends. We propose that further concepts also be developed into a more complete multidimensional range of fully operationalized outcome measures.Thornicroft, G Slade, Mc 2000>7Are routine outcome measures feasible in mental health?Quality in Health Care984 OUT-MH-00068)~ :}|Schnoll, Robert A. James, Calvin Malstrom, Michael Rothman, Randi L. Wang, Hao Babb, James Miller, Suzanne M. Ridge, John A. Movsas, Benjamin Langer, Corey Unger, Michael Goldberg, Melvyn 2003\ULongitudinal predictors of continued tobacco use among patients diagnosed with cancernF?Annals of Behavioral Medicine. Vol 25(3), Sum 2003, pp. 214 221ISSN 0883-6612Abstract Even though continued smoking by cancer patients adversely affects survival and quality of life, about one third of patients who smoked prior to their diagnosis continue to smoke after their diagnosis. The implementation of smoking cessation treatments for cancer patients has been slowed by the lack of data on correlates of tobacco use in this population. Thus, this longitudinal study assessed demographic, medical, addiction, and psychological predictors of tobacco use among 74 head, neck, and lung cancer patients. Multivariable binary logistic regression analyses, with outcome categorized as smoker or nonsmoker, indicated that the likelihood thatpatients would be a smoker was associated with lower levels of perceived risk and a higher level of quitting cons. Multivariable nominal logistic regression, with outcome classified as continuous smoker, continuous quitter, relapser, or follow-up quitter, indicated that: (a) patients categorized as continuous smokers reported significantly lower quitting self-efficacy than follow-up quitters and continuous quitters, (b) relapsers reported a significantly lower level of quitting self-efficacy than either follow-up quitters or continuous quitters... (PsycINFO Database Record (c) 2003 APA, all rights reserved) (journal abstract)tLanguage English Sederer, L.I. 1992<6Case-based reimbursement for psychiatric hospital care(!Hospital and Community Psychiatryo4311 1120-1126t.'Sederer, L.I., Hermann, R. & Dickey, B.d 199582The imperative of outcome assessment in psychiatry*#American Journal of Medical Qualityf10127-132 OUT-MH-00073*#This report describes the current conceptualisation of outcome assessment in psychiatry and focuses on how assessment instruments can be built into psychiatric facility-based practice. First, the domains of clinical assessment are outlined, with an emphasis on three elements: level of psychiatric symptoms, clinical functioning, and patient satisfaction. Examples of outcome instruments then are provided as well as the elements of their successful implementation. Finally, the value of linking outcome assessment to data on patient characteristics and service utilisation are discussed in order to gain insight into the realtionship between treatment and outcome. The clinical, fiscal, and regulatory imperatives emerging for outcome assessment call for its demystification and widespread application.\"Sederer, L.I., & Dickey, B.o 1996.(Outcomes Assessment in Clinical Practice  Baltimore: Williams & Wilkins OUT JCSource book for many of the leading outcome assessment instruments.Seeman, Mary V. 2001B7Columbia U, Dept of Psychiatry, New York, NY, US [Bird]Bird, Hector R. Andrews, Howard Schwab-Stone, Mary Goodman, Sherryl Dulcan, Mina Richters, John Rubio-Stipec, Maritza Moore, Robert E. Chiang, Po-Huang Hoven, Christina Canino, Glorisa Fisher, Prudence Gould, Madelyn S. 1996d^Global measures of impairment for epidemiologic and clinical use with children and adolescents>8International Journal of Methods in Psychiatric Research64295-307 Dec 1049-8931 CGA-00079Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Puerto Rico; US Mental Disorders; Rating Scales; Scoring (Testing); Test Forms; Test Validity; Nonprofessional Personnel validity of parent vs lay scoring of Children's Global Assessment Scale & parent vs youth forms of Columbia Impairment Scale; 9-18 yr olds; US vs Puerto Rico Evaluated the validity of lay interviewer and parent ratings on the Children's Global Assessment Scale (CGAS) and parent and youth forms of the Columbia Impairment Scale (CIS). Correlations with clinician CGAS scores, other factors associated with impairment, and site differences were examined for scores from 1,285 children and adolescents (aged 9-18 yrs) and 1 of their parents or adult caretaker from Connecticut, Georgia, New York, and Puerto Rico. Thresholds for discriminating between adequate and poor functioning on each measure were assessed. All measures showed good variability and correlated significantly with other indicators of psychological dysfunction, and with the clinician's CGAS score. Good construct, discriminant, and concurrent validity were found. Site differences appeared to be culturally determined. Ratings based on lay interviews of parents related better to ratings provided by clinicians. The CIS has an advantage over the nonclinician CGAS in that its rating does not rely on clinical judgment. Findings support the integration of both symptomatology and functional impairment in child psychiatric diagnostic assessments. It is concluded that both measures are useful for clinical as well as epidemiologic purposes. (PsycINFO Database Record (c) 2003 APA )`ZDoi 10.1002/(sici)1234-988x(199612)6:4<295::aid-mpr173>3.3.co;2-5 Journal; Empirical Study'XRNew York State Psychiatric Inst, Dept of Child Psychiatry, New York, NY, US [Bird]Bird, Hector R.k 1999.'The assessment of functional impairmenti *$Shaffer, David Lucas, Christopher P.D=Diagnostic Assessment in Child and Adolescent Psychopathology0  New York, NY Guilford Press209-22931572305029 (hardcover) CGA-00070Adaptive Behavior; Measurement; Mental Disorders assessment of caseness & measures of functional impairment attributable to psychiatric morbidity; children & adolescents{>8(From the chapter) The assessment of functional impairment has become increasingly important in the ascertainment of psychopathology in clinical practice, as well as in epidemiological research. It is no longer adequate for case ascertainment merely to detect those individuals who meet symptomatic criteria for one or more psychiatric disorders; it is equally important to assess the degree to which those individuals are dysfunctional or impaired. The determination of "caseness" requires a method for assessing impairment attributable to psychiatric morbidity as a fundamental element of case detection. This chapter addresses the following topics: the domains of functional impairment, the assessment of "caseness" and functional impairment in recent epidemiological research, and measures to assess functional impairment (measures of symptom-specific impairment, Children's Global Assessment Scale, Columbia Impairment Scale, Social Adjustment Inventory for Children and Adolescents, Child and Adolescent Functional Assessment Scale). (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Research'Columbia U, Coll of Physicians & Surgeons, Div of Child & Adolescent Psychiatry, Dept of Clinical Psychiatry, New York, NY, US [Bird] .(Mistral, Willm Hall, Adam McKee, Patrick 2002voUsing the therapeutic community principles to improve the functioning of a high care psychiatric ward in the UK4.International Journal of Mental Health Nursing111 10-17 Mar,2002-04072-002 HON-00042**Facility Environment; *Health Personnel Attitudes; *Psychiatric Units; *Therapeutic Community; Mental Health Personnel; Psychiatric HospitalsThe effects of interventions within a high-care psychiatric ward, based upon the principles of a therapeutic community, were evaluated. Interventions included an enhanced physical environment, improved communication, clear rules and aims, and improved safety procedures. 22 staff members participated in this study. A Ward Atmosphere Scale, an Attitude Scale, and interviews with staff indicate improvements in ward atmosphere and staff attitudes. Ward records show a substantial reduction in the use of seclusion for aggressive patient behavior, and a 62% reduction over 2 yrs in short-term staff illness. The authors conclude that similar interventions could be used to improve the functioning of other psychiatric wards. (PsycINFO Database Record (c) 2003 APA )Englishs("http://www.blackwellpublishing.com Mitty, E. L. 1988>8Resource utilization groups. DRGs move to long-term care& Nursing Clinics of North America233a 539-57Nurs Clin North Am 0029-6465c RUG-00023cLFDiagnosis Related Groups; Long Term Care classification; Prospective Payment System Activities of Daily Living; Aged ; Aged, 80 and over; Chronic Disease classification; Demography ; Long Term Care utilization; New York; Nursing Services organization and administration; Patient Discharge; Quality Assurance, Health Care HumanD>The costs associated with a growing population of elderly persons in the United States combined with a need to restrain escalating acute care costs led to the development of a prospective payment system (PPS) for institutional long-term care in New York State. Although similar types of PPS exist in several other states, it is expected that RUGs will become the model for the nation. The price paid is based on a formula that combines the direct care components of care with allocated medical and ancillary costs per patient. Based on a patient classification case-mix system, the Resource Utilization Group (RUG) relies on specific nursing documentation of patient care delivered, that is, resource used. Implemented at the same time as diagnostic-related groups (DRGs), the RUGs system is not based on length of stay, diagnosis, or age. Activities of daily living (ADL) drive the system and, in that sense, RUGs has some similarities to severity of illness models. There are 16 RUGs (that is, 16 case-mix indexes and 16 prices), ranging from skilled rehabilitation and intensive skilled nursing care to light custodial care. Patients assessed at the low end of the spectrum--light care, lowest price--may be denied admission to nursing homes as well as prepared for discharge to the community or a lighter level of care. Discharge planning and patient teaching for less dependent living are recent phenomena in nursing homes. Nurses have to learn how to manage the complex, technologically dependent patient as well as learn aspects of preparing the patient--and family--for discharge. The challenge to nursing is to protect the patient from negative incentives inherent in the RUGs system; analyze the nursing process and productivity; and contribute to research that should be observing the effect of the reimbursement system on the quality of care. Sep Englishn'D=Jewish Institute for Geriatric Care, New Hyde Park, New York.tBX2,Schaffer, D., Gould, M.S., Brasic, J., et al 19832+A children's global assessment scale (CGAS)h$Archives of General Psychiatry40 1228-1231r CGA-00069rWe evaluated the children's global assessment scale (CGAS), an adaptation of the global assessment scale for adults. Our findings indicate that the CGAS cab be a useful measure of overall severity of disturbance. It was found to be reliable between raters and across time. Moreover, it demonstated noth discriminant and concurrent validity. Given these favourable psychometric properties and its relative simplicity, the CGAS is recommended to both clinicians and researchers as a complement ro syndrome-specific scales.& Schneider, Bob Varghese, Raju K. 1995|vScores on the SF-36 scales and the Beck Depression Inventory in assessing mental health among patients on hemodialysisPsychological ReportsX763, Pt 1719-720Y Jun 0033-2941h MHI-00047pJCHuman; Adulthood (18 yrs & older) Beck Depression Inventory; Hemodialysis; Kidney Diseases; Mental Health; Psychodiagnosis; Inventories; Subtests Mental Health Inventory SF-36 subscales & Beck Depression Inventory; mental health measurement; patients undergoing hemodialysis; implications for inventory combination utilityZAssessed the mental health of 45 patients (mean age 49.9 yrs), who were on hemodialysis. The Medical Outcomes Study SF-36 and the Beck Depression Inventory were administered to the Ss. Scores on the SF-36 Mental Health Inventory (MHI-5) were regressed on those of the SF-36 Role-Emotional subscale, to assess each of the independent variables in partially explaining variance on the more global MHI-5; 46% of the variance in the MHI-5 scores were accounted for by age category, the Role-Emotional subscale and the Beck Depression Inventory scores. Age category was not found to be significant. It was concluded that emotional role and the severity of depression were the only 2 facets of emotional or psychological functioning. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'BAntineoplastic Combined Chemotherapy Protocols therapeutic use antipsychotic4.Antipsychotic Agents administration and dosage($Antipsychotic Agents adverse effects$!Antipsychotic Agents pharmacology($Antipsychotic Agents therapeutic useantipsychotics AntisocialAntisocial Behaviorantisocial behavior &0-antisocial or behavior or emotional disorders,)Antisocial Personality Disorder diagnosis0*Antisocial Personality Disorder psychology4.Antisocial Personality Disorder rehabilitation AnxietyAnxiety diagnosisanxiety disorderAnxiety Disorders$Anxiety Disorders complications Anxiety Disorders diagnosisAnxiety Disorders therapyAnxiety drug therapyAnxiety etiologyAnxiety psychology Anxiety Scale for ChildrenAnxiety therapy@7Texas Research Inst of Mental Sciences, Houston [McBee]A 485consumer outcome, functional assessment, functioning.Consumer Satisfactionconsumer-employee consumersContent Analysis84Continuity of care, homeless, serious mental illness@:Continuity of Patient Care organization and administration Control CooperationCooperative Behaviorcoping & mental healthCoping Behaviorcoping resourcescoping strategiescoping strategies & mood@:coping strategies & perceived social support from family &Correctional Institutions(#correlates of ADHD symptom severityD?correlation of beahvioral screening Strengths & Difficulties vscostCost Benefit AnalysisCost Control trendscost effectivenessCostsCosts and CostCosts and Cost Analysis Counseling couples Course CreativityCriminal Justice83Crisis Intervention organization and administration Crisis Intervention ServicesCritical IllnessCrosscross culturalcross cultural comparison Cross Cultural DifferencesCross Sectional Studiescross-cultural psychiatryCrying physiologyCrying psychology CultismCultural Differences cultureCulture (Anthropological)Czech Republic data analysisData CollectionData Collection methods,'Data Set-Resident Assessment Instrument Databases Daughters Day CareDay Care psychologyDeath and DyingDecision Making Defibrillators, Implantable degree ofdeinstitutionalisationDeinstitutionalization84Deinstitutionalization statistics and numerical data@=delayed or uneven understanding of others' minds & emotions & Delinquency Delivery Delivery, Obstetric methods DementiaDementia classificationdementia diagnosisDementia nursingDementia physiopathology Demographic Characteristics@:demographic characteristics & other drug use & psychiatric demographics Demography Denmark dependencyDependency Psychology depresseddepressed adolescentsdepressed children(%depressed inpatients (aged 18 yrs anddepressed mothersdepressed parents DepressionDepression (Emotion)Depression diagnosisDepression etiology@=depression symptoms & prevalence & utility of visual analogueDepression therapyDAdepression vs irritability vs anhedonia & age & suicidal ideation("Depression, Involutional diagnosis(%Depression, Involutional epidemiology(#Depression, Involutional psychology$ Depression, Involutional therapy$ Depression, Postpartum diagnosis(#Depression, Postpartum epidemiologydepressive disorder$depressive disorder & dysthymia$!Depressive Disorder complications Depressive Disorder diagnosis$ Depressive Disorder drug therapy$Depressive Disorder psychology("Depressive Disorder rehabilitation Depressive Disorder therapydepressive disordersdepressive symptoms describes such a data system design issuesDestructive Behavior detainees$!detection of spurious PTSD claims detention(#detention with compulsory treatment(%determination of components of healthDeveloping Countriesdeveloping world developmentD>development & confirmatory factor analysis & validity of RhodeHBdevelopment & criteria for assessing usefulness of outcome data inDAdevelopment & factor structure & validity & reliability of Mental@:development & reliability & validity issues & interpretive@psychometric properties of interview & self-report versions of PsychometricsPsychometrics methodsPsychometrics standards0+Psychometrics statistics and numerical dataPsychomotor Agitation82psychopathological epidemiology & family variables psychopathological symptomsPsychopathology0*psychopathology & psychosocial functioningpsychopathology riskPsychopharmacology Psychosis Psychosocialpsychosocial adjustmentPsychosocial DevelopmentPsychosocial Factors psychosocial factors & stresspsychosocial functioning Psychosocial Rehabilitation0,psychosocial rehabilitation program outcomespsychosocial screeningpsychosocial stressorsPsychotherapeutic Psychotherapeutic Outcomes Psychotherapeutic Techniques Psychotherapypsychotherapy evaluationPsychotherapy methodspsychotherapy research0*psychotic disorder not otherwise specifiedpsychotic disorders Psychotic Disorders nursing$Psychotic Disorders psychology("Psychotic Disorders rehabilitation Psychotic Disorders therapypsychotic illness Psychotropic("Psychotropic Drugs therapeutic usePTSD public Public HealthPublic Health Servicepublic psychiatricPuerperium psychology Puerto RicoPuerto Rico epidemiologyPuerto Rico ethnology QoL-GAPQualitative Research Quality0-quality assessments of mental health services$Quality Assurance, Health Care4/quality assurance, meta-analysis, psychotherapy$ quality improvement & management$Quality Indicators, Health Care,)quality management, Outcome Questionnaire quality ofQuality of CareQuality of Health CareQuality of LifeD?quality of life & educational achievement & employment status &,)quality of life following transplantationQuality of Life in Prison quality of life questionnaireQuality of Life ScaleQuality of Services Quantitative Trait, Heritable Queensland Questionnaire,)Questionnaire vs Child Behavior ChecklistQuestionnairesQuestionnaires standardsracial & ethnic samples Racial andRacial and Ethnic Racial and Ethnic DifferencesRacial and Ethnic Groupsracial identity RacismRandRandom Allocation4*#Geller, Barbara Cook, Edwin H., Jr. 2000Ultradian rapid cycling in prepubertal and early adolescent biplarity is not in transmission disequilibrium with Val/Met COMT allelesdBiological Psychiatryb477l605-609s Aprn 0006-3223c CGA-00005*HBHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Bipolar Disorder; Genetic Linkage; Genotypes; Transferases; Human Biological Rhythms ultradian rapid cycling; linkage disequilibrium of catechol-O-methyltransferase gene; prepubertal children & adolescents with bipolar disorders81Studied linkage and linkage disequilibrium of the catechol-O-methyltransferase (l-COMT) gene in children and early adolescents with bipolar disorders (PEA-BP). Genotypes on a subset of the larger PEA-BP sample, for whom trio blood collection was complete (i.e., probands and both of their biological parents), were used to perform transmission disequilibrium tests (TDTs). Diagnoses were established from a comprehensive battery that included the Washington University Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS) given to both mothers and children, and from consensus conferences. 52 probands with PEA-BP (mean age of 10.9 yrs old at index episode) were severely impaired on the mean Children's Global Assessment Scale, and 84.6% had euphoric mood, 76.9% had grandiosity, and 57.7% had psychosis. Ultradian rapid cycling occurred in 75%. TDTs were not significant for preferential transmission of l-COMT for the ultradian rapid-cycling subgroup or for the entire PEA-BP sample. The lack of linkage disequilibrium between l-COMT and ultradian rapid cycling in the PEA-BP sample compared to reported findings in case-control studies of adults is discussed in terms of age-specific developmentally relevant phenotypes, anticipatory mechanisms, and heterogeneity. (PsycINFO Database Record (c) 2003 APA )cNHDoi 10.1016/s0006-3223(99)00251-6 Peer Reviewed Journal; Empirical Study'@:Washington U School of Medicine, St Louis, MO, US [Geller]ph2+Odoi, R. Croucher, R. Wong, F. Marcenes, W. 2002rkThe relationship between problem behaviour and traumatic dental injury amongst children aged 7-15 years old0)Community dentistry and oral epidemiologye305 392-6$Community Dent Oral Epidemiolr 0301-5661n SDQ-00017*Child Behavior Disorders complications; Tooth Injuries etiology Adolescent ; Case Control Studies; Child ; Educational Status; Fathers ; Logistic Models; Odds Ratio; Questionnaires ; Retrospective Studies Female; Human; Male4.AIM: The aim of this study was to test whether dental injuries are related to problem behaviour. In addition, it aimed to confirm the relationship between dental injuries and size of overjet and type of lip coverage. METHODS: A hospital-based matched (age and sex) case-control design was adopted. Data were collected through clinical examinations and interviews. The informant-rated version of the Strengths and Difficulties Questionnaire (SDQ) was used to identify problem behaviour. One parent of the child, most often the mother, was interviewed. Hierarchical modelling using conditional logistic regression was used to test the relationship between the five problem behaviours and traumatic dental injuries. RESULTS: The Odds ratio of having a dental injury increased 3.14 times if children have peer relationship problems (P = 0.032), whilst a prosocial behaviour showed a tendency to have a protective effect (OR = 0.25; P = 0.064). Emotional symptoms, conduct disorder and hyperactivity behaviours were not related to dental injury (P > 0.75). Results were adjusted by father's level of education, size of overjet and type of lip coverage, and these variables were significantly related to dental injury (P < 0.05). CONCLUSION: Problem behaviour may play an important role in the occurrence of traumatic dental injury. Oct English f`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=COM&vol=30&page=392&goto=abstract'Centre for Oral Biometrics, Queen Mary's School of Medicine and Dentistry, Queen Mary's University of London, University of London, London, UK.y$Ogles, B. M., & Lunnen, K. M.m 1996$Assessing outcome in practiceJournal of Mental Health5n 35-46 OUT-MH-00072 82Ogles, B., Melendez, G., Davis, D., and Lunnen, K. 1999^XThe Ohio Youth Problems, Functioning, and Satisfaction Scales (Short form) User's Manual Ohio University October 1999 USA-OH-00015**NGThe Ohio Youth Problems, Functioning, and Satisfaction Scales (Ohio Scales) are instruments developed to measure outcomes for youth ages 5 to 18 who receive mental health services. The User's Manual describes the conceptualization and initial development of the Ohio Scales along with the scoring and administration procedures.D=http://www.mh.state.oh.us/initiatives/outcomes/instosuser.pdf, treatment review and clinical supervision processes. It also requires that more extensive multidimensional ratings be made at intake, review and termination. Furthermore, staff training and development sessions two or three times a year are needed to surface and deal with differences in clinician ratings. Given these sorts of supports, then, a global scale has been demonstrated as a useful tool in service program management as well as clinical process and outcome studies, including studies of cost effectiveness. Since the major use of a global scale is as an integrating construct, a quantitative model is offered to describe the relationship between global scale ratings and multidimensional facets influencing the global ratings.s NHS  1999voPerformance Assessment Framework. Quality and performance in the NHS: Clinical Indicators. Technical Supplement{ UK-NHS-00014*e NHS4 2002TMHealth and Social Care Information Sharing Protocol for Wiltshire and Swindon  UK-NHS-00015*e NHSIA* Information Sharing Policy UK-NHS-00012*h NHSIAtngInformation Sharing Protocol. Information flows from Mental Health Trust to Social Services. Appendix Ct UK-NHS-00011*n NHSIA,:4Guidance on Developing Information Sharing Protocols UK-NHS-00003*e NHSIAt 2000f`Mental Health ICRS Requirements. Descriptive Statement of Clinical Process and Need. Version 3.0 UK-NHS-00005*\ NHSIA. 20012+Mental Health Minimum Data Set. An Overview  UK-NHS-00007* NHSIAr 2003JDNHS National Service Framework - Information Strategy Matrix - DRAFT UK-NHS-00009*d NHSIA6 2003.'MHIS Information Sharing Protocols Site  UK-NHS-00006*l  NHSIAt 2004>7Mental Health Minimum Data Set. Data Manual Version 2.3V UK-NHS-00008*i NHSIAt YearzsQuestionnaire for Identifying Flows od Patient Information from Pennine Care NHS Trust to Third Party OrganisationsR UK-NHS-00010*X^i  Millard, Paul Jaffa, Tonye 1997>7Lithium for the treatment of acute mania in adolescents*$Child Psychology & Psychiatry Review2b3\103-107t 1360-6417\ CGA-00101\Human; Male; Female; Adolescence (13-17 yrs) England Case Report; Drug Therapy; Lithium; Mania lithium treatment; 16 yr olds with acute mania$Discusses issues around the diagnosis of mania and its acute treatment in adolescence. The authors review three cases of acute mania treated on an adolescent unit, highlighting some of the diagnostic difficulties. The 1st case was a 16-yr-old male, with a history of disturbed behavior and a diagnosis of mania with psychotic features. The 2nd case was a 16-yr-old male diagnosed with an acute non-psychotic manic illness. The 3rd case was a 16-yr-old girl, presenting with pressured speech and flight of ideas and a diagnosis of manic illness with psychotic features. Each of these patients proved resistant to treatment with neuroleptics but responded to the addition of lithium carbonate. The clinical impression of a good response was supported by the use of the Children's Global Assessment Scale. It is concluded that lithium carbonate can be useful in the treatment of acute mania in adolescence. It is an illness of which child psychiatrists need to be aware as one-third of cases present in adolescence. (PsycINFO Database Record (c) 2003 APA )B8Developing performance indicators for mental health care$Journal of Mental Health (UK)\113n281-294b June2002-15031-006 HON-00092*Government Policy Making; *Measurement; *Mental Health Program Evaluation; *Mental Health Services; *Performance; Quality of Services0)There is now a concerted effort at improving the performance of UK mental health care through the use of standards, performance indicators and monitoring techniques. Much of this is to assist regulation at the central government level. This paper examines the development and use of performance indicators for mental health at this and other levels. While performance dimensions have widened since the early development of indicators, methodology has lagged behind somewhat. Problems remain in the design, collection and interpretation of indicators for mental health, particularly in the context of present reform. The paper examines the changing needs for performance information at different levels of analysis and, building on international material, offers suggestions based around a framework for data collection. This material is intended to form part of an emerging agenda for the development of measures that enable better quality monitoring to take place in the management of mental health care. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)oEnglishthttp://www.tandf.co.ukd^Clifford, Paul I. Katsavdakis, Kostas A. Lyle, Janet L. Fultz, Jim Allen, Jon G. Graham, Peter 2002TMHow are you? Further development of a generic quality of life outcome measure$Journal of Mental Health (UK)114389-404 Aug*#0963-8237 Electronic ISSN 1360-0867 BAS-00040Human; Male; Female; Adulthood (18 yrs & older) United Kingdom; US Health; Psychosocial Factors; Quality of Life; Self Report; Test Construction How Are You?; self-report; health problems; social problems; quality of life; measurement tool revision How Are You? is designed to meet the need for a broad-based self-report tool that integrates the recording of health and social problems and the measurement of quality of life outcomes within routine practice. This paper describes the process of revising the original How Are You? Utilizing a series of factor analyses, the authors hoped to confirm that items that were theoretically coherent aggregated empirically, with the goal of refining the measure for outcome analyses and comparisons with other outcomes measures, such as the BASIS-32. Based upon data from a total of 1680 adults from both the US and the UK, the factor analyses confirmed the How Are You? theoretical structure and identified a new factor, referred to as 'Risk' that measures emotional dyscontrol and symptoms that can be associated with psychosis. The revised How Are You? now consists of 40 items. The advantages of the refined scale include shorter length, a broad set of quality of life domains and the instruction to the respondent to identify key problems that are of most concern. The revisions will allow for a more valid assessment of outcome and the use of the How Are You? as a tool to develop a collaborative care plan involving the service user and practitioner. (PsycINFO Database Record (c) 2003 APA )JDDoi 10.1080/09638230020023750 Peer Reviewed Journal; Empirical Study' Email Address [mailto:piclifford@aol.com] Contact Individual Clifford, Paul I, University Coll London, Sub-dept of Clinical Health Psychology, BPS Ctr for Outcomes, Research & Effectiveness, Gower Street, London, England, WC1E 6BT, [mailto:piclifford@aol.com]rTMMadden, S. J. Ledermann, S. E. Guerrero Blanco, M. Bruce, M. Trompeter, R. S. 2003HACognitive and psychosocial outcome of infants dialysed in infancyr("Child care, health and development291y 55-61;Child Care Health Dev 0305-1862u SDQ-00015* Child Development; Intelligence ; Kidney Failure, Chronic psychology; Peritoneal Dialysis psychology Adolescent ; Child ; Child, Preschool; Infant ; Infant, Newborn; Kidney Failure, Chronic therapy; Longitudinal Studies; Psychometrics ; Social Adjustment HumanOBJECTIVE: To contribute further to the understanding of cognitive and psychosocial outcome of children with end-stage renal disease undergoing long-term peritoneal dialysis. METHODS: In total, 16 surviving infants at a single centre beginning peritoneal dialysis in the first year of life were studied. The age range of the children at assessment was 1.6-12.1 years. Children were assessed using the Griffiths Mental Development Scales, the Wechsler Intelligence Scale for Children-Third Edition UK, and the Strengths and Difficulties Questionnaire. Information regarding the child's hospital stay and family background was also collated. A Pearson's Product Moment correlation was used to analyse the results. RESULTS: Although 67% of the children's scores fell within the average range, 87% were within at least two SDs of the norms (mean IQ = 86.6). Psychosocial adjustment measures revealed that 50% of scores fell within the borderline to abnormal category, suggesting that the frequency of psychological difficulties was above that of the normal population. CONCLUSIONS: These findings lend support to recent studies indicating that, developmentally, children undergoing long-term peritoneal dialysis are faring better than in the past. This may indeed be a reflection of improvements in renal treatment and diet. The behavioural results suggest the need to monitor psychological adjustment in this group of children. Jan Englishaf_Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=CCH&vol=29&page=55&goto=abstract;'zDepartment of Psychological Medicine, Great Ormond Street Hospital for Children National Health Service Trust, London, UK.4.Malhotra, Savita Santosh, Paramala Janardhanan 1998d]An open clinical trial of buspirone in children with attention-deficit/hyperactivity disorderF@Journal of the American Academy of Child & Adolescent Psychiatry374W364-371  Apr& 0890-85671 CGA-00037*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs) India Attention Deficit Disorder; Buspirone; Drug Therapy; Hyperkinesis buspirone; ADHD; 6-12 yr oldsThe efficacy of buspirone in controlling the symptoms of children with attention-deficit hyperactivity disorder (ADHD) was examined. 12 6-12-yr-olds with ADHD were Ss. Standard rating scales such as the Conners Parent Abbreviated 10-item Index (CPAI) and the Children Global Assessment Scale (CGAS) were used to collect data on the symptoms of ADHD. Visual analog scores were also obtained about the dimensions of hyperactivity, impulsivity, inattention, and disruptive behavior. All the Ss were given buspirone in the dose of 0.5 mg/kg body weight per day. The dose range of buspirone used was 15 to 30 mg/day, given in b.i.d. dosages. The ratings were done at baseline, 1 wk, 2 wks, 4 wks, and 6 wks after starting buspirone. The CPAI was also repeated after 2 weeks of discontinuation of buspirone. When compared with baseline scores, all 12 Ss had shown significant improvement in hyperactivity, impulsivity, inattention, and disruptive behavior. Scores on the CPAI and the CGAS improved during the 6-wk period of the study. Stopping the drug at the end of the study period of 6 wks resulted in the reemergence of the symptoms. Buspirone showed a favorable side effect profile and significantly reduced the symptoms of ADHD. (PsycINFO Database Record (c) 2003 APA )PJPeer Reviewed Journal; Empirical Study; Treatment Outcomes; Clinical Trial'jcPostgraduate Inst of Medical Education & Research, Dept of Psychiatry, Chandigarh, India [Malhotra]f\&0)Brann, Peter Coleman, Grahame Luk, Ernestr 2001leRoutine outcome measurement in a child and adolescent mental health service: An evaluation of HoNOSCA;60Australian and New Zealand Journal of Psychiatry353370-376 Jun2001-07741-015 HCA-00002**Adolescent Psychology; *Child Psychology; *Mental Health Services; *Rating Scales; *Test Construction; Severity (Disorders); Test Reliability; Test Validity; Treatment OutcomesEvaluates a range of properties for a clinician-based instrument, the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA), designed for routine use in a child and adolescent mental health service (CAMHS). Case vignettes were used to examine interrater reliability. HoNOSCA was implemented for routine outpatient use by multidisciplinary staff with a return rate of 84%. The 305 ratings obtained at assessment were analyzed by age, gender and diagnosis. A sample of 145 paired ratings with a 3-month interval were examined for the measurement of change over time. Age range for patients were between 3-20 yrs. Interrater reliability of the total score indicates moderate reliability if absolute scores are used and good reliability if the total score is used for relative comparisons. Most scales have good to very good reliability. The scales discriminated between age and gender in the expected way. HoNOSCA correlated with clinicians' views of change and was sensitive to change over a 3-month period. The total score seemed a proxy for severity. HoNOSCA appears to be of value in routine outcome measurement and although questions remain about reliability and validity, the results strongly support further investigation. (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.com\UBrasic, James Robert Barnett, Jacqueline Y. Sheitman, Brian B. Tsaltas, Margaret Oweno 1997&Adverse effects of clomipraminelF@Journal of the American Academy of Child & Adolescent Psychiatry369n 1165-1166  Seph 0890-8567d CGA-00035*4-Human; Male; Childhood (birth-12 yrs); School Age (6-12 yrs) Chlorimipramine; Compulsions; Mental Retardation; Movement Disorders; Side Effects (Drug); Drug Therapy clomipramine; adverse effects & movement disorders & compulsions; 6 & 9 yr old males with autistic disorder & mental retardation; letterQReports reduction of movement disorders and compulsions by clomipramine treatments in 5 6-9 yr old males who met Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) diagnostic categories for autistic disorder and severe mental retardation. Clomipramine treatment was initiated with an oral dose of 25 mg at bedtime, increasing weekly by 25 mg to a maximal dose of 200 mg. Ss were rated by a pediatric neuropsychiatrist on the day clomipramine treatment began and biweekly, using the Clinical Global Impressions (W. Guy, 1976), the Children's Global Assessment Scale (D. Shaffer, et al, 1985), and a Battery of Standard Dyskinesia Scale (J. R. Brasic, et al, 1994). All Ss demonstrated an improvement in overall adaptive behavior when they received clomipramine in 3-5 mg/kg per day dosages. Three Ss showed marked improvement. It is suggested that although improvements in overall emotional adjustment, motor control, and targeted aggression were derived from clomipramine treatment in the Ss group, treatment emergent adverse effects were evident when they received the higher doses. (PsycINFO Database Record (c) 2003 APA )<6Peer Reviewed Journal; Empirical Study; Journal Letter'RKNew York U, School of Medicine, Bellvue Hosp Ctr, New York, NY, US [Brasic]iJDGlied, Sherry Hoven, Christina W. Garrett, A. Bowen Moore, Robert E. 1997@:Measuring child mental health status for services research(!Journal of Child & Family Studiesr6T2T177-190 JunT 1062-1024T CGA-00018*Human; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Behavior Problems; Experimentation; Measurement; Mental Health; Mental Health Services; Diagnostic and Statistical Manual; Experiences (Events); Parents; Psychological Stress usefulness of measures of child functional impairment vs DSM- III-R symptoms vs stressful life events vs child vs parent report for mental health services research; 9-17 yr olds & parentsjdAssessed the usefulness of measures in the 1992 Methods for the Epidemiology of Children and Adolescents Mental Disorders study of 1,285 youth (aged 9-17 yrs) and adult pairs in Puerto Rico and the US. The study examined how including each measure of mental health status in a multivariate analysis affects the measured effect of income on mental health service use. The measures were (1) no measure of mental health, (2) Non-Clinician Child Global Assessment Scale (NC-CGAS), (3) Columbia Impairment Scale (CIS), (4) the count of Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) symptoms, (5) the parents' report of need for mental health services for the child, (6) the child's report of need for mental health services, and (7) the number of stressful life events (EVENTS). Results show that the use of different measures of mental health status may lead to different estimates of the effects of socioeconomic variables on child mental health service use. Measures based on interviewer assessments of impairment or diagnosis (such as the NC-CGAS) will likely yield relatively unbiased estimates of the impact of changes in socioeconomic characteristics on mental health service use. Less costly measures, based on respondent perceptions of need or impairment, however, may introduce more substantial biases. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'd]Columbia School of Public Health, Div of Health Policy & Management, New York, NY, US [Glied]e& Glover, G. R. Sinclair Smith, H. 2000VPComputerised information systems in English mental health care providers in 19984.Social Psychiatry and Psychiatric Epidemiology3511518-522 Nov11197928 HON-00072*b[*Information Systems utilization; *Mental Health Services organization and administration; *Outcome Assessment Health Care statistics and numerical data; *State Medicine organization and administration; *Systems Integration Data Collection; England ; Hospitals, Public statistics and numerical data; Information Systems organization and administration; Mental Health Services statistics and numerical data; Organizational Innovation; Outcome Assessment Health Care methods; State Medicine statistics and numerical data statistics and numerical data; organization and administration; utilization; methodsaBACKGROUND: This study formed part of the background work for the development work of a new Mental Health Minimum Data Set in England. It surveyed the range and nature of information systems currently used by English mental health care provider Trusts. It also surveyed relevant aspects of their organisational arrangements. METHOD: Information was collected by a telephone survey of Trust information and clinical service managers. RESULTS: Most Trusts have a complex array of different information systems--the median number is four. Even where fully integrated systems are in place, these do not necessarily cover all data areas over the whole of the Trust's operations. Sixty-three percent of Trusts use more than one patient numbering system. Sixty-percent have implemented or formally piloted routine collection of outcome scoring, 51% using the Health of the Nation Outcome Scale (HoNOS). A simple model suggested that the proposed data set could realistically be implemented nationally over a 4-year timescale. CONCLUSIONS: Given the current information system context and planned developments it would be realistic to implement the proposed Mental Health Minimum Data Set over a 4-year timescale.0933-7954 EnglishBExploring ADHD age-of-onset criterion in Brazilian adolescents.(European child and adolescent psychiatry9t3n 212-8m"Eur Child Adolesc Psychiatry 1018-8827 CGA-00013*Adolescent Behavior psychology; Attention Deficit Disorder with Hyperactivity epidemiology Adolescent ; Age of Onset; Attention Deficit Disorder with Hyperactivity diagnosis; Brazil epidemiology; Child ; Psychiatric Status Rating Scales Female; Human; MaleOBJECTIVE: To explore age-of-onset criterion for the diagnosis of attention-deficit hyperactivity disorder (ADHD) in a school sample of young Brazilian adolescents. METHODS: 191 students aged 12 to 14 years were evaluated using DSM-IV ADHD criteria, measures of ADHD symptoms and global impairment. RESULTS: Both adolescents with ADHD (n = 30) and adolescents who fulfilled all DSM-IV ADHD criteria, except age of onset of impairment criterion (ADHD w/o age-of-onset, n = 27) had significantly higher scores on Attention Problems, Delinquent and Aggressive Behavior scales of the Child Behavior Checklist (CBCL) and lower scores on the Child Global Assessment scale (CGAS) than non-ADHD adolescents (n = 134). Adolescents with ADHD and youths with ADHD w/o age-of-onset did not differ significantly in any measure assessed. CONCLUSION: These results concur with recent literature proposing revision of the age-of-onset criterion for the diagnosis of ADHD.d Sep EnglishtB8Revista brasileira de psiquiatria Sao Paulo, Brazil 1999253139-145Rev Bras Psiquiatr 1516-4446 SDQ-00036*Mental Disorders diagnosis; Questionnaires Brazil ; Child ; Faculty ; Mental Disorders epidemiology; Parents Female; Human; Male<5OBJECTIVE: The objective of this study is to investigate possible child psychiatric disorders using the strengths and difficulties questionnaire (SDQ). METHOD: SDQ is a questionnaire that screens child mental health problems, comprising a total of 25 items divided in five subscales: emotional problems, hyperactivity, relationship, conduct and pro-social behavior, with five items in each subscale. We also used the impact supplement that evaluates the impairment caused by symptoms. Out of 143 children randomly chosen from a public school of Ribeirao Preto, 107 questionnaires were correctly filled in by parents. Teachers received 114 questionnaires (regarding children with parents' consent), and 108 questionnaires were correctly filled in. As a final sample, we obtained 112 questionnaires answered by parents or teachers. RESULTS: In the questionnaires answered by the parents, we obtained high scorings such as 30.8% for emotional symptoms, 17,7% for conduct disorders, 16.8% for hyperactivity, 14% for interpersonal relationships, 18,7% for the total scores and 10.2% for the impact supplement. Questionnaires answered by the teachers had 1.83% for emotional symptoms, 8.25% for conduct disorders, 8.25% for hyperactivity, 2.75% for interpersonal relationships, 8.25% for the total scoring and 4.58% for the impact supplement. Combining the results obtained from parents and teachers we have diagnostic hypotheses in the frequencies of 7.14% for emotional disorders, 9.82% for conduct disorders, and 12.5% for psychiatric disorder not otherwise specified and no combination was noted between parents and teachers for hyperactivity. Mean age was 8.18 years, with 63% of the children being male and 37% female. CONCLUSION: SDQ can be useful for a preliminary screening in the investigation of possible psychiatric disorders in childhood. Sep English'Clinical Hospital of the Medical School of Ribeirao Preto of the University of Sao Paulo. Child Psychiatry Ambulatory. Ribeirao Preto, SP, Brazil.JCD'Avanzo, Barbara Battino, R. Nadia Gallus, Silvano Barbato, AngeloS 2004voFactors predicting discharge of patients from community residential facilities: A longitudinal study from Italy2,Australian New Zealand Journal of Psychiatry388619-628 Aug2004-17339-006 HON-00114*f_*predictors; discharge of psychiatric patients; community residential facilities; interventionseObjective: Community residential facilities for psychiatric patients have increased in Italy in the last years, but little information is available on their use, the patients they host, the interventions they deliver and the rate at which they discharge patients. To investigate these issues, we conducted a longitudinal study in 2000-2001 on all the community residential facilities in Lombardy, a large region in North Italy. Method: The study base comprised all the patients residing in the community residential facilities identified in Lombardy in 2000. Out of the 196 community residential facilities identified, 91% agreed to participate. The study sample consisted of all the patients living in the residential facilities on 15 November, 2000. A total of 1792 patients were recruited and described. Results: In the study period, a total of 316 patients were discharged. Among these, 191 (11%) went to lower-protection settings or home and 49 (3%) to higher-protection settings. The probability of discharge to lower-protection settings and home was higher for people in residential care centres, not coming from a psychiatric hospital, having shorter duration of the current admission, having work at the time of admission and with a low HoNOS score. Associations were found between discharge to higher-protection settings and old age, inadequate accommodation in staff opinion, and the public sector managing the facility. Conclusions: Turn-over of patients in the community residential facilities was limited. Discharges to higher-protection settings were related to need for specific care for older patients. Type of facility and duration of stay predicted discharge to lower-protection facilities and home independently from other patient characteristics. If a higher turn-over and a more extensive use of this resource must be achieved, roles of other psychiatric and social community-based services should be taken into account. (PsycINFO Database Record (c) 2004 APA ) (journal abstract ) ders was examined by three methods: pure disorders, main probalem and regresssion. It appears that major depression and substance disorder weights were over estimated, and anxiety disorder weights were understimated in the global burden of disease studies. Conclusion: A method for disentangling the effects of concurrent comorbidity is presented. The size of the burden attributed to mental disorders is of portential benefit for funding mental health services. It is important that we get the estimated right.rH Bz`YMuratori, Filippo Picchi, Lara Bruni, Gabriella Patarnello, Mariagrazia Romagnoli, Giulia 2003b[A two-year follow-up of psychodynamic psychotherapy for internalizing disorders in childrenyF@Journal of the American Academy of Child & Adolescent Psychiatry423331-339 Mar 0890-8567 CGA-00025*Human; Male; Female; Outpatient; Childhood (birth-12 yrs); School Age (6-12 yrs) Anxiety Disorders; Major Depression; Psychodynamics; Psychotherapy; Treatment Outcomes treatment outcomes; psychodynamic psychotherapy; depression; anxiety disorder; internalizing disordersCEvaluated short- and long-term effects of time-limited psychodynamic psychotherapy (PP) for children with internalizing disorders. 58 outpatient children (6.3-10.9 yrs old), seen in a process of routine care and meeting DSM-IV criteria for depressive or anxiety disorder, were assigned to either active treatment or community services. Subjects were measured at baseline, after 6 mo, and at a 2-yr follow-up, by Children's Global Assessment Scale (C-GAS) and Child Behavior Checklist (CBCL). Major improvements in the experimental group were found in C-GAS and CBCL. These differences were noted at different times, with the C-GAS findings seen at 6 mo and the CBCL findings at 2-yr follow-up. Significant differences were found also for externalizing syndrome scales. The authors conclude that PP is effective in treating internalizing disorders in routine outpatient care. The benefits of treatment are manifest both immediately and with delayed onset (sleeper effect). The finding that PP patients sought mental health services at a significantly lower rate than comparison conditions represents an important economic impact of PP. (PsycINFO Database Record (c) 2003 APA ) ,&Peer Reviewed Journal; Empirical Study'>7U Pisa, Pisa, Italy [Muratori]; U Pisa, Scientific Inst Stella Maris, Pisa, Italy [Picchi, Bruni, Patarnello, Romagnoli] Email Address [mailto:f.muratori@inpe.unipi.it] Contact Individual Muratori, Filippo, IRCCS Stella Maris, Via dei Giacinti, 2-56018 Calambrone, Pisa, Italy, [mailto:f.muratori@inpe.unipi.it]U4.Muris, Peter Meesters, Cor van den Berg, Frank 2003The Strengths and Difficulties Questionnaire (SDQ): Further evidence for its reliability and validity in a community sample of Dutch children and adolescents-.(European Child and Adolescent Psychiatry121a 1-8 Mara*#1018-8827 Electronic ISSN 1435-135X SDQ-00023*Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adulthood (18 yrs & older) Netherlands Psychopathology; Questionnaires; Symptoms; Test Reliability; Test Validity; Factor Structure; Psychometrics; Self Report; Statistical Validity; Test Forms Strengths & Difficulties Questionnaire; parent & self report; psychopathological symptoms; test-retest stability; concurrent validity; factor structure; children; adolescents; internal consistencynhThis study was a first attempt to examine the psychometric properties of the Strengths and Difficulties Questionnaire (SDQ) in Dutch youths. A large sample of normal children and adolescents (N = 562; aged 9-15 yrs) and their parents completed the SDQ along with a number of other psychopathology measures. Factor analysis of the SDQ yielded five factors that were in keeping with the hypothesised subscales of hyperactivity-inattention, emotional symptoms, peer problems, conduct problems, and prosocial behaviour. Furthermore, internal consistency, test-retest stability, and parent-youth agreement of the various SDQ scales were acceptable. Finally, the concurrent validity of the SDQ was good: that is, its scores correlated in a theoretically meaningful way with other measures of psychopathology. It can be concluded that the psychometric properties of the parent- and self-report version of the SDQ were satisfactory in this Dutch community sample. Moreover, the current data provide further support for the utility of the SDQ as an index of psychopathological symptoms in youths. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'LFMaastricht U, Dept of Medical, Clinical, & Experimental Psychology, Maastricht, Netherlands [Muris, Meesters, van den Berg] Email Address [mailto:p.muris@dep.unimaas.nl] Contact Individual Muris, Peter, Dept of Medical, Clinical, & Experimental Psychology, Maastricht U, P. O. Box 616, 6200 MD, [mailto:p.muris@dep.unimaas.nl]Muris, P, & Maas, A. 2004Strengths and difficulties as correlates of attachment style in institutionalized and non-institutionalized children with below-average intellectual abilities,&Child Psychiatry and Human Development34317-328 SDQ-00043*zThe current study examined attachment style, strengths, and difficulties in institutionalized and non-institutionalized children with below-average intellectual abilities. Parents/caregivers and teachers of the children completed a brief measure of attachment style and the Strengths and Difficulties Questionnaire, which assesses the most important domains of child psychopathology (i.e., emotional symptoms, conduct problems, hyperactivity-inattention, and peer problems) as well as personal strengths (i.e., prosocial behavior). Results indicated that institutionalized children were more frequently insecurely attached and generally displayed higher levels of difficulties and lower levels of strengths than non-institutionalized children. Furthermore, within both groups of children, insecure attachment status was linked to higher levels of difficulties but lower levels of strengths..7=4.Sharma, Nov Rattan Yadava, Asha Yadava, Amitra 200160Mental health of women in relation to job stress0)Journal of Personality & Clinical Studiese171d 41-44 Mar 0970-1206 MHI-00074D>Human; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) India Age Differences; Employment Status; Mental Health; Occupational Stress; Working Women job stress; age differences; mental health; nonworking; part time work; full time work; adult females; India*$Assessed the impact of job stress on the mental health of 120 women, aged 25-35 yrs and 50 yrs and above, with low (nonworking), moderate (job requiring approximately 4 hrs per day) and high (job requiring 8 hrs or more per day) job stress. There were 40 Ss in each group. The General Health Questionnaire, which measured psychological distress, and a mental health inventory were administered to all Ss individually. Age and the interaction of age and job stress had no significant effect on General Health Questionnaire and Mental Health Inventory scores. The moderate job stress group was less prone to psychological depression, exhibited the least symptoms of neurotic disorders, and had better mental health as compared with the low or high job stress group. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study':3M. D. U, Dept of Psychology, Rohtak, India [Sharma]ZTSharma, Vimal Kumar Wilkinson, Greg Dowrick, Christopher Church, Elaine White, Sarah 2001piDeveloping mental health services in a primary care setting: Liverpool Primary Care Mental Health ProjectZ0*International Journal of Social Psychiatry474i 16-29  WinV2001-05458-002 HON-00012c*Client Satisfaction; *Health Care Delivery; *Interdisciplinary Treatment Approach; *Primary Health Care; General Practitioners; Professional ReferralpiExamined the impact of the Liverpool Primary Care Mental Health Project (PCMHP). The PCMHP comprises a multi-disciplinary team providing mental health services in a primary care setting. Data were collected on all patients who came in contact with the PCMHP team during a 3-yr period. These data were compared with those from 5 neighboring teams regarding: (1) waiting time between referral and assessment; (2) clinical outcome; (3) inpatient bed usage; (4) services satisfaction of GPs and patients. Results show that the number of new referrals remained the same during the 3-yr period, while the number of patients admitted by neighboring teams steadily increased. Use of inpatient beds dropped by 38% during the period. Waiting time between referral and assessment for new patients was reduced from 6 to 1-2 wks, while waiting time for new referrals for neighboring health teams remained, on average, 4-5 wks. GPs were highly satisfied with access to nurses, overall communication with the team, and overall delivery of the services. 80%+ of patients were satisfied with the services. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.sagepub.comShelton, Deborah 2001,&Emotional disorders in young offenders$Journal of Nursing Scholarship333 259-63 1527-6546 CGA-00021*RLHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Us Criminal Justice; Emotionally Disturbed; Mental Disorders; Population emotional disorders; juvenile delinquents; criminal justice system; detainees; mental disorders; populationExamined rates of emotional disorder in the juvenile justice system of the state of Maryland. 312 committed and detained youth (aged 12-20 yrs) were assessed for mental disorders using the Diagnostic Schedule for Children (A. Costello et al, 1984, DISC) and the Child Global Assessment Scale (D. Shaffer et al, 1983, CGAS). Results show that 53% of Ss were diagnosed with mental disorders on the DISC, but were above the CGAS cut-off scores. 46% of Ss met criteria for diagnosis and low functioning. 26% of Ss indicated need for immediate mental health services. 14% of Ss with serious mental disorders and substantial functional impairment were in need of a highly restrictive environment. It is concluded that the number of youth in the Maryland juvenile justice system in need of mental health services requires an examination of options that meet security and treatment requirements. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'Howard U, Div of Nursing, Washington, DC, US [Shelton] Contact Individual Shelton, Deborah, 11934 Gold Needle Way, Columbia, MD, US, 21044, [mailto:dashelton@howard.edu]o`ZShergill, Sukhwinder S. Shankar, Kuttalalingam K. Seneviratna, Knightley Orrell, Martin W. 1999d^The validity and reliability of the Health of the Nation Outcome Scales (HoNOS) in the elderly$Journal of Mental Health (UK)85n511-521m Octs1999-01816-007 HON-00049**Geriatric Psychiatry; *Mental Health Services; *Psychotherapeutic Outcomes; *Rating Scales; *Testing; Geriatric Patients; Psychiatric Patients; Rural Environments; Test Reliability; Test ValidityInvestigated the validity and reliability of the Health of the Nation Outcome Scales (HoNOS; J. K. Wing et al; 1998) in 65+ yr old patients in contact with mental health services. 100 inpatient and outpatients (mean age 77.3 yrs) from a rural old age psychiatry service were interviewed using the HoNOS and a selection of other scales. The sources included day hospitals, inpatient units, outpatient clinics, geriatric liaison, and residential homes. Test-retest and inter-rater reliability were measured, and qualitative and quantitative aspects of validity were assessed. Results indicate that the HoNOS had moderate to good interrater and test-retest reliability and Cronbach's alpha was 0.61. The HoNOS had good criterion validity and was able to predict placement; day patients and out-patients had lower scores than inpatients who had lower scores than residential and nursing home residents. The construct validity was adequate with correlations in line with clinical expectations. It also had good concurrent validity correlating well with other scales. The consensual and content validity suggests that the HoNOS is a useful well-constructed scale. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.tandf.co.uk.'Shugarman, L. R. Fries, B. E. James, M.o 1999}A comparison of home care clients and nursing home residents: can community based care keep the elderly and disabled at home?{*#Home Health Care Services Quarterly181 25-45tHome Health Care Serv Qh 0162-1424\ RUG-00017eCommunity Health Services organization and administration; Disabled Persons; Home Care Services organization and administration; Nursing Homes organization and administration Activities of Daily Living; Aged ; Aged, 80 and over; Cohort Studies; Community Health Services standards; Diagnosis Related Groups; Home Care Services standards; Middle Aged; Nursing Homes standards Comparative Study; Female; Human; Male; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.Admission cohorts from the Michigan Medicaid Home and Community-Based Waiver program and Ohio nursing homes were compared on measures of resource utilization including a modified Resource Utilization Groups (RUG-III) system, Activities of Daily Living (ADLs), and overall case mix. We found that, contrary to previous research, the two samples were remarkably similar across RUG-III categories. However, the nursing home sample was more functionally impaired on measures of ADL functioning and overall case mix. Results of this study may inform policymakers and providers of the potential for maintaining the appropriate population in the home with government-funded home care.wEnglishg'XRSchool of Public Health, University of Michigan, Ann Arbor, USA. lshugar@umich.eduH3,Mental Health Statistics Improvement Program200333,Mental Health Statistics Improvement ProgramYear53,Mental Health Statistics Improvement ProgramYear63,Mental Health Statistics Improvement ProgramYear73,Mental Health Statistics Improvement ProgramYear83,Mental Health Statistics Improvement ProgramYear;3,Mental Health Statistics Improvement ProgramYearE3,Mental Health Statistics Improvement ProgramYearF3,Mental Health Statistics Improvement ProgramYear Mercer2001 Mercier2002 Merette2003 Merikangas19999 Messer20044 Metzke2001 Meyer2000x Meyer2001K Midred20022 Mikkelsen1995J Miklowitz2004G Mikulincer1997q Mikulincer1998 Milano20032 Miles2003; Mileshkin2004 Mill20010i Millard1997 Millepiedi2000 Millepiedi2001 Millepiedi2002 Miller19844o Miller1988E Miller20011| Miller20033t Miller20040 Mills2003Millward20030 Milne1995 Milne2001 Milne-Smith2000} Milone1998 Milone20020I Mindeng Minden20002 Minghella2002 Minnery1996 Minnis20030 Minsky2003 Mirin1991@ Mishra1991? Mishra1999Miskimen2003 Mistral2002NMitchell20022v Mittler2003 Mitty1988Mockford20022 Mohamad2003 Mohr20012 Mohr20030Molyneux1997Molyneux1999 Monzani2001 Moore1996 Moore1997O Moore2001 Moos2000 Moran2000 Moran2002N Morch2004Moreland1996 Morice19939K Morley20042Morosini20010Morosini2003 Morris2001 Morris2002 Morris20020% Morris-Yates1997 Morris-Yates1999 Morris-Yates2000G Morris-Yates2000 Morris-Yates20025Morrison2000 Moses2003| Movsas20033z Moye20010d Mozley1999b Mozley20002 Mroczek2002 Mucci2000 Mucci2001 Mucci2001 Mucci2002 Mucci2003 Mueser2002 Mueser2002 Muijen20010i Mulhern2002f Mulinga1999g Mulinga1999 Mullick2000 Mullick20011 Munley2002 Munoz2001Munoz Cespedes19999Muratori2002Muratori2003 Muris2003H Muris2004 Muris2004K Murphy19899M Murphy19911 Murphy19999 Mussa20029 Naber2002/Najavits2000 Naji20011Namyniuk2002&)"Nation Mental Health Working Group1997+$National Mental Health Working Group1999+$National Mental Health Working Group2003 Nazroo2001 Nazroo2001 Nazroo2002 Nazroo20033 Neale1995\ Neill2000 Neill2000 Nelson2001 Neufeld2002 Neufeld2003+$New South Wales Department of Health2001Newcomer2001Newcomer2001 Newell19969Newhouse1984 Newman1980 Newman19944X Newman1996 Newman19988 Newman20022 Newman20030 Newton20000 Newton20011 Newton2002u Ng1999^ NHS1999] NHS2002`NHSIAaNHSIAiNHSIAg NHSIA2000e NHSIA2001c NHSIA2003f NHSIA2003d NHSIA2004b NHSIAYearNicolson2002 Niedda19989 Niederhofer2003 Nielsen2000 Nielsen2003R Nishimoto1988N Nishimoto1989 Nivison2002 Njenga20020T Noojin19959 Nordquist1998l Norell20020 Norman19959 Norman1999 Norman2000 Norman2002 Norman2002 Norman20040 Normand2002 Normand2003 Normand2003 Norrie20040 Norton20011~ Novik1996 Nunes1998 O'Brien2000 O'Brien2002O'Connor20042 O'Donnell1999 O'Donnell2002W O'Herlihy2003 O'Malia2002cO'Reilly2002u O'Shea2000}Odchimar Reissig2002 Odoi2002 Ogles1996 Ogles1999 Ogles2000v Ogles2002!' Ohio Department of Mental Health2000' Ohio Department of Mental Health2001 ' Ohio Department of Mental Health2001' Ohio Department of Mental Health2002' Ohio Department of Mental Health2002' Ohio Department of Mental Health2002' Ohio Department of Mental Health2002"' Ohio Department of Mental Health2002#' Ohio Department of Mental Health2002' Ohio Department of Mental Health2003' Ohio Department of Mental Health2003' Ohio Department of Mental Health2003' Ohio Department of Mental Health2003$' Ohio Department of Mental Health2003%' Ohio Department of Mental Health2003&' Ohio Department of Mental Health2003' Ohio Department of Mental Health2004' Ohio Department of Mental Health2004' Ohio Department of Mental Health2004 Mental Health2004 :3Sourander, A. Ellila, H. Valimaki, M. Aronen, E. T.. 2002`YPsychopharmacological treatment of child and adolescent psychiatric inpatients in Finland82Journal of child and adolescent psychopharmacology122Z 147-55&J Child Adolesc Psychopharmacoli 1044-5463o CGA-00020*Inpatients statistics and numerical data; Mental Disorders drug therapy; Mental Disorders epidemiology Adolescent ; Antidepressive Agents therapeutic use; Antipsychotic Agents therapeutic use; Child ; Child, Preschool; Confidence Intervals; Finland epidemiology; Logistic Models; Mental Disorders psychology; Multivariate Analysis; Odds Ratio; Psychopharmacology Female; Human; Male; Support, Non U.S. Gov'tiOBJECTIVE: The objective of this study was to investigate the use of psychopharmacological treatment in child and adolescent psychiatric inpatient treatment in Finland. METHODS: The study is a cross-sectional study conducted in January 2000. The psychiatrist responsible for the inpatient treatment was asked to fill in a questionnaire for every inpatient who occupied a child or adolescent psychiatric bed during the chosen study day (n = 504 patients). Information on psychopharmacological treatment was obtained for 475 patients. RESULTS: Forty-three percent had scheduled medication and 28% had "as required" medication. Of those with scheduled medication, 56% had neuroleptics and 45% antidepressants. In multivariate analysis, older age (13-18 years), involuntary treatment, and psychotic disorder were independently associated with scheduled medication, neuroleptic treatment, and as required medication prescription. Neurolepic treatment was also associated with a very low general functioning level (Children's Global Assessment Scale < 41). A diagnosis of depression and older age were associated with antidepressant treatment. Almost all patients with antidepressant treatment were treated with selective serotonin reuptake inhibitors. CONCLUSIONS: Compared with data from a similarly conducted study in 1988, there is an increase especially in the use of antidepressant medication in inpatient care. Considering the increasing use of psychopharmacotherapy during the last 10 years as shown in the present study, the lack of research-based data on the efficacy and safety supporting their clinical use is a major problem in the treatment of disabling childhood mental health problems.nSummer English'XQDepartment of Child Psychiatry, Turku University, Finland. andre.sourander@utu.fi@Sourander, Andre 2004`YCombined psychopharmacological treatment among child and adolescent inpatients in Finlandt*$European Child Adolescent Psychiatry133l179-184 Jun2004-16889-007 CGA-00105**combined psychopharmacological treatment; psychiatric inpatients; pharmacotherapy; prevalence; risk factors; neuroleptics; depressive disorders; psychotic disorders; treatment resistance; safety The aim of this study is to report the prevalence and factors associated with combined pharmacotherapy among child and adolescent psychiatric inpatients in Finland. The target group was all child and adolescent psychiatric inpatients at the beginning of the year 2000. Information about medication use was obtained for 475 patients. The prevalence of combined pharmacotherapy was 16%. Of those taking pharmacotherapy, 36 % had combined treatment. The most common combinations were neuroleptics and SSRIs. Most of the patients with combined pharmacotherapy had depressive or psychotic disorder. Among those with medication, older age (13-18 years), psychotic disorder, bipolar disorder, low functioning level (CGAS 40) and involuntary treatment were associated with combined treatment. Illness severity and treatment resistance were associated with combined pharmacotherapy. Further studies on indications, safety and efficacy of combined pharmacotherapy are warranted. (PsycINFO Database Record (c) 2004 APA ) (journal abstract )Englishm"@2,Hugo, Malcolm Smout, Matthew Bannister, John 2002A comparison in hospitalization rates between a community-based mobile emergency service and a hospital-based emergency service4.Australian & New Zealand Journal of Psychiatry364504-508 Aug2002-15910-016 HON-00033**Community Mental Health Services; *Emergency Services; *Hospital Admission; *Psychiatric Hospitalization; Psychiatric Hospital Admission60Compared the rates of inpatient admission between a mobile community-based psychiatric emergency service and a hospital-based psychiatric emergency service, and identified the clinical characteristics of consumers more likely to be admitted to hospital. A retrospective, quasi-experimental design was used with a 3-month cohort of all face-to-face emergency service contacts presenting at the mobile and hospital-based sites. The Health of the Nation Outcome Scales and details of the outcome following initial assessment were completed, and each group was compared for differences in clinical characteristics and outcome. Hospital-based emergency service contacts were more than three times as likely to be admitted to a psychiatric inpatient unit when compared to those using a mobile community-based emergency service. Those with severe mental health disorders such as schizophrenia and major affective disorder, and experiencing problems with aggression, self-injury, hallucinations and delusions, problems with occupation, activities of daily living, and living conditions were more likely to be admitted to hospital. After controlling for clinical characteristics, site of initial assessment accounted for a substantial proportion of the variance in decisions to admit to hospital. (PsycINFO Database Record (c) 2003 APA )Englishl("http://www.blackwellpublishing.com60Hukkanen, R. Sourander, A. Bergroth, L. Piha, J. 1999TNPsychosocial factors and adequacy of services for children in children's homes,&European Child & Adolescent Psychiatry8l4s268-275l Dect*#1018-8827 Electronic ISSN 1435-135Xt CGA-00012*Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Finland Behavior Disorders; Mental Health; Psychosocial Factors; Residential Care Institutions; Quality of Services mental health status & psychosocial factors & adequacy of services; 4-yr-olds-adolescents with behavior problems in residential homesB11 yrs) and older age at 1st and ongoing placement (> 7 yrs), as well as difficulties in relationships with parents are likely to be associated with more severe behavior problems and lower general functioning. It is concluded that the results of this study show that children and adolescents in social service residential settings are a highly vulnerable group and that these children have extensive mental health needs. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s007870050101 Peer Reviewed Journal; Empirical Study'D>Social Welfare Ctr of City of Turku, Turku, Finland [Hukkanen].'Hukkanen, R. Sourander, A. Bergroth, L.  200382Suicidal ideation and behavior in children's homes"Nordic Journal of Psychiatry572d131-137\ Mar 0803-9488 CGA-00097Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Finland Home Environment; Self Destructive Behavior; Suicidal Ideation; Violence; Attempted Suicide; Suicide suicidal ideation; suicidal behavior; self-destructive behavior; suicide attempts; suicidality; violence; children's homes(!The aim of this cross-sectional study is to report the self-destructive and suicidal behavior of 98 children and adolescents (aged 4-18 yrs; mean age 12.9 yrs) in child welfare institutions. The children were evaluated using the Child Behavior Checklist (CBCL), the Children's Global Assessment Scale (CGAS) and questionnaires about suicidal and violent behavior, filled in by the child's key worker. 32% of the sample had presented suicidal thoughts, threats or suicide attempts during the previous 6 mo. Suicidality was associated with low general functioning level (CGAS<61), self-mutilating behavior and violence. Furthermore, suicidal children had significantly higher CBCL total, externalizing, internalizing, anxious-depressive and aggressive scores. Children with suicide attempts (8% of the sample) had a significantly higher number of different types of traumatic experiences before the placement and higher somatization syndrome scores compared to children with suicidal ideation or non-suicidal children. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'& Turku U Hosp, Dept of Child Psychiatry, Turku, Finland [Hukkanen, Sourander]; U Turku, Dept of Computer Science, Turku, Finland [Bergroth] Email Address [mailto:rvhukkan@netti.fi] Contact Individual Hukkanen, R, Turku U Hosp, Dept of Child Psychiatry, FI-20520, [mailto:rvhukkan@netti.fi]>Halpin, S. A; Carr, V.J. 2000^WUse of quantitative rating scales to assess outcome in schizophrenia prevention studiesr4.Australian & New Zealand Journal of Psychiatry34 S150-S160 OUT-MH-00027*Presents a summary of quantitative rating scales relevant to schizophrenia prevention studies. 15 scales were reviewed in terms of structure, domains assessed, previous use and psychometric properties. Instruments of symptom measurement, role functioning and global functioning were considered, along with multidimensional instruments and other scales of potential interest to research in schizophrenia prevention. Results suggest that no scales of potential value in measuring premorbid risk for schizophrenia have been sufficiently tested for reliability and validity in the context of primary prevention of schizophrenia. The absence of a sufficiently sensitive and specific means for identifying those at high risk of schizophrenia before the onset of psychosis is a major barrier to valid measurement of the outcome of attempts at primary prevention. However, there have been advances in the development of instruments relevant to the goals of secondary and tertiary prevention. Most studies use instruments developed for patients with established psychoses and have applied them to early psychosis groups with some success, although possible 'floor' effects may confound measurement in the 'prodromal' period.pHambridge, J. Rosen, A. 1994~wAssertive community treatment for the seriously mentally ill in suburban Sydney: A programme description and evaluation{60Australian and New Zealand Journal of Psychiatry28438-445.(Hamernik, Elizabeth Pakenham, Kenneth I. 1999rlAssertive community treatment for persons with severe mental disorders: A controlled treatment outcome studyBehaviour Change164i259-268 0813-4839 LSP-00058 Human; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Community Mental Health Services; Hospital Admission; Psychiatric Symptoms; Quality of Life; Mental Disorders Assertive Community Treatment Program; number of hospital admissions & life skills & quality of life & psychiatric symptomatology; seriously mentally ill 17-64 yr oldspjEvaluated the efficacy of an Assertive Community Treatment (ACT) program for the seriously mentally ill. Outcomes of the program were assessed at baseline and 12-mo follow-up and were compared with that of a control group, which received standard community care. 36 17-64 yr old subjects with serious mental disorders participated in the study. Dependent measures included number of hospital admissions and hospital bed days per year, life skills, quality of life, and psychiatric symptoms. Results indicate that, after 1 yr, both treatments led to a significant reduction in hospital admissions and bed days, and to improvement in life skills. ACT subjects evidenced a greater decrease in psychiatric symptoms compared to control group subjects. In general, markedly more ACT subjects showed reliable clinical change in life skills, quality of life, and psychiatric symptoms than control subjects. Although the ACT did produce greater clinical change than standard case management, it did not produce statistically greater improvement across most domains of functioning in the short term. (PsycINFO Database Record (c) 2003 APA )@:Peer Reviewed Journal; Empirical Study; Treatment Outcomes'81U Queensland, Brisbane, QLD, Australia [Hamernik]0*Hansen, T. Hatling, T. Lidal, Eli Ruud, T. 2002Discrepancies between patients and professionals in the assessment of patient need: a quantitative study of Norwegian mental health care"Journal of Advanced Nursing366554-562u Mar 2001-06105-001 HON-00028*rl*Experimentation; *Models; *Psychotherapeutic Processes; *Psychotherapy; *Treatment Effectiveness EvaluationResearch on the process of psychological therapy aims to demonstrate how therapy works, partly to increase understanding, but primarily to increase effectiveness by pointing to the crucial ingredients which effect change. This paper aims to demonstrate some of the reasons why process research should be undertaken in the attempt to increase therapeutic effectiveness. A model of scientific inquiry suggests 3 broad types of process research: (1) studies which describe behaviors and processes occurring within therapy sessions; (2) studies which investigate the links between specific psychotherapy processes and treatment outcome; (3) studies which examine the links between specific psychotherapy processes and theories of change. Using this typology, we describe key aspects of process research: what it is; what has been studied; the limitations of existing research. Comparative studies have been rare. Studies which are linked to models of change and which attempt to track therapist responsiveness are more complex and have been more promising. The authors argue that process research has a significant place in advancing our understanding of the complexity of therapeutic change. (PsycINFO Database Record (c) 2003 APA )Englishehttp://www.bps.org.uke0}Masi, G. Milone, A.t 1998@:Clozapine treatment in an adolescent with bipolar disorderPanminerva medicab403m 254-7cPanminerva Med 0031-0808n CGA-00081[Antipsychotic Agents therapeutic use; Bipolar Disorder drug therapy; Clozapine therapeutic use Adolescent ; Drug Therapy, Combination; Lithium therapeutic use Human; MaleA 15 year-old adolescent boy with a severe treatment refractory bipolar disorder type I, most recent episode manic, severe with psychotic features had previously required hospitalizations and treatment with lithium and/or carbamazepine and high doses of standard neuroleptics without any response. A treatment with a combined clozapine-lithium therapy was progressively started in a hospital setting (clozapine 300 mg/day; lithium 1350 mg/day). After 15 days a dramatic improvement in mood and psychotic symptoms was evident. After four weeks there was 50% improvement on the BPRS (from 74 to 37). The mean CGAS score changed from 25 to 72. At the CGI-Severity of Illness subscale, a 57% decrease was evident; at the CGI-Global Improvement subscale there was a 75% increase. The only significant side effects were sedation and fatigue, but they were not so severe as to induce a reduction of dosage. The boy was discharged from the hospital after three weeks and successfully returned to school with no modifications in treatment. After a nine-month treatment there was no reoccurrence of psychotic or manic symptoms. The implications of pharmacological therapy in treatment refractory manic episodes with psychotic features are discussed. Sep English'Institute of Developmental Neurology, Psychiatry and Educational Psychology, University of Pisa, Scientific Institute Stella Maris, Italy.HAMasi, Gabriele Favilla, Letizia Mucci, Maria Millepiedi, Stefaniap 2000D>Panic disorder in clinically referred children and adolescents*$Child Psychiatry & Human Development312S139-151 WinT 0009-398XT CGA-00009*Human; Male; Female; Inpatient; Outpatient; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Italy Comorbidity; Epidemiology; Family Background; Panic Disorder; Phenomenology; Ability Level prevalence & phenomenology & comorbidity & functional impairment & familial correlates of panic disorder; clinically referred 7-18 yr oldsDescribes prevalence, phenomenology, comorbidity, functional impairment and familial correlates of juvenile panic disorder (PD). A clinical interview (Diagnostic Interview for Children and Adolescents-Revised) was administered to 220 children and adolescents consecutively referred to a Division of Child Neurology and Psychiatry. 23 7-18 yr olds fulfilled Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) criteria for PD. Reported panic symptoms are described, according to gender and chronological age. High comorbidity with generalized anxiety disorder (74%) and depression (52%) was noted. Agoraphobia (56%) and other phobias (56%) were significantly more frequent than in 2 control groups of Ss with generalized anxiety disorder and with depression. Antecedent and/or associated separation anxiety disorder was reported in 73% of the patients. Functional impairment, assessed with a specific diagnostic instrument (Children's Global Assessment Scale) was significantly greater in PD patients than in depressed or anxious patients. 90% of patients had at least 1 parent with an anxiety disorder, 52% had 1 parent with depressive disorder, 33% had 1 parent with drug treated PD. (PsycINFO Database Record (c) 2003 APA )aHBDoi 10.1023/a:1001948610318 Peer Reviewed Journal; Empirical Study'LEU Pisa, Div of Child Neurology & Psychiatry, Calambrone, Italy [Masi]iHAMasi, Gabriele Mucci, Maria Favilla, Letizia Millepiedi, Stefaniai 2001VPAnxiety comorbidity in referred children and adolescents with dysthymic disorderPsychopathology345t253-258ySep-Octd*#0254-4962 Electronic ISSN 1423-033Xr CGA-00032*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Anxiety Disorders; Comorbidity; Dysthymic Disorder anxiety disorder; dysthymic disorder; comorbidity; children; adolescentsAnxiety disorders are common in patients with depressive disorders. This preliminary study investigated some clinical correlates of comorbidity between dysthymic disorder (DD) and generalized anxiety disorder (GAD) in a clinically referred sample of 240 children and adolescents (aged 7.3-18 yrs). After psychiatric evaluation, including a diagnostic clinical interview, 51 patients (25 males and 26 females, mean age 13.1 yrs) with an index diagnosis of DD associated with GAD were compared with 22 patients (13 males and 9 females, mean age 12.9 yrs) diagnosed as having pure DD. The comparison between subjects (DD with or without GAD) regarding the number of depressive symptoms did not show a significant main effect of group. Suicidal ideation was significantly more frequent in the group with comorbid GAD. Internalizing disorders were more frequent in the group of DD with GAD, while externalizing disorders were more frequent in the group without GAD. Functional impairment, assessed with the Children's Global Assessment Scale, did not show significant differences between the two groups. Data are discussed in the light of conceptualizations about the relationship between chronic anxiety and depressive disorders. (PsycINFO Database Record (c) 2003 APA )B8Statewide Outcomes Report 3: Impact of Time in Treatment Ohio 0*Office of Program Evaluation and Research. January 2004 USA-OH-00002*WThe purpose of this report is to provide constituents in the mental health system with statewide data that they can use to compare an individuals scores or average agency or board area scores.B;http://www.mh.state.oh.us/initiatives/outcomes/duserpt3.pdf9 (!Ohio Department of Mental Health,. 2004d^Procedural Manual (6th Edition Revised). The Ohio Mental Health Consumer Outcomes System, 2004 & Ohio Department of Mental Health USA-OH-00001*WThe Ohio Consumer Outcomes Procedural Manual includes a complete background of the Outcomes Initiative, guidelines for implementing the Outcomes System within an organization, and complete instructions for administering and scoring the Outcomes instruments.D=http://www.mh.state.oh.us/initiatives/outcomes/instmanual.pdf (!Ohio Department of Mental Health,i 2004Missing Data Report 3: Individuals with Outcomes Ratings in the Statewide Database Compared to Individuals with Eligible Claimse USA-OH-00028*Y (!Ohio Department of Mental Health,O Year@9ODMH Outcomes Education Series: Administrators & Managersl & Ohio Department of Mental Health USA-OH-00019*BOutcomes instruments are administered to adults with severe and persistent mental illness and their service provider as well as adults in the general mental health population. The domains measured include Clinical Status, Quality of Life, Functioning Status, Safety and Health, and Empowerment. To measure outcomes for youth, three parallel forms were developed (Ohio Scales) for completion by the youth client, the youth's parent or primary caretaker, and the youth's agency worker. The domains measured include Problem Severity, Functioning, Hopefulness, and Satisfaction.B;http://www.mh.state.oh.us/initiatives/outcomes/insteng.htmllJZtnPavuluri, Mani N. Graczyk, Patricia A. Henry, David B. Carbray, Julie A. Heidenreich, Jodi Miklowitz, David J. 2004zChild- and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: Development and preliminary resultsD>Journal of the American Academy of Child Adolescent Psychiatry4350528-537 May2004-13804-006 CGA-00104**cognitive-behavioral therapy; family therapy; child therapy; pediatric bipolar disorder; treatment effectiveness evaluation; treatment integrity; treatment adherence; parent satisfactionDescribes child- and family-focused cognitive-behavioral therapy (CFF-CBT), a new developmentally sensitive psychosocial intervention for pediatric bipolar disorder (PBD) that is intended for use along with medication. CFF-CBT integrates principles of family-focused therapy with those of CBT. CFF-CBT actively engages parents and children over 12 hour-long sessions. An exploratory investigation was conducted to determine the feasibility of CFF-CBT. Participants included 34 patients with PBD who were treated with CFF-CBT plus medication in a specialty clinic. Treatment integrity, adherence, and parent satisfaction were assessed. Symptom severity and functioning were evaluated before and after treatment using the severity scales of the Clinical Global Impression Scales for Bipolar Disorder and the Children's Global Assessment Scale (CGAS) respectively. On completion of therapy, patients with PBD showed significant reductions in severity scores on all CGI-BP scales and significantly higher CGAS scores compared to pretreatment results. CFF-CBT has a strong theoretical and conceptual foundation and represents a promising approach to the treatment of PBD. Preliminary results support the potential feasibility of the intervention. (PsycINFO Database Record (c) 2004 APA )%7r Hoffart, Asle Friis, Svein 2000Therapists' emotional reactions to anxious inpatients during integrated behavioral-psychodynamic treatment: A psychometric evaluation of a Feeling Word ChecklistPsychotherapy Research104462-473 Win2001-03096-006 MIS-00005**Emotional Responses; *Factor Structure; *Psychotherapeutic Processes; *Rating Scales; *Therapist Attitudes; Agoraphobia; Client Characteristics; Panic Disorder; Phobias`YExamined the factor structure of an extended version (36 items) of the Feeling Word Checklist (FWC; C. R. Whyte, C. Constantopoulus, and H. G. Bevans, 1982) purported to measure therapists' emotional reactions to their patients, and to evaluate psychometrically the factor-based scales. Four therapists (one clinical psychologist, 2 psychiatric nurses, and an occupational therapist) completed the checklist after both a behavioral and a psychodynamic phase of a treatment program for 63 inpatients (mean age 36.6 yrs) with panic disorder, agoraphobia, and other phobic disorders. Results of factor analysis reveal 3 distinct dimensions: interest-boredom, insecurity-security, and anger. The corresponding 3 subscales showed satisfactory internal consistency, and they correlated strongly with their respective factors. The criterion-oriented validity of the insecurity and anger subscales was supported by their ability to differentiate between completers and noncompleters of the program. The 3 subscales correlated poorly with Mental Disorders-III-Revised (DSM-III-R) personality disorder indices. More subjectively experienced interest and less subjectively experienced anger on the part of the therapists toward patients were related to a stronger reduction in the patients' avoidance behavior in the 1-yr follow-up period. (PsycINFO Database Record (c) 2003 APA ).Englishnhttp://www.oup.com0*Hoffmann, F. L. Capelli, K. Mastrianni, X. 1997b\Measuring treatment outcome for adults and adolescents: reliability and validity of BASIS-32.'Journal of Mental Health Administration243 316-31J Ment Health Admt 0092-8623r BAS-00015*Hospitals, Psychiatric utilization; Mental Disorders diagnosis; Mental Health Services utilization; Outcome Assessment Health Care standards; Psychiatric Status Rating Scales standards; Psychometrics standards; Severity of Illness Index Adolescent ; Adult ; Analysis of Variance; Chi Square Distribution; Child ; Factor Analysis, Statistical; Follow Up Studies; Prospective Studies; Reproducibility of Results; United States Female; Human; Male{This article examines the reliability and validity for adults and adolescents of Behavioral and Symptom Identification Scale (BASIS-32), a 32-item patient-report instrument designed to facilitate psychiatric outcome assessment of adult inpatient populations. This study extends the original analysis of the psychometric properties of BASIS-32 to a different site, using a self-report rather than interview format and samples of both adult and adolescent patients. Responses to the BASIS-32 are reported for two groups of patients consecutively admitted between 1991 and 1994: adults over 18 years old (n = 462) and adolescents between 12 and 18 (n = 244). Results of this investigation confirm the utility of BASIS-32 as an easily administered and scored self-report outcome assessment tool for adult psychiatric patients. Its utility for adolescent patients was not as clearly demonstrated.oSummer English'4-University of Missouri, St. Louis 63121, USA.yHolloway, Frank 2002HAOutcome measurement in mental health -- Welcome to the revolution$British Journal of Psychiatry 181r1 1-2 Jul2002-15116-003 HON-00030*vp*Experimentation; *Measurement; *Mental Health Services; *Treatment Effectiveness Evaluation; Treatment OutcomesThis article describes the effectiveness of mental health services in the United Kingdom. The author editorializes the "revolution" occurring within the mental health services of England and Wales. The revolution includes: Taking outcome measurement seriously, recognizing the important of mental health informatics, and collection of outcomes data. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.rcpsych.ac.uk w leVreugdenhil, Coby Doreleijers, Theo A. H. Vermeiren, Robert Wouters, Luuk F. J. M. van den Brink, Wim} 2004^XPsychiatric disorders in a representative sample of incarcerated boys in the NetherlandsF@Journal of the American Academy of Child & Adolescent Psychiatry431 97-104 Jan 0890-8567 CGA-00087*Human; Male; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Netherlands Epidemiology; Incarceration; Juvenile Delinquency; Mental Disorders; Psychopathology; Human Males; Involuntary Treatment; Legal Detention psychiatric disorders; prevalence; incarcerated male adolescents; psychopathology; detention; detention with compulsory treatment; allocation to detention programs>8Determined the prevalence of psychiatric disorders among incarcerated male adolescents and investigated the influence of psychopathology on allocation to either plain detention or detention with compulsory treatment. This was a cross-sectional study of a representative sample of 204 incarcerated boys (aged 12-18 yrs). The Diagnostic Interview Schedule for Children was used, and data was collected from December 1998 to December 1999. 79% of the subjects agreed to participate. 90% reported at least one psychiatric disorder: disruptive behavior disorder 75%, substance use disorder 55%, psychotic symptoms 34%, ADHD 8%, anxiety disorder 9%, and affective disorder 6%. After controlling for a broad range of sociodemographic characteristics and former treatment parameters, the presence of a psychiatric disorder was not associated with allocation to compulsory treatment. Compared with North American studies, relatively low rates of anxiety and affective disorders were found, probably due to the better availability of mental health services to disadvantaged youths with internalizing problems in the Netherlands. It should be examined whether standardized psychiatric assessments can improve the efficiency of allocation to detention programs with or without psychiatric treatment options. (PsycINFO Database Record (c) 2004 APA )RKPeer Reviewed Journal; Empirical Study; Quantitative Study; Journal Articlee'Youth Detention Ctr "de Hartelborgt", Spijkenisse, Netherlands [Vreugdenhil]; Child & Adolescent Psychiatry, Free U, Amsterdam, Netherlands [Doreleijers, Vermeiren]; Dept of Psychiatry, U Amsterdam, Amsterdam, Netherlands [Wouters]; Academic Medical Ctr, U Amsterdam, Amsterdam, Netherlands [van den Brink] Email Address [mailto:postbus@vreugd.demon.nl] Contact Individual Vreugdenhil, Coby, R.I.J. de Hartelborgt, Borgtweg 1, 3202 LJ, [mailto:postbus@vreugd.demon.nl]LFSevere developmental disorders: Social support and maternal adaptationWadden, Norma Kennedy: Dalhousie U, Canada Autism is a severe lifelong disorder characterized by impaired social, communicative, and behavioural development. Mothers caring for individuals with autism have been shown to be more stressed than mothers of children with other developmental disorders. Research has indicated that social support buffers the effects of stress on mental health. However, whether a buffering effect is found appears to depend on how support and stress are conceptualized and measured. Moreover, the extent to which social support benefits health may depend on how well the type of support meets the needs of the stressed individual. The purpose of the present thesis was twofold. First, the relationship between several dimensions of social support and mental health was examined in caregivers faced with a specific chronic stressor. The second objective was to investigate group differences in each of three main areas of interest (i.e., stress, social support, and mental health). Mothers of 25 autistic, 24 learning-impaired, and 25 normally developing children served as participants. All mothers evaluated (a) satisfaction with support, and (b) the extent to which support meets needs, for each of three types of support--instrumental, informational, emotional support--from informal and formal sources. The Questionnaire on Resources and Stress was used as a measure of stress. Mental health was defined in terms of the Mental Health Inventory. Evidence for stress-buffering effects on mental health emerged with the extent to which both emotional and instrumental support meets needs, and perceived satisfaction with emotional support. Group differences indicated that mothers of autistic and learning-impaired children experience poorer mental health than mothers of normally developing children. Mothers of autistic children reported more stress than mothers of learning-impaired children, who were more stressed than the norm. In terms of social support, mothers of autistic children reported that instrumen (PsycINFO Database Record (c) 2003 APA )d 1995Availability UMI Dissertation Order Number AAMNN93842 Dissertation Abstracts International Section A: Humanities & Social Sciences. Vol 56(1-A), Jul 1995, pp. 0370 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyF?Human; Female; Childhood (birth-12 yrs); Adulthood (18 yrs & older) Developmental Disabilities; Mental Health; Psychological Stress; Social Support Networks; Autism; Autistic Children; Learning Disabilities; Mothers chronic stress & social support & mental health; mothers of children with autism vs learning impairmenth 2003N20038.2004W-&2001 Colarado Best Practice Work Group2002 Aarseth2003 Aasland1997! Abas2003n Abbey1996 Abbey2001 Abbey2002 Achenbach19878Ackerman20010 Ad-Dab'bagh2000 Adair2003 Adams1999 Adams2000x Adams2001 Addis2002h Addo20040 Addy19951 Adebisi1998 Aghababian2003 Aitken19966 Ajzenstzen20040 Alegria1996 Alegria2004 Alessi2003t Alexiou1999 Alfaro2002 Allan1997I Allan20035 Allardyce2000 Allen1999a Allen1999 Allen20029Altamura2002J Alter1996V Altschul\70American College of Mental Health Administration20012 Amin1999Amponsah-Afuwape2003zAndersen2001jAnderson19966Anderson19991Anderson2002Anderson2002Anderson2003Anderson2004 Andreas2003 Andrew20011 Andrews1990 Andrews1994 Andrews1996 Andrews19960 Andrews1997 Andrews1998 Andrews2001 Andrews2002 Andrews2002 Andrews2002 Andrews2003 Andrews2003, Aneshensel2003P Anson2001^ Arheart1991 Arling1989 Armbruster1999 Aronen20020 Aronson1992 Aronson1993 Arrindell1999 Ashaye1997 Ashaye1998 Ashaye1998 Ashaye1999_ Ashaye2003Asherson2001 Ashkanazi2000eAtchison19959Atkinson1989 Attafua2004Attride-Stirling2004 Audin20016 Audin2001Z Augusto1995 Auquier2003 Ausin2001!Australian Health Ministers1992!Australian Health Ministers1992!Australian Health Ministers1998!Australian Health Ministers1998!Australian Health Ministers2003#Australian Health Ministers.$Australian Health Ministers.!?8Australian Institute for Suicide Research and Prevention200331*Australian Institute of Health and Welfare200221*Australian Institute of Health and Welfare200341*Australian Institute of Health and Welfare20031*Australian Institute of Health and Welfare20031*Australian Institute of Health and Welfare20031*Australian Institute of Health and Welfare200311*Australian Institute of Health and Welfare20041*Australian Institute of Health and Welfare2004/71Australian Institute of Health and Welfare (AIHW)2003.71Australian Institute of Health and Welfare (AIHW)2004-71Australian Institute of Health and Welfare (AIHW)YearC mRf  . :1  5D1J  < * ,oC    G` [   6  ; W O # H C  i + h ;   |  J'' $  +  ^   K    Y>         y  m x  ! ^  n v &  ^   x/^f    }    @  N'   = /   q+ W <Q   *  0L\ < :( ?E c  X} ,6   91    Nd  j  5:yR  N _ I G nY B    Oe s ] Zyz   0 g     C    $ "   9    @  X   l  Y 4  { o &  C  V d   j q /   w ~ l k 0_ K   } S5ds o  % Xx 5 t t%  8Gv   u   gjCanino, G. Shrout, P. E. Rubio Stipec, M. Bird, H. R. Bravo, M. Ramirez, R. Chavez, L. Alegria, M. Bauermeister, J. J. Hohmann, A. Ribera, J. Garcia, P. Martinez Taboas, A. 2004The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment$Archives of general psychiatry611 85-93Arch Gen Psychiatry 0003-990X CGA-00001*Diagnostic and Statistical Manual of Mental Disorders; Hispanic Americans psychology; Mental Disorders epidemiology Adolescent ; Attention Deficit Disorder with Hyperactivity diagnosis; Attention Deficit Disorder with Hyperactivity epidemiology; Attention Deficit Disorder with Hyperactivity psychology; Attention Deficit and Disruptive Behavior Disorders diagnosis; Attention Deficit and Disruptive Behavior Disorders epidemiology; Attention Deficit and Disruptive Behavior Disorders psychology; Child ; Child, Preschool; Cross Sectional Studies; Depression, Involutional diagnosis; Depression, Involutional epidemiology; Depression, Involutional psychology; Hispanic Americans statistics and numerical data; Incidence ; Mental Disorders diagnosis; Mental Disorders psychology; Mental Health Services utilization; Personality Assessment; Phobic Disorders diagnosis; Phobic Disorders epidemiology; Phobic Disorders psychology; Puerto Rico ethnology; Sampling Studies Female; Human; Male; Support, U.S. Gov't, P.H.S.d P JBACKGROUND: Few prevalence studies in which DSM-IV criteria were used in children in representative community samples have been reported. We present prevalence data for the child and adolescent population of Puerto Rico and examine the relation of DSM-IV diagnoses to global impairment, demographic correlates, and service use in an island-wide representative sample. METHODS: We sampled 1886 child-caretaker dyads in Puerto Rico by using a multistage sampling design. Children were aged 4 to 17 years. Response rate was 90.1%. Face-to-face interviews of children and their primary caretakers were performed by trained laypersons who administered the Diagnostic Interview Schedule for Children, version IV (DISC-IV) in Spanish. Global impairment was measured by using the Children's Global Assessment Scale scored by the interviewer of the parent. Reports of service use were obtained by using the Service Assessment for Children and Adolescents. RESULTS: Although 19.8% of the sample met DSM-IV criteria without considering impairment, 16.4% of the population had 1 or more of the DSM-IV disorders when a measure of impairment specific to each diagnosis was considered. The overall prevalence was further reduced to 6.9% when a measure of global impairment was added to that definition. The most prevalent disorders were attention-deficit/hyperactivity disorder (8.0%) and oppositional defiant disorder (5.5%). Children in urban settings had higher rates than those in rural regions. Older age was related to higher rates of major depression and social phobia, and younger age was related to higher rates of attention-deficit/hyperactivity disorder. Both overall rates and rates of specific DSM-IV/DISC-IV disorders were related to service use. Children with impairment without diagnosis were more likely to use school services, whereas children with impairment with diagnosis were more likely to use the specialty mental health sector. Of those with both a diagnosis and global impairment, only half received services from any source. CONCLUSIONS: Because we used the DISC-IV to apply DSM-IV criteria, the study yielded prevalence rates that are generally comparable with those found in previous surveys. The inclusion of diagnosis-specific impairment criteria reduced rates slightly. When global impairment criteria were imposed, the rates were reduced by approximately half. Jan English'Behavioral Sciences Research Institute, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, Rio Piedras, San Juan, Puerto Rico 00936-5067. gcanino@rcm.upr.edu~xCarbone, Lisa A. Barsky, Arthur J. Orav, E. John Fife, Alison Fricchione, Gregory L. Minden, Sarah L. Borus, Jonathan F. 2000LEPsychiatric symptoms and medical utilization in primary care patientsg@:Psychosomatics: Journal of Consultation Liaison Psychiatry416512-518Nov-Dec 0033-3182 MHI-00032*Human; Male; Female; Adulthood (18 yrs & older) Us Health Care Utilization; Mental Disorders; Primary Health Care; Medical Patients psychiatric disorders & health care utilization in primary care; patientsIn 2 studies, the authors evaluated the impact of psychiatric disorders on medical care utilization in a primary care setting. In the 1st study, 526 consecutive patients in a teaching hospital primary care practice completed the 18-item RAND Mental Health Inventory to identify clinically significant depression and/or anxiety and a questionnaire about the use of psychiatric treatment and psychoactive medications. The medical utilization of those patients defined as depressed and/or anxious was compared with those defined as not depressed and/or anxious. Patients identified as depressed and/or anxious reported significantly increased medical utilization, but this was not confirmed by the hospital's computerized record system. In the 2nd study, the authors analyzed medical care utilization for the years before and after the 1st outpatient psychiatry appointment of a sample of 91 patients referred from the same primary care practice to the hospital's outpatient psychiatry clinic over a 1 -yr period. In both studies there was not a statistically significant difference in medical utilization among those patients receiving psychiatric treatment. (PsycINFO Database Record (c) 2003 APA ) JDDOI 10.1176/appi.psy.41.6.512 Peer Reviewed Journal; Empirical Study'60Brigham & Women's Hosp, Boston, MA, US [Carbone] ,%Eisen, S. V. Grob, M. C. Klein, A. A.n 1986ZTBASIS: The development of a self-report measure for psychiatric inpatient evaluationPsychiatric Hospital174 165-71Psychiatr Hosp 0885-77175 BAS-00043-Hospitals, Psychiatric standards; Outcome and Process Assessment Health Care methods Data Collection; Evaluation Studies; Mental Disorders; United States Humang<5Reliable and valid instruments are vital to assess the course and outcome of psychiatric disorders. This paper describes the development of BASIS (Behaviour and Symptom Identification Scale), a self-report assessment instrument for assessing functioning of psychiatric inpatients, and provides validating data for its use in a psychiatric hospital. The instrument was administered to 677 newly admitted patients. For approximately half of the sample, patients' nearest relatives provided parallel ratings of the patient. Interviews were repeated three to six weeks after admission and again six months after discharge. Test-retest reliability was found to be comparable to that for a standardized symptom checklist (SCL-90). Analyses of validity pointed to the instrument's capability in discriminating diagnostic groups, item correlations with similar symptom dimensions on other assessment measures, and correlations with relative's assessments of patients on the same measure. In conclusion, BASIS appears to be a promising tool for psychiatric inpatient evaluation studies.u Fall English*$Eisen, S. V. Grob, M. C. Dill, D. L. 19890*Substance abuse in an inpatient populationMcLean Hospital Journale14 1-22 Eisen, S. V. 1992ZTAlcohol, drugs and psychiatric disorders: A current view of hospitalised adolescents$Journal of Adolescent Research7250-275\*$Eisen, S. V. Dill, D. L. Grob, M. C. 1994f`Reliability and validity of a brief patient-report instrument for psychiatric outcome evaluation(!Hospital and Community Psychiatry453 242-7 Hosp Community Psychiatry 0022-1597 BAS-00034TMHospitalization ; Mental Disorders rehabilitation; Outcome Assessment Health Care statistics and numerical data; Personality Assessment statistics and numerical data Activities of Daily Living psychology; Adolescent ; Adult ; Aged ; Aged, 80 and over; Bipolar Disorder psychology; Bipolar Disorder rehabilitation; Depressive Disorder psychology; Depressive Disorder rehabilitation; Follow Up Studies; Mental Disorders psychology; Middle Aged; Psychometrics ; Reproducibility of Results; Substance Related Disorders psychology; Substance Related Disorders rehabilitation Female; Human; Male OBJECTIVE: The authors describe the Behavior and Symptom Identification Scale (BASIS-32), a brief patient-report measure for psychiatric outcome assessment, and present the measure's factor structure and reliability and validity data. METHODS: Using the BASIS-32, interviews were conducted with a total of 387 patients shortly after their admission to the adult inpatient services of a private not-for-profit psychiatric hospital. Six months after admission, they received a follow-up questionnaire version of the instrument. RESULTS: Factor analysis of the instrument yielded five factors, on which subscales were based: relation to self and others, daily living and role functioning, depression and anxiety, impulsive and addictive behavior, and psychosis. Internal consistency of the subscales ranged from .63 to .80. Internal consistency of the full 32-item scale was .89. Test-retest reliability ranged from .65 to .81 for the five subscales. Concurrent and discriminant validity analyses indicated that the BASIS-32 ratings successfully discriminated patients hospitalized six months after admission from those living in the community, patients working at follow-up from those not working, and patients with particular diagnoses. Follow-up ratings indicated that the BASIS-32 is sensitive to changes in symptomatology and functioning. CONCLUSIONS: The BASIS-32 provides a brief, standardized assessment of symptoms and problems from the patient's perspective. The instrument can be used for outcome assessment with most psychiatric inpatients.r Mar English 'XRDepartment of Mental Health Services Research, McLean Hospital, Belmont, MA 02178. Eisen, S. V. 1995\UAssessment of subjective distress by patients self-report versus structured interviewPsychological Reports76 35-39 BAS-000364 LB8International Journal of Psychiatry in Clinical Practice5t1  41-48h Mar *#1365-1501 Electronic ISSN 1471-1788s BAS-00041iHuman; Male; Female; Inpatient; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) United Kingdom Psychiatric Patients; Rating Scales; Symptoms; Test Construction; Test Forms; Test Reliability; Test Validity Behavioral & Symptom Identification Scale; BASIS-32; psychiatric inpatients; reliability; validity~Examined the reliability and validity of a UK-modified version of the Behavioral and Symptom Identification Scale (BASIS-32). Data from 2 samples of patients from acute psychiatric inpatient settings were used in the analyses (n = 303, n = 92; aged 17-81 yrs). The factor structure of the scale differed from that of the original BASIS-32. Five factors emerged: (1) depression and anxiety, (2) lability, (3) psychosis, (4) substance misuse, and (5) functioning. The full scale of the modified BASIS demonstrated high internal consistency. Internal consistency for the subscales ranged from 0.86-0.45. The depression and anxiety subscale discriminated patients with a diagnosis of unipolar depression from those with other diagnoses. The substance misuse subscale discriminated patients with a diagnosis of alcohol or opiate dependence from those with other diagnoses. However, the psychosis subscale did not differentiate patients with a psychotic illness from those with a nonpsychotic diagnosis. The total scale appeared to be at least as good as the Brief Symptom Inventory in its responsiveness to change. (PsycINFO Database Record (c) 2003 APA )LEDoi 10.1080/136515001300225187 Peer Reviewed Journal; Empirical Study'NGU Aberdeen, Health Services Research Unit, Aberdeen, Scotland [Cameron]t X Benjamin, Bernadette Bennett, ChadBennett, KathleenBenzoni, Oliviero Bergroth, L. Berk, MichaelBernardo, MiquelBerry, Carolyn Berry, HelenBerwick, Donald M. Bethoux, F. Bianchi, S.Bibou-Nakou, IoannaPMBickman, L., Nurcombe, B., Townsend, C., Belle, M., Schut, J., and Karver, M. Biederman, J.Bigelow, Wayne Biggeri, ABilanakis, Nikolaos D.Bilenberg, Niels Bille, J. Bilsker, Dan Bindman, J.Bindman, Jonathan Bird, H. R.Bird, Hector R.Birdsell, J.M.Birleson, PeterBirmaher, BorisBirnbaum, Gurit E.Biron, ColetteBlagys, Matthew D. Blakey, A.Blanco, CarlosBlaum, CarolineBlower, AileenBoardman, A. P.Boardman, Anthony P. Bobes, J. Boget, TeresaBohlander, Jean R.Bolhofner, Kristine Bolongaro, G. Bonin, J-P. Bonne, Omer Bonsack, C. Boocock, AnneBookstein, Fred L. Boot, B. Booth, BM Boreham, R.Boreham, RichardBorg, Mark Beaudine, Jr. Borgeat, F.Borkenhagen, AdaBorus, Jonathan F. Bostick, Jane Botcheva, L.Botteron, Kelly N.Botticello, Amanda L. Bourgeois, M. Bourne, A.Bourne, Angela Bowling, A.Bowling, AlisonBoxer, Gary H.Bradley, V., & Taub, S.Braehler, ElmarBraenne, Kjersti Bramley, John Brandon, T. Brandon, Toby Brandt, L.Branicky, Lisa A. Brann, PeterBrasic, James RobertBrassard, Andree Bravo, M. Brayman, SaraBrazier, J. E.Bream, Victoria Breed, J. Brems, C.Brems, ChristianeBrent, David A. Brettle, AJBreuer, BrendaBridge, Jeffrey A.Bridges, LauraBriggs, Denise Broadbent, M.Broadbent, Matthew Broman, J. E. Brook, R. H. Brooker, C.Brooker, Charlie Brooks, R.Brophy, MarciaBrovedani, Paola Brower, LABrown, Catana E. Brown, Fiona Brown, GS Brown, J. Brown, J. E. Brown, L. Browne, G.Browne, Stephen Bruce, J. Bruce, M. Brugha, T.Bruni, Gabriella Brunier, G. Brunton, Joan Bryant, B. Buchanan, AnnBuchvald, ElanaBuckingham, B.Buckingham, W.D@Buckingham, W., Burgess, P., Solomon, S., Pirkis, J. & Eagar, K.PMBuckingham, W., Trauer, T., Callaly, T., Eagar, K., Coombs, T. and Graham, C. Budman, D.Bufka, Lynn F.Buhl Nielsen, B. Buhrich, N. Bulbena, A.Bulbena, V. A. Bullenkamp, JBurgess, J. A. Burgess, P.Burgess, PhilipBurhouse, Emma Burke, S.Burlingame, GMBurnett, Peter Burns, A.Burns, Barbara J. Burns, Jan Burns, Tom Burt, TalBurton, Lynda C.Buscema, Charles Busch, ABBusch, Alisa B. Bussey, M.Bussing, Regina Butler, G. S. Butler, T. Buttar, Amna Byman, J.Byrne, Mitchell K.Bystritsky, Marina Cahill, S.Cahill, SharonCalabrese, Joseph R.Callaghan, Jane Callaly, T Callaly, T.(#Callaly, T., Trauer, T. & Hantz, P. Callaly, Tom Callaly, Tom;,(Callaly, Tom; Coombs, Tim; Berk, MichaelCameron, Isobel M. Cancer and Leukemia Group, B.(#Cancer and Leukemia Group, B. CalgbCanetti, Laura Canino, G.Canino, GlorisaCanino, Glorisa J. Cann, Lesley Capelli, K. Caputi, P.Carbone, Lisa A.Carbray, Julie A.Cardella, Carl Caron, JeanCarpenter, G. I. Carpenter, J.Carpenter, John Carr, AlanCarroll, ElaineRpZSDaniells, S. Grenyer, B. F. Davis, W. S. Coleman, K. J. Burgess, J. A. Moses, R. G. 2003Gestational diabetes mellitus: is a diagnosis associated with an increase in maternal anxiety and stress in the short and intermediate term? Diabetes carep262y 385-9m Diabetes Care 0149-5992 MHI-00008*<5Anxiety etiology; Diabetes, Gestational psychology; Stress, Psychological etiology Adult ; Attitude to Health; Case Control Studies; Diabetes, Gestational diagnosis; Longitudinal Studies; Mental Health; Pregnancy Trimester, Third psychology; Prospective Studies; Puerperium psychology Female; Human; PregnancyxrOBJECTIVE: To examine anxiety levels of women diagnosed with gestational diabetes mellitus (GDM) and to compare these with glucose-tolerant (GT) women at similar stages of pregnancy. RESEARCH DESIGN AND METHODS: Prospective longitudinal study conducted on 50 women with GDM and 50 GT women. All women completed the Mental Health Inventory (MHI-5) forms and the Speilberger State-Trait Anxiety Inventory (STAI) at the beginning of the third trimester, antepartum, and 6 weeks postpartum. Specific questions were also assessed using a Likert scale. RESULTS: Women with GDM, compared with GT women, had a higher level of anxiety (state rather than trait) at the time of the first assessment. However, before delivery and in the postpartum period, there were no significant differences in anxiety scores between the two groups. Women in both groups were positive about being tested for GDM and wished to be tested during future pregnancies. CONCLUSIONS: There were no sustained increased levels of anxiety for women diagnosed with GDM. Concerns expressed about causing sustained maternal anxiety by testing for GDM could not be substantiated. Feb Englishe'NGDiabetes Service, Illawarra Area Health Service, Wollongong, Australia. 4.Davis, Julian P. Judd, Fiona K. Herrman, Helen 1997NHDepression in adults with intellectual disability. Part 2: A pilot study4.Australian & New Zealand Journal of Psychiatry312e243-251 Apre 0004-8674f LSP-00046o~wHuman; Male; Female; Adulthood (18 yrs & older) Australia Diagnosis; Major Depression; Measurement; Mental Retardation; Psychological Assessment; Diagnostic and Statistical Manual depression symptoms & prevalence & utility of visual analogue scale vs CORE measure of psychomotor disturbance vs DSM-IV & substitutive diagnostic criteria; adults with intellectual disabilitiesRLTested the utility of the visual analogue scale (VAS) measures of emotion/behavior, the CORE measure of psychomotor disturbance, and standard Mental Disorders-IV (DSM-IV) and substitutive diagnostic criteria for the assessment and diagnosis of depression in 47 adult patients with intellectual disabilities. Ten Ss were found to have a depressive disorder. Substitutive criteria resulted in a greater rate of diagnosis than standard DSM-IV criteria. The VAS measure of irritability was highly scored for all 10 depressed Ss and all were assigned to the melancholic subgroup according to the CORE score. Results suggest that standard assessment measures and diagnostic criteria may require modification to enhance their utility with this patient group. Melancholic features require further investigation. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'LFSt Vincent's Hosp, Dept of Psychiatry, Fitzroy, VIC, Australia [Davis]| Tusaie-Mumford, K Hahn, CR 1996XRPractical outcome evaluation: patient behavioral health care demonstration project&Issues in Mental Health Nursingt17 59-71E OUT-MH-00055>7Uehara, Edwina S. Smukler, Michael Newman, Frederick L.  1994tnLinking resource use to consumer level of need: Field test of the level of need-care assessment (LONCA) method4-Journal of Consulting and Clinical Psychologyd624695-709 Aug 0022-006X RUG-00005*Human Health Care Delivery; Mental Health Services; Needs Assessment field test of level of need care assessment method; need based mental health services allocation; service system planners & consumersA team of service system planners in King County, Washington, field-tested the feasibility of the LONCA method as a strategy to match resources to consumer level of need. LONCA links resources to need by first measuring the incidence and intensity of consumer needs in specific functioning domains. It then preliminarily specifies the type and intensity of services required to minimally but appropriately address specific consumer needs, calculates service costs, and identifies clusters of consumers with similar need and cost profiles. The field test supported the feasibility of performing LONCA tasks. The resulting scheme for clustering consumers appeared to have face validity and was modestly associated with at least 3 independent indicators of resource need: program status, residential status, and hospitalizations. Despite its limitations, the article supports further development of LONCA for use as a resource allocation tool for local service systems. (PsycINFO Database Record (c) 2003 APA )<5Doi 10.1037//0022-006x.62.4.695 Peer Reviewed Journal'@9U Washington, School of Social Work, Seattle, US [Uehara]i&Uttaro, Thomas Gonzalez, Albert  2002Psychometric properties of the Behavior and Symptom Identification Scale administered in a crisis residential mental health treatment setting]Psychological Reports^912^439-443 Octt 0033-2941. BAS-00032lHuman; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Us Mental Disorders; Mental Health Services; Rating Scales; Symptoms; Test Reliability; Psychometrics; Residential Care Institutions residential mental health treatment; psychometric properties; concurrent validity; Behavior and Symptom Identification ScaleThe psychometric properties of the Behavior and Symptom Identification Scale, administered in a crisis residential mental health treatment setting, were investigated. 232 subjects (aged 20-79 yrs) diagnosed with schizophrenia, schizoaffective disorder, major depression, bipolar disorder, and/or a secondary diagnosis of alcohol or substance abuse also completed the Global Assessment of Functioning. Analyses indicated that Cronbach a reliabilities were very good compared to published research from inpatient and outpatient settings. Univariate and multivariate covariance analyses provided evidence supporting validity in terms of sensitivity to change during treatment and concurrent validity. Evidence supported the contention that women were more honest and realistic in their self-assessments but also that crisis residence treatment was efficacious for both sexes. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'$New York State Office of Mental Health, South Beach Psychiatric Ctr, NY, US [Uttaro, Gonzalez] Email Address [mailto:sbppteu@omh.state.ny.us] Contact Individual Uttaro, Thomas, South Beach Psychiatric Ctr, 777 Seaview Ave, Staten Island, NY, US, 01305, [mailto:sbppteu@omh.state.ny.us]eUys, L. R. Zulu, R. N. 1996An evaluation of the implementation and the effectiveness of case management in the rehabilitation of psychiatric outpatients in South Africa{*#South African Journal of Psychologyg264h226-230  Decs 0081-2463  LSP-00057sHuman; Adulthood (18 yrs & older) South Africa Case Management; Rehabilitation; Schizophrenia case management as rehabilitation strategy to personalize care; Black 18-56 yr olds with schizophrenia; South AfricaStudied the implementation and the effectiveness of case management as a rehabilitation strategy designed to personalize the care of Black schizophrenic patients aged 18 yrs and older at outpatient clinics in a rural area of KwaZulu-Natal, near Ulundi. The experimental group consisted of 41 Ss (aged 18-56 yrs) from 1 clinic, who were seen for 6 mo by 5 nurses trained as case workers. The control group consisted of 15 Ss (aged 19-52 yrs) from another clinic, who were interviewed regularly but who received no home or work visits. The Life Skills Profile (A. Rosen et al, 1989) and the Brief Psychiatric Rating Scale were used. The implementation of case management was hindered by inadequate training of case workers, legal and organizational restrictions on nurses' functions, and lack of facilities. Case management improved Ss' functional status but did not lead to symptom reduction. (Afrikaans abstract) (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'*#U Natal, Durban, South Africa [Uys].8,%Eisen, S. V. Leff, H. S. Schaefer, E.o 1999VOImplementing outcome systems: lessons from a test of the BASIS-32 and the SF-3682Journal of behavioral health services and research261i 18-27nJ Behav Health Serv Resa 1094-3412c BAS-00012*leBehavior Therapy statistics and numerical data; Health Status; Mental Disorders rehabilitation; Outcome and Process Assessment Health Care statistics and numerical data; Personality Assessment statistics and numerical data Mental Disorders diagnosis; Mental Disorders psychology; Psychometrics ; Reproducibility of Results Human; Support, U.S. Gov't, P.H.S.B;With increasing pressure from third-party payers to assess client outcomes, clinical programs want to know how to implement outcome systems. This article focuses on practical and logistic questions involved in implementing an outcome assessment system in ambulatory behavioral healthcare settings. Study questions addressed outcome systems in general and the use of the Behavior and Symptom Identification Scale (BASIS-32) and the Short Form Health Status Profile (SF-36) in particular. General questions focused on obtaining provider buy-in, client consent and confidentiality, data collection methods, sampling, time points, maximizing client participation, clinical utility of outcome data, and resources needed for outcome assessment. Measure-specific questions focused on client acceptability of the instruments and applicability of measures to diverse populations. The article suggests several strategies for enhancing outcome assessment efforts and concludes that there remains a need for further understanding of ways to maximize the utility and value of outcome measurement.  Feb Englisho'XQDepartment of Mental Health Services Research, McLean Hospital, Belmont, MA, USA.yF?Eisen, S. V. Wilcox, M. Leff, H. S. Schaefer, E. Culhane, M. A.e 1999leAssessing behavioral health outcomes in outpatient programs: reliability and validity of the BASIS-32W82Journal of behavioral health services and research261; 5-17J Behav Health Serv Resa 1094-3412t BAS-00011*LFAmbulatory Care psychology; Behavior Therapy statistics and numerical data; Mental Disorders rehabilitation; Outcome and Process Assessment Health Care statistics and numerical data; Personality Inventory statistics and numerical data Adolescent ; Adult ; Aged ; Ambulatory Care statistics and numerical data; Community Mental Health Services statistics and numerical data; Follow Up Studies; Mental Disorders psychology; Middle Aged; Outpatient Clinics, Hospital statistics and numerical data; Psychometrics ; Reproducibility of Results Female; Human; Male; Support, Non U.S. Gov't The Behavior and Symptom Identification Scale (BASIS-32) was developed to assess mental health outcomes among patients with severe illness treated on inpatient programs. However, its applicability and utility to those treated in outpatient programs has not been determined. The objective of this study was to assess reliability, validity, and sensitivity to change of the BASIS-32 among mental health consumers treated in outpatient programs. A total of 407 outpatients completed the BASIS-32 and the Short Form Health Status Profile (SF-36) at the beginning of a treatment episode and again 30 to 90 days later. Outpatients reported less difficulty at intake than did inpatients, and the BASIS-32 detected statistically significant changes 30 to 90 days after beginning outpatient treatment. Factor structure and construct validity were partially confirmed on this sample of outpatient consumers. Analyses of data from a wide range of facilities and samples would add to validation efforts and to further refinement of the BASIS-32.t Feb Englishr'rlDepartment of Mental Health Services Research, McLean Hospital, Belmont, MA 02478, USA. seisen@world.std.coms0odemographic variables2,Lavidor, Michal Weller, Aron Babkoff, Harvey 2003&How sleep is related to fatiguea*$British Journal of Health Psychology8s1 95-105 Feb 1359-107X MHI-00020*Human; Adulthood (18 yrs & older) Fatigue; Major Depression; Sleep; Somatization; Adult Attitudes fatigue; sleep; sleep quality; somatization; depressionB;Studied the correlations between fatigue and quantitative and qualitative sleep measurements, while taking into consideration depression and somatization which are known to affect both sleep and fatigue. We predicted that sleep quality, unattained by the effects of somatization and depression, would affect perceived fatigue more than the quantitative characteristics of sleep. Data were gathered from 278 targeted, randomly selected adults by means of subjective sleep reports, a mental health inventory, somatization inventory, several fatigue questionnaires and a demographic questionnaire. Fatigue was significantly predicted by depression scores, somatization levels and subjective sleep quality, but not qualitative sleep characteristics such as sleep latency, nocturnal awakenings and early morning arousals. Depression levels were positively and significantly related to all aspects of fatigue except physical fatigue and fatigue that responds to rest and sleep. Physical fatigue was correlated with somatization, but not depression. (PsycINFO Database Record (c) 2003 APA )LEDoi 10.1348/135910703762879237 Peer Reviewed Journal; Empirical Studyp'.(U York, Dept of Psychology, York, United Kingdom [Lavidor]; Bar Ilan U, Dept of Psychology, Ramat Gan, Israel [Weller, Babkoff] Email Address [mailto:M.Lavidor@hull.ac.uk] Contact Individual Lavidor, Michal, Dept of Psychology, U Hull, Hull, United Kingdom, HU6 7RX, [mailto:M.Lavidor@hull.ac.uk]D N(!Corrigall, Richard Mitchell, Bryn 2002haService innovations: Rethinking in-patient provision for adolescents: A report from a new servicebPsychiatric Bulletin2610388-392u Octt2002-04798-009 HCA-00016**Adolescent Psychiatry; *Health Care Delivery; *Program Evaluation; *Psychiatric Hospitalization; *Psychiatric Patients; Mental DisordersCFollowing a report that identified serious weaknesses in in-patient services for adolescents, this research identified appropriate objectives of a new service: accessibility, flexibility, and efficiency. This study evaluates the 1st 2 yrs of a new adolescent unit that addressed these objectives. Results show that 118 cases were admitted, with a broad range of diagnoses. Median length of stay was 33 days and 82% of admissions were urgent, of which 70% were admitted on the day of referral. A later study of 27 consecutive cases shows a mean improvement of 25% in the Children's Global Assessment Scale and 40% in the Child and Adolescent version of the Health of the Nation Outcome Scales scores. The authors conclude that it is possible to provide an in-patient service for adolescents that includes all-hours emergency access, and that also caters to the full range of severe mental illness and a wide variation in length of stay. (PsycINFO Database Record (c) 2003 APA )Englishuhttp://www.rcpsych.ac.ukTMCorriss, D. J. Smith, T. E. Hull, J. W. Lim, R. W. Pratt, S. I. Romanelli, S. 1999b\Interactive risk factors for treatment adherence in a chronic psychotic disorders populationPsychiatry research893 269-74Psychiatry Res 0165-1781r BAS-00027*f`Psychotic Disorders therapy; Treatment Refusal psychology Adult ; Antipsychotic Agents administration and dosage; Antipsychotic Agents adverse effects; Chronic Disease; Combined Modality Therapy; Day Care psychology; Middle Aged; Psychotherapy ; Psychotic Disorders psychology; Recurrence ; Risk Factors Female; Human; Male; Support, U.S. Gov't, P.H.S.xrThis study identified the unique and primary contributions of several concurrent risk factors for poor adherence to treatment recommendations in a clinic population of individuals with chronic psychotic disorders, i.e. 48% had DSM-IV diagnoses of schizoaffective disorder, 38% had schizophrenia, paranoid type, 12% had schizophrenia, undifferentiated type, and 2% had affective disorder with psychotic features. The target cohort consisted of 87 consecutive admissions to a continuing day treatment program. As part of a services-oriented quality assurance program, clinical staff completed rating scales for all patients. These included the BASIS-32 rating scale, which consisted of the following five subscales: psychosis; depression/anxiety; impulsive/addictive behavior; relation to self and others; and daily living and role functioning, and the Working Alliance Inventory-short form (therapist version), which consisted of the following three subscales: goal; task; and bond. These data were used to identify risk factors that weaken a patient's adherence to medication and non-medication treatment during the first 2 weeks of treatment in the clinic. Medication treatment consisted of both typical and atypical neuroleptic medications, with most patients being on multiple medications. Correlational analyses suggested that many of the risk factor variables were significantly associated with poor treatment adherence. Regression analyses suggested that the degree of psychoticism was most strongly associated with poor adherence to medication treatment and that difficulties relating to self and others were the strongest predictor of poor adherence to non-medication treatment. A large-sample services research design such as this can begin to determine patterns of associations between previous identified risk factors and poor treatment adherence in individuals with chronic psychotic disorders.Dec 27 English\UScienceDirect (tm) http://www.sciencedirect.com/science?10.1016/S0165-1781(99)00111-0'Department of Psychiatry, Weill Medical College of Cornell University, New York Presbyterian Hospital, White Plains, NY 10605, USA.b[Cosden, Merith Ellens, Jeffrey K. Schnell, Jeffrey L. Yamini-Diouf, Yasmeen Wolfe, Maren M.h 2003VPEvaluation of a Mental Health Treatment Court with Assertive Community Treatment"Behavioral Sciences the Law214415-4272003-07345-002 BAS-00046**mental health treatment; imprisonment; assertive community treatment; mental illness; mental health systems; mental health treatment court; assertive community treatment modelWithout active engagement, many adults with serious mental illnesses remain untreated in the community and commit criminal offenses, resulting in their placement in the jails rather than mental health facilities. A mental health treatment court (MHTC) with an assertive community treatment (ACT) model of case management was developed through the cooperative efforts of the criminal justice and mental health systems. Participants were 235 adults with a serious mental illness who were booked into the county jail, and who volunteered for the study. An experimental design was used, with participants randomly assigned to MHTC or treatment as usual (TAU), consisting of adversarial criminal processing and less intensive mental health treatment. Results were reported for 6 and 12 month follow-up periods. Clients in both conditions improved in life satisfaction, distress, and independent living, while participants in the MHTC also showed reductions in substance abuse and new criminal activity. Outcomes are interpreted within the context of changes brought about in the community subsequent to implementation of the MHTC. (PsycINFO Database Record (c) 2004 APA ) (journal abstract )EnglishhCourtenay, K. P. 20020)Use of outcomes measures by psychiatristsi$British Journal of Psychiatryc 180t6F 551\ Jun\2002-13724-020 HLD-00003*ZS*Measurement; *Mental Disorders; *Psychiatrists; *Psychological Assessment; *TrendsComments on the article by S.M. Gilbody et al (see record 2002-10593-002) which surveyed the current use of outcomes measures in psychiatric practice in the UK. The current author believes the key to the use of tools in the future will depend on educating trainees to use these instruments and allowing them to be freely available in clinical practice. (PsycINFO Database Record (c) 2003 APA )aEnglishlhttp://www.rcpsych.ac.ukt p&Kramer, Tami Garralda, M. Elenar 1998:4Psychiatric disorders in adolescents in primary care$British Journal of Psychiatry 173508-513n Dec 0007-1250Y CGA-00057YHuman; Male; Female; Adolescence (13-17 yrs) England Mental Disorders; Primary Health Care psychiatric disorders; 13-16 yr olds in primary caresLittle is known about psychiatric disorders in adolescents who attend primary care. A prospective study of 136 13-16-yr-olds consecutively attending general practice was conducted. Information was obtained from adolescents, parents and general practitioners, using questionnaires and research interviews. Two percent of the adolescents presented with psychiatric complaints. From research interviews with adolescents, psychiatric disorder in the previous year was found in 38%, with moderate impairment of functioning in over half (according to Children's Global Assessment Scale scores). Most disorders (42/50, 84%) were emotional ("internalising") disorders. Psychiatric disorders were significantly associated with high levels and intensity of physical symptoms and with increased health risks. General practitioner assessment of psychiatric disorders was low on sensitivity (20.8%) but high on specificity (90.7%). Doctors identified most severely affected adolescents. It is concluded that depressive and anxiety disorders are common among adolescent general practice attenders, and linked to increased physical symptoms; general practitioner recognition is limited. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'pjImperial Coll School of Medicine, Academic Unit of Child & Adolescent Psychiatry, London, England [Kramer]JDKramer, T. L. Daniels, A. S. Zieman, G. L. Williams, C. Dewan, N. A. 2000XRPsychiatric practice variations in the diagnosis and treatment of major depression,%Psychiatric services Washington, D.C.i513e 336-40Psychiatr Serv 1075-2730M BAS-00026*Depression, Involutional diagnosis; Depression, Involutional therapy; Physician's Practice Patterns; Psychiatry trends; Psychotropic Drugs therapeutic use Adult ; Catchment Area Health; Depression, Involutional epidemiology; Mental Health Services organization and administration; Middle Aged; Outcome Assessment Health Care; Patient Compliance; Psychotherapy methods; Questionnaires ; Treatment Outcome; United States Female; Human; MalepjOBJECTIVE: Practice variations in the diagnosis, treatment, and outcomes of patients with major depression were examined within six psychiatric practices participating in a national outcomes-management project. METHODS: Six of 20 psychiatric clinics met selection criteria for this study and provided a database of 5, 106 patients. Patients completed the BASIS-32, the Short-Form-36 Health Survey, and a Beginning Services Survey. Treatment information was also obtained directly from the clinician or through a medical record review. RESULTS: Although 73.1 to 77 percent of patients screened positive for a depressive disorder, only 18.5 to 36.8 percent were diagnosed with major depression (p<.001). Between 39 and 72 percent of patients received psychotropic medications, a significant difference across sites (p<.001). In addition, the number of psychotherapy sessions was significantly different across sites (p<.001). CONCLUSIONS: Patient care varies considerably across psychiatric practices, a finding that is particularly relevant for developers of performance indicators and risk-adjustment strategies for mental health.B7United Behavioral Health, Health Plan Div, US [Maruish]e  Mahwah, NJ .'Lawrence Erlbaum Associates, Publishers  2002xi, 350i0805836438 (hardcover)LE(From the cover) This book seeks to provide psychologists who rely on testing as an integral part of their practice with a guide on how to survive and thrive in the era of managed behavioral health care. It also offers ideas on how to capitalize on the opportunities that managed care presents to psychologists. The goal is to demonstrate that despite the tightening of the reins on authorizations for reimbursable testing, psychological testing can continue to play an important role in psychological practice and behavioral health care service delivery. The book presents ideas for: increasing the likelihood of getting tests authorized by managed behehavioral health care organizations (MBHOs); using inexpensive/public domain assessment instruments; ethically using psychological testing in MBHO settings; capitalizing on the movement to integrate primary care and behavioral health care through the use of psychological testing; and designing and implementing outcomes assessment systems within MBHO settings. This volume is intended for practicing psychologists and other behavioral health practitioners employed by MBHOs in direct service delivery, care management or supervisory positions, as well as for graduate clinical or counseling psychology students who will most likely work in MBHO settings. (PsycINFO Database Record (c) 2003 APA )$Table of Contents Acknowledgments Introduction Potential applications of psychological testing Authorization of psychological testing and assessment Psychological test instruments, technology, and criteria for their Use psychological measures for managed behavioral health care Implementing test-based outcomes assessment systems Applications and opportunities in primary and integrated care Ethical and professional issues References Author's note Author index Subject index Target Audience Psychology: Professional & Research Authored BookzHuman Managed Care; Mental Health Services; Psychological Assessment psychological testing; managed behavioral health careRKMental Health Branch, Commonwealth Department of Health and Family Services1 "Australian Health Ministers, 1998.'National Mental Health Plan (2003-2008) Canberra Australian Government "Australian Health Ministers, 2003.'National Mental Health Plan (2003-2008), Canberra Australian Governmentb $Australian Health Ministers.,d>8Second National Mental Health Plan, Mental Health Branch HACommonwealth Department of Health and Family Services, July 1998. July 1998hAUS-COM-00008*,&http://www.health.gov.au/hsdd/mentalhe $Australian Health Ministers.,l,%National Mental Health Plan 20032008 ,&Canberra: Australian Government, 2003.AUS-COM-00007*www.mentalhealth.gov.au @9Australian Institute for Suicide Research and Prevention,A 2003RKInternational Suicide Rates Recent Trends and Implications for Australia. F@Australian Government Department of Health and Ageing, Canberra.AUS-COM-00010* `>dOx0)Stewart, A. L. Hays, R. D. Ware, J. E. Jr 1988The MOS-Short Form Medical Care26 724}@:Strategic Planning Group for Private Psychiatric Services, 2002Standard Report for SPGPPS Representatives regarding the 4th Quarter of 2002 (3 month period ending 31/12/2002), prepared on 18/06/2003.AUS-SPG-00001*$Streiner, D. L. Norman, G. R.N 1995PIHealth Measurement Scales: A Practical Guide to their Development and Usen Oxford Oxford University Presst Streiner, D. 20042,Editorial: Measuring Individual Level Change(!Journal of Personality Assessmente821r48 OUT-NMH-00015"Strong, J. E. Farrell, A. D. 2003Evaluation of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) interview with a psychiatric inpatient populationW$Journal of clinical psychology599 967-84J Clin Psychol 0021-9762s BAS-00013*Interview, Psychological methods; Microcomputers ; User Computer Interface Adolescent ; Adult ; Hospitals, Psychiatric; Inpatients ; Mental Disorders diagnosis; Middle Aged; Patient Admission; Psychometrics ; Sensitivity and Specificity Female; Human; MaleThe Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER; Farrell & McCullough-Vaillant, 1996) includes a computer-based interview designed to assess functioning across a broad range of areas. The psychometric properties of scales derived from this interview were examined in a sample of 191 patients from the admissions wards of a state psychiatric hospital. Few participants had difficulty completing the computerized interview, and most rated their reactions to it positively. Item analyses and confirmatory factor analysis largely replicated the structure reported in a previous study of outpatients. Support was found for scales representing Physical Complaints, Worry, Hopelessness, Assertiveness, Hostility/Anger, Thought Problems, Psychotic Symptoms, Substance Use, and Suicidal Thoughts and Behavior. Comparison of scales from the CASPER and the Behavior and Symptom Identification Scale-32 (BASIS-32; Eisen & Culhane, 1999) supported the convergent and discriminant validity of several scales. Support also was found for the CASPER Global Functioning scale. Overall, results supported the use of the CASPER as a valuable tool for assessing inpatient functioning. Copyright 2003 Wiley Periodicals, Inc. J Clin Psychol. Sep English'>7Virginia Commonwealth University, Richmond, 23284, USA.4.Subramanian, S. Venkatapathy, R. Vasudevan, S. 1987F@Alienation and mental health as a function of occupational roles*#Journal of Psychological Researches\312r 82-87 May\ 0022-3972\ MHI-00073]& Human; Adulthood (18 yrs & older) Alienation; Business and Industrial Personnel; Job Characteristics; Mental Health; Occupational Status; Emotional Adjustment; Occupational Adjustment; Working Conditions occupational roles; alienation & well being; textile workers vs entrepreneurs; IndiaExamined the impact of occupational roles on feelings of alienation and on psychological well-being in 240 Indian textile workers and 60 textile entrepreneurs. Ss completed a scale measuring powerlessness, normlessness, meaningfulness, social isolation, and self-estrangement, and they were administered a mental health inventory. Entrepreneurs had lower alienation and higher mental health scores than Ss engaged in manual, mechanized, assembly-line, and automated work. Findings suggest that mental health can be impaired by the low self-esteem, frustration, and powerlessness engendered by low-level industrial jobs. Implications for alleviating alienation among industrial workers are discussed. (PsycINFO Database Record (c) 2003 APA )Journal; Empirical Study'@9Indian Inst of Management, Ahmadabad, India [Subramanian] Tanaka, J. S. Huba, G. J.e 1984TNStructures of psychological distress: Testing confirmatory hierarchical models4-Journal of Consulting and Clinical Psychologya524719-721 Aug 0022-006X MHI-00039Human Distress; Inventories; Mental Health; Models; Factor Analysis factor analysis of Mental Health Inventory; test of confirmatory hierarchical models as proposed by C. T. Veit & J. E. WareTested the contention of C. T. Veit and J. E. Ware (see record 1984-02935-001) that the structure of the Mental Health Inventory (MHI) proposed by B. P. Dohrenwend et al (see record 1981-25946-001) is underlaid with the factors of Psychological Distress and Psychological Well-Being. Data from intercorrelations of 5 MHI scales from 5,089 Ss were used. Results show that the theoretical formulation of the MHI is consistent with the data. (9 ref) (PsycINFO Database Record (c) 2003 APA )<5Doi 10.1037//0022-006x.52.4.719 Peer Reviewed Journal'New York U [Tanaka]g&Taylor, John R. Wilkinson, Greg 1997:3HoNOS v. GP opinion in a shifted out-patient clinicPsychiatric Bulletin218483-485 Aug2000-03539-007 HON-00084Y*Clinical Judgment (Not Diagnosis); *Mental Health; *Outpatient Treatment; *Psychiatric Clinics; *Rating Scales; General Practitioners; Psychiatric PatientsCompared the mean change in the total Health of the Nation Outcome Scales (HoNOS) with the general practitioners' (GPs) assessment of clinical improvement and satisfaction of patients (mean age 36.4 yrs) in a shifted psychiatric outpatient clinic. All referrals from GPs to a shifted outpatient clinic in a primary care health center over a 10 mo period were included in this study. GPs were interviewed at the end of the study period and asked if they thought the patients' symptoms and functioning had improved since referral and how satisfied they were, overall, with each referral. The total HoNOS fell significantly between the 1st and last appointment, suggesting that it was sensitive to change even in patients with a lower level of morbidity. There was a weak association between change in the total HoNOS and the GPs' assessment of clinical improvement, and a trend towards a greater HoNOS fall in patients that the GPs assessed as having improved clinically compared with those the GP thought had not changed, but this difference was not significant. Results suggest that the fall in total HoNOS relates to some degree with GPs' own assessment of clinical improvement in their patients, and that the HoNOS may be regarded as useful by GP fundholders. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.rcpsych.ac.uk@9Texas Department of Mental Health and Mental Retardation,  2002hbStrategic Plan. Appendix D Performance Measure Definitions. Definitions for Fiscal Years 2004-2005 USA-TX-00002*\@9Texas Department of Mental Health and Mental Retardation,a 20034.Communications Plan. TDMHMR Initiatives Update USA-TX-00003*f`YTexas Department of Mental Health and Mental Retardation Program Statistics and Planning,  2003{TDMHMR Information Supplement. For Local Plans Submitted to TDMHMR Pursuant to The FY 2003 Performance Contract Requirement} USA-TX-00001*ran. Appendix D Performance Measure Definitions. Definitions for Fiscal Years 2004-2005 USA-TX-00002*\@9Texas Department of Mental Health and Mental Retardation,a 20034.Communications Plan. TDMHMR Initiatives Update USA-TX-00003*f`YTexas Department of Mental Health and Mental Retardation Program Statistics and Planning,  2003{TDMHMR Information Supplement. For Local Plans Submitted to TDMHMR Pursuant to The FY 2003 Performance Contract Requirement} USA-TX-00001*rRv.F?Eisen, S. V. Wilcox, M. Leff, H. S. Schaefer, E. Culhane, M. A.y 1999leAssessing behavioral health outcomes in outpatient programs: reliability and validity of the BASIS-32}82Journal of Behavioral Health Services and Research261 5-17J Behav Health Serv Res 1094-3412 BAS-00011*LFAmbulatory Care psychology; Behavior Therapy statistics and numerical data; Mental Disorders rehabilitation; Outcome and Process Assessment Health Care statistics and numerical data; Personality Inventory statistics and numerical data Adolescent ; Adult ; Aged ; Ambulatory Care statistics and numerical data; Community Mental Health Services statistics and numerical data; Follow Up Studies; Mental Disorders psychology; Middle Aged; Outpatient Clinics, Hospital statistics and numerical data; Psychometrics ; Reproducibility of Results Female; Human; Male; Support, Non U.S. Gov't The Behavior and Symptom Identification Scale (BASIS-32) was developed to assess mental health outcomes among patients with severe illness treated on inpatient programs. However, its applicability and utility to those treated in outpatient programs has not been determined. The objective of this study was to assess reliability, validity, and sensitivity to change of the BASIS-32 among mental health consumers treated in outpatient programs. A total of 407 outpatients completed the BASIS-32 and the Short Form Health Status Profile (SF-36) at the beginning of a treatment episode and again 30 to 90 days later. Outpatients reported less difficulty at intake than did inpatients, and the BASIS-32 detected statistically significant changes 30 to 90 days after beginning outpatient treatment. Factor structure and construct validity were partially confirmed on this sample of outpatient consumers. Analyses of data from a wide range of facilities and samples would add to validation efforts and to further refinement of the BASIS-32.t Feb Englishr'rlDepartment of Mental Health Services Research, McLean Hospital, Belmont, MA 02478, USA. seisen@world.std.comEisen, Susan V. 2000B;Clinical status: Charting for outcomes in behavioral healthp*$Psychiatric Clinics of North America232347-361b Junl 0193-953Xn BAS-00035iHuman Data Collection; Measurement; Mental Health Program Evaluation; Mental Health Services; Treatment Outcomes; Managed Care development & criteria for assessing usefulness of outcome data in mental health servicesAssessment of mental health outcomes is rapidly becoming a routine part of clinical practice across all disciplines and levels of care. Empiric effectiveness data are required by government, payer, and accrediting organizations. In addition to meeting requirements, outcome data may be useful to justify payer expenditures, guide quality improvement efforts, enable interprogram comparison, and facilitate payers' and consumers' choices of providers. Six broad criteria should be met for outcome data to be maximally useful: (1) selection of meaningful, reliable, and valid outcome indicators that are feasible to implement across multiple levels of care; (2) standardization of outcome indicators and their operational definitions; (3) representative sampling; (4) accurate and complete data collection; (5) appropriate data analytic techniques; and (6) understandable feedback of results to stakeholders. This article discusses the important aspects of these criteria, describes the challenges faced by the field in meeting these criteria, and suggests processes and systems to enhance the potential usefulness of outcome data. (PsycINFO Database Record (c) 2003 APA )Peer Reviewed Journal'TMMcLean Hosp, Dept of Mental Health Services Research, Belmont, MA, US [Eisen],&Eisen, S. V., Dill D. L. and Grob M.C. 2000f`A self-report symptom and problem rating scale to increase inpatients' involvement in treatment.Psychiatric Services513349-353S MarchS BAS-00002*Objective: The study sought to determine whether psychiatric inpatients who completed a self-report symptom and problem rating scale on admission and reviewed the results with a clinician would perceive at discharge that they had been more involved in their treatment than patients who did not complete the scale. Methods: In a quasiexperimental design, 109 inpatients were assigned to one of three groups. Patients in one group met individually with a psychiatric resident to review their responses to the Behavior and Symptom Identification Scale (BASIS-32), a self-report outcome assessment tool. Patients views of their difficulties were then used by the treatment team to build a therapeutic alliance and to inform treatment planning. The remaining two groups received treatment as usual by either a psychiatric resident or an attending psychiatrist. Patients perceived involvement in decisions about their treatment, perceptions of other aspects of care, and treatment outcome were compared. Results: Patients in the intervention group rated their involvement in decisions about their treatment significantly higher than patients in either of the comparison groups. Patients in the intervention group more frequently reported that they were treated with respect and dignity by the staff than did patients in the comparison group treated by attending psychiatrists. Compared with patients treated by attending psychiatrists, patients treated by residents, whether they received the intervention or not, were more likely to say that they would recommend the hospital to others. Treatment outcome did not differ among the groups. Conclusions: The results suggest that an outcome assessment tool can be used to engage patients in the treatment process..'Eisen, Susan V. Speredelozzi, Alexander  2003BGeorgetown U School of Medicine, Washington, DC, US [Donnelly]NGDonovan, Abigail Siegel, Lesley Zera, Gary Plant, Robert Martin, Andres 2003b\Seclusion and restraint reform: An initiative by a child and adolescent psychiatric hospitalPsychiatric Services547[958-959 Jul 1075-2730d BAS-000310Human; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Us Patient Seclusion; Physical Restraint; Program Development; Psychiatric Hospital Programs; Psychiatric Hospitals; Adolescent Psychiatry; Child Psychiatry; Psychiatric Patients child & adolescent psychiatry; Riverview Hospital; public psychiatric facility; psychiatric patients; performance improvement program; seclusion; restraint practicesConcerns about injury to psychiatric patients through seclusion and restraint practices have prompted national reforms. In 1999 the Center for Medicare and Medicaid Services (CMS) drafted the Interim Final Rule governing the appropriate use of seclusion and restraint. Various individual institutions have concurrently implemented performance improvement programs with measures that include nursing and milieu staff training, administrative procedures, and management protocols, affecting every level of inpatient mental health care. Riverview Hospital is the largest public child and adolescent psychiatric facility in Connecticut, consisting of eight units authorized for 107 beds, with an average of 270 admissions each year. Patients range in age from five to 18 years. The average length of stay is 29 weeks. In 1999, Riverview transformed its previous performance improvement efforts by instituting a new program. In this column we describe the program, its aims, and how these aims were carried out. (PsycINFO Database Record (c) 2003 APA )NnhDOI 10.1176/appi.ps.54.7.958 Peer Reviewed Journal; Empirical Study; Program Evaluation; Journal Article'Yale University School of Medicine, New Haven, CT, US [Donovan]; Riverview Hospital for Children, Middletown, CT, US [Siegel, Zera, Plant]; Child Study Center, Yale University School of Medicine, New Haven, CT, US [Martin] Email Address [mailto:andres.martin@yale.edu] Contact Individual Martin, Andres, Yale Child Study Center, 230 South Frontage Road, P.O. Box 207900, New Haven, CT, US, 06520-7900, [mailto:andres.martin@yale.edu]R  <NGChou, Kee-Lee Chi, Iris Leung, Antony Chi-tat Wu, Yee Ming Liu, Chi-pun} 2001RKValidation of Minimum Data Set for nursing home in Hong Kong Chinese elderspClinical Gerontologist23 1-2 43-54 0731-7115 RUG-00024X@:Human; Male; Female; Adulthood (18 yrs & older); Aged (65 yrs & older) Hong Kong Geriatric Assessment; Geriatric Patients; Test Reliability; Test Validity; Asians; Nursing Homes test validity; test reliability; Chinese version of the Minimum Data Set-Resident Assessment Instrument; elderly Chinese; nursing homeszThe objective of this study was to validate the Chinese version of the Minimum Data Set-Resident Assessment Instrument (MDS-RAI) in Hong Kong Chinese elders. The respondents were 83 people aged 65 years or older who lived at a care and attention home in Hong Kong. Firstly, test-retest reliabilities of four Resident Assessment Protocol (RAP) scales (including cognitive loss/dementia, communication, activities of daily living/rehabilitation potential, and mood symptoms) were examined and found acceptable test-retest reliability. Secondly, inter-rater reliability of these four RAPs was found to be acceptable. Concurrent validity was also obtained for these four areas in MDS-RAI. Results suggest that the Chinese version of MDS-RAI is a reliable and valid assessment tool for elderly Chinese residents in a long term care facility in Hong Kong. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'U Hong Kong, Ctr on Ageing, Hong Kong [Chou] Contact Individual Chou, Kee-Lee, Hong Kong, U Hong Kong, Centre on Ageing, c/o Dept of Social Work & Social Administration, Pokfulam Road0D=Chow, Julian Chun-Chung Snowden, Lonnie R. McConnell, Williamt 2001RKA confirmatory factor analysis of the BASIS-32 in racial and ethnic samplest82Journal of Behavioral Health Services and Research284d400-411 Nov 1094-3412 BAS-00009*Human; Male; Female; Outpatient; Adulthood (18 yrs & older); Middle Age (40-64 yrs) Us Community Mental Health Services; Factor Analysis; Psychological Assessment; Racial and Ethnic Groups; Test Validity; Ability Level; Factor Structure; Rating Scales; Test Reliability BASIS-32; confirmatory factor analysis; underlying factor structure; assessment of functional status; community mental health program clients; racial & ethnic samples; cross cultural equivalenceiThe present study performed confirmatory factor analysis across major racial and ethnic groups of the Behavioral and Symptom Identification Scale (BASIS-32), a measure of functional status of persons receiving mental health treatment and suitable for routine assessment in mental health care. 1,207 clients (52% females, mean age 43 yrs) participated in this study. 52% of Ss were white, 24% were African American, 16% were Asian American, and 7% were Latino American. The purpose was to perform a preliminary investigation of cross-cultural equivalence in a county-level community mental health program in a major metropolitan area. The results indicate a factor structure similar to that reported in the literature, and they suggest acceptable levels of agreement in structure between racial and ethnic minority groups and whites. The study reveals little reason to believe that the BASIS-32 varied in underlying structure across racial and ethnic boundaries, although further research is indicated. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'U California, School of Social Welfare, Berkeley, CA, US [Chow]; U California, School of Social Welfare, Ctr of Mental Health Services Research, Berkeley, CA, US [Snowden]; City & County of San Francisco, Community Mental Health Services, San Francisco, CA, US [McConnell] Email Address [mailto:jchow99@uclink.berkeley.edu] Contact Individual Chow, Julian Chun-Chung, U California, Berkeley, School of Social Welfare, 319 Haviland Hall, Berkeley, CA, US, 94720-7400, [mailto:jchow99@uclink.berkeley.edu]h(!Christensen, L., & Mendoza, J. L.; 1986VOA method of assessing change in a single subject: an alteration of the RC indexBehaviour Therapy\17305-308r OUT-MH-00062@:Christensen, Helen Griffiths, Kathleen M. Jorm, Anthony F. 2004`ZDelivering interventions for depression by using the internet: Randomised controlled trial"BMJ: British Medical Journal 328a 7434265-269i Jane 0959-8154e KES-00003*4-Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Australia Cognitive Behavior Therapy; Internet; Major Depression; Online Therapy; Psychoeducation internet interventions; depression; cognitive behaviour therapy; psychoeducationYThe aim is to evaluate the efficacy of two Internet interventions for community-dwelling individuals with symptoms of depression--a psychoeducation website offering information about depression and an interactive website offering cognitive behaviour therapy. Participants were Internet users in the community in Canberra, Australia, 525 individuals with increased depressive symptoms recruited by survey and randomly allocated to a website offering information about depression (n = 166), a cognitive behaviour therapy website (n = 182), or a control intervention using an attention placebo (n = 178). Main outcome measures showed change in depression, dysfunctional thoughts; knowledge of medical, psychological, and lifestyle treatments; and knowledge of cognitive behaviour therapy. Results showed that intention to treat analyses indicated that information about depression and interventions that used cognitive behaviour therapy and were delivered via the Internet were more effective than a credible control intervention in reducing symptoms of depression in a community sample. It was concluded that both cognitive behaviour therapy and psychoeducation delivered via the Internet are effective in reducing symptoms of depression. (PsycINFO Database Record (c) 2004 APA )tRKPeer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article 'd^Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia [Christensen, Griffiths, Jorm] Email Address [mailto:Helen.Christensen@anu.edu.au] Contact Individual Christensen, Helen, Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia, 0200, [mailto:Helen.Christensen@anu.edu.au] Ciarlo, J. A.m 1982HBAccountability revisited: the arrival of client outcome evaluation&Evaluation and Program Planning}5t 31-36\ OUT-MH-00069In the past few years, "accountability" for public mental health programs has become differentiated in the minds of not only program evaluators, but also program managers and funders, including state and local-level legislators. Increasingly, these officials are becoming concerned with more than just the numbers and targets of services delivered, and the cost involved, and are looking for evidence of positive outcome or impact on clients to justify program implementation and maintenance. This represents a significant move beyond the two accountability models that most recently seemed to be the focus of most formal accountability effortsperformance measurement and quality assurance. Pressures for implementing these two alternatives seem to have been reduced somewhat by the new federal Administration, but even prior to its advent there had been a rapid escalation in awareness of and concern for client outcome measurement among important audiences, including state and local mental health policy-makers and the U.S. Congress. This presents a major new opportunity and challenge for program evaluators as this new accountability focus continues to gather momentum.$Clancy, C., and Eisenberg, J.  1998F@Outcomes research care: Measuring the end results of health careSciencet 282f245-246 OUT-NMH-00012* t( 4F?McClelland, R. Trimble, P. Fox, M. L. Stevenson, M. R. Bell, B.c 2000JDValidation of an outcome scale for use in adult psychiatric practiceQuality in Health Care9n2d 98-105 Jund11067258 HON-00110y*Mental Disorders therapy; *Mental Health Services standards; *Outcome Assessment Health Care methods; *Psychiatric Status Rating Scales; *Psychiatry standards Adult ; Great Britain; Health Status Indicators; Mental Disorders classification; Psychiatry organization and administration; Questionnaires ; Sensitivity and Specificity; State Medicine standards classification; therapy; standards; methods; organization and administrationNOBJECTIVE: To clarify the usefulness, acceptability, sensitivity, and validity of version 4 of the Health of the Nation Outcome Scale (HoNOS), a scale developed to meet the requirement for a clinically acceptable outcome scale for routine use in mental illness services. DESIGN: Patients with a range of mental illnesses were rated on the HoNOS at the beginning and end of an episode by interviews with mental health professionals. SUBJECTS: 934 patients from eight diagnostic categories were rated by 129 mental health professionals at 17 sites; 250 were also rated on a range of comparison scales. OUTCOME MEASURES: Comparison of patients' scores at the beginning and end of an episode using individual item scores, dimensional subscores, and the total score. RESULTS: HoNOS scores decreased by almost 50% between the beginning and end of episodes. They varied with the severity of the setting and discriminant analysis showed that the HoNOS had a moderate level of discriminatory power. Correlation analysis showed acceptable levels of agreement with independent scales, although the accuracy of ratings of some items at the beginning of an episode was affected by information deficits. CONCLUSION: The findings indicate that HoNOS is sensitive to change across time and to differences in illness type and severity, and has a sufficient degree of both construct and criterion related validity to fulfil the requirements of a mental health outcome scale for routine use in clinical settings.F@0963-8172 English Comment In: Qual Health Care. 2000 Jun;9(2):84'^XDepartment of Mental Health, Queen's University of Belfast, UK. R.J.McClelland@qub.ac.ukngAudioscriptotherapy as an adjunct to psychotherapy for adult female survivors of childhood sexual abuseMcCollum, Jill D'Arcy  Walden U.LThe purpose of the study was to evaluate, through the use of a quasi-experimental design, the effectiveness of audioscriptotherapy (the combining of music therapy with nondominant hand journal writing) in reducing some of the long-term symptoms that are associated with adult female survivors of childhood sexual abuse (CSA). The study employed three groups of approximately 9 female subjects each who had admitted to having been sexually abused as children. Group A received only music therapy, Group B received music therapy combined with simultaneous journal writing using the dominant hand, and Group C received music therapy combined with simultaneous journal writing with the nondominant hand. The groups met for 60 minutes per session twice each week for 6 weeks. The dependent variables (anxiety, depression, and self-concept) were measured at the beginning and at the end of the study using the Beck Anxiety Inventory, the Beck Depression Inventory, and the BASIS-32 Self-concept Scale. A one-way analysis of variance (ANOVA) revealed that audioscriptotherapy was able to reduce the level of anxiety and depression and improve self-concept among the participating subjects. The results of this study suggest that this combination of therapies may be a cost effective and time-limited treatment modality that could be used to address the psychological concerns of women who were sexually abused as children. (PsycINFO Database Record (c) 2003 APA ) 2001Availability UMI Dissertation Order Number AAI3010670 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 62(4-B), Oct 2001, pp. 2068 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Child Abuse; Music Therapy; Psychotherapy; Sexual Abuse; Written Communication; Human Females audioscriptotherapy; psychotherapy; women; adults; childhood sexual abuse^XMcConville, B. J. Minnery, K. L. Sorter, M. T. West, S. A. Friedman, L. M. Christian, K. 1996PIAn open study of the effects of sertraline on adolescent major depressions82Journal of child and adolescent psychopharmacology6 1M 41-51t&J Child Adolesc Psychopharmacol 1044-5463 CGA-00073$1 Naphthylamine analogs and derivatives; Depressive Disorder drug therapy; Serotonin Uptake Inhibitors therapeutic use 1 Naphthylamine therapeutic use; Adolescent ; Depressive Disorder psychology; Psychiatric Status Rating Scales; Sertraline Female; Human; Male; Support, Non U.S. Gov'tThis open study investigated the effects of sertraline in treating 13 adolescents, ages 12 to 18, who were hospitalized for treatment of a major depressive episode. The sample included 7 adolescents with nonendogenous depression and 6 with endogenous depression, as diagnosed by both Research Diagnostic Criteria (RDC) and Kiddie-SADS-P DSM-III-R endogenous subtype criteria. These patients were followed for an inpatient length of stay ranging from 9 to 38 days (mean 19 days), with later outpatient follow-up for a total of 12 weeks. Measures of depression were found to improve significantly, including suicidal ideation and most of the DSM-III-R symptoms of major depression. Sertraline (mean 110 mg or 1.96 mg/kg daily) significantly decreased scores on the 24-item Hamilton Depression Rating Scale and Montgomery-Asberg Depression Rating Scale from premedication baseline to treatment week 12, and also between weeks 1 (after a large week 1 improvement, presumably due to nondrug effects) and 12. There was a small but significant improvement on the Children's Global Assessment Scale between baseline and week 12, but the Family Global Assessment Scale showed no significant change; neither global assessment scale showed significant effects between weeks 1 and 12. Sleep disturbance was common (69%) after 12 weeks of treatment, but clinically significant improvements in sleep patterns were also observed. This open-label prospective study suggests that sertraline might be useful in treating adolescents with major depression. Adverse effects, mainly insomnia and drowsiness, were relatively common but usually manageable. One patient developed mania after 8 days of sertraline treatment at a dose of 100 mg daily.Spring English'TMDepartment of Psychiatry, University of Cincinnati Medical Center, Ohio, USA.f?$ ^I ~Minden, S., Davis, S., Ganju, V., Guidera, S., Kaufmann, C., Mazade, N., Rich, T., Rosenthal, M., Van Tosh, L., and Trabin, T.<6Draft Requirements Analysis for Decision Support 2000+USA-MHS-00002*.(http://www.mhsip.org/ds2000/newindex.htm4.Minghella, Edana Gauntlett, Nick Ford, Richard 20026/Assertive Outreach: Does it reach expectations?d$Journal of Mental Health (UK)v111t 27-42l Febn*#0963-8237 Electronic ISSN 1360-0867Y HON-00102YHuman United Kingdom Community Mental Health Services; Models; Outreach Programs; Teams; Group Structure Assertive Outreach teams; team structure; team functions; assertive community treatment model; ACTEvaluated 2 voluntary sector Assertive Outreach (AO) teams. Team structures and functions were measured against an evidence-based model of assertive community treatment (ACT). Targeting and engagement were also considered. Outcome measures comprised mental health, quality of life, social functioning and user satisfaction. Users' contact with mental health services, and costs incurred, were measured. While the teams partly adhered to the ACT model, there were major areas of deviation. The teams had little influence over admission and discharge and no medical input. Local users with frequent hospital admissions were not targeted. Clinical and social outcomes were mixed, and hospital bed use--and, consequently, costs--increased. Conversely, clients valued the teams, especially the practical help provided and staff attitudes. The findings add to growing evidence that lack of adherence to the ACT model and inadequate targeting of the appropriate client group adversely affect outcomes. The authors question whether the benefits of user satisfaction and engagement outweigh the costs of disappointing clinical outcomes and increased hospital use. (PsycINFO Database Record (c) 2003 APA )LEDoi 10.1080/096382301200041443 Peer Reviewed Journal; Empirical Study'2,The Sainsbury Ctr for Mental Health, London, United Kingdom [Minghella, Gauntlett, Ford] Email Address [mailto:richard.ford@scmh.org.uk] Contact Individual Ford, Richard, The Sainsbury Ctr for Mental Health, 134-138 Borough High St., London, United Kingdom, SE1 1LB, [mailto:richard.ford@scmh.org.uk]RKMinsky, Shula Vega, William Miskimen, Theresa Gara, Michael Escobar, Javier 2003b[Diagnostic patterns in Latino, African American, and European American psychiatric patientsn$Archives of General Psychiatry606637-644n June 0003-990Xi BAS-00005*Human; Male; Female; Inpatient; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Us Major Depression; Psychiatric Patients; Psychodiagnosis; Racial and Ethnic Differences; Blacks; Hispanics; Severity (Disorders); Symptoms; Whites psychiatric diagnosis; severity; symptoms; psychiatric patients; major depression; European American; Latino; African American60Background: The purpose of this study was to examine whether Latino patients presenting for behavioral health treatment showed major systematic differences in presenting symptoms, clinical severity, and psychiatric diagnosis compared with European American and African American patients. Documenting such differences should have important implications for evidence-based clinical practice. Methods: Data were drawn from a large behavioral health service delivery system in New Jersey, and included administrative data, clinical diagnosis, a clinician-rated global level of functioning, and a self-reported symptoms and functioning scale. The study involved a clinical sample of all new admissions into the system between January 1, 2000, and August 31, 2001. To examine the main effects of ethnicity, in the context of other independent variables, logistic regression was performed for each of 3 dependent binary variables: presence or absence of major depression, a schizophrenia spectrum disorder, and bipolar disorder. Results: We found that in the schizophrenic disorders spectrum more frequently than did Latinos and European Americans (odds ratio, 1.80; 95% confidence interval, 1.62-2.00). Latinos were disproportionately diagnosed as having major depression... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)JDDOI 10.1001/archpsyc.60.6.637 Peer Reviewed Journal; Empirical Study'U Behavioral HealthCare, Dept of Psychiatry, Robert Wood Johnson Medical School, U Medicine & Dentistry of New Jersey, Piscataway, NJ, US [Minsky, Vega, Gara]; U Behavioral HealthCare, Dept of Psychiatry, Robert Wood Johnson Medical School, U Medicine & Dentistry of New Jersey, U Medicine & Dentistry of New Jersey, Piscataway, NJ, US [Miskimen]; Dept of Psychiatry, Robert Wood Johnson Medical School, U Medicine & Dentistry of New Jersey, Piscataway, NJ, US [Escobar] Email Address [mailto:minsky@cmhc.umdnj.edu] Contact Individual Minsky, Shula, Dept of Psychiatry, Robert Wood Johnson Medical School, U Medicine & Dentistry of New Jersey, 671 Hoes Ln, PO Box 1392, Piscataway, NJ, US, 08855-1392, [mailto:minsky@cmhc.umdnj.edu]"Mirin, S.M. & Namerow, M.J.m 1991$Why study treatment outcome ?y(!Hospital and Community PsychiatryU42 1007-10132 OUT-MH-00014& Mishra, P. C. Srivastava, Shipra 1999nhMental health as a moderator variable of the organisational commitment and job-satisfaction relationshipPsychological Studies 443 55-58 Nov\ 0033-2968\ MHI-00072Human; Male; Adulthood (18 yrs & older); Middle Age (40-64 yrs) India Employee Attitudes; Job Satisfaction; Mental Health; Organizational Commitment; Physicians mental health; organizational commitment & job satisfaction; doctorsAimed to find out the moderating effect of mental health on the organizational commitment-job satisfaction relationship. The Mental Health Inventory, the Organizational Commitment Scale, and S. D. Employee's Inventory were administered to a sample of 250 male physicians employed in a government medical college in Lucknow. The moderated multiple regression analysis and subgroup analysis show that mental health has a moderating effect on the organizational commitment and job satisfaction relationship. The relationship between organizational commitment and job satisfaction is higher for doctors with higher mental health rather than doctors with lower mental health. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'<6U Lucknow, Dept of Psychology, Lucknow, India [Mishra] @TNLeaf, Philip J. Alegria, Margarita Cohen, Patricia Goodman, Sherryl H. et al., 1996hbMental health service use in the community and schools: Results from the four-community MECA studyF@Journal of the American Academy of Child & Adolescent Psychiatry357r889-897  Jula 0890-8567E CGA-00040*~Human; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Communities; Health Care Utilization; Mental Disorders; Mental Health Services; Schools; Drug Rehabilitation; Epidemiology; Parents mental health & substance abuse service use in community & school; 9-17 yr olds & their parents participating in Epidemiology of Child & Adolescent Mental Disorders StudyAs part of the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study, questions were developed to identify children and adolescents using mental health and substance abuse services. 1,235 youth (aged 9-17 yrs) and parent caretaker pairs were interviewed. Patterns of service use varied in the 4 communities surveyed. Agreement between reports of parents and youths regarding the use of mental health and substance abuse services showed substantial inconsistencies, similar to reports of psychiatric disorders. At 3 of the 4 sites, the majority of children meeting criteria for a psychiatric disorder and scoring 60 or less on the Children's Global Assessment Scale reported some mental health-related service in the previous year, although at 2 of the sites fewer than 25% of these youths were seen in the mental health specialty sector. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'HAJohns Hopkins U, Dept of Mental Hygiene, Baltimore, MD, US [Leaf].nhLeavey, Gerard Hollins, Kathryn King, Michael Barnes, Jacqueline Papadopoulos, Christopher Grayson, Kate 2004RKPsychological disorder amongst refugee and migrant schoolchildren in London0*Social Psychiatry Psychiatric Epidemiology393191-195 Mar2004-15646-005 SDQ-00063**sociodemographic variables; psychological disorder; psychological distress; psychological problems; behavioural problems; refugees; migrant school children; LondonBackground Refugee and migrant children are likely to be exposed to many of the risk factors for emotional and behavioural problems. These children form a significant proportion of the school population in London and other inner cities in the UK. However, there are very little epidemiological data available on their mental health. In this study, we aimed to examine the prevalence of psychological problems among refugee and migrant schoolchildren compared to their UK-born peers. Method A cross-sectional investigation using the Strengths and Difficulties Questionnaire (SDQ) examined in association with socio-demographic variables including language preference. Results Almost a quarter of schoolchildren might be described as having a need, with migrant and refugee children showing greater psychological distress on a number of the sub-scales of the SDQ. Language appears to be an important variable associated with distress. (PsycINFO Database Record (c) 2004 APA ) (journal abstract )sEnglishXQLecomte, Tania Wallace, Charles L. Caron, Jean Perreault, Michel Lecomte, Jocelins 2004RLFurther validation of the Client Assessment of Strengths Interests and GoalsSchizophrenia Research661 59-70 Jan2004-10152-007 BAS-00001**Functional Analysis; *Psychometrics; *Rating Scales; *Test Reliability; *Test Validity; Foreign Language Translation; Mental Disorders; Treatment OutcomesK>8The purposes of this study were to (1) adapt Client Assessment of Strengths Interests and Goals (CASIG) to the culture of a Canadian setting and translate its items and directions into French, (2) determine the psychometric characteristics of the adapted English and French versions of CASIG, and (3) identify its latent constructs via an exploratory factor analysis. The CASIG self-report (CASIG-SR) measure was administered to 224 consumers living in the community, and the CASIG informant (CASIG-I) measure to 31 clinicians answering for 172 consumers. The consumers also completed the Behavior and Symptom Identification Scale-32 (BASIS-32), the Short Form Health Survey-36 (SF-36), and the Camberwell Assessment of Needs (CAN). The informants also completed the clinician version of the CAN. The CASIG-SR and the CASIG-I had adequate internal consistency, test-retest, and interrater reliabilities. Correlations of the consumers' and informants' results with the BASIS-32, SF-36, and CAN provided evidence of convergent and discriminant validity, as did contrasts between higher and lower functioning community consumers. The factor analysis also supports the construct validity of the assessment. The results confirm the psychometric adequacy of the adapted and translated CASIG in Canada. (PsycINFO Database Record (c) 2004 APA )EnglishtjNP X <0*Delahunty, Ann Morice, Rodney Frost, Barry 1993D>Specific cognitive flexibility rehabilitation in schizophreniaPsychological Medicine231221-227 Feb 0033-2917 LSP-00042Human; Adulthood (18 yrs & older) Cognitive Processes; Cognitive Techniques; Frontal Lobe; Schizophrenia cognitive shift neurocognitive training; cognitive flexibility & frontal & prefrontal lobe functioning; schizophrenic adult malesDiscusses the Cognitive Shift neurocognitive training module, which was developed in an attempt to ameliorate cognitive flexibility deficits in chronic schizophrenic patients. A procedural training approach hypothesized the exercise of specific neural network processes, identified from theories of frontal and prefrontal lobe functioning. Three adult male patients who underwent the training program demonstrated significant gains in Wisconsin Card Sorting Test performance that were maintained at a 6-mo reassessment. Expanded Brief Psychiatric Rating Scale (a measure of symptomatology) and Life Skills Profile (a measure of daily functioning) measures showed smaller improvements. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'^XDept of Health/South-West Region, Mental Health Unit, Albury, NSW, Australia [Delahunty]DelBello, Melissa P. Kowatch, Robert A. Warner, Juliet Schwiers, Michael L. Rappaport, Katherine B. Daniels, John P. Foster, Keith D. Strakowski, Stephen M. 2002b\Adjunctive topiramate treatment for pediatric bipolar disorder: A retrospective chart review60Journal of Child & Adolescent Psychopharmacology124;323-330c Win  1044-5463 CGA-00017*zHuman; Male; Female; Outpatient; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Us Anticonvulsive Drugs; Bipolar Disorder; Drug Therapy; Treatment Effectiveness Evaluation pediatric bipolar disorder; adjunctive treatment; topiramate; safety; effectiveness; tolerabilityThe objective of this study was to evaluate the effectiveness, safety, and tolerability of the anticonvulsant agent, topiramate, as adjunctive treatment for children and adolescents with bipolar disorders. The outpatient medical charts of children and adolescents with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnosis of bipolar disorder, type I or II, and who were treated with topiramate were retrospectively reviewed by two child and adolescent psychiatrists using the Clinical Global Impression (CGI) scale and the Clinical Global Assessment Scale (CGAS). Separate CGI ratings were made for mania and overall bipolar illness. 26 patients (aged 5-20 yrs) with bipolar disorder, type I or II, who had been treated with topiramate were identified. Response rate was 73% for mania and 62% for overall illness. CGAS scores significantly improved from baseline to endpoint. No serious adverse events were reported. Although controlled trials are necessary, this retrospective study suggests that topiramate is effective and well tolerated as an adjunctive treatment for children and adolescents with bipolar disorder. (PsycINFO Database Record (c) 2003 APA )`YDoi 10.1089/104454602762599862 Peer Reviewed Journal; Empirical Study; Treatment Outcomes'U Cincinnati, Bipolar & Psychiatric Disorders Research Program, Dept of Psychiatry, Cincinnati, OH, US [DelBello, Warner, Schwiers, Strakowski]; Children's Hosp Medical Ctr, Div of Child & Adolescent Psychiatry, Cincinnati, OH, US [Kowatch, Rappaport, Daniels, Foster] Email Address [mailto:delbelmp@email.uc.edu] Contact Individual DelBello, Melissa P, U Cincinnati Coll of Medicine, Dept of Psychiatry, 231 Bethesda Avenue, Cincinnati, OH, US, 45267, [mailto:delbelmp@email.uc.edu]Department of Health,h:3http://www.mhidp.health.wa.gov.au/one/consumers.aspe Department of Health,  2003Information for consumers on the mental health information development plan (MHIDP). Consumer Outcome Questionnaires: What do they mean for you? :4Perth: Office of Mental Health, Department of Health AUS-WA-00003* Department of Health,  2003ZTWestern Australias Clinicians Guide to Outcome Measurement:Children and adolescents :4Perth: Office of Mental Health, Department of Health AUS-WA-00002*yThis manual is a resource guide to support Western Australian mental health clinicians in collecting outcome measures as part of the Western Australian Mental Health Information Development Plan (WA MHIDP). It also contains information and materials that complement the outcome measurement training as provided by the Office of Mental Health (OMH) throughout Western Australia. Department of Health,d 2003XQWestern Australias Clinicians Guide to Outcome Measurement:Adult & Older Personsh :4Perth: Office of Mental Health, Department of Health AUS-WA-00001*yThis manual is a resource guide to support Western Australian mental health clinicians in collecting outcome measures as part of the Western Australian Mental Health Information Development Plan (WA MHIDP). It also contains information and materials that complement the outcome measurement training as provided by the Office of Mental Health (OMH) throughout Western Australia.l Department of Health,n 2004f`Inpatients formally detained in Hospitals under the Mental Health Act 1983 and other Legislation UK-NHS-00002*Ux*@[ hb Badger, Ko 1998,&Patient care report cards: an analysis.'Outcomes Management in Nursing Practiced2h1t 29-36OUT-NMH-00006*In the competitive health care market of the 1990s, health care institutions face a significant number of fiscal challenges that threaten their survival. As part of the survival process, institutions must demonstrate-to the public and to regulatory agencies-that they are measuring the effect of their care structures and processes. Institutions must be willing to share these measurements with the public as well as to use them internally to identify performance problems and document the impact of process improvements or other changes. The report card is a simple, easily understood method for reporting quality data and comparing varying aspects of patient care processes and outcomes. However, as measurements, report cards are not robust enough to serve as the sole source of quality-related data, and interinstitutional comparisons may be misleading. This article explores the new phenomenon known as patient care report cards and discusses their usage in quality measurement and improvement.\VBagley, H. Cordingley, L. Burns, A. Mozley, C. G. Sutcliffe, C. Challis, D. Huxley, P. 2000JCRecognition of depression by staff in nursing and residential homesb"Journal of Clinical NursingH9)3  445-50 Maya11235320 H65-00006**Depression diagnosis; *Depression nursing; *Geriatric Nursing methods; *Nursing Homes Aged ; Aged, 80 and over; Nursing Assessment diagnosis; nursing; methodsZ$Newly admitted residents in long-term care facilities are particularly vulnerable to depression and the early recognition and treatment of depression is therefore crucial around the time of admission to a home. Staff from 30 nursing and residential homes were asked to assess newly admitted residents for depression using HoNOS 65+ and their responses were compared with residents' scores on the Geriatric Depression Scale (GDS-15). The findings indicated low levels of recognition by staff, with rates ranging from 15% to 27% of those identified as depressed, depending on the definition of depression used. There was no statistically significant difference in the rate of recognition between nursing staff and other care staff. A staff survey conducted in the 30 study homes indicated that fewer than 2% had received specific in-service training on depression in older people. The findings suggest that more needs to be done to raise staff awareness of depression in residents of nursing and residential homes, particularly in newly admitted residents.0962-1067 Englishif_Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=JCN&vol=9&page=445&goto=abstract'University of Manchester, Personal Social Services Research Unit, Dover Street Building, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.TNAn outcome study for an adolescent psychiatric partial hospitalization programBaldus, James Michaeld The Union InstThis outcome study explores whether adolescents placed on a partial hospitalization program make significant therapeutic progress. Is partial hospitalization an effective intervention for adolescents experiencing a psychiatric disturbance? An adolescent psychiatric partial hospitalization program at a metropolitan hospital in the midwest provided the setting for evaluating the therapeutic change experienced by 52 adolescents, aged 12 to 18. The adolescents were placed on an inpatient unit for stabilization and referred to the partial program for therapy. The Brief Symptom Inventory (BSI) and the Achenbach Child Behavior Checklist (CBCL) were administered at the time of intake into the inpatient unit and at the time of discharge from the partial program. A clinician also rated the adolescent on the Children's Global Assessment Scale (CGAS) at these times. Using these three assessment instruments meant that the study included the ratings of the patient, the patient's parent and the clinician. A one group pretest-posttest design was implemented. A paired samples t-test was used for each instrument to test the hypotheses. Correlation was used to explore which, if any, patient or treatment variables influenced the change in the scores on the instruments. As predicted, the results were significant (p <) for each instrument in testing the hypotheses. This supported the notion that this partial hospitalization program was an effective intervention in decreasing the symptomatology and in increasing the level of functioning for the adolescents referred to the program. Parental chemical abuse and gender correlated with the change on the BSI. These were the only significant correlations found among the variables. The changes on the BSI and CGAS were significantly correlated, but change on the CBCL did not correlate significantly with either of the other instruments. (PsycINFO Database Record (c) 2003 APA ) 1995$Availability UMI Dissertation Order Number AAM9524669 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 56(4-B), Oct 1995, pp. 2314 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Treatment Outcomes; Program Evaluation&Human; Inpatient; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Partial Hospitalization; Psychiatric Hospital Programs; Psychiatric Hospitalization evaluation of adolescent psychiatric partial hospitalization program; 12-18 yr olds  Ballarat Health Services, 2000>7Continuum of Care/Assessment: Procedure (Working Draft)H >8Ballarat Health Services: Grampians psychiatric Services 1-13AUS-VIC-00013*ztPurpose: (1)To provide Grampians Psychiatric Services staff with procedural guidelines when completing Outcome Measurement Tools (2) To ensure the application of the Outcome Measure Tools is regulated and consistent throughout Grampians Psychiatric Services (3) To provide staff with assessment tools which identify clients/patients needs and enhance the assessment process whilst providing evidence for the treatment and care being planned (4) To ensure Grampians Psychiatric Services continues to contribute to the ongoing review and development of clinical practice and provision of information to consumers and the communityTMBallesteros, R. J. Martinez, S. M. Martin, C. M. Ibarra, G. N. Bulbena, V. A. 2002Assessment of the Life Skills Profile and the Brief Psychiatric Rating Scale as predictors of the length of psychiatric hospitalization&Actas Esplanolas de Psiquiatria30225-232 Balogh, M. 2004Training Update CGAR Talki4o1\ January 2004 USA-CO-00004*oN Craig1997 Craig2004 Cramer20000 Cramer20000 Cramer20011 Cramer20032 Craney20030= Craney20044 Craven1998Crawford2001Crawford2001Crawford2002 Cribb2004 Criste19989 Criste20010/Crits-Christoph2000 Crocker2002 Crockford2003Cromwell2003 Crook2000 Cross1984Croucher20022Croudace1999 Cuccaro1995 Cuffe1995 Cuffe19976 Cukrowicz2002 Culhane1999 Culhane1999r Cull2001| Cumella2001 Cumella2002 Cunningham2003 Curran2001 Curtis1995, Curtis1998+ Curtis1999 Cury2003D'Avanzo2004_ D'Onofrio1996 Dadds2004 Dagadakis1997x Dahl2004na Daley1999 Daly1998 Dane2000Daniells2003 Daniels1997 Daniels2000 Daniels2002 Davern2003gDavidson20022Davidson20022#Davidson20020Davidson20033 Davies1988 Davies2001 Davies-Avery1980 Davis1986 Davis1997 Davis2003 Davis2004# Dawson20020 Day2004 De Houwer2004 de Moor2000 De Ruiter2004^ Deal19919 Deane2002 Debus1998}DeCastro2002s; Decker2002 deHueck2001 DeHueck2002 Delahunty1993DelBello2002} Demakos2002 Demeter2003 Demeter2003v Demeter2004Department of HealthDepartment of Health2003Department of Health2003Department of Health2003jDepartment of Health2004Department of Health2004*)"Department of Health and Aged Care1999)"Department of Health and Aged Care2001%Department of Health and Ageing2002%Department of Health and Ageing2002%Department of Health and Ageing2003%Department of Health and Ageing2003%Department of Health and Ageing2003#Department of Human Services1999 #Department of Human Services2000#Department of Human Services2003 #Department of Human Services2004"-'Department of Human Services and Health1991Y?8Department of Mental Health & Developmental Disabilities2003 Derogatis2000Deverill1997Deverill1999`Devinney20001 DeVries2002 Dewa2003s Dewan2000 Dhadphale1997 Dhadphale1998 Diaz19999  Dickerson1997 Dickey1996 Dickey2003a Dickinson2001 Dickinson2002/ Dierberger2000b Dietz2001 Dill19899 Dill19944c Dimola2002 Dinges19989 Dinges20010Dirmaier2003 Disabilities2003eDivision of Mental Health2000 Dixon1998Dockrell2000Doerfler2000Doerfler2002 Doherty2004Z Dolgin1999Domeshek1997 Dominguez1992 Dominguez1992Donnelly1989 Donovan2003 Doran2000w Doreleijers2004e Dorfman1995 Dorian2002x Dorn20040Dornelas1996Dornelas2001|Dossetor1995u Down20000IDowne-Wamboldt1995^ Downs19917 Dowrick2001a Doyle1999( Drake1997 Drake2000 Drew2002aDriscoll1999 Drory1990^ Du Toit2001 Duan19849 Duckmanton1995 Duckmanton1997 Duckmanton1998 Duckmanton1998 Duffy2001 Dulcan19966 Dunn1996 Dunn19989 Dunn20000 Dunn2001 Dunn20020v Dunn20030 Dunn2004 Dupuy1972 Durbin2003Dwyer-O'Connor1997 Dyb2003 Dyck19979 Dyer-Friedman2004 Dyrborg2000 Eagar1998 Eagar1998 Eagar1999  Eagar2001 Eagar2001' Eagar2003 Eagar2004 Eagles20011 Eaglesham2004j Eckblad1994 Edwards1998 Edwards2002y Egert2002 Ehlers2004 Eisen1986 Eisen1989 Eisen1992 Eisen1994 Eisen1995 Eisen1996V Eisen1996 Eisen1997 Eisen1998 Eisen1999 Eisen1999 Eisen1999 Eisen2000 Eisen2000 Eisen2001 Eisen2003 Eisen2003 Eley20040R Ell1988N Ell1989 Ellens2003}Ellerton2002s Ellila20020VEllis Ellwood1988+ Elzibga2001 Emdur1991! Emery2003 Emond2003Endicott1976 Epstein1990L Epstein1996 Epstein2003Erlicher20011 Ermentini1998 Erskine2003 Escobar2003Escovitz1998 et al.1988cK et al.19899 et al.19898 et al.19909M et al.19911^ et al.19911r et al.19933] et al.19949 et al.19944 et al.19944 et al.19944e et al.19959| et al.19959 et al.19955 et al.19959 et al.19955 et al.19959 et al.19955J et al.19966 et al.19966 et al.19966 et al.19971 et al.19977 Eu2001 Evans2001 Evans2001 Evans2002 Evans2003 Everett2003 Eyers1998{ Fairclough2002Fakhoury2002Fakhoury2002 Farhall2001 Farrell2003 Farrell2004d Faust2001_,d|<BAMcDowell, I. Newell, C. 1996D=Measuring Health: A Guide to Rating Scales and Questionnaires Oxford Oxford University Press2,McEvoy, Phil Colgan, Stephen Richards, David 2002Gatekeeping access to community mental health teams: Differences in practice between consultant psychiatrists, senior house officers and community psychiatric nurseslPsychiatric Bulletin262b 56-58c Febb2002-10592-005 HON-00061**Clinical Judgment (Not Diagnosis); *Community Mental Health Services; *Professional Referral; *Psychiatric Nurses; *Psychiatrists; Mental Disorders; Psychiatric Patients; Severity (Disorders)@:Conducted a retrospective survey to compare how consultant psychiatrists, senior house officers (SHOs), and community psychiatric nurses (CPNs) prioritized a cohort of 1,072 adult referrals from primary care to 4 sectorized community mental health teams in the Salford, England area in 1997. Patients' records were the primary source of data. The severity of presenting problems were rated using the Health of the Nation Outcome Scales, version 4 (J. K. Wing et al, 1998) and contacts with clinicians following the initial assessment were retrospectively tracked. Four types of support were identified: ongoing support, crisis support, referral to another service (e.g. specialist drug, alcohol, or psychotherapy service), and referral back to the general practitioner. Consultants saw a significantly higher proportion of patients with a diagnosis of psychosis, but there were no other significant differences in the diagnoses of the patients seen by the consultants, SHOs, or CPNs. Referral outcomes appeared to be comparable for patients with psychoses, sub-threshold mental health problems, and personality disorders. However, differences in the outcomes were apparent for patients with a primary diagnosis of drug/alcohol misuse, as well as for patients with affective disorders and neuroses. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.rcpsych.ac.uk("McHorney, C. Ware, J.E. Raczek, A. 1993The MOS 36-item short-form health survey (SF-36): (2) Psychometric and clinical tests of validity in measuring physical and mental health constructs Medical care313a247-263a MHI-00071a>8McHorney, C. Ware, J.E. Rachel Lu, J.F. Sherbourne, C.D. 1994The MOS 36-item short-form health survey (SF-36): (3) Tests of data quality, scaling assumptions, and reliability across diverse patient groupss Medical Care321d 40-66e MHI-00072}("McHorney, Colleen A. Ware, John E. 1995Construction and validation of an alternate form general mental health scale for the Medical Outcomes Study Short-Form 36-Item Health Survey Medical Care331 15-28 Jan 0025-7079W MHI-00075XHuman; Adulthood (18 yrs & older) Inventories; Mental Health; Test Forms; Test Validity construction & validity of alternate form of Mental Health Inventory of Medical Outcomes Study Short-Form Health Survey; patientsHBEmpirically derived and evaluated 5 alternate forms of the Short-Form 36-Item Mental Health Inventory (MHI-5) general mental health scale. Well-established psychometric criteria were used to select the best alternate form and to estimate the reliability of the MHI-5 using the alternate-form methodology. One alternate form, MHI-5E, best satisfied diverse distributional and psychometric criteria across and within items and scales. Findings suggest that the internal-consistency method underestimates the reliability of the MHI-5 by 3%. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'ztWilliam S. Middleton Veterans Hosp, Health Services Research & Development Field Program, Madison, WI, US [McHorney]*#McKay, W. Maclean, W. Bourgeois, M. 2002{Cluster analysis of maternal characteristics and perceptions of child behavior problems in a behavioral pediatrics practice>7Journal of developmental and behavioral pediatrics JDBPs231 31-6J Dev Behav Pediatr 0196-206X MHI-00011*Child Behavior Disorders psychology; Mothers psychology Child ; Child, Preschool; Cluster Analysis; Questionnaires ; Sampling Studies Female; Human; MaleoJCMothers bringing their children to a behavioral pediatrics clinic vary considerably in terms of concerns about their children, their own emotional status, and their sense of familial and social support. Knowledge of these factors may enhance differential diagnosis and advise treatment decisions. Mothers of 90 children ages 6-12 years completed the Child Behavior Checklist (CBCL), Mental Health Inventory (MHI), Dyadic Adjustment Scale (DAS), and Health Concerns Questionnaire before their initial appointment. Cluster analysis revealed four groups of mothers that varied in their apparent motivation for seeking assistance. These groups included advice-seeking mothers, mothers that had concerns about the medical well-being of their children, mothers that were overwhelmed by their current circumstances, and mothers whose concerns about their dyadic relationships may have been displaced onto their children. The study findings support the use of cluster analysis in clinical research. Future research could focus on the specific intervention needs of these different types of families.g Feb EnglishP'b\Department of Psychology, University of Wyoming, Laramie 82071-3415, USA. mckay3165@uwyo.eduTMMcLean, Diane E. Hatfield-Timajchy, Kendra Wingo, Phyllis A. Floyd, R. Louisea 1993^WPsychosocial measurement: Implications for the study of preterm delivery in Black womenf.'American Journal of Preventive Medicine96, Suppl 39-81Nov-Dec 0749-3797 MIS-00015Human; Female Blacks; Human Females; Premature Birth; Psychosocial Factors; Stress psychosocial factors & stress; preterm delivery; Black femalesReviews the literature linking psychosocial factors (PFs) to preterm delivery (PD) and other adverse reproductive outcomes in Black women and describes the major components of the life stress paradigm (LSP) that may influence pregnancy outcome. The LSP is discussed in terms of stressors and potential effect modifiers (personal disposition, psychologic state, and social networks/support). Theoretical and measurement issues that have specific implications for the study of psychosocial risks for PD in Black women are highlighted. Since most studies of PFs did not measure major components of the LSP adequately, this may account for the weak association between stress and pregnancy outcome. (PsycINFO Database Record (c) 2003 APA ){Peer Reviewed Journal|'Columbia U School of Public Health/Harlem Hospital Ctr, Harlem Ctr for Health Promotion & Disease Prevention, New York, NY, US [McLean]m 0)McLean, J., McCollam, A., & MacCallum, E.n 2001d]Information Needs for Mental Health Services in Scotland Report of a National Research Survey 4-Scottish Development Centre for Mental Health UK-NHS-00013*YQ>6/Stallard, Paul Thomason, Jane Churchyard, SallyR 2003^WThe mental health of young people attending a Youth Offending Team: A descriptive studyJournal of Adolescence261 33-43 FebX2003-01667-005 HCA-00013*`Z*Community Services; *Health; *Health Service Needs; *Juvenile Delinquency; *Mental HealthThis study documents the health and mental health needs of young offenders aged 10-17 yrs attending a community Youth Offending Team (YOT). All young people known to a YOT on a selected date were identified. Health information was collected via semi-structured interviews and standardized questionnaires from 38 Ss. Potential mental health problems that required further specialist assessment were identified in 56% of those assessed. Alcohol was consumed more than twice per week by 68%, with 47% having recently smoked cannabis, and, 11% recently using heroin, methadone or crack cocaine. Use of secondary health-care services was common although contact with primary-care services was less frequent with almost half having no contact with a general practitioner in the past year. The process of meeting the physical and mental health needs of young offenders in the community is discussed. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.elsevier.comRKStallard, Paul Norman, Philip Huline-Dickens, Sarah Salter, Emma Cribb, Jann 2004tnThe Effects of Parental Mental Illness Upon Children: A Descriptive Study of the Views of Parents and Children,&Clinical Child Psychology & Psychiatry91 39-52 Jan2004-10947-004 SDQ-00070**Child Attitudes; *Mental Disorders; *Mental Illness (Attitudes Toward); *Parent Child Relations; *Parents; Behavior Disorders; Community Mental Health Services; Mental HealthdThe association between parental mental illness and child disturbance has been documented although the experience of children coping with such illness has received comparatively little attention. This article details the impact of parental mental illness on children of patients attending a community mental health team. Information was obtained from 24 adults and 26 dependent children. Children were concerned about their parents, had little understanding of their parent's illness and most wanted more information. Parents were aware of the negative impact of the illness upon their children, particularly disruption to everyday life and concerns about significant behaviour problems. Despite the negative impact of the illness, parents perceived their relationship with their children positively. In undertaking this research a number of potential barriers to identifying the needs of these children were identified which are reported. The study highlights the need for more collaborative and integrated child and adult mental health services and the development of a more family-centred focus. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)English& http://www.sagepublications.com/ leState of Tennessee, Bureau of TennCare and Department of Mental Health and Developmental Disabilitiese 2003<5BHO Provider Network of the TennCare Partners Program- October 2003 USA-TN-00001*X jdState of Tennessee, & Bureau of TennCare & Department of Mental Health & Developmental Disabilities, 2003<5BHO Provider Network of the TennCare Partners Program0 October 2003 USA-TN-00001*HLFState of Utah, Department of Human Services Division of Mental Health, 2000LFUtah Public Mental Health System Information & Outcome Systems Report USA-UT-00002*a b[State of Utah, Department of Human Services, Division of Substance Abuse and Mental Health,o 2003lfServices, Client Statistics, Outcomes, and Satisfaction Data for Use in Continuous Quality Improvement USA-UT-00001*- ^ 0B$Journal of Affective DisordersJournal of Aging & Health82Journal of Behavioral Health Services & Management40Journal of Behavioral Health Services & ResearchPJJournal of behavioral health services and research J Behav Health Serv Res$Journal of Behavioral Medicine0+Journal of Child & Adolescent Group Therapy40Journal of Child & Adolescent Psychopharmacology$!Journal of Child & Family StudiesXRJournal of child and adolescent psychopharmacology J Child Adolesc Psychopharmacol,(Journal of Child Psychology & Psychiatry@=Journal of Child Psychology & Psychiatry & Allied Disciplines0*Journal of Child Psychology and PsychiatryDAJournal of Child Psychology and Psychiatry and Allied Disciplines Journal of Chronic Diseases4/Journal of Clinical Child Adolescent Psychology Journal of Clinical NursinglgJournal of clinical oncology official journal of the American Society of Clinical Oncology J Clin Oncol$Journal of Clinical Psychiatry$Journal of Clinical Psychology82Journal of Clinical Psychology in Medical Settings$Journal of Community Psychology0+Journal of Consulting & Clinical Psychology0-Journal of Consulting and Clinical Psychology40Journal of Developmental & Behavioral PediatricsPKJournal of developmental and behavioral pediatrics JDBP J Dev Behav Pediatr0*Journal of Evaluation in Clinical Practice$Journal of Forensic Psychiatry($Journal of General Internal Medicine41Journal of gerontological nursing J Gerontol Nurs40Journal of Information Technology in Health Care0+Journal of Intellectual Disability ResearchliJournal of Intellectual Disability Research. Special Issue: Mental health and intellectual disability: IXlhJournal of Intellectual Disability Research. Special Issue: Mental health and intellectual disability: XJournal of Mental Health$ Journal of Mental Health & Aging Journal of Mental Health (UK),'Journal of Mental Health Administration("Journal of Mental Health and Aging0+Journal of Mental Health Policy & Economics0-Journal of Mental Health Policy and Economics(#Journal of Nervous & Mental Disease(%Journal of Nervous and Mental Disease$Journal of Nursing Scholarship@Journal of the American Academy of Child Adolescent PsychiatryheJournal of the American Academy of Child and Adolescent Psychiatry J Am Acad Child Adolesc Psychiatry@;Journal of the American Geriatrics Society J Am Geriatr Soc<6Journal of the American Psychiatric Nurses Association($Journal of Vocational Rehabilitation41Journal of Women's Health & Gender-Based Medicine yn  Fortney, JXSFortney, J., Sullivan, G., Williams, K., Jackson, C., Morton, S. C., and Koegel, P. Fossey, EFoster, Keith D. Fowler, V. Fox, M. L. Foy, ChrisFrances, Frederica MarinoFrank, Robert G. Franklin, D.Franklin, Deidre Cheryl Frazier, C.Frazier, Jean A. Frazier, R.Freedman, HymanFricchione, Gregory L.Friedman, L. M. Fries, B. E. Fries, BrantFries, Brant E. Friis, SveinFroberg, Debra G.Frosh, Stephen Frost, Barry Fryers, T., and Greatorex, I. Fuentes, J. Fultz, JimFurukawa, T. A.,)Gaines, P., Bower, A., and Buckingham, W.LIGaines, P., Bower, A., Buckingham, W., Eagar, K., Burgess, P. & Green, J.Galette, Fritz Anthony Gallagher, J.Gallus, Silvano Ganju, V.Ganster, D., et al Gara, Michael Garber, Judy Garcia, P.Gardiner, H.P.Gargiullo, Audrey Garralda, E.Garralda, ElenaGarralda, M. E.Garralda, M. ElenaGarrett, A. BowenGarrett, Alma BowenGarrison, Carol Z.Gasto, Cristobal Gatward, R.Gatward, RebeccaGauntlett, NickGautre-Delay, F.Gavazzi, MarieGearhart, Julia Marie Geller, B.Geller, Barbara Gent, M. Gerlach, J.German, Pearl S.Gfroerer, Joseph C.Giaocomini, V.Giaocomini, Veronique Gibaldi, L.Gigantesco, A.,)Gilbody, S.M., House, A.O., Sheldon, T.A.Gilbody, Simon M. Gill, LisaGilliss, Catherine Giolas, D..Girimaji, Satish Chandra Giuffrida, AGjerdingen, Dwenda K. Gladstone, G.Glazebrook, C. Glied, SherryGlorney, Emily Glover, G Glover, G. R. Glover, GylesGluhoski, Vicki L.Gochman, PeterGodleski, Linda S. Godley, P. A.Goedhart, Arnold W.Goethe, John W. Goethe, JWGoldberg, DavidGoldberg, MelvynGoldfinger, Stephen M.Goldman, Paula A.Goldner, Elliot M.Goldney, R. D.40Goldney, R. D., Fisher, L. J. and Walmsley S. H.Goldney, RobertGoldstein, Rise B.Golfeto, J. H.Gonzalez, Albert Goodman, R.Goodman, RobertGoodman, S. H.<8Goodman, S.H., Sewell, D.R., Cooley, E.L., & Leavitt, N.Goodman, SherrylGoodman, Sherryl H. Gooen, J.Gordon, Charles T.Gosling, A. Sophie Goss, P. E. Goss, Stephen Gould, A.Gould, Madelyn S. Gould, R.Gournay, Kevin Gowans, S. E. Gowers, S. G. Gowers, SG Gowers, Simon Gozio, CarloGracely, E. J.Gracious, Barbara L.Graczyk, Patricia A. Graham, C.TNGraham, C., Coombs, T., Buckingham, W., Eagar, K., Trauer, T., and Callaly, T. Graham, Peter Grando, V. T.Grando, Victoria Grant, MJGrant, Tracy C. Gravelle, H Graydon, J. Grayson, KateGreen, Benjamin Green, E. E.Green, Gareth M.("Green, J., Hurst, T., & Gordon, R.Green, Jonathan Green, R. Green, R. S. Green, R.S., & Gracely, E.J.Greenfield, A. Greenfield, A., and AttkissonGreenfield, AndrewGreenfield, Brian Greenhalgh, JGreenlee, Helen B.Greenwald, Steven Greer, BrianGregory, Alice M.Grenyer, B. F.Gresenz, Carole Roan Grey, BarbaraGriesemer, D. A.Griffiths, K. M.Griffiths, Kathleen M.4X4d Testing *OutpatientsSpeer,DC Newman,FL 19960)Mental health services outcome evaluationu0)Clinical Psychology: Science and Practicee3}2n105-129.OUT-MH-request~wThere is an urgent need for pertinent outcome information. Relevance for decision makers must take priority over scientific rigor. However, a review of computer-identified outcome evaluation reports from community service settings, during the past 5 years, suggests that much more has been said than has been done. Although relatively heterogeneous in scope, these studies focused on the effects of community support services for adults with persistent and severe mental illness; traditional outpatient services have been neglected. Studies are characterized by multidimensional, standardized outcome assessment, and nonequivalent comparison group and single cohort designs. Randomized designs, with usual services as the control condition, were feasible in some situations. Inadequate sample size and attrition continue to be method problems.Key words: mental health outcome evaluation. HASpence, S., Donald, M., Dower, J., Woodward, R., and Lacherez, P.eOutcomes and indicators, measurement tools and databases for the National Action Plan for Promotion, Prevention and Early Intervention for Mental Health 82Commonwealth Department of Health and Ageing, 2000AUS-COM-00016*F@Srebnik, D Hendryx, M Stevenson, J Caverly, S Dyck, DG Cauce, AM 1997`YDevelopment of outcome indicators for monitoring the quality of public mental health care\Psychiatric Services48903-909 OUT-MH-00057 M$LlP$Reed, Michael Florian, VictorP 1990b[Subjective well-being and psychological distress: A three-generational study in the kibbutze&Journal of Community Psychology\181 3-11 Jan*#0090-4392 Electronic ISSN 1520-6629a MHI-00055n Human; Adulthood (18 yrs & older); Aged (65 yrs & older) Adjustment; Distress; Kibbutz; Social Interaction; Status; Age Differences; Intergenerational Relations well being & psychological distress & social position & involvement; 1st vs 2nd vs 3rd generation kibbutz members; IsraelInvestigated the subjective well-being (SWB) and psychological distress (PD) of 166 Israeli kibbutz members representing 3 generations. Ss completed the Mental Health Inventory (C. T. Veit and J. F. Ware; see record 1984-02935-001) and reported on their self-evaluation of social position and involvement in kibbutz life. Second-generation Ss reported higher SWB than 1st- and 3rd-generation Ss. An interaction between gender and generation was found for PD, and it appears that 3rd-generation females have higher PD than 3rd-generation males. Significant positive correlations were found between social position and SWB as well as significant negative correlations with PD among 2nd- and 3rd-generation Ss. An analysis of covariance (ANCOVA) revealed that, by covarying out social position and community involvement, the differences between the 3 generations on PD disappeared. Generational affiliation may be less important than an individual's position in the social milieu. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'NGChildren's Hosp, Dept of Social Work, Camperdown, NSW, Australia [Reed]0*Rees, Anne Richards, Ann Shapiro, David A. 2004\UUtility of the HoNOS in measuring change in a community mental health care populationlJournal of Mental Health133e295-304a Jun2004-95309-007 HON-00097**Health of the Nation Outcome Scales; utility; community mental health care; clinical outcomes; psychosis; depression; anxiety disordersGiven that, for many community health care teams, the Health of the Nation Outcome Scales (HoNOS) is the audit tool of choice, further work is needed to establish the viability of using this instrument to assess health change. The aim was to assess the usefulness of the HoNOS in measuring change in a population on the caseloads of community mental health teams. Key workers or care co-ordinators of 195 selected patients on the caseloads of a national sample of 10 generic community mental health teams rated patients on the HoNOS four times over a period of 4-6 months. Patients had previously received a primary diagnosis of anxiety, depression, psychosis, personality disorder, or substance misuse on the Manchester Audit Tool. In this population, the HoNOS marginally discriminated amongst diagnoses, and was associated with severity and complexity but not chronicity. Scores on the HoNOS changed differentially over time according to diagnosis and severity. A change of 3 to 4 points on the HoNOS is small, but statistically significant, and may be a useful basis for tracking the clinical improvement of neurotic patients, and the clinical stability of those with psychosis. (PsycINFO Database Record (c) 2004 APA ) Englishn60Reilly, Siobhan Challis, D. Burns, A. Hughes, J. 2004b[The use of assessment scales in Old Age Psychiatry Services in England and Northern IrelandtAging Mental Healthe8e3X249-255 MayX2004-14538-008 H65-00010**assessment scales; standardized scales; mini mental state examination; Clifton assessment procedures; geriatric depression scale; standardized assessment; nation outcome scales; psychiatric services>7Implementation of the Single Assessment Process in the UK is designed to ensure that more standardized assessment procedures are in place across all areas and agencies, that practice improves and older people's needs are comprehensively assessed. This study provides a unique picture of the range and prevalence of standardized scales used within Old Age Psychiatry Services in England and Northern Ireland, reported by 73% of old age psychiatrists. Most services used three or more standardized assessment scales. Sixty-two separate instruments were identified. The six most used measures were the Mini Mental State Examination, the Geriatric Depression Scale and the Clock Drawing, the Clifton Assessment Procedures for the elderly, the Barthel Index and the Health of the Nation Outcome Scales (HoNOS). A number of factors were associated with greater use of certain standardized assessment scales. Shared documentation, along with other indicators of integration between health and social care were associated with greater use of standardized scales. The provision of a memory clinic was associated with greater use of neuropsychiatric scales and lower levels of use of cognitive scales. These results provide key material for shaping the provision of psychiatric services for older people. (PsycINFO Database Record (c) 2004 APA )English JDRempfer, Melisa V. Hamera, Edna K. Brown, Catana E. Cromwell, Rue L. 2003piThe relations between cognition and the independent living skill of shopping in people with schizophreniamPsychiatry Research 117m2m103-112 Febt 0165-1781  LSP-00028*Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older) Cognitive Ability; Schizoaffective Disorder; Schizophrenia; Self Care Skills; Shopping; Sustained Attention; Verbal Fluency; Verbal Memory verbal memory; executive functioning; sustained attention; verbal fluency; visual motor skill; living skill; shopping ability; independent living skills; schizophrenia; schizoaffective disorderlA great deal of interest has developed regarding the impact of cognitive deficits on the everyday functioning of people with schizophrenia. This study examined the relationships between cognitive functioning and the performance of a specific independent living skill (grocery shopping) in a sample of 73 individuals (aged 18-68 yrs) with schizophrenia or schizoaffective disorder. Cognitive variables included tests of verbal memory, executive functioning, verbal fluency, sustained attention and visual motor skill. Measures included the Rey Auditory Verbal Learning Test, a letter cancellation task, and the Stroop Color Word Task. Functional outcome was measured with the Test of Grocery Shopping Skills, which is an ecologically based performance measure that requires participants to shop for 10 items within an actual grocery store. Accuracy on the shopping task was significantly associated with fewer perseverative responses on the Wisconsin Card Sorting Test, better verbal memory and faster processing speed. Shopping efficiency (i.e. less redundancy) was associated with better performance on several cognitive tasks, including verbal memory, verbal fluency, sustained attention and executive functioning. (PsycINFO Database Record (c) 2003 APA );NHDoi 10.1016/s0165-1781(02)00318-9 Peer Reviewed Journal; Empirical Study'U Kansas Medical Ctr, Dept of Occupational Therapy Education, Kansas City, KS, US [Rempfer, Brown]; U Kansas Medical Ctr, School of Nursing, Kansas City, KS, US [Hamera]; U Kansas, Dept of Psychology, Lawrence, KS, US [Cromwell] Email Address [mailto:mrempfer@kumc.edu] Contact Individual Rempfer, Melisa V, Dept of Occupational Therapy Education, U Kansas Medical Ctr, 3033 Robinson, 3901 Rainbow Blvd, Kansas City, KS, US, 66160, [mailto:mrempfer@kumc.edu]2Qh 8z Trauer, T. 2000Comment060Australian and New Zealand Journal of Psychiatry343Z520-521l Junr2000-02115-018 HON-00011*rl*Mental Health; *Rating Scales; *Test Reliability; *Test Validity; *Treatment Outcomes; Psychiatric Patients&Comments on the articles by R. Brooks (see record 2000-02115-016) and N. J. Preston (see record 2000-02115-017), which examined sources of variation in Health of the Nation Outcome Scales (HoNOS) ratings. Their findings are interpreted as calling into question the reliability and validity of the instrument and its suitability for use as a routine outcome measure. T. Trauer suggests that such differences in results may tell as much about who is using the instrument, and where it is being used, as it does about the instrument itself and those to whom it is being applied. He also suggests not losing sight of the fact that outcome measurement is a means to an end, and that end is not the development of a psychometrically pure instrument. Finally, he indicates that, whether or not the HoNOS remains in its present form, the findings of Preston and Brooks indicate a need to work toward greater clinical consistency, though, among other things, better training programs and development of clinical guidelines. (PsycINFO Database Record (c) 2003 APA )HEnglishs("http://www.blackwellpublishing.com2,Trauer, T. Farhall, J. Newton, R. Cheung, P. 2001VPFrom long-stay psychiatric hospital to Community Care Unit: evaluation at 1 year2,Social Psychiatry & Psychiatric Epidemiology368e416-419i*#0933-7954 Electronic ISSN 1433-9285t LSP-00039*ztHuman; Male; Female Community Services; Deinstitutionalization; Program Evaluation; Psychiatric Hospital Programs; Quality of Life; Aggressive Behavior; Living Arrangements; Preferences; Social Support Networks deinstitutionalisation; communty care; evauation; psychiatric hospitas; long stay; quality of life; residential preferences; agressive behavior; social networksIn the context of deinstitutionalisation of psychiatric services, Community Care Units (CCUs) were developed to provide accommodation, clinical care and rehabilitation for patients discharged from the long-stay open wards of a large psychiatric hospital that was in the process of closing. CCUs are 20-bed units built in suburban locations and staffed on a 24-h basis by multidisciplinary clinical teams. An initial group of 125 hospital patients was assessed at 1 month pre-move, 1 month post-move, and again at 1 year, on range of measures covering clinical status, personal functioning, quality of life, residential preferences, aggressive behaviour, and social networks. Staff attitudes, relative and carer perceptions and preferences, and residential environments were also assessed. Most of the transferred patients were still resident in their CCU at 1 year. The clearest result was that patients showed improved quality of life in relation to their living environment. Comparison of the hospital and CCU environments showed that the latter were significantly less restrictive and regimented. Most relatives and carers also preferred the CCU. On average, symptom and disability levels were little changed at 1 year. (PsycINFO Database Record (c) 2003 APA )hVPDOI 10.1007/s001270170032 Peer Reviewed Journal; Empirical Study; Followup Study'&Monash U, Monash Medical Ctr, Dept of Psychological Medicine, Victoria, Australia [Trauer] Contact Individual Trauer, T, Department of Psychological Medicine, Monash University, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, Australia, 3168, [mailto:Tom.Trauer@med.monash.edu.au] Trauer, T. 2001<5How to score LSPs with missing data: Discussion paperr LSP-00066~(!Trauer, T. Coombs, T. & Eagar, K.m 2002NGTraining in mental health outcome measurement: the Victorian experience.TMAustralian health review a publication of the Australian Hospital Association]252]122-128 OUT-MH-00010**#The routine outcome assessment of client outcomes was set as an objective in the Australian National Mental Health Policy in 1992. Victoria was the first jurisdiction to begin the implementation. This paper reports this process, and describes the background to outcome measurement in mental health, assembly of the implementation team, certain concepts, development of the training materials, the approach to training, and a brief description of the evaluation. We end with a number of observation and recommendation that arose out of the process. Rj3DTrauer, Tom Jones, Cathy 2002>7Outcome measures used by the Mental Health Review Boardi4.Australian & New Zealand Journal of Psychiatry362 271 Apr 0004-8674 LSP-00014*tmHuman; Female; Adulthood (18 yrs & older); Middle Age (40-64 yrs) Australia Community Mental Health Services; Involuntary Treatment; Measurement; Treatment Outcomes; Treatment Refusal; Outpatient Treatment; Schizophrenia; Treatment Compliance treatment noncompliance; outcome measures; compulsory community treatment; circumvention; adult female with schizophrenia$Reports the case of an involuntary psychiatric outpatient who used outcome measure ratings to show that she no longer required a Community Treatment Order, an order made out under the State Mental Health Act (Australia) that provides for compulsory treatment in the community. The S was a 43-yr-old female with an 11-yr history of schizophrenia that included periods of treatment noncompliance. The case demonstrates that routinely collected outcome measures can have a direct impact on patient care. (PsycINFO Database Record (c) 2003 APA )r~wDOI 10.1046/j.1440-1614.2002.t01-6-01016.x Peer Reviewed Journal; Empirical Study; Clinical Case Report; Journal Lettern'NHSt Vincent's Mental Health Service, Melbourne, Australia [Trauer, Jones]Trauer, Tom Callaly, Tom 2002~wConcordance between mentally ill patients and their case managers using the Health of the Nation Outcome Scales (HoNOS)pAustralasian Psychiatryl101n 24-28a MarS2002-15515-005 HON-00016*rk*Case Management; *Mental Disorders; *Rating Scales; *Treatment Outcomes; Clinicians; Patients; Self Report0)Outcome assessment benefits from multiple perspectives, but these may differ. The authors aimed to compare patient and clinician ratings on respective versions of a well-known outcome assessment scale. Case managers and their patients (aged 17-64 yrs) rated the patients mental health problems using the clinician and self-rating forms of the Health of the Nation Outcome Scales (HoNOS). One third of patients approached returned their self-rating form; non-return was associated with involuntary legal status. Patient ratings were significantly higher (worse) than case manager ratings on four of the twelve HoNOS items, and significantly lower on one. Overall, agreement levels were slight to moderate, but particularly low for the depressed mood item. Case managers tended to overestimate the actual degree of similarity between their own ratings and those of their patients. The findings support the proposition that patient and clinician perceptions of the patients problems represent two different sets of information. (PsycINFO Database Record (c) 2003 APA )Englishw("http://www.blackwellpublishing.com Trauer, T. 2002>7Articles that make reference to psychometric propertiest MIS-00025*  Trauer, T. 2003XQAnalysis of Outcome Measurement Data from the Four Victorian 'Round One' AgenciesN BNational Core Indicators. Update on National Permance Measures (!Human Services Research InstitutetUSA-HSR-00001*` "  $Department of Human Services,i 2003~xMeasuring Consumer Outcomes in Clinical Mental Health Services. A Training Manual for Services in Victoria (2nd edition) Victorian Government("Part 5: Support for local trainersAUS-VIC-00010*This manual is a guide and source book for trainers in Victoria who help prepare clinicians for collecting outcome measures in accordance with the National Outcomes and Casemix Collection. The manual commences with background and rationale and provides an overview for trainers about the protocol and key concepts. This is followed by colour-coded sections for each age grouping which include detailed descriptions of the outcome measures and suites with glossaries and age-specific material. The inserts provide an extensive set of appendices specific to the age group you will be training, including vignettes and other training materials. All these resources are provided in hard copy as well as electronically, on the CD-ROM. $Department of Human Services,r 2004:4User Manual: Wellbeing Reporting Tool. Version 2.0.2 Victorian GovernmentMarch 16, 2004AUS-VIC-00005*The Wellbeing Reporting Tool is a separate application which accesses data entered on the CMI Wellbeing module. It generates both: Individual consumer reports to provide a point of feedback to inform treatment decisions and contribute to evaluation of the effectiveness of interventions and the monitoring of consumer progress. These reports can also be used in discussions between the consumer and the case manager/clinician about treatment plans and personal progress. Aggregate reports to monitor the effectiveness of service provision at the consumer group and team/subcentre level. These reports provide a means of comparison between like teams/subcentres and the ability to monitor the effectiveness of service provision over time to target consumer groups.a .(Department of Human Services and Health, 1991<6Mental Health Statement of Rights and Responsibilities :4Commonwealth Department of Human Services and HealthAUS-COM-00009*.(Derogatis, Leonard R. Lynn, Larry L., II 2000PIScreening and monitoring psychiatric disorder in primary care populationss Maruish, Mark E.D=Handbook of psychological assessment in primary care settings  Mahwah, NJ .'Lawrence Erlbaum Associates, Publishers115-1520805829997 (hardcover) OUT-MH-00071Integrated Services; Mental Health Services; Primary Health Care; Psychiatric Evaluation; Screening; Comorbidity; Diagnosis; Mental Disorders; Monitoring; Screening Tests; Side Effects (Treatment) integrated primary-mental health care services for evaluation of & screening for & monitoring drug &/or treatment side effects; patients with psychiatric disorders & comorbidity with physical illnessNH(From the chapter) Psychiatric disorders represent a significant and serious public health problem in their own right; however, when they exist in a comorbid fashion with primary medical disorders, the health care liability associated with them grows dramatically. Such comorbid conditions have a long list of undesirable features associated with them, including atypical responses to treatment, high side effect rates, increased numbers of medical events, longer durations of hospital stays, failure to adhere to treatment regimens, increased utilization rates, and significantly higher costs. In addition, because patients with comorbid conditions, when identified, are undergoing multiple treatment regimens simultaneously, the possibility of undesirable drug interactions is increased. The issue of increased complications arising from multiple treatment regimens logically rests on the assumption that comorbid psychiatric disorders are routinely identified, an assumption that is not supported by fact. A vexing feature of these comorbid disorders is that this assumption is only sometimes met, because the identification of psychiatric disorders in primary care is extremely problematic, often hampering their effective treatment. Assessment screening tests, monitoring, and related issues are discussed. (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Research'>7Clinical Psychometric Research, Inc, MD, US [Derogatis]}The effects of peer-mentoring on the social participation and psychological adjustment of individuals with spinal cord injury Devinney, David Jacksont U Wisconsin - Madisonfb[The purpose of this study was to investigate the effects of peer mentoring on the social participation and psychological adjustment of individuals with acquired spinal cord injury (SCI). Two research questions were posited: (1) Is participation in peer mentoring associated with enhanced social participation, including, (a) physical independence, (b) mobility, (c) occupation, (d) social integration, and (e) economic self-sufficiency? (2) Is participation in peer mentoring associated with enhanced psychological adjustment as measured by general mental health and emotional well being? Participants were 63 individuals with SCI who volunteered to participate in a one-time mail survey. A total of 33 (52.8%) participants had participated in peer mentoring, and 30 (47.6%) participants had not participated in peer mentoring. An ex-post facto nonequivalent research design was employed to examine the differences between the peer mentor group and no peer mentor group on the dependent variables of social participation and psychological adjustment. Five subtests of the Craig Handicap Assessment and Reporting Technique (CHART), and the Mental Health Inventory-5 (MHI-5), were used to measure the dependent variables, social participation and psychological adjustment, respectively. The results of statistical analyses suggested that individuals with SCI who participated in peer mentoring obtained a significantly higher score ( p = <.05) on the CHART Occupation subtest. However, no significant differences were found on the remaining four CHART subtests, nor on the MHI-5. Although the statistical findings of the present study regarding the outcome of peer mentoring were limited, the participants who received peer mentoring provided strong anecdotal evidence as to the perceived functional and psychosocial benefits of peer mentoring. (PsycINFO Database Record (c) 2003 APA )r 2000Availability UMI Dissertation Order Number AAI9972851 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 61(5-B), Dec 2000, pp. 2753 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyLHuman; Adulthood (18 yrs & older) Emotional Adjustment; Mentor; Peers; Social Interaction; Spinal Cord Injuries peer mentoring; social participation; psychological adjustment; spinal cord injuryozd ,\URacism related stress, racial identity and psychological health for Blacks in AmericaFranklin, Deidre Cheryl  Columbia U. The experiences of racism in the United States can produce acute, chronic, conscious and unconscious forms of stress for Blacks in America (Essed, 1991; Feagin & Sikes, 1994; Jones, 1997). Moreover, the experience of racism related stress has the potential to influence mental health functioning (Landrine & Klonoff, 1996; Outlaw, 1993; Williams & Collins, 1995). The purpose of this study was to explore the psychological impact of individual, institutional and cultural racism as forms of stress for Black Americans. Additionally, this study explored Black racial identity as a lens through which racism could be appraised as stressful. Specifically, the goals of the study were: (1) to examine the relationship between racial identity and racism-related stress, (2) to examine the relationship between racism-related stress, psychological distress and psychological well-being and (3) to examine the influence of both racial identity and racism-related stress on psychological distress and psychological well-being. Participants in the study were 255 Black adults (121 female and 134 male). Approximately 50% of the participants (n = 129) were recruited from community organizations in Maryland, the District of Columbia and New York City and 50% (n = 126) were recruited through a national mail survey. Participants completed a questionnaire packet including The Index of Race-Related Stress-Brief version (IRRS-B) (Utsey, 1999), The Black Racial Identity Attitudes Scale-Long form (BRIAS-B) (Parham & Helms 1981), The Mental Health Inventory (MHI) (Veit & Ware, 1983) and a personal data sheet. Hierarchical regression analyses indicated that racial identity significantly predicted multiple levels of racism-related stress and that racism-related stress predicted psychological distress. Additionally, racial identity and race-related stress predicted psychological distress however racial identity accounted for more of the variance in psychological distress than racism-related stress. The findings of the study highlight the importance of investigating individual, institutional and cultural levels of racism as forms of stress for Blacks in America. Furthermore, findings suggest that racial identity is an important psychological variable to consider when trying to understand the affects of racial stimuli on psychological distress and psychological well-being. Implications for clinical practice are discussed. (PsycINFO Database Record (c) 2003 APA ) 2002 Availability UMI Dissertation Order Number AAI3048130 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 63(3-B), Sep 2002, pp. 1608 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Empirical StudyHuman; Human; Male; Male; Female; Female; Adulthood (18 yrs & older); Adulthood (18 yrs & older) Blacks; Mental Health; Racism; Social Identity; Social Stress racism; stress; racial identity; psychological health; BlacksTNFrazier, Jean A. Gordon, Charles T. McKenna, Kathleen Lenane, Marge C. et al., 1994VOAn open trial of clozapine in 11 adolescents with childhood-onset schizophreniatF@Journal of the American Academy of Child & Adolescent Psychiatry335658-663 Jun 0890-8567 CGA-00062Human; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Childhood Schizophrenia; Clozapine; Drug Therapy clozapine; 12-17 yr olds with childhood onset schizophreniaStudied the response of 11 adolescents (aged 12-17 yrs) with childhood-onset schizophrenia to a 6-wk open trial of clozapine (mean 6th-wk daily dose 370 mg). Behavioral ratings included the Brief Psychiatric Rating Scale (BPRS) and the Children's Global Assessment Scale. More than half of the Ss showed marked improvement in BPRS ratings by the end of 6 wks of clozapine therapy compared with admission drug rating and compared with a systematic 6-wk trial of haloperidol. Clozapine was generally well tolerated, with the most prominent symptoms being somnolence, hypersalivation, and weight gain. Three case vignettes illustrate the best results. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'@9NIMH, Child Psychiatry Branch, Bethesda, MD, US [Frazier]tPJFries, Brant E. Schneider, Don P. Foley, William J. Gavazzi, Marie et al., 1994ZTRefining a case-mix measure for nursing homes: Resource utilization groups (RUG-III) Medical Care327668-685[ Jul 0025-7079request^XHuman; Adulthood (18 yrs & older) Client Characteristics; Health Care Utilization; Measurement; Nursing Homes; Taxonomies; Health Care Costs; Statistical Validity development & validity of Resource Utilization Groups-Version III; case mix classification & assessment of cost related characteristics & daily resource use; nursing home residentsDeveloped a case-mix classification system for nursing home (NH) residents, using a sample of 7,658 residents from 7 states. The Resource Utilization Groups, Version III (RUG-III) system achieved 55.5% variance explanation of total cost and met goals of clinical validity. The RUG-III system improved on an earlier version's classification system, for example, by identifying residents with cognitive impairments by using a new definition of Alzheimer's disease (AD) based on short-term memory, orientation (recall), and decision making. RUG-III also demonstrated better universal applicability than previous measures. (PsycINFO Database Record (c) 2003 APA )B;Peer Reviewed Journal; Empirical Study; Book Reference Work'<6U Michigan, Inst of Gerontology, Ann Arbor, US [Fries]\UFries, Brant E. Simon, Samuel E. Morris, John N. Flodstrom, Caroli Bookstein, Fred L.n 2001TMPain in U. S. nursing homes: Validating a pain scale for the minimum data set Gerontologist412173-179 Apr 0016-9013 RUG-00003*Hospital Admission; Measurement; Nursing Homes; Pain; Test Validity; Patients pain: measurement; nursing homes; admission; test validationvpValidated a pain scale for the Minimum Data Set (MDS) assessment instrument and examined prevalence of pain in major nursing home subpopulations, including type of admission and cognitive status. This study considered validation of the MDS pain items and derivation of scale performed against the Visual Analogue Scale (VAS), using Automatic Interaction Detection. The derivation data describe 95 postacute care nursing home patients who are able to communicate. The scale was then used in retrospective analysis of 34,675 Michigan nursing home residents. A 4-group scale was highly predictive of VAS pain scores and therefore quite valid in detecting pain. In the prevalence sample, only 47% of postacute patients compared to 63% of postadmission patients reported no pain, and these percentages rose with increasing cognitive impairment. (PsycINFO Database Record (c) 2003 APA )Peer Reviewed Journal'@:U Michigan, Inst of Gerontology, Ann Arbor, MI, US [Fries]*f 4.Essays in the economics of child mental healthGarrett, Alma Bowen  Columbia U v oChapter one introduces the dissertation, reviews the literature on the prevalence and economic consequences of mental disorders, and describes some policy issues in child mental health care. Empirical analyses in this study use the National Institute of Mental Health's Cooperative Agreement for Methodological Epidemiology for Multi-Site Surveys of Mental Disorders in Child and Adolescent (MECA) Study and the combined mother-child sample of the National Longitudinal Survey of Labor Market Experience (NLSY). Chapter two considers methodological issues in the use of measures of mental health status of children in service use regressions. An interviewer-rated measure of child mental health impairment, the Non-Clinician Parent Interviewer's Child Global Assessment Scale (PI-CGAS), is found to strongly predict child mental health service use and to suffer less from rater-bias than other measures considered. Additional analyses show that maternal education and past use of mental health services affect whether the mother attributes certain child behaviors to a mental disorder. Chapter three develops a household production model of child mental health. Parental characteristics, such as potential wages, are found to affect the use of mental health services for children in two-parent households more strongly than for children in single-parent households. Child behavioral problems are found to reduce the likelihood of employment for married mothers, with no effect for unmarried mothers. Chapter four examines the relationship between child emotional and behavioral problems and family structure. Children with emotional and behavioral disorders are more likely to live in households in which the parents argue, in households headed by a single parent, and in households with a step-father. Child behavioral disorders are found to increase the likelihood of divorce or separation and decrease the likelihood that single mothers will marry. Chapter five examines a recent expansion in child SSI participation resulting from U.S. Supreme Court decision Sullivan v. Zebley. Empirical analyses of state level data find that SSI grew more rapidly in states with low AFDC payments and that more than half of new SSI recipients were already eligible for AFDC payments. Chapter six concludes the dissertation with a discussion of the policy implications of the findings. (PsycINFO Database Record (c) 2003 APA )i 1997Availability UMI Dissertation Order Number AAM9706846 Dissertation Abstracts International Section A: Humanities & Social Sciences. Vol 57(9-A), Mar 1997, pp. 4045 Publisher US: Univ Microfilms International Dissertation Abstractd Human; Childhood (birth-12 yrs) Health Care Costs; Mental Disorders; Mental Health; Mental Health Services; Health Care Policy; Family Structure; Government Programs; Parental Characteristics Essays in the economics of child mental health (family structure; SSI)`YGarrison, Carol Z. Valleni-Basile, Laura A. Jackson, Kirby L. Waller, Jennifer L. et al.,\ 1995f_"Frequency of obsessive-compulsive disorder in a community sample of young adolescents": ErratarF@Journal of the American Academy of Child & Adolescent Psychiatry342h128-129a Febn 0890-8567g CGA-00039*Human; Adolescence (13-17 yrs) Comorbidity; Compulsions; Obsessions; Obsessive Compulsive Disorder; Longitudinal Studies prevalence of clinical & subclinical obsessive compulsive disorder; 7th-9th graders; 3 yr study; erratum81Reports an error in the original article by L. A. Valleni-Basile et al (Journal of the American Academy of Child & Adolescent Psychiatry, 1994[Jul-Aug], Vol 33[6], 782-791). The weighted analysis of all longitudinal data reported in the paper has been revised. The most notable change occurs in the weighted logistic regression analyses, presented on page 786 of the text. (The following abstract of this article originally appeared in PA, Vol 82:02048.) Investigated the frequency of obsessive-compulsive disorder (OCD) and subclinical OCD in young adolescents. 3,283 adolescent Ss were administered a self-report depressive symptom questionnaire. The Schedule for Affective Disorders and Schizophrenia for School-Age Children and the Children's Global Assessment Scale were administered to 488 mother-child pairs. The prevalences of OCD and subclinical OCD were found to be 3% and 19%, respectively. Prevalences were similar in males and females. Females reported more symptoms of compulsions, and males reported more obsessions. About 55% of Ss with OCD reported both. The most common compulsions were arranging (56%), counting (41%), collecting (38%), and washing (17%). Major depressive disorder (45%), separation anxiety (34%), and dysthymia (29%) were frequently comorbid with OCD. (PsycINFO Database Record (c) 2003 APA ) TNPeer Reviewed Journal; Empirical Study; Longitudinal Study; Erratum/Retraction'VOU South Carolina, Dept of Epidemiology & Biostatistics, Columbia, US [Garrison]6~g XRGarrison, Carol Z. Waller, Jennifer L. Cuffe, Steven P. McKeown, Robert E. et al., 1997PIIncidence of major depressive disorder and dysthymia in young adolescentstF@Journal of the American Academy of Child & Adolescent Psychiatry364i458-465h Apr1 0890-8567s CGA-00036*82Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Us Dysthymic Disorder; Epidemiology; Human Females; Major Depression incidence & transition probabilities & risk factors for major depressive disorder & dysthymia; 11-16 yr old femalesAn epidemiological study conducted between 1987-89 in a single school district in the southeastern US investigated the incidence, transition probabilities, and risk factors for major depressive disorder (MDD) and dysthymia in adolescents aged 11-16 yrs. Diagnoses were based on responses to the Schedule for Affective Disorders and Schizophrenia for School-Age Children, the Children's Global Assessment Scale, and the Hollingshead Two Factor Index of Social Position, which were administered to 247 mother-adolescent pairs at 12 mo intervals. One-yr MDD and dysthymia incidences were 3.3% (n = 11) and 3.4% (n = 9), respectively. Transition probabilities demonstrated movement from disorder to no disorder over time. Family cohesion was the only significant predictor of incident MDD; no factors were significant for dysthymia. While baseline MDD was a significant risk factor for depression at follow-up, 80% of Ss with baseline MDD did not meet the criteria for diagnosis at follow-up. Findings suggest perceived family support or cohesion is more important to adolescent mental health than family structure. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'ZSU South Carolina, Dept of Epidemiology & Biostatistics, Columbia, SC, US [Garrison],>8Self-concept in adult women: A multidimensional approachGearhart, Julia Mariee U Southern CaliforniarPrevious research focusing on self-concept has yielded a variety of contradictory results, in large part due to inadequate tools and mis-specified models. Utilizing a multidimensional model and a promising new instrument, the focus of this exploratory study was to lend greater clarification to the relationships among age, social role, and women's self-concept. Social roles were defined as paid worker, student, parent, and marital status, while age was treated both continuously and categorically (18-30, 31-45, 46-65, and 66+). A stratified sample (N = 275) of women ages 18-91 was administered the Self-Descriptive Questionnaire III, a tool designed to measure nine facets of self-concept. As the SDQ III has not been normed for older adults, one goal of this investigation was to establish its validity and reliability for use with a mature population. The results of this study indicate that all nine dimensions of self-concept are reliable for this older population and, furthermore, that the dimensions are relatively distinct. Coefficient alphas varied from.70 to.94 (median =.89) and average correlations among the dimensions was modest (median r =.20). Multiple regression analyses indicated that role occupancy per se was unrelated to self-concept with two exceptions: full-time employment and single status significantly predicted some aspects of self-concept for middle-aged women. In contrast, age was the primary predictor for eight dimensions of self-concept. Specifically, self-concepts for physical appearance, physical ability, and opposite sex relationships were negatively correlated with age, while self-concepts for religion/spirituality, honesty/reliability, and emotional stability were positively correlated. Self-concepts for cognitive ability and same sex relationships were also related to age, but in a non-linear fashion. Only the dimension of general-esteem was not correlated with age in any manner. These findings were interpreted in terms of both role and matura (PsycINFO Database Record (c) 2003 APA ) 1996Availability UMI Dissertation Order Number AAM9600980 Dissertation Abstracts International Section A: Humanities & Social Sciences. Vol 56(9-A), Mar 1996, pp. 3769 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older); Very Old (85 yrs & older) Age Differences; Marital Status; Physical Appearance; Role Perception; Self Concept; Cognitive Ability; Emotional Stability; Honesty; Human Females; Religiosity; Sex Roles social roles & marital status; self-concept for physical appearance & opposite sex relationship & honesty & cognitive stability; 18-30 vs 31-45 vs 46-65 vs 65+ yr old women "Geller, B. Cook, E. H., Jr.f 1999|uSerotonin transporter gene (HTTLPR) is not in linkage disequilibrium with prepubertal and early adolescent bipolaritysBiological psychiatryS459t 1230-3Biol Psychiatry 0006-3223o CGA-00004*Bipolar Disorder genetics; Carrier Proteins genetics; Linkage Disequilibrium genetics; Membrane Glycoproteins genetics Adolescent ; Age Factors; Alleles ; Child Female; Human; Male; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.BACKGROUND: As part of an ongoing, larger study, "Phenomenology and Course of Pediatric Bipolarity", a subset of prepubertal and early adolescent onset bipolar (PEA-BP) probands, on whom trio blood collection was complete, were used to study genetic transmission of the serotonin transporter linked promoter region (HTTLPR) short and long alleles using the transmission disequilibrium test(TDT). The HTTLPR alleles were selected based on postulated serotonergic mechanisms for PEA-BP and on the burgeoning number of HTTLPR allele studies in bipolar (BP) adults. METHODS: There were 46 complete trios of PEA-BP probands and both biological parents. Probands had a mean age of 11.1 +/- 3.0 years and a mean age of onset of PEA-BP of 8.1 +/- 4.0 years. Comprehensive diagnostic assessments included a semi-structured research interview, the WASH-U-KSADS, administered separately to mothers and to children by blind raters. Probands manifested severe impairment (CGAS 43.9 +/- 8.9), elated mood (84.8%), grandiosity (78.3%), rapid cycling (78.3%) and psychosis (63.0%). The HTTLPR length variant was genotyped using fluorescently labeled primers and automated capillary electrophoresis using laser-induced fluorescence. RESULTS: The TDT was not significant (TDT chi square = .020, df = 1, p = .89). CONCLUSIONS: This negative result is consistent with the one negative TDT and two negative linkage studies of HTTLPR alleles in bipolar adults in the literature. May 1 Englishi\UScienceDirect (tm) http://www.sciencedirect.com/science?10.1016/S0006-3223(98)00362-XH'PIWashington University School of Medicine, St. Louis, Missouri 63110, USA.y #JPDd(,h A consideration of select dimensions of self-concept and their relation to global self-esteem in native-born African-American and Caucasian youth.Grant, Tracy C.i  New York UThis study examined select dimensions of self-concept and their relation to global self-esteem in native-born Caucasian and African American youth. Self-concept was conceptualized as a multidimensional construct (Shavelson, Hubner & Stanton, 1976) and self-esteem as a global self evaluation (Rosenberg, 1965). Historically, the two constructs have been used interchangeably thereby obscuring the potential impact one may have on the other. The subjects were 127 Caucasian and 83 African American students from three New York City high schools. All subjects completed a demographic data sheet, select subscales of the Self Description questionnaire III (SDQ III, Marsh, 1987), the Rosenberg Self-Esteem Scale (Rosenberg, 1965), and the Self-Concept of Academic Ability Scale (Brookover, 1962). The results of a two-way ANOVA corroborated previous findings of higher global self-esteem despite lower measures of academic ability for African Americans versus Caucasian Americans. Using stepwise academic self-concept would more powerfully predict global self-esteem for Caucasian Americans, and that non-academic dimensions of self-concept would more powerfully predict global self-esteem for African Americans, were not supported. In fact, self-concept of academic ability was the most powerful predictor of global self-esteem for the African American group, followed by self-concept of relations with opposite sex peers. Self-concept of relations with opposite sex peers, self-concept of relations with parents, and self-concept of academic ability were the three most powerful predictors of global self-esteem for the Caucasian American group. In general, there were more similarities than differences between the two racial groups regarding the independent variables that were identified as significant predictors of global self-esteem. In addition, the combined independent variables included in this study accounted for a considerable proportion of variance in global self-esteem for each of the racial groups. (PsycINFO Database Record (c) 2003 APA )  1998Availability UMI Dissertation Order Number AAM9819860 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 58(12-B), Jun 1998, pp. 6858 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study,&Human; Adolescence (13-17 yrs); Adulthood (18 yrs & older) Health; Life Experiences; Self Concept; Self Esteem; Whites; Art Therapy; Blacks; Cross Cultural Differences; Emotional Trauma self-concept dimensions & global self-esteem; native-born African-American vs Caucasian high school students ("Green, J., Hurst, T., & Gordon, R.D>AROC Reports for Anywhere Hospital. July 2000 - September 2002 2+Australasian Rehabilitation Outcomes Centre2AUS-ARO-00001*"Green, R.S., & Gracely, E.J. 1987XQSelecting a rating scale for evaluating services to the chronically mentally ill.d&Community Mental Health Journal232 91102 MIS-00019A multi-attribute utility analysis employing ideal outcome measure criteria was applied to seven brief rating scales in oreder to identify the best performing instrument. A variety of judgemental data were collected from therapists working in mental health service agencies and from evaluation research experts to contrast the performance of the seven rating scales on criteria for selecting outcome emasures developed by an NIMH task force. Transformations of the performance data were weighted in accordance with priorities assigned to the criteriaby the task force. Comparing the sums of the weighted scores across scales, two rating scales emerged as preferred selections for monitoring the effectiveness of programs that serve the chronically ill."Green, R. S. Gracely, E. J. 1987VPSelecting a rating scale for evaluating services to the chronically mentally ill&Community Mental Health Journal 23 91-102D>Green, Benjamin Shirk, Stephen Hanze, Douglas Wanstrath, James 1994ZTThe Children's Global Assessment Scale in clinical practice: An empirical evaluationHBJournal of the American Academy of Child and Adolescent Psychiatry338 1158-1164 Oct 0890-8567 CGA-00064Human; Childhood (birth-12 yrs); School Age (6-12 yrs) Interrater Reliability; Psychiatric Patients; Rating Scales; Statistical Validity interrater reliability & convergent validity of Children's Global Assessment Scale; 6-11 yr old psychiatric inpatientsExamined characteristics of the Children's Global Assessment Scale (CGAS) in the context of clinical practice. 95 children (aged 6-11 yrs) admitted to a psychiatric inpatient unit were rated by their attending psychiatrist and by milieu staff on the CGAS. Measures of severity and type of symptomatology, social, behavioral, and school competence; intellectual level; social relatedness; and family stress were completed by parents and staff raters. There was significant convergence in CGAS ratings by independent raters. CGAS ratings were unrelated to measures of symptomatology but were signficantly related to indices of Ss' competence. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'F?Children's Hosp, Child Psychiatric Unit, Denver, CO, US [Green]h Green, R.  1999nhThe application of statistical process control to manage global client outcomes in behavioral healthcare&Evaluation and Program Planningl22199210OUT-NMH-00010*rkGreen, Jonathan Kroll, Leo Imrie, David Frances, Frederica Marino Begum, Kalsoon Harrison, Lucy Anson, Ruth; 2001vpHealth gain and outcome predictors during inpatient and related day treatment in child and adolescent psychiatryF@Journal of the American Academy of Child & Adolescent Psychiatry403o325-332l Mare2001-00122-008 HCA-00014*|v*Health Care Delivery; *Health Care Services; *Psychiatric Hospitalization; *Psychiatric Patients; *Treatment OutcomesInvestigated health gain and its predictors during inpatient and associated day patient treatment. Consecutive admissions to 2 inpatient units for children and young adolescents (aged 6-17 yrs) were studied. Ascertainments were made from multiple perspectives, including family, teacher, clinician, and an independent researcher. Measures were taken at referral, admission, discharge, and 6-mos follow-up; health gain was inferred from change scores on measures. Recruitment lasted from late 1995-1997; follow-up was completed during 1998. Independent variables tested as predictors included assessments of presenting symptoms, therapeutic alliance, and family functioning. Significant health gain during hospitalization was found on most measures and sustained to follow-up. There was no symptom change during the waiting-list control condition. Health gain was predicted independently by child and parental therapeutic alliance with the unit early in hospitalization and by preadmission family functioning. Externalizing problems did well if accompanied by good alliance. Inpatient treatment has significant therapeutic effect. Predictors for health gain lie in process variables of therapeutic alliance and family functioning rather than presenting symptoms. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.lww.com Green, R. 2003:4Assessing the productivity of human service programs&Evaluation and Program Planninga26 2127tOUT-NMH-00009*$Greenfield, A., and Attkissonr 1999XRThe UCSF Client Satisfaction Scales: I. The client satisfaction questionnaire - 8. Maruish, M. E.`YThe use of psychological testing for treatment planning and outcomes assessment (2nd Ed.)  Mahwah, NJ .'Lawrence Erlbaum Assoicates, PublishersV MIS-00024-\m|Hermann, RC Provost, S 2003d^Interpreting measurement data for quality improvement: standards, means, norms, and benchmarksPsychiatric Services545u655-657 OUT-MH-00044*LEPsychopathology in Latino and Caucasian children entering foster careCHernandez, Karen  Texas A&M U.("The purpose of this study was to: (1) Examine differences between the type of diagnosis received by ethnic group and the rate of receiving a diagnosis psychopathology upon entry into the foster care system among Caucasian and Latino children. (2) Examine differences in severity of psychopathology among Caucasian and Latino children. (3) Examine the relationship between risk factors and global functioning of children entering foster care among Caucasian and Latino children. The results of this study showed that the majority of Latinos and Caucasians presented with some type of psychopathology (74% and 79% respectively). As compared to Latinos, Caucasians children were likely to have more than one diagnosis. With respect to type of diagnosis, the most prevalent diagnosis for both Latino and Caucasian children was an adjustment disorder, followed by a diagnosis of abuse. With respect to severity of psychopathology, the results indicated that on average, Caucasians (M = 58.45, SD = 10.16) and Latinos (M = 62.22, SD = 12.20) received CGAS scores meriting mental health treatment. However, Caucasian children were more likely to receive significantly lower CGAS scores than Latino children (t(164) = 2.164, p < .05). The relationship between 13 risk factors, CGAS scores and ethnicity produced interesting results. When race was controlled for, physical abuse and sexual abuse were all inversely related to CGAS scores. Of the 13 risk factors examined, sexual and physical abuse were able to weakly predict CGAS scores. (PsycINFO Database Record (c) 2003 APA ) 2003Availability UMI Dissertation Order Number AAI3060818 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 63(8-B), Mar 2003, pp. 3917 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyeHuman; Childhood (birth-12 yrs) Foster Care; Foster Children; Psychopathology; Racial and Ethnic Differences; Risk Factors psychopathology; Latinos; Caucasians; foster children; ethnic differences; risk factors81Herrman, Helen Hawthorne, Graeme Thomas, Rosemarym 2002@:Quality of life assessment in people living with psychosis2,Social Psychiatry & Psychiatric Epidemiology3711510-5182002-06225-002 HON-00074*vo*Health; *Psychometrics; *Psychosis; *Quality of Life; *Questionnaires; Measurement; Self Report; Test Validityi(!Investigated the validity of psychotic patients' self-report regarding their health-related quality of life (HRQoL), using the World Health Organization's short Quality of Life instrument (WHOQOL-Bref) and the Assessment of Quality of Life (AQoL). 173 patients (56% male, aged 18-64 yrs) with a long-standing psychotic disorder completed the WHOQOL and AQoL, and measures of their symptoms, disability and living conditions. Case managers completed the measures as proxies. There were significant differences by instrument dimension. Patients' and case managers' scores correlated moderately, with case managers' being lower. When examined by other study instruments, correlations varied according to who completed the instrument, which suggested bias by instrument completer. Patients' scores correlated better with a neutral estimator of health status. When examined against population data, patients experienced significantly worse HRQoL. The WHOQOL-Bref and AQoL are sensitive to the HRQoL status of those with long-term mental illness. Given systematic differences between patient and case manager reports, patient perspectives should be preferred in evaluation research. Utility measurement and generic HRQoL assessment are feasible and important in this population. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.springer.de(!Heubeck, Bernd G. Neill, James T.y 2000lfConfirmatory factor analysis and reliability of the Mental Health Inventory for Australian adolescentsPsychological Reports872e431-440y Oct  0033-2941o MHI-00043HHuman; Male; Female; Adolescence (13-17 yrs) Australia Factor Analysis; Human Sex Differences; Inventories; Mental Health; Test Reliability; High School Students factor analysis & reliability of Mental Health Inventory; male vs female high school students.'Notes that J.S. Ostroff, K. S. Woolverton, C. Berry, and L. M. Lesko (1996) examined the adolescent subsample of C. Viet and J. Ware's (1983) normative data for the Mental Health Inventory and recommended a 2-factor rather than the original 5-factor model for the assessment of adolescents' mental health. This study examined the factor structure underlying adolescents' responses, drawn from another English-speaking country, with particular attention to the similarity of responses from boys and girls. The study also examined 2 aspects of reliability, the internal consistency of responses to the Mental Health Inventory as well as their stability over 2.5 mo. On each item, the 878 high school students (mean age 14.7 yrs) were asked to rate on a 6-point frequency or intensity scale how they had been feeling during the past month. Results show that internal consistency was >.9, and scores were stable over a 10-wk period. Boys reported slightly better mental health than girls, as in the original American research. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'yAustralian National U, Faculty of Science, School of Life Sciences, Div of Psychology, Canberra, ACT, Australia [Heubeck]:n <6Hughes, Claire White, Adele Sharpen, Joanna Dunn, Judy 2000ztAntisocial, angry, and unsympathetic: "Hard-to-manage" preschoolers' peer problems and possible cognitive influencesD=Journal of Child Psychology & Psychiatry & Allied Disciplinest412n169-179g Febi 0021-9630e SDQ-00032*Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs) England Anger; Antisocial Behavior; Behavior Problems; Empathy; Peer Relations; Cognitive Ability; Cognitive Development; Dyads; Emotional Responses; Friendship; Prosocial Behavior; Self Control; Social Cognition sociocognitive ability & executive function; antisocial behavior & displays of anger/negative emotion & empathic/prosocial responses during dyadic play interactions with friend; disruptive 4 yr olds@9Performed task-based assessments of sociocognitive ability (theory of mind and emotional understanding) and executive function and observations of dyadic interactions with friends for 40 preschool-aged disruptive children (mean age 4.3 yrs) rated by parents as "hard to manage" on the Strengths and Difficulties Questionnaire (R. Goodman, 1997), as well as 40 control Ss. Ss were filmed for 20 min on 2 occasions playing with a teacher-nominated best friend. The videos were transcribed and coded for antisocial behavior (AB), displays of negative emotion (DNE), and empathic/prosocial responses (E/PRs) to friend's distress. Individual differences in AB were considered in relation to false-belief performance, affective perspective taking, and executive function skills (planning and inhibitory control). Compared with controls, the disruptive Ss showed significantly higher rates of both AB and DNE, as well as significantly lower rates of E/PRs. Across both groups combined, frequencies of angry and ABs were related to poor executive control. Mental-state understanding was not significantly correlated with AB, DNE, or empathy, suggesting that the interpersonal problems of young disruptive children are due more to failure of behavioral regulation than to problems in social understanding. (PsycINFO Database Record (c) 2003 APA )iJDDoi 10.1017/s0021963099005193 Peer Reviewed Journal; Empirical Study'<6U London, Inst of Psychiatry, London, England [Hughes]The clinical utility of the use of rapid assessment instruments for general distress and consumer satisfaction in a private psychotherapy practiceHughes, Herschel, Jr. U Central FloridapF?Predicated on a growing need to assess the quality of mental health care in both the public and private sector, this report examined the usefulness of Love's (1991) Rapid Assessment Instrument (RAI) concept utilizing the Behavior and Symptom Identification Scale (BASIS-32) and the Client Satisfaction Questionnaire (CSQ-8) patient surveys following selected sessions to improve subsequent psychotherapy. New adult and adolescent patients of a suburban Florida private practice of two psychotherapists were surveyed with the BASIS-32 at the beginning of therapy and about every four sessions thereafter for about six months. All adult and adolescent patients were also invited to complete CSQ-8's in "exit poll" fashion following their psychotherapy sessions once a month. During the six-month trial period, 55% of new patients completed at least two BASIS-32's and 84% of all patients completed at least 1 CSQ-8. BASIS-32 test/retest data indicated a significant reduction in symptoms and improved functionality occurred within the first four sessions of therapy. Levels of symptomatology and functionality changed significantly during the data collection period suggesting each new patient group entering the practice each month may foreshadow differences in demands on therapist abilities. Individual beta coefficients for BASIS-32 score changes were used to track therapist monthly effectiveness rates. Patient satisfaction, while generally high, did vary significantly over the data collection period. Analysis of satisfaction levels using total quality management (TQM) based continuous quality improvement (CQI) control charts, and implementation of corrective action, was associated with a reversal of a declining satisfaction trend. Both BASIS-32 and CSQ-8 data were found to be helpful to therapists for both systemic analysis and individual treatment planning. The use of RAI's and CQI analysis procedures, along with conventional statistical analyses, were found to be helpful in developing quality of service indicators for a private psychotherapy practice. (PsycINFO Database Record (c) 2003 APA ) 2001Availability UMI Dissertation Order Number AAI3002701 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 62(1-B), Jul 2001, pp. 550 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Us Client Satisfaction; Distress; Psychological Assessment; Psychotherapy clinical utility; rapid assessment instruments; general distress; consumer satisfaction; psychotherapyHugo, My 1998XQFactors for consideration in selecting outcome measures in mental health servicesmAustralasian Psychiatrys6t2t 65-67 OUT-MH-00052 Hugo, Malcolm 2000ZTComparative efficiency ratings between public and private acute inpatient facilities4.Australian & New Zealand Journal of Psychiatry344}651-6572 Aug-2000-02500-013 HON-00009**Client Characteristics; *Psychiatric Hospitalization; *Psychiatric Patients; *Severity (Disorders); *Treatment Effectiveness EvaluationCompared clinical outcomes and efficiency ratings in an acute psychiatric inpatient facility with findings from other studies, and examined relationships between symptom severity, admission medico-legal status and length of stay. The Health of the Nation Outcome Scales was administered to 402 patients at admission and discharge and analyzed against admission medico-legal status and length of stay. Efficiency ratings were calculated and compared with those from other acute psychiatric inpatient settings. Results show that clinical outcomes and efficiency ratings were similar to those from other public acute inpatient facilities, with greater admission severities and higher efficiency ratings than those found in private facilities. Involuntary hospitalization was found to be associated with higher admission severities and longer lengths of stay. It is concluded that outcome or effect size is enhanced by higher admission severities, however, mean outcome per 10 days of stay is decreased by involuntary admission legal status. Factors unrelated to admission legal status effect differences in efficiency ratings found between public and private acute psychiatric inpatient facilities. (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.com>tBp ^<5An effectiveness study of psychosocial rehabilitationsJacobs, Dennis Roger The Union Inst.Finding ways to enable people with severe psychiatric disabilities to live more satisfying lives has become increasingly acute over the past twenty years. The purpose of this study was to examine the effectiveness of a psychosocial rehabilitation program. Psychosocial rehabilitation services are a set of integrated supports designed to assist a person with a severe mental illness to improve their functioning level and increase their independence. These services are usually provided out of a psychosocial rehabilitation "Clubhouse". This study attempted to examine the effects of a psychosocial rehabilitation Clubhouse on fifteen Severely Mentally III (SMI) adults. Data was gathered form the fifteen subject's scores on the Behavior and Symptom Identification Scale (BASIS-32) and a consumer satisfaction survey (CSQ-8). Scores were statistically compared six-month pre and post intervention for the fifteen subjects in the experimental group (clubhouse) to fifteen subjects in a residential treatment program (control group). Scores on the BASIS-32 assessment did not show a statistically significant increase when compared to the control group. However, when the scores from the CSQ-8 questionnaire were compared to the control group after six months involvement in the Clubhouse they were found to be significantly better. Findings were discussed in terms of their implications for future funding of psychosocial rehabilitation clubhouses relative to other community based mental health programs. Suggested explanations for the failure of the clubhouse participants to show significant progress were explored. Results were also tied in with practical and theoretical implications for future outcome studies and research applications. (PsycINFO Database Record (c) 2003 APA ) 2000Availability UMI Dissertation Order Number AAI9948808 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 60(10-B), May 2000, pp. 5226 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Mental Disorders; Psychosocial Rehabilitation; Severity (Disorders); Therapeutic Social Clubs effectiveness of participation in psychosocial rehabilitation clubhouse; severely mentally ill adults60Jacobson, N.S., Follette, W.C., & Revenstorf, D. 1984lfPsychotherapy outcome research: Methods for reporting variability and evaluating clinical significanceBehavior Therapy15336352d OUT-MH-00065VOThe purpose of this article is to suggest some new directions for the presentation and reporting of data in psychotherapy outcome research. Statistical comparisons based on group means provide no information on the variability of treatment outcome, and statistical significance tests fo not address clinical significance. ALthough psychotherapy research has begun to address these issues, it has done so unsystematically. New standards and conventions are needed to serve as criteria for classifying therapy subjects into categories of improved, unimproved, and deteriorated based upon response to treatment. A two-fold criterion for determining improvement in a clinet is recommended, based on both statistical reliability and clinical significance. Statistical procedures for determining whetheror not these criteria have been met are discussed.r& Jacobson, N.S., & Revensdorf, D. 1988|vStatistics for assessing the clinical significance of psychotherapy techniques: Issues, problems, and new developmentsBehavioral Assessment]10133-145 OUT-MH-00075"Jacobson, N. S., & Truax, P. 1991leClinical significance: a statistical approach to defining meaningful change in psychotherapy researcht4-Journal of Consulting and Clinical PsychologyZ591Z 12-19Z OUT-MH-00011*vpIn 1984, Jacobson, Follette, and Revenstorf defined clinically significant change as the extent to which therapy moves someone outside the range of the dysfunctional population or within the range of the functional population. In the present article, ways of operatmnalizing this definition are described, and examples are used to show how clients can be categorized on the basis of this definition. A reliable change index (RC) is also proposed to determine whether the magnitude of change for a given client is statistically reliable. The inclusion of the RC leads to a twofold criterion for clinically significant change.F@Jacobson, N.S., Roberts, L.J., Berns, S.B., and McGlinchey, J.B. 1999Methods for defining and determining the clinical significance of treatment effects: Description, application, and alternatives4-Journal of Consulting and Clinical Psychology0673d300-307s OUT-MH-00079*0  x~xKornblith, A. B. Zlotolow, I. M. Gooen, J. Huryn, J. M. Lerner, T. Strong, E. W. Shah, J. P. Spiro, R. H. Holland, J. C. 1996LFQuality of life of maxillectomy patients using an obturator prosthesis Head and necka184} 323-34 Head Neckc 1043-3074HrequestcMaxilla surgery; Maxillary Neoplasms surgery; Palatal Obturators psychology; Patient Satisfaction; Quality of Life Adaptation, Psychological; Adult ; Aged ; Aged, 80 and over; Chi Square Distribution; Eating ; Maxillary Neoplasms psychology; Maxillofacial Prosthesis psychology; Middle Aged; Questionnaires ; Regression Analysis; Socioeconomic Factors; Voice Quality Female; Human; Male; Support, Non U.S. Gov'ts$BACKGROUND: The psychosocial adaptation of patients who had undergone a resection of the maxilla for cancer of the maxillary antrum and/or hard palate with the placement of an obturator prosthesis to restore speech and eating function was studied. METHODS: Forty-seven patients were interviewed who had a maxillectomy with an obturator prosthesis at Memorial Sloan-Kettering Cancer Center, an average of 5.2 years (SD = 2.4 years) ago, 94% of whom had some of their soft palate resected. Interviews were conducted by telephone by a trained research interviewer, using a series of questionnaires to assess their satisfaction with the functioning of their obturator, and the psychological, vocational, family, social, and sexual adjustment. Measures included the Obturator Functioning Scale (OFS). Psychosocial Adjustment to Illness Scale (PAIS), Mental Health Inventory (MHI), Impact of Event Scale, and Family Functioning Scale. RESULTS: Using multiple regression and discriminant function analyses, satisfactory functioning of the obturator prosthesis, as measured by the OFS, was found to be (1) the most highly significant predictor of adjustment, as measured by the PAIS (p < .0001) and the MHI Global Psychological Distress Subscale (MHI-GPD) (p < .001), and (2) significantly related to their perception of the negative socioeconomic impact of cancer upon their lives. The most significant predictor of better obturator functioning were the extent of resection of their soft palate (one third or less, p < .001), and hard palate (one fourth or less, p < .01). Specific aspects of obturator functioning that most significantly correlated with better adjustment (PAIS, MHI-GPD) were: less difficulty in pronouncing words (r = .40 and r = .51, respectively, p < .01), chewing and swallowing food (r = .27-.46, p < .05), and less change in their voice quality after surgery (r = .52 and r = .56, respectively, p < .001). CONCLUSIONS: These findings suggest that a well-functioning obturator significantly contributes to improving the quality of life of maxillectomy patients.nJul-Aug Englishn'haPsychiatry Service, Memorial Sloan-Kettering Cancer Center (MSKCC), New York City, NY 10021, USA.rKornblith, A. B. Herndon, J. E., 2nd Zuckerman, E. Viscoli, C. M. Horwitz, R. I. Cooper, M. R. Harris, L. Tkaczuk, K. H. Perry, M. C. Budman, D. Norton, L. C. Holland, J. Cancer and Leukemia Group, B. 2001rkSocial support as a buffer to the psychological impact of stressful life events in women with breast canceri Cancer912 443-54 Cancer 0008-543X MHI-00007*B;Breast Neoplasms psychology; Life Change Events; Social Support; Stress, Psychological prevention and control Adult ; Aged ; Breast Neoplasms pathology; Middle Aged; Models, Theoretical; Neoplasm Staging; Regression Analysis; Socioeconomic Factors Female; Human; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.bBACKGROUND: Three theoretical models by which social support may influence the impact of stressful life events on cancer patients' psychological state were tested: 1) the additive model, in which social support and stressful life events each directly influence cancer patients' adjustment, irrespective of the magnitude of the other; 2) the buffering hypothesis, in which stressful events occurring in the presence of social support should produce less distress than if they occur in its absence; and 3) both additive and buffering models. METHODS: One hundred seventy-nine patients who had Stage II breast cancer (median age, 56 yrs; 68% disease free), treated a mean of 6.8 years since entry to Cancer and Leukemia Group B (CALGB) 8541, were interviewed by telephone concerning their psychosocial adjustment. The following measures were used: Medical Outcome Study Social Support Survey (MOS-SSS), Life Experience Survey (LES) a measure of stressful life events within the past 12 months, European Organization for Research on the Treatment of Cancer (EORTC QLQ-C30) a measure of quality of life, Mental Health Inventory (MHI), and the Systems of Belief Inventory (SBI) a measure of spiritual and religious involvement. RESULTS: Hierarchical regression analyses revealed that less than excellent levels of social support (P < 0.01), greater negative impact of LES fateful life events (e.g., death of family member) (P < 0.05), personal illness or injury (P < 0.05), and all other negative life events in the past year (< 4; P < 0.01) were significant predictors of greater MHI psychological distress, in addition to being divorced or separated (P < 0.001), and more recently treated for cancer on CALGB 8541 (P < 0.05). The interaction of LES scores with MOS-SSS or SBI social support, used to test the buffering hypothesis, did not significantly improve the prediction of MHI psychological distress. CONCLUSIONS: The results supported the additive model, with both stressful life events and social support independently and significantly affecting patients' emotional state. However, the level of social support needed to be very high to reduce the likelihood of severe psychological distress.Jan 15 English'xrDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.6r 0*Lloyd, C. King, R. Lampe, J. McDougall, S. 2001F@The leisure satisfaction of people with psychiatric disabilities("Psychiatric rehabilitation journal2525 107-13Psychiatr Rehabil J 1095-158X LSP-00024*Leisure Activities psychology; Mental Disorders psychology; Personal Satisfaction Adult ; Analysis of Variance; Australia Female; Human; MaleLeisure is considered to be an important part of life for every individual. This is even more so for people who have limited employment prospects and life options. The primary handicaps associated with mental illness create problems with social relationships and can hinder individuals from participating in or enjoying leisure pursuits. The aim of this exploratory study was to examine leisure satisfaction in a sample of one hundred adults with a mental illness who were clients of an Australian community mental health rehabilitation service. The Leisure Satisfaction Survey and the Life Skills Profile were administered to these clients to determine their leisure satisfaction and general functioning. Contrary to expectations, results indicated that the clients of mental health rehabilitation services believe that their leisure pursuits provide them with intellectual stimulation, enjoyable relationships with others and relaxation, suggesting that they are very satisfied with the activities they engage in during their leisure time. In general, these clients were more satisfied with their leisure than the normative population. Consistent with expectations, clients with lower disability and in particular with high capacity for social contact were most satisfied with their leisure pursuits. The significance of these results and the utility of the Leisure Satisfaction Survey with this population are discussed.s Fall English'rkIntegrated Mental Health Services, Gold Coast Hospital, Southport, Australia. Chris_Lloyd@health.qld.gov.auuNHPanic and anxiety disorders in an outpatient pediatric cardiology sampleLogue, Mary Beth U Missouri - ColumbiaT . (Anecdotal reports and empirical research suggests that panic disorder exists in children and adolescents. Studies of adults who present to cardiologists with symptoms of chest pain indicate that a significant subgroup have panic disorder or NFPD (non-fear panic disorder). New patients who were referred to a pediatric cardiology clinic (n = 24), and age and gender matched controls from a primary care pediatric clinic were evaluated using a multi-modal assessment to test the hypothesis that children who present to the cardiologist with chest pain may have panic disorder or NFPD. Assessment materials included the K-SADS semi-stuctured interview, the STAI/C and RCMAS questionnaires for children, the CBCL for parents, and the CGAS, a clinician rated measure of global functioning. Affective symptoms were also assessed in an attempt to replicate findings from previous research that showed children with chest pain have depression. Significantly more children from the cardiology group, than from the primary care group, were diagnosed with panic disorder or NFPD. However, there were no significant group differences in the severity ratings of anxiety or affective symptoms, or on measures of global functioning. Post hoc exploratory analyses of the pediatric cardiology group indicated no significant differences in psychological symptoms when the children were divided into two subgroups based on the presence or absence of organic findings from the cardiology evaluation. This study's methodology improved on previous investigations by the use of standardized, multi-modal assessment; the use of a comprehensive interview that differentiated among different types of anxiety reactions and included both parent and child report; a specific measure of impairment of functioning, and the inclusions of a clinical comparison sample. The study was hampered by the small sample size which lessened the power to detect the small between group differences expected in the assessment of low base rate disorders. Future research should include larger sample size, longer term follow-up (e.g., at least 6 weeks), a more comprehensive measure of psychopathology, and a measure of the participants' interpretations of symptoms and their reactions to the diagnoses and explanations given by the cardiologist. (PsycINFO Database Record (c) 2003 APA ) 1998Availability UMI Dissertation Order Number AAM9823325 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 59(2-B), Aug 1998, pp. 0877 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyI"Human; Childhood (birth-12 yrs) Anxiety Disorders; Cardiology; Cardiovascular Reactivity; Panic Disorder; Pediatrics; Medical Patients; Outpatient Treatment; Primary Health Care; Stress Reactions Panic and anxiety disorders in an outpatient pediatric cardiology sample (primary care)TNLombardo, Nancy B. Emerson Fogel, Barry S. Robinson, Gail K. Weiss, Herbert P. 1995b\Achieving mental health of nursing home residents: Overcoming barriers to mental health care("Journal of Mental Health and Aging13165-211 Win 1078-4470 RUG-00022i~wMental Health; Mental Health Services; Nursing Homes enhancement of mental health & mental health care in nursing homes  Describes the consensus reached at a conference on the enhancement of mental health of nursing home residents, the overall conference conclusions, and some specific ideas developed at the conference. Conference recommendations are organized around: financing and reimbursement, treatment and practice, service delivery, and quality management. The policy brief addresses the prevalence of mental health problems in nursing homes, treatment rates, and treatment gaps. Also included are descriptions of some model programs, and past federal and state policies relevant to mental health care in the nursing home. Conferees recommended additional funding for research, staff training, and consumer education initiatives to increase access to mental health services to nursing home residents. They called for improved Medicare and Medicaid reimbursement to pay for mental health liaison services; the unbundling of mental health services from nursing home per diem rates; full implementation of all OBRA '87 and '90 mandates; and increasing Medicare and other federal and private payments for all mental health services to be comparable to payment for other health services. The brief emphasizes low-cost ways of improving mental health of residents. (PsycINFO Database Record (c) 2003 APA )<6Peer Reviewed Journal; Conference Proceedings/Symposia'>8HRCA Research & Training Inst, Boston, MA, US [Lombardo] bdjfZcve^gi\a`B]~^uX Newman, F. L.m 1980PIStrengths, uses and problems of global scales as an evaluation instrument&Evaluation and Program Planningl3f257-268\ OUT-MH-00070(!A global scale can provided means for integrating a variety of client/patient assessment techniques to complement each other in a useful manner. Global scales have been applied to service planning and evaluation as well as being useful for the on-going communication of clients' clinical/functioning status. Global scales are attractive to many service programs because of their apparent ease of implementation and their apparent face validity. Furthermore, there is an extensive body of literature describing global scales as hightly reliable and valid when properly implemented and maintained. The literature also suggests that there are some serious pitfalls. While initial implementation of a global scale is easy, the maintenance of a reliable, valid and useful scale appears to require their active use in treatment planning, treatment review and clinical supervision processes. It also requires that more extensive multidimensional ratings be made at intake, review and termination. Furthermore, staff training and development sessions two or three times a year are needed to surface and deal with differences in clinician ratings. Given these sorts of supports, then, a global scale has been demonstrated as a useful tool in service program management as well as clinical process and outcome studies, including studies of cost effectiveness. Since the major use of a global scale is as an integrating construct, a quantitative model is offered to describe the relationship between global scale ratings and multidimensional facets influencing the global ratings.sNHThe effectiveness of traditional Chinese medicine on depressive symptomsNg, May F?California School of Professional Psychology - Berkeley/alameda jdDepressive disorders affect a significant portion of the population while remaining undiagnosed underdiagnosed, undertreated and untreated. People often seek alternative healing modalities such as Traditional Chinese Medicine (TCM), acupuncture and herbal medicine, to ameliorate somatic symptoms that may be related to depressive states. This study examined the effectiveness of TCM in treating depressive symptoms, measured by the Beck Depression Inventory (BDI) pre/post treatment within a clinical setting. The study also investigated the holistic Chinese diagnostic schema for a prevalence of specific diagnostic patterns for depressed participants. Of the 158 pre-treatment participants, 75 formed the Experimental Sample with pre/post treatment data. The Experimental Sample was stratified into three groups by level of symptom severity and treatment compliance. Self-selected participants presented primarily with somatic complaints. Male and female patients, 18 years and older, responded to self-report measures that included: a background survey, a medical history checklist, the BDI, the Mental Health Inventory (MHI), and a post-treatment questionnaire assessing perceived effectiveness of, and attitude towards treatment, and compliance with prescribed herbal medicine. The acupuncturist determined appropriate treatment between assessments, and improvement was ascertained by both participant and practitioner. Post-treatment data were collected after 4 or more TCM treatments (n = 52) and also included depressed participants (n = 23) who terminated with less than 3 treatments. In a quasi-experimental pre-test post-test design, residualized scores were created for symptom severity and psychological well-being, and treatment exposure was statistically controlled in an Analysis of Covariance. Results indicated that the level of symptom severity was reduced significantly with adequate TCM treatment when compared with those who discontinued treatment prematurely. Statistical analyses demonstrated that the effectiveness of TCM treatment was unlikely to be attributable to other variables such as sample bias, regression to the mean, nonspecific effects associated with receiving TCM treatment, or spontaneous remission. Additional findings revealed that when both depressed and nondepressed participants received adequate TCM treatment, their sense of well-being, as measured by the Psychological Well-being Index of the MHI, was significantly enhanced whereas it declined in depressed participants who discontinued treatment prematurely. These findings lend support to the holistic notion underlying TCM theory that treatment affects the organism in its entirety, including psychological states, and is not delimited to targeted somatic complaints. Investigation of the Chinese holistic diagnostic schema revealed that the patterns of Yin Deficient, Spleen Deficient and Liver Qi stagnation occurred with significant frequency for depressed individuals. According to TCM theory, these patterns are closely interrelated and manifest conditions often seen in depression. Although these findings contribute to the literature, the efficacy of TCM treatment was not demonstrated due to the lack of randomization and the omission of an untreated control group. The small sample size and the use of self-report measures were other limitations of the study. Future research comparing this modality to standard care in the treatment of depressive symptomotology offers significant promise. Also, exploring the potential of TCM in the treatment of a more severely depressed population is a challenge yet to be undertaken in the US. (PsycINFO Database Record (c) 2003 APA ) 1999Availability UMI Dissertation Order Number AAM9918494 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 60(2-B), Aug 1999, pp. 0860 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyD=Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs); Aged (65 yrs & older); Very Old (85 yrs & older) Us Alternative Medicine; Major Depression effectiveness of traditional Chinese medicine in treatment of depressive symptoms; 18+ yr old patients NHS  1999voPerformance Assessment Framework. Quality and performance in the NHS: Clinical Indicators. Technical Supplement{ UK-NHS-00014*e NHS4 2002TMHealth and Social Care Information Sharing Protocol for Wiltshire and Swindon  UK-NHS-00015*e NHSIA* Information Sharing Policy UK-NHS-00012*h NHSIAtngInformation Sharing Protocol. Information flows from Mental Health Trust to Social Services. Appendix Ct UK-NHS-00011*n NHSIA,:4Guidance on Developing Information Sharing Protocols UK-NHS-00003*e NHSIAt 2000f`Mental Health ICRS Requirements. Descriptive Statement of Clinical Process and Need. Version 3.0 UK-NHS-00005*\ NHSIA. 20012+Mental Health Minimum Data Set. An Overview  UK-NHS-00007* NHSIAr 2003JDNHS National Service Framework - Information Strategy Matrix - DRAFT UK-NHS-00009*d NHSIA6 2003.'MHIS Information Sharing Protocols Site  UK-NHS-00006*l  NHSIAt 2004>7Mental Health Minimum Data Set. Data Manual Version 2.3V UK-NHS-00008*i NHSIAt YearzsQuestionnaire for Identifying Flows od Patient Information from Pennine Care NHS Trust to Third Party OrganisationsR UK-NHS-00010*| ~TMVerhulst, Frank C. van der Ende, Jan Ferdinand, Robert F. Kasius, Marianne C.g 1997VOThe prevalence of DSM-III-R diagnoses in a national sample of Dutch adolescentss$Archives of General Psychiatry544Z329-336 Aprt 0003-990X. CGA-00002*Human; Male; Female; Adolescence (13-17 yrs); Adulthood (18 yrs & older) Netherlands Epidemiology; Mental Disorders prevalence of DSM--III--R disorders; 13-18 yr olds; NetherlandsEstimated the prevalence of Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) disorders among Dutch adolescents (aged 13-18 yrs) from the general population using Diagnostic Interview Schedule for Children, Version 2.3 (DISC); and 2 parallel forms, DISC--C (for children) and DISC--P (for parents); and the Children's Global Assessment Scale (D. Shaffer et al, 1983 [CGAS]). There was very little overlap between Ss who met criteria for DSM-III--R diagnoses based on DISC--C and DISC--P. There was a reduction in prevalences when Ss had to meet criteria for DSM-III--R and the CGAS. The most frequent comorbid diagnoses were anxiety and mood disorders. Substance use disorder and attention deficit hyperactivity disorder (ADHD) were seldom diagnosed in Ss who did not meet the criteria for other diagnoses. Boys had a higher prevalence in conduct disorder, substance abuse disorder, tic disorder, and mania. Girls had a higher prevalence of simple phobia and social phobia. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'ztErasmus U/Sophia Children's Hosp Rotterdam, Dept of Child & Adolescent Psychiatry, Rotterdam, Netherlands [Verhulst]`ZThe effects of treatment frequency on treatment outcome for foster care children (Florida)Vogel, Joanne Elisep U Central Floridar Therapeutic foster care has received mixed reviews in its ability to provide adequate and beneficial services for children. Only recently have researchers begun conducting outcome studies investigating its effectiveness. Both locally and nationally, the debate continues about what this system offers to children. As a means of monitoring the effectiveness of the services provided to these children, this study analyzed the two types of specialized therapeutic services made available to foster care children in the state of Florida under Medicaid guidelines. This effectiveness study investigated whether or not there is a significant difference in treatment outcome for those foster care children receiving one hour of therapeutic services per week and those receiving two hours of therapeutic services per week. A sample of eighty-two foster care children, ranging in age from five to seventeen, were matched according to gender, age, race, and Axis I diagnosis. Using outcome data collected from April 1999 through September 2002 at the state of Florida's largest provider of therapeutic services to foster care children, the researcher conducted a repeated measures analysis of variance to interpret the results from three separate outcome measures: the CFARS (Ward et al., 1998), the DSMD (Naglieri, LeBuffe, & Pfeiffer, 1994), and the CGAS (Shaffer et al., 1983). The results of this study indicated that both groups demonstrated a statistically significant mean difference in treatment outcome over time. In addition, there is a statistically significant mean difference in treatment outcome between those children receiving one hour per week of therapy and those receiving two hours per week of therapy. Those foster care children receiving one hour of therapy per week displayed greater treatment gains than those children receiving two hours of therapy per week. Thus, this preliminary study goes against the adage that more is better than less with respect to treatment frequency for foster care children. (PsycINFO Database Record (c) 2004 APA )  2003Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 64(2-B), 2003, pp. 633 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Longitudinal Study; Journal ArticlenHuman; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Us Foster Care; Foster Children; Treatment Outcomes treatment frequency; treatment outcome; foster care children; Florida82Vostanis, P. Tischler, V. Cumella, S. Bellerby, T. 2001yMental health problems and social supports among homeless mothers and children victims of domestic and community violence0*International Journal of Social Psychiatry474d 30-40r Wini 0020-7640e SDQ-00046xrHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) England Family Violence; Homeless; Mental Disorders; Social Support Networks; Violence; Mothers; Neighborhoods mental disorders; social support networks; homeless; parents; children; domestic violence; neighborhood violenceExamined the prevalence of mental health problems and access to social support networks among homeless parents and children experiencing domestic and neighborhood violence. Three groups of families who had become homeless were compared: (1) 48 parents with 75 children (aged 3-16 yrs) who experienced domestic violence; (2) 14 parents with 29 children who were victims of neighborhood violence; and (3) 31 parents with 54 children who became homeless for other reasons. Mothers completed a service use interview, the Strengths and Difficulties Questionnaire (R. Goodman, 1997), the General Health Questionnaire (D. Goldberg, 1978), the Family Support Scale (C. Dunst et al, 1984), and the SF-36 Health Status Questionnaire (J. Ware and C. Sherbourne, 1992). Results show that levels of psychiatric morbidity were high in the group experiencing domestic violence, at 35.7% in children and 21.9% in mothers. Psychiatric morbidity was higher still for neighborhood violence victims, at 52.2% in children and 50% in mothers. Levels of social support predicted both child and maternal psychopathology, particularly in relation to professional support and support from other family members. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'PJU Leicester, Greenwood Inst of Child Health, Leicester, England [Vostanis]clusions. There appeared to be no significant correlation between the spiritual beliefs scores and attitude toward life scores. There was some indication that spiritual beliefs affected mental health. Participants presented with strong general positive affect, suffered significantly less psychological distress in their lives, were less depressed, more in control of their emotions and behaviors, and better able to establish emotional ties with others. Spiritual belief, attitude toward life and mental health, as a set, were significantly related to age. Specific predictors include anxiety, loss of emotional/behavioral control, and psychological distress. Only psychological distress and psychological well-being differentiated the men and women participants. (PsycINFO Database Record (c) 2003 APA ) 2002Availability UMI Dissertation Order Number AAI3058315 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 63(6-B), Jan 2002, pp. 3023 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Us Mental Health; Physical Fitness; Religious Beliefs spiritual belief; life attitude; mental health; physical fitness participantsSalvador-Carulla, L. 1999:4Routine outcome assessment in mental health research$Current Opinion in Psychiatrya12207-210e OUT-MH-00009*eztRoutine outcome assessment is a major tool for outcome management. It has broadened the field of evaluation and its traditional methods, giving rise to a new set of instruments, such as the Health of the Nation Outcome Scales. However, most challenges posed by routine outcome assessment have yet to be resolved, including conceptual issues, instrument selection and standardization, and appropriate data analysis. Because of its significant contributions to improving quality of care, management planning and decision making, routine outcome assessment is sure to become a widely discussed psychiatric topic in the near future.(z y *` Ruud, T. 2003& Experiences with HoNOS in NorwayHoNOS Workshop LondonThe relationship between spiritual belief, life attitude, and mental health among physical fitness participants in northern Indiana,Sacks, Sharon Kayl  Andrews U. Problem. The purpose of this study is to explore spiritual beliefs as defined by an interconnectedness with self and others, generated from a relationship with a higher power, and consider its impact on attitude toward life and mental health. Method. This study employed the survey research method to collect data investigating the relationships between spiritual beliefs, attitude toward life, and mental health. A battery of three instruments was selected for this study. The Royal Free Questionnaire on Beliefs and Experiences, developed by King, Speck, and Thomas (1994), was used for measuring spiritual beliefs. The Optimism and Pessimism Questionnaire provided a global perspective of optimism and pessimism on the participants. The Mental Health Inventory (MHI) assessed the psychological distress or psychological well-being of the participants' focusing on the frequency or intensity of a psychological symptom during the past month. Results. The relationship between spiritual belief and overall psychological well-being and the relationship between spiritual belief and depression were significant. As the commitment to a particular spiritual belief system strengthened, depression significantly decreased. The relationship between spiritual beliefs and loss of behavioral/emotional control was significant. Participants with a stronger commitment to a particular spiritual belief system reflected lower levels of uncontrollable behavior or emotion. General positive affect, emotional ties, and psychological distress also demonstrated significant relationships with spiritual belief. No relationships between spiritual beliefs and anxiety or life satisfaction were found. Conclusions. There appeared to be no significant correlation between the spiritual beliefs scores and attitude toward life scores. There was some indication that spiritual beliefs affected mental health. Participants presented with strong general positive affect, suffered significantly less psychological distress in their lives, were less depressed, more in control of their emotions and behaviors, and better able to establish emotional ties with others. Spiritual belief, attitude toward life and mental health, as a set, were significantly related to age. Specific predictors include anxiety, loss of emotional/behavioral control, and psychological distress. Only psychological distress and psychological well-being differentiated the men and women participants. (PsycINFO Database Record (c) 2003 APA ) 2002Availability UMI Dissertation Order Number AAI3058315 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 63(6-B), Jan 2002, pp. 3023 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyHuman; Adulthood (18 yrs & older) Us Mental Health; Physical Fitness; Religious Beliefs spiritual belief; life attitude; mental health; physical fitness participantsvoNeuropsychological functioning, maternal psychopathology, and clinical patterns in children with manic symptomsSalisbury, Helen &State U New York At Stony Brooko 0 )The purpose of this study was to elucidate whether a group of boys (n = 15) whose mothers had identified them as having manic symptomatology (MS) at a referral/baseline assessment on the Diagnostic Interview for Children and Adolescents-Parent Version (DICA-P; Reich, Shayka, & Taibleson, 1992) could be differentiated from a group of nonmanic boys (n = 14; CO), individually matched to the MS boys on symptomatology from the three comorbid disruptive disorders (i.e., attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD)), and a group of nonmanic, noncomorbid boys with ADHD (n = 8; AD) at follow-up (M = 54.13 months (4.5 years); SD = 11.90). A battery of tests of neuropsychological and cognitive functioning was administered (e.g., Rey Complex Figure Test (RCFT; Meyers & Intelligence Scale for Children - 3rd Edition (WISC-III; Wechsler, 1991)). In addition, assessments of maternal psychopathology were made (i.e., Beck Depression Inventory (BDI; Beck, 1978); Symptom Checklist-90-R (SCL-90-R; Derogatis, 1976)). Further, child clinical symptomatology was assessed with psychiatric interviews (i.e., Missouri Assessment of Genetics Interview - Adolescent and Parent versions (MAGIC-A; MAGIC-P; Reich & Todd, 1997), and the Structured Interview for Schizotypy (SIS; Kendler, Lieberman, & Walsh, 1989)); child self-reports (e.g., Children's Depression Inventory (CDI; Kovacs, 1983; 1992); and the Multidimensional Anxiety Scale for Children (MASC; March, Parker, Sullivan, & Stallings, 1997)). Mothers completed assessment inventories with regards to their sons as well (e.g., Children's Symptom Inventory - 4: Parent Checklist (CSI-4; Gadow & Sprafkin, 1994); Child Behavior Checklist (CBCL; Achenbach, 1991)). Finally, Best Estimate Diagnoses were made utilizing the aggregated information, and functional impairment was assessed (i.e., Children's Global Assessment Scale (CGAS; Shaffer, Gould, Bird, & Fisher, 1983)). Significant between-group differences were found for the RCFT, WISC-III Verbal IQ (VIQ), and CGAS between the AD and the two multimorbid groups. No between-group differences were found on measures of maternal psychopathology, although elevated levels of symptomatology were found in the MS and CO mothers on the BDI, and across all three groups on the SCL-90-R. Indications of schizotypic thinking patterns were seen across groups, and symptoms of psychosis were revealed in the MS and CO boys. In addition, mothers reported mania symptoms at follow-up on the MAGIC-P, not only in the MS group, as expected, but in the CO group as well. This suggests that the lack of between-group differences between the boys in the MS and CO groups was most likely due to the unanticipated and delayed onset of mania symptoms in the latter group. (PsycINFO Database Record (c) 2003 APA )n 2002Availability UMI Dissertation Order Number AAI3051088 Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 63(4-B), Oct 2002, pp. 2103 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical StudyeHuman; Male; Childhood (birth-12 yrs) Mania; Mothers; Neuropsychology; Parental Characteristics; Psychopathology neuropsychological functioning; maternal psychopathology; clinical patterns; children; manic symptoms Salvador-Carulla, L. 1999:4Routine outcome assessment in mental health research$Current Opinion in Psychiatrya12207-210e OUT-MH-00009*eztRoutine outcome assessment is a major tool for outcome management. It has broadened the field of evaluation and its traditional methods, giving rise to a new set of instruments, such as the Health of the Nation Outcome Scales. However, most challenges posed by routine outcome assessment have yet to be resolved, including conceptual issues, instrument selection and standardization, and appropriate data analysis. Because of its significant contributions to improving quality of care, management planning and decision making, routine outcome assessment is sure to become a widely discussed psychiatric topic in the near future. nT ,&Wing, J. K. Lelliott, P. Beevor, A. S. 2000Progress on HoNOSn$British Journal of Psychiatry  176 392-3937 HON-00100*Wise, Edward A.1 2004Methods for Analyzing Psychotherapy Outcomes: A Review of Clinical Significance, Reliable Change, and Recommendations for Future Directionsb(!Journal of Personality AssessmentD82  1, 50 OUT-MH-00080*M\UWiseman, Hadas Barber, Jacques P. Raz, Alon Yam, Idit Foltz, Carol Livne Snir, Sharon 2002tnParental communication of Holocaust experiences and interpersonal patterns in offspring of Holocaust survivorsXQInternational Journal of Behavioral Development. Vol 26(4), Jul 2002, pp. 371 381{ISSN 0165-0254 Abstract Examined the interpersonal problems and central relationship patterns of Holocaust survivors' offspring (HSO) who were characterized by different patterns of parental communication of their parents' Holocaust trauma. 56 adults born to mothers who were survivors of Nazi concentration camps and 54 adults born to parents who immigrated to Israel before 1939 with their own parents (non-HSO) were recruited randomly from an Israeli sample. Ss (aged 30-49 yrs) completed the Inventory of Interpersonal Problems Circumplex, the Central Relationship Questionnaire, the Mental Health Index, and the Parental Communication of Holocaust Experiences Questionnaire. While the groups did not differ in their current mental health, HSO who reported nonverbal communication with little information about their mother's trauma endorsed more interpersonal distress than HSO who experienced informative verbal communication and less affiliation than either HSO who experienced informative verbal communication or non-HSO. They also differed in their central relationship patterns with their parents and spouses. Findings are discussed in the context of the unique dynamics of growing up with the silent presence of the mother's trauma. (PsycINFO Database Record (c) 2003 APA, all rights reserved)dLanguage English$Wolke, D. Rizzo, P. Woods, S.w 2002NGPersistent infant crying and hyperactivity problems in middle childhood Pediatrics 109i61054-60 Pediatrics 1098-4275 SDQ-00039*~xChild Development Disorders, Pervasive epidemiology; Colic psychology; Crying psychology; Infant Behavior psychology Achievement ; Age Factors; Child ; Child Development Disorders, Pervasive diagnosis; Child Development Disorders, Pervasive psychology; Child, Preschool; Colic diagnosis; Colic epidemiology; Comorbidity ; Conduct Disorder diagnosis; Conduct Disorder epidemiology; Conduct Disorder psychology; Crying physiology; Depression, Postpartum diagnosis; Depression, Postpartum epidemiology; Follow Up Studies; Infant ; Infant Behavior physiology; Sleep Disorders epidemiology; Sleep Disorders psychology Female; Human; MaleOBJECTIVE: To investigate whether persistent infant crying is associated with an increased risk for externalizing behavior problems in childhood. METHODS: Sixty-four infants who were referred for persistent crying in infancy (PC; mean age: 3.8 +/- 1.3 months) were reassessed at 8 to 10 years of age and compared with 64 classroom controls (CC). The major outcome measure was pervasive hyperactivity or conduct problems defined as parent, child, and teacher ratings that across informants were within the borderline/clinical range according to the Strengths and Difficulties Questionnaire (SDQ). Ratings of other behavior problems, parent ratings of temperament, and teacher assessment of academic achievement were also obtained. RESULTS: Ten (18.9%) of 53 PC had pervasive hyperactivity problems (child, parent, and teacher reported) compared with 1 (18.9%) of 62 CC (odds ratio: 14.19 [1.75-114.96]). Parents (29 [45.3%] of 64 vs 11 [17.2%] of 64; 4.00 [1.77-9.01]) and children (30 [46.9%] of 64 vs 17 [26.6%] of 64; 2.44 [1.16-5.12]) but not the teachers reported more conduct problems. Parents of PC rated the temperament of their children to be more negative in emotionality (PC mean: 3.0 +/- 1.0; CC: 2.4 +/- 1.0; effect size: 0.6) and difficult-demanding (PC mean: 5.2 +/- 1.3; CC: 6.3 +/- 0.9; effect size: 1.0). Academic achievement was reported by teachers to be significantly lower for PC than CC, in particular for those children with pervasive hyperactivity problems. CONCLUSIONS: Infants who are referred for PC problems and associated sleeping or feeding problems are at increased risk for hyperactivity problems and academic difficulties in childhood. Jun English'University of Hertfordshire, Department of Psychology, Wolke Research Group, Hatfield Campus, Hatfield/Herts, United Kingdom. d.f.h.wolke@herts.ac.uk+N`TNEll, Kathleen O. Mantell, Joanne E. Hamovitch, Maurice B. Nishimoto, Robert H. 1989jcSocial support, sense of control, and coping among patients with breast, lung, or colorectal cancer & Journal of Psychosocial Oncology7s3n 63-89c 0734-7332u MHI-00057oHuman; Adulthood (18 yrs & older); Aged (65 yrs & older); Very Old (85 yrs & older) Adjustment; Coping Behavior; Neoplasms; Social Support Networks social support & sense of control & coping behavior & adaptation to cancer; 35-85 yr olds with breast or lung or colorectal cancerInvestigated social support (SP), sense of control (SC), and coping behavior (CB) in relation to patients' adaptation to cancer, as well as relations between SP, and several variables: SC, CB, characteristics of the illness, and severity of noncancer-related stressors. Among 369 Ss (aged 35-85 yrs) 168, 51, and 75 were breast, lung, and colorectal cancer patients, respectively. Ss were administered the following measures within 3-6 mo after the diagnosis of cancer: a modified version of the Interview Schedule for Social Interaction; a 5-item scale to assess Ss' sense of mastery; items that reflect reliance on religion; cognitive restructuring items; and a mental health inventory. Results indicated significant independent associations between SP and SC and adaptation that underscore the need to examine SP and SC within an overall structure of coping with serious illness. (PsycINFO Database Record (c) 2003 APA )a,&Peer Reviewed Journal; Empirical Study'JCU Southern California, School of Social Work, Los Angeles, US [Ell] Ellwood, PMy 1988PJShattuck Lecture - Outcomes management. A technology of patient experience*#The New England Journal of Medicine  318x23 1549-1556P OUT-NMH-00005[2+Elzibga, R., Meredith, F., and Clifford, P.y 2001TMInternational mental health outcomes and benchmarking using the FACE approacheAustralian Health Review243e105-117~ MIS-00016* This article describes and compares the nature and severity of problems encountered by persons receiving mental health services in the United Kingdom and Australia, and the outcome of their treatment. The perspective of service providers and service users in the two countries was strikingly similar. Treatment was effective in alleviating problems with social circumstances, and in increasing adaptive and interpersonal functioning. Treatment was less effectuve in addressing psychological or physical problems. Service users in the United Kingdom were more involved in developing their reatment care plan than those in Australia. The study demonstrates how data required for benchmarking and outcome evaluation purposes can be generated as part of routine clinical practices.c60Endicott, J. Spitzer, R. L. Fleiss, J. Cohen, J. 1976hbThe Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance$Archives of General Psychiatry33Epstein, A. M. 1990B;The outcomes movement - will it get us where we want to go?e&New England Journal of Medicines 323d266-270. OUT-NMH-00001 patients residing in the community residential facilities identified in Lombardy in 2000. Out of the 196 community residential facilities identified, 91% agreed to participate. The study sample consisted of all the patients living in the residential facilities on 15 November, 2000. A total of 1792 patients were recruited and described. Results: In the study period, a total of 316 patients were discharged. Among these, 191 (11%) went to lower-protection settings or home and 49 (3%) to higher-protection settings. The probability of discharge to lower-protection settings and home was higher for people in residential care centres, not coming from a psychiatric hospital, having shorter duration of the current admission, having work at the time of admission and with a low HoNOS score. Associations were found between discharge to higher-protection settings and old age, inadequate accommodation in staff opinion, and the public sector managing the facility. Conclusions: Turn-over of patients in the community residential facilities was limited. Discharges to higher-protection settings were related to need for specific care for older patients. Type of facility and duration of stay predicted discharge to lower-protection facilities and home independently from other patient characteristics. If a higher turn-over and a more extensive use of this resource must be achieved, roles of other psychiatric and social community-based services should be taken into account. (PsycINFO Database Record (c) 2004 APA ) (journal abstract ) NsU]"Grigoroiu-Serbanescu, Mariao 1989D>A rating scale for the severity of psychopathology in children2+Revue Roumaine de Neurologie et Psychiatrieo273d201-208ZJul-Sep 0301-7303 not availableHuman; Childhood (birth-12 yrs); Adolescence (13-17 yrs) Psychopathology; Psychosocial Factors; Rating Scales; Severity (Disorders); Test Construction; Interrater Reliability; Statistical Validity construction & interrater reliability & concurrent validity of Scale for Assessing Severity of Psychopathology in Children; measurement of psychosocial impairment; children & adolescents[Developed the Scale for Assessing Severity of the Psychopathology in Children (SSPC), which is intended to measure psychosocial impairment in children and adolescents caused by psychic disorders. SSPC is an intermediate between a true global assessment scale and a multidimensional scale. SSPC has 3 items combined into a single index characterizing the severity of the psychopathology in children and 4 severity categories in global terms. Intraclass correlation coefficients indicated an acceptable interrater reliability for the SSPC. Concurrent validity with the Children's Global Assessment Scale (D. Shaffer et al, 1983) was moderate. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'PIInst of Neurology & Psychiatry, Bucharest, Romania [Grigoroiu-Serbanescu]NHGrummon, Kathy Rigby, Eleanor Dwyer Orr, Deborah Procidano, Mary et al., 1994`ZPsychosocial variables that affect the psychological adjustment of IVDU patients with AIDS$Journal of Clinical Psychology504a488-502  Julo*#0021-9762 Electronic ISSN 1097-4679 MHI-00042,%Human; Adulthood (18 yrs & older) Acquired Immune Deficiency Syndrome; Coping Behavior; Emotional Adjustment; Intravenous Drug Usage; Social Support Networks coping strategies & perceived social support from family & friends; psychological adjustment; 30-50 yr old male iv drug users with AIDS Examined the influences of coping strategies and of perceived social support from family and friends on psychological adjustment among 27 male AIDS patients with a history of iv drug use (IVDU). Ss completed a demographic questionnaire, Trails-B, the Ways of Coping Questionnaire, Perceived Social Support from Family, Perceived Social Support from Friends, and the Mental Health Inventory. Unexpectedly, the only coping strategy to correlate significantly with psychological adjustment was "Seeking Social Support." Perceived social support from family correlated positively with psychological adjustment, but perceived social support from friends did not. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'ZSMemorial Sloan-Kettering Cancer Ctr, Dept of Psychiatry, New York, NY, US [Grummon],&Guarnaccia, Charles A. Zautra, Alex J. 1989LFUse of confidant-reports to assess the affective state of older adultsClinical Gerontologist9l2  68-71d 0731-7115 MHI-00050Human; Adulthood (18 yrs & older); Aged (65 yrs & older) Distress; Friendship; Mental Health; Measurement confidant reports; assessment of psychological distress & well being; 60-80 yr olds5Evaluated the utility of confidant reports and reports made by older adults of their psychological distress (PD) and well-being (PWB). 238 Ss (aged 60-80 yrs) completed the Mental Health Inventory (C. T. Veit and J. E. Ware; see record 1984-02935-001). On all 5 subscales, the older Ss without confidants reported more PD and less PWB than older Ss who had confidants. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'& Arizona State U, US [Guarnaccia]Gudjonsson, G.H. 1990@9Self-deception and other-deception in forensic assessmentn*$Personality & Individual Differences113 219-225 SDQ-00055Gupta, Alpana S. 1993D>Effect of teacher's influence upon mental health of his pupils Psycho-LinguaC232R 95-104 Jul. 0377-3132  not availablelfHuman; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Mental Health; Middle School Students; Rural Environments; Teaching Methods; Urban Environments; Elementary School Teachers; Junior High School Teachers teacher's direct vs indirect teaching methods & rural vs urban community; mental health; 10-12 yr old middle school studentsTeachers were classified into 2 groups having either direct or indirect influence on their students, totalling 400 boys and girls (aged 10-12 yrs) from urban and rural middle schools. Students' mental health was then assessed on a mental health inventory covering 6 dimensions. Urban students were found to be superior to rural students in emotional stability, autonomy, activity level, adjustment, security, and intelligence. Teachers in urban schools used indirect methods of teaching, whereas those in rural schools adopted direct methods of teaching. Students in rural schools displayed feelings of insecurity, emotional instability, poor adjustment, and poor mental health. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'U Patna, India [Gupta]/B w rkProtective factors and psychological well-being in lesbian, gay and bisexual youth: An ecological frameworksOrban, Lisa Anno  Hofstra U. Previous research on lesbian, gay and bisexual (LGB) youth has frequently focused on the chronic stressors they face and the problematic outcomes associated with these stressors. Few studies, however, have addressed the psychological well-being of this otherwise at-risk group. Utilizing an ecological framework, the purpose of this study was to explore protective factors associated with the psychological well-being of LGB youth. Variables examined include: perceived social support from family, LGB friends and non-LGB friends; perceived school safety; LGB youth center involvement; and LGB community involvement. Psychological well-being in this study was defined by scores on the Mental Health Inventory (MHI; Veit Ware, 1983) and the Rosenberg Self-Esteem Scale (RSES; Rosenberg, 1965). A questionnaire was developed and administered to 145 LGB youth between the ages of 13 and 21 at a youth center located in an east coast urban community. The data collected were analyzed using both bivariate and partial Pearson r correlations in order to examine relationships among variables. Gender and sexual orientation (LGB) group differences were also assessed. A significant relationship was not found between duration, intensity or frequency of youth center involvement and psychological well-being. However, participants' current self-evaluations of psychological well-being were significantly higher than retrospective self-evaluations of perceived psychological well-being before youth center involvement. Participants also perceived significantly more social support from their LGB friends than from their non-LGB friends or family. Level of sexual orientation disclosure ("outness") was positively related to perceptions of social support from both LGB and non-LGB friends. In addition, meaningful positive relationships were found between psychological well-being variables and perceived social support from family, LGB and non-LGB friends. Finally, perceptions of school safety were found to positively correlate with psychological well-being variables, whereas LGB community involvement outside of the youth center did not correlate with variables of psychological well-being. This study provides a framework to conceptualize potentially protective factors occurring across various contexts in the lives of LGB youth and provides a further basis for resiliency research with this at-risk population. Implications of these findings, limitations of the study, as well as future directions for research are discussed. (PsycINFO Database Record (c) 2004 APA ) 2004Availability UMI Dissertation Order Number AAI3098120 Dissertation Abstracts International: Section B: The Sciences Engineering. Vol 64(7-B), 2004, pp. 3537 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Qualitative Study; Journal Article>7Human; Adolescence (13-17 yrs); Adulthood (18 yrs older); Young Adulthood (18-29 yrs) Bisexuality; Lesbianism; Male Homosexuality; Social Support Networks; Well Being; Family; Stress protective factors; psychological well-being; lesbian youth; gay youth; bisexual youth; chronic stressors; family social supportOrban, Lisa AnnI 2004rkProtective factors and psychological well-being in lesbian, gay and bisexual youth: An ecological frameworkdPIDissertation Abstracts International: Section B: The Sciences Engineering64 7-BX 35372004-99002-201 not availablele*Bisexuality; *Lesbianism; *Male Homosexuality; *Social Support Networks; *Well Being; Family; Stress Previous research on lesbian, gay and bisexual (LGB) youth has frequently focused on the chronic stressors they face and the problematic outcomes associated with these stressors. Few studies, however, have addressed the psychological well-being of this otherwise at-risk group. Utilizing an ecological framework, the purpose of this study was to explore protective factors associated with the psychological well-being of LGB youth. Variables examined include: perceived social support from family, LGB friends and non-LGB friends; perceived school safety; LGB youth center involvement; and LGB community involvement. Psychological well-being in this study was defined by scores on the Mental Health Inventory (MHI; Veit Ware, 1983) and the Rosenberg Self-Esteem Scale (RSES; Rosenberg, 1965). A questionnaire was developed and administered to 145 LGB youth between the ages of 13 and 21 at a youth center located in an east coast urban community. The data collected were analyzed using both bivariate and partial Pearson r correlations in order to examine relationships among variables. Gender and sexual orientation (LGB) group differences were also assessed. A significant relationship was not found between duration, intensity or frequency of youth center involvement and psychological well-being. However, participants' current self-evaluations of psychological well-being were significantly higher than retrospective self-evaluations of perceived psychological well-being before youth center involvement. Participants also perceived significantly more social support from their LGB friends than from their non-LGB friends or family. Level of sexual orientation disclosure ("outness") was positively related to perceptions of social support from both LGB and non-LGB friends. In addition, meaningful positive relationships were found between psychological well-being variables and perceived social support from family, LGB and non-LGB friends. Finally, perceptions of school safety were found to positively correlate with psychological well-being variables, whereas LGB community involvement outside of the youth center did not correlate with variables of psychological well-being. This study provides a framework to conceptualize potentially protective factors occurring across various contexts in the lives of LGB youth and provides a further basis for resiliency research with this at-risk population. Implications of these findings, limitations of the study, as well as future directions for research are discussed. (PsycINFO Database Record (c) 2004 APA )English6/Orrell, M. Yard, P. Handysides, J. Schapira, R. 1999rlValidity and reliability of the Health of the Nation Outcome Scales in psychiatric patients in the community$British Journal of Psychiatry 174f 409-12 May10616606 HON-00020O*Community Mental Health Services organization and administration; *Health Status Indicators; *Mental Disorders therapy; *Outcome Assessment Health Care; *Psychiatric Status Rating Scales standards Activities of Daily Living; Adult ; Community Mental Health Services standards; England ; Feasibility Studies; Middle Aged; Observer Variation; Prospective Studies; Sensitivity and Specificity; Social Behavior organization and administration; standards; therapyBACKGROUND: The Health of the Nation Outcome Scales (HoNOS) have been developed for assessing the effectiveness of mental health services. AIMS: To investigate the validity and reliability of the HoNOS in patients in contact with mental health services. METHOD: Subjects (age range 19-64) came from day hospitals, acute in-patient units and out-patient clinics in general practice. We obtained the opinions of experienced professionals, advocacy groups and patient groups to evaluate consensual and content validity. RESULTS: One hundred patients were assessed using the package of rating scales. Interrater and test-retest reliability were good for some items and poor for others. The HoNOS had good criterion validity: acute in-patients had higher scores than day patients and out-patients. HoNOS also had good concurrent validity, correlating well with other scales. Comments suggested that the HoNOS was a useful and suitable scale for this population but psychotic symptoms and certain social factors were not sufficiently covered. CONCLUSION: The HoNOS had good validity but variable reliability. It may be better than existing scales because of the wide range of areas which it covers.xq0007-1250 English Comment In: Br J Psychiatry. 1999 May;174:375-7 Comment In: Br J Psychiatry. 2000 Apr;176:392-5a'4.University College, London. m.orrell@ucl.ac.uk' * .TNDurbin, Janet Prendergast, Peter Dewa, Carolyn S. Rush, Brian Cooke, Robert G. 2003JDMental health program monitoring: Towards simplifying a complex task("Psychiatric Rehabilitation Journal263Y249-261 WinZ 1095-158Xn BAS-00023*Human; Outpatient Community Mental Health Services; Measurement; Mental Health Programs; Monitoring; Outpatient Treatment health measures; mental health program monitoring; community programs; outpatient programs Finding measures that can assess areas of expected program impact, provide valid results, and be easily integrated into routine program practices is a significant challenge. This paper is intended to assist program staff by providing an accessible inventory of measures appropriate for routine monitoring of the status and outcome of individuals using mental health outpatient and community programs. The inventory is not exhaustive, but rather includes examples of solid measures for assessing outcomes in four key domains--symptoms, functioning, quality of life, and satisfaction. These can provide a core of information, to which measurement of more in-depth issues can be added to address specific concerns. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)aPeer Reviewed Journale' U Toronto, Ctr for Addiction & Mental Health, Toronto, ON, US [Durbin, Dewa, Rush]; U Toronto, Whitby Mental Health Ctr, Toronto, ON, US [Prendergast]; U Toronto, Ctr for Addiction & Mental Health, Depression Clinic, Toronto, ON, US [Cooke] Email Address [mailto:Janet_Durbin@camh.net] Contact Individual Durbin, Janet, Health Systems Research & Consulting Unit, Ctr for Addiction & Mental Health, Dept of Psychiatry, U Toronto, 33 Russell Street, 3rd Floor Tower, Toronto, ON, Canada, M5S 2S1, [mailto:Janet_Durbin@camh.net]NHDyb, Grete Holen, Are Braenne, Kjersti Indredavik, Marit S. Aarseth, Jon 2003piParent-child discrepancy in reporting children's post-traumatic stress reactions after a traffic accidentn"Nordic Journal of Psychiatry575s339-344t 0803-9488 requesteVOHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Motor Traffic Accidents; Parents; Posttraumatic Stress Disorder; Self Report post-traumatic stress reactions; traffic accident; parent-child discrepancy; reportingVPThis study examines possible parent-child discrepancies in the reporting of post-traumatic stress reactions in children after a traffic accident. Sixteen children exposed to the same traffic accident were interviewed about post-traumatic stress reactions at 5 weeks and at 6 months after the event, utilizing the Child Posttraumatic Stress Reaction Index (CPTS-RI). Independently, the parents' reported their child's degree of post-traumatic stress reactions on the CPTS-RI: Parent questionnaire, at the same two times. Clinicians also assessed the children's level of general functioning on the Children's Global Assessment Scale. The children reported significantly more post-traumatic stress reactions than observed by their parents 4 weeks after the accident. The parent-child discrepancy was more pronounced among younger children. The level of children's self-reported post-traumatic stress reactions decreased significantly from the first to the second assessment. At the second assessment, 6 months after the accident, there was no significant parent-child discrepancy observed. The children showed a normal level of functioning despite their post-traumatic stress reactions. The reported parent-child discrepancy indicates that information about children's post-traumatic stress reactions... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)piDoi 10.1080/08039480310002660 Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'Norwegian U of Science & Technology, Dept of Psychiatry & Behavioural Medicine, Trondheim, Norway [Dyb, Holen, Indredavik]; U Clinic, Norwegian U of Science & Technology, Dept of Child & Adolescent Psychiatry, Trondheim, Norway [Braenne, Aarseth] Email Address [mailto:grete.dyb@medisin.ntnu.no] Contact Individual Dyb, Grete, Norwegian U of Science & Technology, Dept of Psychiatry & Behavioural Medicine, MTFS, NO-7489, [mailto:grete.dyb@medisin.ntnu.no]TNDyrborg, J. Larsen, F. Nielsen, S. Byman, J. Buhl Nielsen, B. Gautre-Delay, F. 2000The Children's Global Assessment Scale (CGAS) and Global Assessment of Psychosocial Disability (GAPD) in clinical practice: Substance and reliability as judged by intraclass correlations.(European Child and Adolescent Psychiatry9t3\195-201\ Sepe*#1018-8827 Electronic ISSN 1435-135Xa CGA-00011*Human; Male; Female; Outpatient; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Denmark Interrater Reliability; Mental Disorders; Psychiatric Evaluation; Psychodiagnosis; Psychosocial Development; Rating Scales inter-rater reliability of the Children's Global Assessment Scale & Global Assessment of Psychosocial Disability; assessing psychiatric & psychosocial disorders in clinical practice; 4-16 yr oldsixqStudies on the inter-rater reliability on the Children's Global Assessment Scale (CGAS) and the Global Assessment of Psychosocial Disability (GAPD) involving different subgroups of 145 outpatients from 4-16 yrs of age showed fair to substantial intraclass correlation of 0.59 to 0.90. Raters of different training levels participated. Interrater reliability was dependent on number of ratings per rater, training available data sources and experience. A more detailed description anchor points resulted in higher inter-rater agreement by psychiatrists training in child and adolescent psychiatry, but did not influence inter-rater reliability among more (widely) experienced raters. Both CGAS and the GAPD seem to be sufficiently reliable tools in clinic practice. The CGAS seems to be more sensitive to inter-rater variation than the GAPD. (PsycINFO Database Record (c) 2003 APA ) F@DOI 10.1007/s007870070043 Peer Reviewed Journal; Empirical Study'TMPsykiatrisk Sygehus, Dept of Child & Adolescent Psychiatry, Denmark [Dyrborg]r TNEagar, K., Buckingham, W., Callaly, T., Trauer, T., Coombs, T., and Graham, C. 2001Victorian Mental Health Outcomes Measurement Strategy: Final Report on the Implementation of Outcome Measurement In Adult Area Mental Health Servicese .'Department of Human Services, Victoria.n May, 2001lAUS-VIC-00003*This is the final implementation report by the Centre for Health Service Development (CHSD) on the implementation of health status and consumer outcome measurement in Victorias public adult mental health services. 0*Eagar, K., Burgess, P., and Buckingham, B. 2003ZTNational Benchmarks for Australian Mental Health Services. ISC Discussion Paper No 4 <6Commonwealth Department of Health and Ageing, Canberra August 2000AUS-COM-00004*Edwards, Jane Maude, Dana Herrmann-Doig, Tanya Wong, Lisa Cocks, John Burnett, Peter Bennett, Chad Wade, Darryl McGorry, Patrick 2002B;A service response to prolonged recovery in early psychosisPsychiatric Services539s 1067-10690 Sep2002-18300-001 HON-00062*ha*Clinicians; *Early Intervention; *Mental Health Services; *Professional Consultation; *PsychosisThe Treatment Resistance Early Assessment Team (TREAT) is a consultation team that provides technical assistance to clinicians at the Early Psychosis Prevention and Intervention Centre (EPPIC), a comprehensive treatment service for individuals experiencing their first psychotic episode. This article outlines the rationale and operation of a consultation service provided by TREAT to the clinicians working at EPPIC. Case vignettes are also included. (PsycINFO Database Record (c) 2003 APA )Englishohttp://www.psych.orgk(P@{81Thabet, Abdel Aziz Stretch, David Vostanis, Panos 2000pjChild mental health problems in Arab children: Application of the Strengths and Difficulties Questionnaire0*International Journal of Social Psychiatry464266-280 Winn 0020-7640a SDQ-00047 ^XHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Israel Factor Structure; Mental Health; Profiles (Measurement); Psychogenesis; Questionnaires factor structure of Strengths & Difficulties Questionnaire; mental health profiles; 3 & 6 & 11 & 16 yr olds residing in Gaza stripExamined the mental health profile of Arab children living in the Gaza strip. 322 children (aged 3, 6, 11, and 16 yrs) residing in the Gaza strip were assessed using the Strengths and Difficulties Questionnaire (SDQ) (R. Goodman, 1997), which was completed by parents, teachers and 16-yr-old Ss. Results show that the published factor structure was not entirely appropriate for these Ss. Similar general factors of conduct, emotional, hyperactivity, and peer relationship problems appeared in Ss; however, certain items had different meanings for Ss than for Western children and their parents, including being unhappy, being scared, being distracted, stealing, and being picked on or bullied. Emotional problems, such as aches, nervousness, clinging, and worries, were rated differently in preschool Ss than were noted in Ss of previous studies. Findings suggest that appropriate cutoffs needed to be determined for this population. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study':3Al-Quds U, School of Public Health, Israel [Thabet]B;Thabet, Abdel Aziz Mousa Tischler, Victoria Vostanis, Panos  2004XRMaltreatment and coping strategies among male adolescents living in the Gaza StripChild Abuse Neglectf281 77-91 JanZ2004-11163-006 SDQ-00065**maltreatment experiences; coping strategies; male adolescents; behavioral problems; emotional problems; Palestinian adolescents; Gaza StripOBJECTIVE: To establish the nature and extent of maltreatment experiences, coping strategies, and behavioral/emotional problems, and their relationships, in a sample of Palestinian adolescents. METHOD: A study of 97 male adolescents aged 15-19 years, and attending a vocational training center based in the Gaza Strip. Adolescents completed the Child Maltreatment Schedule and the Ways of Coping Scale (WAYS). The Strengths and Difficulties Questionnaire (SDQ) was completed by adolescents and by their teachers. RESULTS: Findings revealed high rates of emotional and physical maltreatment. Reliance on emotion-focused or avoidant coping strategies was associated with exposure to maltreatment. Use of maladaptive coping also predicted emotional difficulties in the respondents. CONCLUSIONS: Coping strategies are an important indicator of psychosocial functioning in adolescents who have experienced maltreatment. Identification of coping styles can augment the assessment of at-risk adolescents. Emotion-focused strategies, in particular, appear to be widely used by young people from non-Western cultural backgrounds. (PsycINFO Database Record (c) 2004 APA ) (journal abstract )P*$Thabet, A. Tischler, V. Vostanis, P. 2004XRMaltreatment and coping strategies among male adolescents living in the Gaza StripChild Abuse Neglect 281  77-91r Jan2004-11163-006 SDQ-00065**maltreatment experiences; coping strategies; male adolescents; behavioral problems; emotional problems; Palestinian adolescents; Gaza StripOBJECTIVE: To establish the nature and extent of maltreatment experiences, coping strategies, and behavioral/emotional problems, and their relationships, in a sample of Palestinian adolescents. METHOD: A study of 97 male adolescents aged 15-19 years, and attending a vocational training center based in the Gaza Strip. Adolescents completed the Child Maltreatment Schedule and the Ways of Coping Scale (WAYS). The Strengths and Difficulties Questionnaire (SDQ) was completed by adolescents and by their teachers. RESULTS: Findings revealed high rates of emotional and physical maltreatment. Reliance on emotion-focused or avoidant coping strategies was associated with exposure to maltreatment. Use of maladaptive coping also predicted emotional difficulties in the respondents. CONCLUSIONS: Coping strategies are an important indicator of psychosocial functioning in adolescents who have experienced maltreatment. Identification of coping styles can augment the assessment of at-risk adolescents. Emotion-focused strategies, in particular, appear to be widely used by young people from non-Western cultural backgrounds. (PsycINFO Database Record (c) 2004 APA ) (journal abstract )PLEThe International Classification of Mental and Behavioural Disorders, WHO, 199282Connections between ICD-10 PC and ICD-10 Chapter V UK-NHS-00001*i  The OM Team, Year.'Outcome Measurement: The Policy Context* <6Service Monitoring & Review Unit, Mental Health BranchAUS-COM-00014*f|  B;Buckingham, W. Burgess, P. Solomon, S. Pirkis, J. Eagar, K.  1998b\Developing a Casemix Classification for Mental Health Services. Volume 2: Resource Materials Canberra <5Commonwealth Department of Health and Family Servicesd CAS-00002* B;Buckingham, W. Burgess, P. Solomon, S. Pirkis, J. Eagar, K.e 1998\UDeveloping a Casemix Classification for Mental Health Services. Volume 1: Main Reporte Canberra <5Commonwealth Department of Health and Family Services CAS-00001* TMBuckingham, W., Trauer, T., Callaly, T., Eagar, K., Coombs, T. and Graham, C.. 2001hbVictorian Mental Health Outcomes Measurement Strategy. Framework for Agency-Level Standard Reports .'Department of Human Services, Victoria.n March, 2001AUS-VIC-00002*This report is one of four documents produced by the Centre for Health Service Development as part of its contract with the Department to assist in the introduction of routine outcome measurement. Amongst other requirements, the Centre was requested by the Department to develop a framework for the analysis of outcome measurement data, including the design of agency outcome reports for future incorporation in RAPID or an equivalent stand-alone database. Buckingham, B. 2002National Mental Health Outcomes Training Forum. National Mental Health Information Development Plan: Background, Rationale and Future Directions. Presentation for DistributionT23-26 June 2002AUS-COM-00012*82Bufka, Lynn F. Crawford, Jeanne I. Levitt, Jill T. 2002D=Brief screening assessments for managed care and primary careu ("Antony, Martin M. Barlow, David H.PIHandbook of assessment and treatment planning for psychological disordersy  New York, NY Guilford Press 38-63o157230703X (hardcover) BAS-00042i`ZManaged Care; Mental Disorders; Primary Health Care; Psychodiagnosis; Psychological Assessment; Costs and Cost Analysis; Psychodiagnostic Interview; Psychometrics; Self Report; Test Construction brief screening assessments; managed care; primary care; psychometrics; tool development; self reports; diagnostic interviews; mental disorders; costs(From the chapter) The authors discuss the use of brief screening assessments for managed and primary care. After discussing the cost of underdiagnosis of mental disorders, they summarize questions to consider when deciding which instrument to use. Other considerations include psychometrics and tool development. Screening and assessment instruments include self-report measures and diagnostic interviews. Additional areas for assessment are discussed, and barriers to the implementation of standardized screening for mental health problems in primary care settings are described. The authors provide recommendations to assess mental health problems in managed and primary care settings. The authors conclude that screening is only the first step in diagnosis, that prescription of medication alone may not be sufficient or desirable for all patients, and that further assessment is almost always needed. (PsycINFO Database Record (c) 2004 APA ):3Target Audience Psychology: Professional & Researchc'`YBoston U, Dept of Psychology, Ctr for Anxiety & Related Disorders, Boston, MA, US [Bufka]a<6Bulbena, A. Fernandez de Larrinoa, P. Dominguez, A. I. 1992lfAdaptacion castellas de la escala LSP (Life Skills Profile) perfil de habilidades de la vida cotidiana("Actas Luso-Eso. Neurol. Psiquiatr.20 51-60B;Burgess, P. Pirkis, J. Buckingham, W. Eagar, K. Solomon, S.l 1999PIDeveloping a casemix classification for specialist mental health servicespCasemix41e4} 4-20^WBurns, A. Beevor, A. Lelliott, P. Wing, J. Blakey, A. Orrell, M. Mulinga, J. Hadden, S.t 1999lfHealth of the Nation Outcome Scales for elderly people (HoNOS 65+). Glossary for HoNOS 65+ score sheet$British Journal of PsychiatryU 174: 435-8 May10616612 H65-00002*Health Services for the Aged standards; *Health Status Indicators; *Mental Disorders therapy; *Psychiatric Status Rating Scales standards Aged ; Great Britain; Outcome Assessment Health Care standards; therapyF?0007-1250 English Comment In: Br J Psychiatry. 1999 Aug;175:192'& Withington Hospital, Manchester..jSnowden, Lonnie R. 2003Snowden Responds(!American Journal of Public Health937\ 1034-1035\ Jul*#0090-0036 Electronic ISSN 1541-0048 BAS-00003*HBHuman Culture (Anthropological); Mental Health; Mental Health Services; Transcultural Psychiatry; Quality of Care; Racial and Ethnic Differences; Sociocultural Factors cross-cultural psychiatry; mental health disparities; culture; mental illness; quality of care; mental health service; inequities; sociocultural processesztResponse to the letter to the editor by Cabassa (see record 2003-99358-001) on "Integrating cross-cultural psychiatry into the study of mental health disparities", which was a comment on the author's original article in the American Journal of Public Health, 2003, Vol 93, pp. 239-243, which presented a comprehensive review of the literature regarding the role that practitioners' bias plays in the development of racial and ethnic disparities in the current mental health system. Cabassa highlighted the importance of cultural factors, including culture-based differences in the expression of distress, in a comprehensive account of racial and ethnic disparities in mental health. Much more remains to be said, not only about culture, but also about the design of mental health programs, treatment financing, and many other barriers to care. (PsycINFO Database Record (c) 2003 APA )4.Peer Reviewed Journal; Comment; Journal Letter'^WCenter for Mental Health Services Research, University of California, Berkeley, CA, US [Snowden] Email Address [mailto:snowden@uclink4.berkeley.edu] Contact Individual Snowden, Lonnie R, Center for Mental Health Services Research, University of California, 120 Haviland Hall, Berkeley, CA, US, 94720-7400, [mailto:snowden@uclink4.berkeley.edu] Somer, Eli 2002hbPosttraumatic dissociation as a mediator of the effects of trauma on distressful introspectivenessB;Social Behavior & Personality. Vol 30(7), 2002, pp. 671 682ISSN 0301-2212zsAbstract This paper focuses on the stable personality trait of introspectiveness, exploring the relationship between introspectiveness and childhood trauma, dissociation and emotional distress. 90 Israeli women (mean age 33.8 yrs old) were recruited from emergency counseling services and from academic and office employment settings. Pearson correlations between traumatic experiences and various dimensions of introspectiveness revealed significant links. Negative emotional and sexual experiences were the trauma variables that contributed most to this relationship, whereas a tendency to be aware of feelings toward family and about mortality were the dimensions of introspection that added most to this association. Prior trauma history, dissociation, introspectiveness, and emotional distress were significantly interrelated. The data from a path analysis performed suggest that introspectiveness may be better explained by the independent effect of dissociation rather than directly by trauma or by emotional distress. Theoretical and clinical implications are discussed. (PsycINFO Database Record (c) 2003 APA, all rights reserved)vLanguage Englishb\Sonuga-Barke, Edmund J. S. De Houwer, Jan De Ruiter, Karen Ajzenstzen, Michal Holland, Sarah 2004voAD/HD and the capture of attention by briefly exposed delay-related cues: evidence from a conditioning paradigmiD=Journal of Child Psychology & Psychiatry & Allied Disciplines452274-283 Feb2004-10497-008 SDQ-00069*ng*Attention Deficit Disorder with Hyperactivity; *Conditioning; *Cues; *Motivation; *Selective AttentionABackground: The selective attention of children with attention deficit/ hyperactivity disorder (AD/HD) to briefly exposed delay-related cues was examined in two experiments using a dot-probe conditioning paradigm. Method: Colour cues were paired with negatively (i.e., imposition of delay) and positively valenced cues (i.e., escape from or avoidance of delay) during a conditioning phase. These cues were presented alongside neutral cues in a subsequent dot-probe detection phase. Results: In experiment 1 teacher-identified children with AD/HD (N=12), but not controls (N=12), displayed an attentional bias towards both positively and negatively valenced cues. In experiment 2 children with a diagnosis of hyperkinetic disorder (N=15), but not controls (N=15), displayed a bias towards delay-related cues. However,this effect was largely carried by the response to positively valenced cues. Conclusions: These results confirm the dot-probe conditioning paradigm as a useful test of motivational influence on attention. They provide the first evidence of qualitative differences in the attentional style of children with AD/ HD and give further support to those theories that highlight the motivational significance of delay in AD/HD. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)English("http://www.blackwellpublishing.comVPni$D$Greenfield, A., and Attkissonr 1999RLThe UCSF Client Satisfaction Scales: II. The service satisfaction scale - 30 Maruish, M. E.`YThe use of psychological testing for treatment planning and outcomes assessment (2nd Ed.)Y  Mahwah, NJ .'Lawrence Erlbaum Assoicates, Publishers MIS-00023p2,Greenhalgh, J Long, AF Brettle, AJ Grant, MJ 1998JDReviewing and selecting outcome measures for use in routine practice0*Journal of Evaluation in Clinical Practice4b4339-350 OUT-NMH-00002t81Making sense of data and statistics in psychology"Greer, Brian Mulhern, Gerry 'San Diego State U, Ctr for Research on Mathematics & Science Education, San Diego, CA, US [Greer]; Queen's U, Belfast, Northern Ireland [Mulhern]i Basingstoke, England Palgrave 2002 xiii, 2724.033362968x (hardcover); 0333629698 (paperback)(From the cover) In psychological research, statistics is an essential tool for enabling us to make judgements about data. This book presents the essentials of statistics and research methods in a clear, concise yet informal style. The text provides a thorough understanding of the concept behind data analysis, encourages the reader to develop a "feel' for data before being introduced to more formal statistical techniques, revisits ideas at increasing levels of sophistication throughout the text to reinforce and build on understanding, and includes schematic diagrams, tables, dialogues, realistic examples, tasks and activities throughout. This book is ideal for students of psychology and related disciplines, and will appeal to beginners without a mathematical background, and equally to post-introductory students looking for a sounder understanding of the ideas that form the core of their statistics course. (PsycINFO Database Record (c) 2003 APA )Table of Contents (Abbreviated) Preface Acknowledgements Statistics in psychology Part I: Making sense of basic designs Variables Describing and summarising data Seeing patterns in data: Comparing Seeing patterns in data: Correlating The relevance of probability Statistical tests: Comparing Statistical tests: Correlating Experimentation in psychology Part II: Making sense of bigger designs Seeing patterns in data: Comparing more than two groups Statistical tests: Comparing more than two groups Seeing patterns in data: Comparisons involving more than one Statistical tests: Comparing more than one independent variable Relating: Multiple variables Overview Index Target Audience Psychology: Professional & Research Authored BookComprehension; Statistical Analysis; Statistical Data; Statistics psychological research; statistics; data analysis; research methods; understanding60Gregory, Alice M. Eley, Thalia C. Plomin, Robert 2004hbExploring the Association Between Anxiety and Conduct Problems in a Large Sample of Twins Aged 2-4*$Journal of Abnormal Child Psychology322111-122Y Apr2004-12167-001 SDQ-00074*6/*Anxiety; *Behavior Problems; *Genetics; *TwinsAnxiety and conduct problems covary, yet studies have not explored the genetic and environmental origins of this association. We analyzed parent-reported anxiety and conduct problems in 6,783 pairs of twins at 2-, 3-, and 4-years of age. As anxiety and conduct problems were fairly stable across the three ages (average 1-year correlation was .53), ratings from all three were combined. The aggregate anxiety and conduct ratings correlated .33 for boys and .30 for girls. Bivariate genetic analyses indicated fairly low genetic correlations (.31 for boys, .16 for girls), and high shared environmental correlations (1.0 for boys and 0.99 for girls) between anxiety and conduct problems. Most of the phenotypic correlation was accounted for by shared environmental mediation (65% for boys and 94% for girls), indicating that many of the same family environmental factors are responsible for the development of both anxiety and conduct problems. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)Englishhttp://www.wkap.nl6/Gresenz, Carole Roan Sturm, Roland Tang, Lingqi  2001XQIncome and mental health: Unraveling community and individual level relationships2+Journal of Mental Health Policy & Economics44197-203` Dec*#1091-4358 Electronic ISSN 1099-176X2 MHI-00049gHuman Us Income Level; Mental Disorders; Mental Health; Psychosocial Factors; Socioeconomic Status; Community Services income level; mental health status; socioeconomic environment; community health care Explores the relationships between mental disorder and individual socioeconomic status and socioeconomic environment, with particular attention to both the level and dispersion of community income and to their interactions with individual income. 6,925 individuals participated in this study. The dependent variable is individual mental health status, measured by the 5 item Mental Health Inventory (MHI-5; average 80.6) and an indicator of probable anxiety or mood disorder based on clinical screening instruments (positive for 14.3 percent of respondents in the sample). MHI-5 decreases (indicating worse mental health), and the probability of an anxiety or depressive disorder increases continuously from the highest to the lowest quintiles of family income. Within-quintile own income level is also strongly associated with mental health among lower income individuals. There was no evidence that higher levels of income inequality are associated with poor mental health outcomes, measured either by the probability of disorder or MHI-5. Regarding income level, MHI-5 is 3.4 to 3.5 points higher among low income individuals in medium or high income states compared to those in low income states. (PsycINFO Database Record (c) 2003 APA )t,&Peer Reviewed Journal; Empirical Study'D>RAND, Arlington, VA, US [Gresenz]; RAND, Santa Monica, CA, US [Sturm]; UCLA Neuropsychiatric Inst, Health Services Research Ctr, Los Angeles, CA, US [Tang] Email Address [mailto:gresenz@rand.org] Contact Individual Gresenz, Carole Roan, 1200 South Hayes Street, Arlington, VA, US, 22202-5050, [mailto:gresenz@rand.org]YQ>= Stafrace, S. 2002Doubts about HoNOS4-Australian and New Zealand Journal Psychiatryr362r 270u Aprh11982557 HON-00006*zt*Health Status Indicators; *Mental Disorders therapy; *Outcome Assessment Health Care Hospitals, Psychiatric therapyVP0004-8674 English Comment In: Aust N Z J Psychiatry. 2002 Aug;36(4):558-9 Letterf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=36&page=270&goto=abstract6/Stallard, Paul Thomason, Jane Churchyard, SallyR 2003^WThe mental health of young people attending a Youth Offending Team: A descriptive studyJournal of Adolescence261 33-43 FebX2003-01667-005 HCA-00013*`Z*Community Services; *Health; *Health Service Needs; *Juvenile Delinquency; *Mental HealthThis study documents the health and mental health needs of young offenders aged 10-17 yrs attending a community Youth Offending Team (YOT). All young people known to a YOT on a selected date were identified. Health information was collected via semi-structured interviews and standardized questionnaires from 38 Ss. Potential mental health problems that required further specialist assessment were identified in 56% of those assessed. Alcohol was consumed more than twice per week by 68%, with 47% having recently smoked cannabis, and, 11% recently using heroin, methadone or crack cocaine. Use of secondary health-care services was common although contact with primary-care services was less frequent with almost half having no contact with a general practitioner in the past year. The process of meeting the physical and mental health needs of young offenders in the community is discussed. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.elsevier.comRKStallard, Paul Norman, Philip Huline-Dickens, Sarah Salter, Emma Cribb, Jann 2004tnThe Effects of Parental Mental Illness Upon Children: A Descriptive Study of the Views of Parents and Children,&Clinical Child Psychology & Psychiatry91 39-52 Jan2004-10947-004 SDQ-00070**Child Attitudes; *Mental Disorders; *Mental Illness (Attitudes Toward); *Parent Child Relations; *Parents; Behavior Disorders; Community Mental Health Services; Mental HealthdThe association between parental mental illness and child disturbance has been documented although the experience of children coping with such illness has received comparatively little attention. This article details the impact of parental mental illness on children of patients attending a community mental health team. Information was obtained from 24 adults and 26 dependent children. Children were concerned about their parents, had little understanding of their parent's illness and most wanted more information. Parents were aware of the negative impact of the illness upon their children, particularly disruption to everyday life and concerns about significant behaviour problems. Despite the negative impact of the illness, parents perceived their relationship with their children positively. In undertaking this research a number of potential barriers to identifying the needs of these children were identified which are reported. The study highlights the need for more collaborative and integrated child and adult mental health services and the development of a more family-centred focus. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)English& http://www.sagepublications.com/ leState of Tennessee, Bureau of TennCare and Department of Mental Health and Developmental Disabilitiese 2003<5BHO Provider Network of the TennCare Partners Program- October 2003 USA-TN-00001*X jdState of Tennessee, & Bureau of TennCare & Department of Mental Health & Developmental Disabilities, 2003<5BHO Provider Network of the TennCare Partners Program0 October 2003 USA-TN-00001*HLFState of Utah, Department of Human Services Division of Mental Health, 2000LFUtah Public Mental Health System Information & Outcome Systems Report USA-UT-00002*a b[State of Utah, Department of Human Services, Division of Substance Abuse and Mental Health,o 2003lfServices, Client Statistics, Outcomes, and Satisfaction Data for Use in Continuous Quality Improvement USA-UT-00001*-n(..'Staudenmeier, James J. Hill, Jeffrey V. 2002\USeptember 11--Ripples across the ocean: Perspectives from Tripler Army Medical CentersMilitary Medicine 167p Suppl9 93-95 SepW 0026-4075W BAS-00022* Human; Male; Adulthood (18 yrs & older) Us Experiences (Events); Major Depression; Psychiatrists; Psychopathology; Terrorism; Mental Disorders; Military Personnel; Risk Factors September 11 terrorist attack; depression; psychiatrists; psychopathology risk; experiencesDescribes the September 11th experiences and fallout of 3 individuals living in Hawaii. One is a description of how the events worsened a 50-yr-old retired military client's depressive illness. Two others are psychiatrists' accounts: one is a Tripler Army Medical Center staff member, and the other is a Senior Child Psychiatry Fellow/Resident. These accounts describe how even those living in remote locales may be affected by significant world events. Even though individuals may not appear to be at risk to have much risk of psychopathology, they may experience subclinical symptoms. Individuals who do have mental illness may risk worsening of their symptoms. (PsycINFO Database Record (c) 2003 APA )voIssue Title Special Issue: The mental health response to the 9-11 attack on the Pentagon. Peer Reviewed Journalt'Tripler Army Medical Ctr, Dept of Psychiatry, Honolulu, HI, US [Staudenmeier, Hill] Contact Individual Staudenmeier, James J, 400 A Halawa View Loop, Honolulu, HI, US, 96818u B;Stedman, T. Yellowlees, P. Mellsop, G. Clarke, R. Drake, S. 1997|uMeasuring Consumer Outcomes In Mental Health: Field Testing of Selected Measures of Consumer Outcome in Mental Health| Canberra .(Department of Health and Family Services October, 1997eAUS-COM-00003*LEStedman, T. Yellowlees, P. Drake, S. Chant, D. Clarke, R. Chapple, B.f 2000The perceived utility of six selected measures of consumer outcomes proposed for routine use in Australian mental health servicese60Australian and New Zealand Journal of Psychiatry345O 842-91Aust N Z J Psychiatry 0004-8674 OUT-MH-00004*Community Mental Health Services standards; Consumer Satisfaction; Mental Disorders diagnosis; Outcome and Process Assessment Health Care methods; Psychiatric Status Rating Scales Adult ; Mental Disorders therapy; Middle Aged; Queensland ; Questionnaires Female; Human; Male OBJECTIVE: This paper aims to assess the utility of six measures of consumer outcomes: the Behaviour and Symptom Identification Scale, the Mental Health Inventory (MHI), the Medical Outcomes Study 36-Item Short-Form Survey, the Health of the Nation Outcome Scales, the Life Skills Profile (LSP) and the Role Functioning Scale previously recommended for the routine assessment in Australian mental health services. METHOD: Consumers and service providers were invited through focus group discussions and surveys to describe the perceived utility of these selected measures. RESULTS: All six measures were rated favourably. The qualitative and quantitative findings suggest that the MHI elicited the most positive results of the consumer measures. No observer-rated scale was clearly preferred. CONCLUSION: The qualitative feedback obtained indicated that process and context issues may be as important to the successful use of routine instruments for the measurement of consumer outcomes in clinical practice as the choice of instrument. Oct Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=34&page=842&goto=abstract'ZTWolston Park Hospital, Wacol, Queensland, Australia. terry_stedman@health.qld.gov.au Stein, G.S.J 1999<5Usefulness of the Health of the Nation Outcome Scales$British Journal of Psychiatryo 174s375-3777May 1999 HON-001139"Steinhausen, Hans-Christopht 19870*Global assessment of child psychopathologyHBJournal of the American Academy of Child and Adolescent Psychiatry262r203-206c Marr 0890-8567 CGA-00065ngHuman; Childhood (birth-12 yrs) Foreign Language Translation; Psychodiagnosis; Rating Scales; Test Reliability; Test Validity; Interrater Reliability; Mental Disorders interrater & test retest reliability & discriminant validity & clinical utility of German translation of Children's Global Assessment Scale; children with psychiatric disorders; West Germanyl\VAnalyzed the children's global assessment scale with regard to interrater reliability, discriminant validity, and clinical usefulness in 2 studies. Where interrater reliability and discriminant validity were high, stability varied for different psychiatric diagnoses. In a sample of 428 patients (mean age 10.02 yrs), scores were dependent on diagnoses, mental retardation, and socioeconomic status (SES). A cutoff score of 70 differentiated normal functioning from problems in need of treatment. The scale reflected change due to therapeutic interventions. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study',%Freie U Berlin, Germany [Steinhausen] :3Steinhausen, Hans-Christoph Metzke, Christa WinklerR 2001f`Global measures of impairment in children and adolescents: Results from a Swiss community survey60Australian and New Zealand Journal of Psychiatry353d282-286e Jun 0004-8674e CGA-00003*ztHuman; Male; Female; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) Adolescent Development; Human Sex Differences; Psychological Assessment; Test Validity global measures of impairment; Columbia Impairment Scale; Children's Global Assessment Scale; test validity; gender effects; psychological dysfunction; adolescents; gender differences(!Based on data from a Swiss epidemiological survey, both the parent and the child versions of two global measures of impairment, the Columbia Impairment Scale (CIS) and the Children's Global Assessment Scale (CGAS) were analyzed with regard to validity and the effects of gender. 1,089 15-19 yr olds participated in the study. Based on the total sample and on the girls' data, concurrent validity of the various impairment scores as computed by correlations with other indicators of psychological dysfunction was good. When based on the boys' data it was less convincing. Discriminant validity was estimated by comparing impairment scores between those using and not using services and was proven for all impairment scores. There were significant gender effects for almost all scores, indicating that girls in contrast to boys were more impaired and functioned less well when professional contacts and psychiatric diagnosis were considered. The two impairment measures are well suited to community studies. Gender and informant differences have to be considered when defining thresholds for caseness. The two scales could also be used clinically, for example for training and evaluation purposes and for the decision whether or not a child or adolescent requires treatment. (PsycINFO Database Record (c) 2003 APA )RKDOI 10.1046/j.1440-1614.2001.00901.x Peer Reviewed Journal; Empirical Study'~U Zuerich Dept of Child & Adolescent Psychiatry, Zurich, Switzerland [Steinhausen] Email Address [mailto:steinh@kjpd.unizh.ch]Steinwachs, D.M. 1989JCApplication of health status assessment measures in policy research  Medical CareS12-S261 OUT-NMH-00003p{ 6Johnston, S. Salkeld, G. Sanderson, K. Issakidis, C. Teesson, M. Buhrich, N. 1998>8Intensive case management: a cost-effectiveness analysis4.Australian & New Zealand journal of psycHAAttachment of adolescent males in a residential treatment settingSanders, Larry Sterling Fielding Graduate Inst.D>This study explored factors related to attachment and changes in attachment in 76 males aged 12 to 16 who were exposed to a structured program and highly supportive environment in a residential program for severely at risk adolescents. Each adolescent was assessed on attachment using the Overprotection and Caring scales of the Parental Bonding Instrument; adversity using the Sociodemographic Checklist; psychiatric symptoms on the Symptom Assessment 45 instrument; socialization using the Children's Global Assessment Scale; emotional functioning using the Conners' Global Index; and stress using the Objective Stressors Checklist. These were administered upon admission and during a second testing approximately 9 months later. Lower attachment, as assessed by the overprotection scale, was associated with higher scores for psychiatric symptoms, poor emotional functioning, and poor socialization. Lower attachment, on the caring scale, was associated with high scores for psychiatric symptoms. Between admission and the second testing, a statistically significant increase in attachment was found on the overprotection, but not the caring scale. Socialization and emotional functioning scores increased significantly from Time One to Time Two. These findings suggest that changes can occur in attachment in a severely at-risk population of males and that this change can occur in as brief a time period as 9 months, given a structured program in a highly supportive residential treatment environment. The concept of transforming an adolescent's perception of his experience through meaningful self-reflective relationships with supportive adults can help high risk adolescents to bond and attach. The implications of these findings for the design of treatment programs for at-risk adolescents are discussed. (PsycINFO Database Record (c) 2004 APA ) 2003Dissertation Abstracts International: Section B: The Sciences & Engineering. Vol 64(2-B), 2003, pp. 973 Publisher US: Univ Microfilms International Dissertation AbstractoHuman; Male; Adolescence (13-17 yrs) Adolescent Attitudes; Attachment Behavior; Residential Care Institutions adolescent males; attachment; residential treating environment   St Martin, Samantha Rachel 2004Validity of the computerized assessment system for psychotherapy evaluation and research (CASPER) in a psychiatric outpatient populationPIDissertation Abstracts International: Section B: The Sciences Engineering64 7-B 35432004-99002-260 BAS-00047*rk*Computer Assisted Testing; *Outpatients; *Psychiatric Patients; *Psychotherapy; *Test Validity; Evaluation  The Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) is a computer-based system designed to standardize the identification and assessment of target complaints. It includes a computerized version of an intake interview and allows for summarizing and tracking target complaints for monitoring treatment outcomes. Advantages include its computerized format and balance between idiographic and standardized methods of assessment. This study evaluated the validity of the CASPER interview items and target problems with psychiatric outpatients. One-hundred and one patients from the Medical College of Virginia's Ambulatory Care Outpatient Psychiatry Clinic participated in the study. The majority of participants were Caucasian females with affective and anxiety disorders receiving medication management services. Patients were asked to complete the CASPER interview and the Behavior Symptom and Identification Scale-32 (BASIS-32) in counterbalanced order. Results from the CASPER interview included item subscales and summaries of patient identified target problems. The BASIS-32 results provided a measure of overall functioning as well as five symptom domains. Clinician rated Global Assessment of Functioning scores were also obtained. Results generally supported the internal consistency of the CASPER interview item subscales and the construct validity of CASPER global measures of functioning. Support for the convergent validity of CASPER was demonstrated in that CASPER subscales and individual target problems were significantly correlated with corresponding subscales from the BASIS-32. Less support was demonstrated for the discriminant validity of the CASPER components, likely due to high intercorrelations among BASIS-32 scales and a lack of clear one-to-one relationships between the measures. CASPER is a measure ideally suited to facilitate patient-focused outcome assessment and some support for its use in this manner was demonstrated. More work is needed to evaluate the utility of the individualized information provided by CASPER as a means of informing treatment planning and modification. Areas for further research include an evaluation of CASPER with an instrument using a more comparable measurement scale to further assess discriminant validity. Information from CASPER could be used at the aggregate level comparing profiles and presenting problems of patient populations across facilities. These types of findings could be used to determine appropriate allocation of resources. (PsycINFO Database Record (c) 2004 APA )EnglishValidity of the computerized assessment system for psychotherapy evaluation and research (CASPER) in a psychiatric outpatient population St Martin, Samantha Rachel Virginia Commonwealth U.  The Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) is a computer-based system designed to standardize the identification and assessment of target complaints. It includes a computerized version of an intake interview and allows for summarizing and tracking target complaints for monitoring treatment outcomes. Advantages include its computerized format and balance between idiographic and standardized methods of assessment. This study evaluated the validity of the CASPER interview items and target problems with psychiatric outpatients. One-hundred and one patients from the Medical College of Virginia's Ambulatory Care Outpatient Psychiatry Clinic participated in the study. The majority of participants were Caucasian females with affective and anxiety disorders receiving medication management services. Patients were asked to complete the CASPER interview and the Behavior Symptom and Identification Scale-32 (BASIS-32) in counterbalanced order. Results from the CASPER interview included item subscales and summaries of patient identified target problems. The BASIS-32 results provided a measure of overall functioning as well as five symptom domains. Clinician rated Global Assessment of Functioning scores were also obtained. Results generally supported the internal consistency of the CASPER interview item subscales and the construct validity of CASPER global measures of functioning. Support for the convergent validity of CASPER was demonstrated in that CASPER subscales and individual target problems were significantly correlated with corresponding subscales from the BASIS-32. Less support was demonstrated for the discriminant validity of the CASPER components, likely due to high intercorrelations among BASIS-32 scales and a lack of clear one-to-one relationships between the measures. CASPER is a measure ideally suited to facilitate patient-focused outcome assessment and some support for its use in this manner was demonstrated. More work is needed to evaluate the utility of the individualized information provided by CASPER as a means of informing treatment planning and modification. Areas for further research include an evaluation of CASPER with an instrument using a more comparable measurement scale to further assess discriminant validity. Information from CASPER could be used at the aggregate level comparing profiles and presenting problems of patient populations across facilities. These types of findings could be used to determine appropriate allocation of resources. (PsycINFO Database Record (c) 2004 APA ) 2004Availability UMI Dissertation Order Number AAI3096560 Dissertation Abstracts International: Section B: The Sciences Engineering. Vol 64(7-B), 2004, pp. 3543 Publisher US: Univ Microfilms International Dissertation Abstract; Empirical Study; Journal Article Human; Male; Female; Outpatient Us Computer Assisted Testing; Outpatients; Psychiatric Patients; Psychotherapy; Test Validity; Evaluation computerized assessment system; psychotherapy evaluation; psychotherapy research; psychiatric outpatients; test validity*P'2 voQuality and Effectiveness Section, Mental Health and Suicide Prevention Branch, Department of Health and Ageingd 2003|uMental Health National Outcomes and Casemix Collection: Overview of clinician-rated and consumer self-report measures Canberra &Department of Health and Ageingf & Queensland Department of Health, 20032,Outcomes Initiative Training Resource Manual &Queensland Department of Healthf March 2003AUS-QLD-00001* This manual is a resource book and guide to support people manage and collect outcome emasures as part of Outcome Intiative. In addition, it provides people with the necessary information and materials to implement staff training programs in outcome measures. Raferty, M., & Coleman, M. 1996D>Educating nurses to undertake clinical supervision in practiceNursing Standard1045 38 -41 MIS-00020\~Rajeev, J. Srinath, Shoba Reddy, Y. C. J. Shashikiran, M. G. Girimaji, Satish Chandra Seshadri, Shekhar P. Subbakrishna, D. K. 2003ZSThe index manic episode in juvenile-onset bipolar disorder: The pattern of recoveryd$Canadian Journal of Psychiatry481e 52-55) Febe 0706-7437l CGA-00006*Human; Male; Female; Adolescence (13-17 yrs) India Bipolar Disorder; Mania; Onset (Disorders); Recovery (Disorders) index manic episode; juvenile-onset bipolar disorder; recovery patternPIRecent studies of patients with juvenile bipolar disorder report low rates of recovery and high rates of chronicity. However, we lack data on the short-term outcome. This study examines the pattern of recovery from the index episode in an aggressively treated juvenile sample. We assessed 25 subjects (<16 years) with a diagnosis of mania, using the Diagnostic Interview for Children and Adolescents-Revised) (DICA-R), Young Mania Rating Scale (YMRS), and Children's Global Assessment Scale (CGAS) at intake and at 3 and 6 months. We studied the time taken to recover from the index episode, the level of functioning, and the factors predicting them. After 6 months, 24 (96%) subjects had recovered from the index manic episode. The median time to recovery was 27 days. Total episode length was significantly longer among those with previous affective episodes. The findings suggest that juvenile-onset mania has high rates of recovery and low rates of chronicity. These differences from the existing literature need further exploration. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)o>7Peer Reviewed Journal; Empirical Study; Journal Articlep'National Inst of Mental Health & Neurosciences, Dept of Psychiatry, Bangalore, India [Rajeev, Srinath, Reddy, Shashikiran, Girimaji, Seshadri]; National Inst of Mental Health & Neurosciences, Dept of Biostatistics, Bangalore, India [Subbakrishna] Email Address [mailto:shobas@nimhans.kar.nic.in] Contact Individual Srinath, Shoba, National Inst of Mental Health & Neurosciences, Dept of Psychiatry, PO BOX 2900, Bangalore, India, 560 029, [mailto:shobas@nimhans.kar.nic.in]RAND Corporation,l6/http://www.rand.org/health/surveys/section5.pdfg6/Rangel, L. Garralda, M. E. Hall, A. Woodham, S.  2003jdPsychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritisPsychological Medicine332j289-297i Febe 0033-2917d CGA-00028*Human; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs) United Kingdom Arthritis; Chronic Fatigue Syndrome; Emotional Adjustment; Pediatrics; Personality Disorders; Psychopathology psychiatric adjustment; chronic fatigue syndrome of childhood; juvenile idiopathic arthritis; psychopathology; personality problems0)High rates of psychopathology and of personality problems have been reported in children and adolescents with chronic fatigue syndrome (CFS). It is not clear whether this is consequent on the experience of chronic physical ill health. We compare psychiatric adjustment in children with CFS and in children suffering from another chronic physical disorder (juvenile idiopathic arthritis or JIA). Our sample consisted of 28 children with CFS and 30 with JIA attending tertiary paediatric centres (age range, 11 to 18 years, mean 15, S.D. 2.3). In order to assess psychiatric status and functioning, we used the K-SADS psychiatric interviews, CGAS and Harter Self-Esteem Questionnaire with child subjects; behavioural questionnaires (CBCL) and child personality assessment interviews (PAS) with parent informants. Psychiatric disorders in the year prior to interview had been present significantly more commonly in the CFS group (72% v. 34% in JIA) and were more impairing to them (CGAS scores of 45 v. 77). Most common diagnoses in both groups were depressive and anxiety disorders. Personality problems were also significantly more frequent in CFS subjects (48% disorder and 26% difficulty v. 11% and 11% in JIA). There were few differences between the two groups in self-esteem... (PsycINFO Database Record (c) 2003 APA )iJDDoi 10.1017/s0033291702006529 Peer Reviewed Journal; Empirical Study'Contact Individual Garralda, M E, Academic Unit of Child & Adolescent Psychiatry, Faculty of Medicine, Imperial Coll, St Mary's Campus, London, United Kingdom, W2 1PGRantz, Marilyn J. Popejoy, Lori Petroski, Gregory F. Madsen, Richard W. Mehr, David R. Zwygart-Stauffacher, Mary Hicks, Lanis L. Grando, Victoria Wipke-Tevis, Deidre D. Bostick, Jane Porter, Rose Conn, Vicki S. Maas, Meridean} 2001VPRandomized clinical trial of a quality improvement intervention in nursing homes Gerontologistp414e525-538 Aug 0016-9013 RUG-00007*Human Nursing Homes; Professional Consultation; Quality of Care; Treatment Outcomes minimum data set; nursing homes; intervention outcomes; clinical practices; quality of care; professional consultationcThe purpose of the study was to determine if simply providing nursing facilities with comparative quality performance information and education about quality improvement would improve clinical practices and subsequently improve resident outcomes, or if a stronger intervention, expert clinical consultation with nursing facility staff, is needed. 113 nursing facilities were randomly assigned to one of three groups: workshop and feedback reports only, workshop and feedback reports with clinical consultation, and control. Minimum Data Set (MDS) Quality Indicator (Q) feedback reports were prepared and sent quarterly to each facility in intervention groups for a year. Clinical consultation by a gerontological clinical nurse specialist (GCNS) was offered to those in the second group. With the exception of MDS Ql 27 (little or no activity), no significant differences in resident assessment measures were detected between the groups of facilities. However, outcomes of residents in nursing homes that actually took advantage of the clinical consultation of the GCNS demonstrated trends in improvements in QIs measuring falls, behavioral symptoms, little or no activity, and pressure ulcers (overall and for low-risk residents). (PsycINFO Database Record (c) 2003 APA )<6Peer Reviewed Journal; Empirical Study; Followup Study'xrU Missouri, Sinclair School of Nursing, Columbia, MO, US [Rantz] Email Address [mailto:rantzm@health.missouri.edu]5`TeKLora, A. Bai, G. Bianchi, S. Bolongaro, G. Civenti, G. Erlicher, A. Maresca, G. Monzani, E. Panetta, B. Von Morgen, D. Rossi, F. Torri, V. Morosini, P.C 2001The Italian version of HoNOS (Health of the Nation Outcome Scales), a scale for evaluating the outcome and the severity in mental health services*#Epidemiologia e Psichiatria Sociale10198-204bxrLucchi, Fabio Turrina, Cesare Fazzari, Giuseppe Benzoni, Oliviero Gozio, Carlo Tosini, Veronica Ermentini, Augusto 1998`ZOutcome of a psychosocial rehabilitation program for persons with psychiatric disabilities*$Journal of Vocational Rehabilitation112133-136 Nov 1052-2263 LSP-00060Human; Male; Female; Adulthood (18 yrs & older) Italy Program Evaluation; Psychosocial Rehabilitation; Treatment Outcomes; Psychiatric Patients psychosocial rehabilitation program outcomes; psychiatric patientsEvaluated the outcome of a psychosocial rehabilitation program for persons with psychiatric disability who met Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) diagnostic criteria for disorders on Axis I and II. 27 users of community mental health centers were admitted to training-on-the-job courses in productive environments. All Ss were interviewed with structured questionnaires, including the Disability Assessment Scale (DAS) and the Life Skills Profile (LSP) to evaluate symptomatology and social skills at baseline and at the end of the program. Significant results were detected by the DAS on the Hyperactivity item, dysfunction in social roles, work performance, interest in information, and by the LSP on Communication and Self-care subscales. The study confirms the indication of rehabilitation programs for the treatments of the negative dimension of functional psychosis. (PsycINFO Database Record (c) 2003 APA )b\Doi 10.1016/s1052-2263(98)00041-5 Peer Reviewed Journal; Empirical Study; Treatment Outcomes'{Azienda Ospedaliera di Brescia, Dept of Mental Health, Unita Operativa di Psichiatria "Valtrompia", Brescia, Italy [Lucchi]VOLuk, Ernest S. L. Brann, Peter Sutherland, Sharon Midred, Helen Birleson, Peterr 2002ZTTraining general practitioners in the assessment of childhood mental health problems,&Clinical Child Psychology & Psychiatry74571-579 Oct2003-01102-010 HCA-00019d^*Diagnosis; *General Practitioners; *Mental Disorders; *Professional Development; Epidemiology@:Epidemiological studies have found that most children with mental health problems are not receiving appropriate help. The aim of this study was to assess an approach to train general practitioners (GPs) to detect mental health problems early, engage the families, and assist them in the access of service. Five GPs were given 3 hrs of training on a brief assessment method. Each then interviewed parents whose children they suspected might have a mental health problem. An experienced research clinician then repeated the assessment. This information was fed back to the GP who then assisted the family in obtaining appropriate help. 29 parents were interviewed in 6 mo. The research clinician and the GPs were in agreement for 90% of the cases for the recognition of mental health problems. GPs' opinions on the brief assessment method were: easy to use (100%), helpful in obtaining information (100%) and helpful in engaging the parent (100%). The parents were followed up by telephone 3-4 mo after the interview. Eighty-eight percent reported that the process was helpful, 67% had received help from services and 67% had improved. We conclude that with brief training, the GPs in this study were able to improve their capacity to provide early intervention for childhood mental health problems. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.sagepub.comMacdonald, A. J. 1999HoNOS 65+ glossary$British Journal of Psychiatrya 175r 192\ Augt10627814 H65-000034*$*Health Status Indicators PsychiatryXQ0007-1250 English Comment On: Br J Psychiatry. 1999 May;174:435-8 Comment; Letter Macdonald, Alastair J. D. 2002ZSThe usefulness of aggregate routine clinical outcomes data: The example of HoNOS65+t$Journal of Mental Health (UK)e116i645-656 Decd2003-04179-008 H65-00008d*Geriatric Psychiatry; *Rating Scales; *Statistical Data; *Treatment Outcomes; Clinicians; Health Personnel Attitudes; Test Reliability; Test ValidityThere is increasing interest in whether observational data can usefully supplement, enhance, or even replace clinical trials evidence for the efficacy of interventions. To an understanding of the practical and cultural changes necessary for this in psychiatry must be added appreciation of the importance of feedback of appropriately analysed aggregated outcomes data to clinicians. This article describes the development of methods of analysis of routine clinical outcomes data (using ICD10, Health of the Nation Outcome Scale [HoNOS65+] and a developing intervention coding system) in an old age psychiatry service in South London. The minimum dataset necessary, the construction of a database and some core analyses are described. Illustrative findings, fed back to clinicians, are presented, and the positive impact of the process of analysis and feedback is described. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.tandf.co.ukNHMacpherson, Rob Haynes, Roger Summerfield, Louise Foy, Chris Slade, Mike 2003PJFrom research to practice. A local mental health services needs assessment2,Social Psychiatry & Psychiatric Epidemiology385276-281| Mayo2003-03747-008 MIS-00007*|u*Health Service Needs; *Mental Health Services; *Needs Assessment; *Psychiatric Patients; *Psychosis; Data Collection\This study aimed to ascertain the 2-month period prevalence of psychosis in Gloucester City, to investigate the level of need among those in contact with mental health services, and to identify the compromises which are involved in routine collection of data to inform services, compared with specifically funded research studies. People with ICD-10 diagnosis of functional psychosis were identified by searching General Practice and mental health service records in Gloucester City. The needs of the sub-sample in touch with mental health services were assessed using the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS). 474 cases were identified, including 403 in contact with mental health services. Staff CANSAS data were collected for 225 patients, with a mean rating of 7.0 met and 3.6 unmet needs per patient. Unmet need was higher in the non-Caucasian group. In this locality, patients with functional psychosis were largely in contact with mental health services, were in employment, were disproportionately looked after by a few City centre General Practitioners, and high levels were in supported accommodation. Higher levels of need were found than previously demonstrated. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.springer.deK    & OgU{ G >mRf  . :1  5D1J  < * ,oC    G` [   $ ; W O # H C   i + h ;   (|  J' $   ^   K   Y>         y   x ! ^ n   &  ^   x/^f    }    @  N'    = /   q l W  ^Q   *  L\ < :w ?E c  jX} 6 5 91    Nd  j  5f eR  N _ I G n X+  o   Oy  s  Zyz   0 g  /  C .    $ "   9   @  X   '  Y   { o &     V d   Q  q /       k 0_ L    }   'ds o r % Sx 5 t t   ~ 8Gv   u  l   6v o<  m:VEisen, S. V. Dickey, B.e 199660Mental health outcome assessment: The new agenda Psychotherapyo33181-189t OUT-MH-00061This articles reviews the new market-driven demands for mental health outcomes research, summarises issues pertaining to choice of outcome measures, describes the implementation of an outcome assessment system in a clinical environment, and suggests directions for the future. Rising health care costs and resulting reimbursement limitations imposed by third-party payers have led to increased demands to justify mental health services. Profiling, report cards, instrument panels, and benchmarking have emerged as methods for understanding, documenting, and reportingquality outcomes of treatment. Several national efforts are underway to acheive consensus on a corebattery of measures to serve as a standard for a national mental health 'report card'. An example of an outcome assessment system within a clinical setting is presented along with outcome profiles for age, gender and diagnostic subgroups. Implications for the role of clinicians in outcome assessment efforts are discussed.d Eisen, S. V. 1996:4Behavior and Symptom Identification Scale (BASIS-32) Sederer, L. I. Dickey, B.e.(Outcomes Assessment in Clinical Practice  Baltimored Williams and Wilkins BAS-00045* *$Eisen, S. V. Wilcox, M. Schaefer, E. 1997`YUse of BASIS-32 for Outcome Assessment of Recipients of Outpatient Mental Health Services  Belmont, MA1 McLean Hospitalr261l 5-17J Behav Health Serv Resl 1094-3412n BAS-00011*LFAmbulatory Care psychology; Behavior Therapy statistics and numerical data; Mental Disorders rehabilitation; Outcome and Process Assessment Health Care statistics and numerical data; Personality Inventory statistics and numerical data Adolescent ; Adult ; Aged ; Ambulatory Care statistics and numerical data; Community Mental Health Services statistics and numerical data; Follow Up Studies; Mental Disorders psychology; Middle Aged; Outpatient Clinics, Hospital statistics and numerical data; Psychometrics ; Reproducibility of Results Female; Human; Male; Support, Non U.S. Gov't The Behavior and Symptom Identification Scale (BASIS-32) was developed to assess mental health outcomes among patients with severe illness treated on inpatient programs. However, its applicability and utility to those treated in outpatient programs has not been determined. The objective of this study was to assess reliability, validity, and sensitivity to change of the BASIS-32 among mental health consumers treated in outpatient programs. A total of 407 outpatients completed the BASIS-32 and the Short Form Health Status Profile (SF-36) at the beginning of a treatment episode and again 30 to 90 days later. Outpatients reported less difficulty at intake than did inpatients, and the BASIS-32 detected statistically significant changes 30 to 90 days after beginning outpatient treatment. Factor structure and construct validity were partially confirmed on this sample of outpatient consumers. Analyses of data from a wide range of facilities and samples would add to validation efforts and to further refinement of the BASIS-32.n Feb English 'rlDepartment of Mental Health Services Research, McLean Hospital, Belmont, MA 02478, USA. seisen@world.std.com@9Eisen, Susan V. Klinkenberg, Dean Cho, Dong Vieweg, Brucea 1998Use of the BASIS-32dPsychiatric Services4912 1621-1622 Dec 1075-2730 BAS-00024*Human; Male; Female; Adulthood (18 yrs & older); Middle Age (40-64 yrs) Us Mental Disorders; Psychometrics; Rating Scales; Self Report; Test Forms; Ability Level; Interviews; Psychiatric Social Workers psychometric properties of interview & self-report versions of BASIS-32; assessment of psychiatric symptoms & functional abilities; severely mentally ill adults; commentary & replyF@Comments on the W. D. Klinkenberg et al (see record 1998-10990-015) article on the reliability and validity of the interview and self-report versions of the BASIS-32. The current author remarks that Klinkenberg et al appear to have used a clinician version of the BASIS-32, rather than an interview version, which might account for findings of lower levels of reliability. A reply from Klinkenberg et al follows, in which they state that they did in fact use clinician ratings as the basis for their ratings in the interview condition. (PsycINFO Database Record (c) 2003 APA )6/Peer Reviewed Journal; Comment; Empirical Studys'RLMcLean Hosp, Dept of Mental Health Services Research, Boston, MA, US [Eisen](CCarvill, Sue Marston, G. 2002d^People with intellectual disability, sensory impairments and behaviour disorder: A case seriesnhJournal of Intellectual Disability Research. Special Issue: Mental health and intellectual disability: X463264-272X Mar2002-12852-009 HLD-00004TN*Behavior Problems; *Mental Retardation; *Sensory System Disorders; *TreatmentSensory impairments (SIs) are more prevalent in people with intellectual disability (ID). Both conditions lead to higher rates of emotional and behavioural problems than in the general population. The identification of psychiatric disorders in this group can be difficult, particularly in those with severe ID and limited communication skills. The present paper presents a series of 18 case reports of individuals with ID, SI and behavioural problems (aged 22-45 yrs). The majority of cases were young male Caucasians with congenital rubella syndrome and autistic spectrum disorder, referred because of self-injurious behaviour (SIB) or aggression. Nine cases were treated with antidepressants, five underwent environmental changes and two had medication reduced. All showed some improvement. The benefits of comprehensive assessments, the use of standardized assessment tools and trials of treatments are discussed in the context of making psychiatric diagnoses. (PsycINFO Database Record (c) 2003 APA )English("http://www.blackwellpublishing.comXQCassileth, B. Lusk, E. Strouse, T. Miller, D. M. Brown, L. Cross, P. Tenaglia, A. 1984,&Psychosocial status in chronic illness&New England Journal of Medicinen 311s506-511 4.Centre for Population Studies in Epidemiology, 20026/The Kessler Psychological Distress Scale (K-10)t Adelaide "Department of Human ServicesChaplin, Robert  2004^WGeneral psychiatric services for adults with intellectual disability and mental illnesse2+Journal of Intellectual Disability Research 481N 1-10 JanN 0964-2633N HON-00112OMental Disorders; Mental Health Services; Mental Retardation psychiatric services; adults; intellectual disability; mental illnessLEAdults with intellectual disability (ID) and mental illness may use general or specialist psychiatric services. This review aims to assess if there is evidence for a difference in outcome between them. A literature review was conducted using a variety of electronic databases and hand-search strategies to identify all studies evaluating the outcome of people with ID and mental illness using general psychiatric services. There is no conclusive evidence to favour the use of general or specialist psychiatric services. People with ID stay less time on general psychiatric than specialist inpatient units. People with severe ID appear not to be well served in general services. Older studies of inpatient samples suggest a worse outcome for people with ID. Novel specialist services generally improve upon pre-existing general services. Assertive outreach in general services may preferentially benefit those with ID. Recent studies suggest similar lengths of stay in general psychiatric beds for people with and without ID. Although 27 studies were located, only two were randomized controlled trials. The evidence is poor quality therefore further evaluation of services employing a variety of designs needs to be employed to give more robust evidence as to which services are preferred. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)d^DOI 10.1111/j.1365-2788.2004.00580.x Peer Reviewed Journal; Literature Review; Journal Article'Littlemore Hospital, Oxford, United Kingdom [Chaplin] Email Address [mailto:rchaplin@doctors.org.uk] Contact Individual Chaplin, Robert, Littlemore Hospital,, 33, Sandford Road, Oxford, United Kingdom, OX4 4XN, [mailto:rchaplin@doctors.org.uk]  (< Rosen, Alan Teesson, Maree 2001VPDoes case management work? The evidence and the abuse of evidence-based medicine60Australian and New Zealand Journal of Psychiatry356731-746c Dec 0004-8674 LSP-00013*Human Australia; United Kingdom Case Management; Community Services; Costs and Cost Analysis; Psychiatry; Treatment Outcomes psychiatric case management; efficacy; effectiveness; cost effectiveness; evidence-based medicine; community treatment Reviews typologies of psychiatric case management (CM) and discusses the efficacy, effectiveness and cost effectiveness of psychiatric CM, with particular focus on evidence from Australia and the UK. The study also examines the way such evidence has been interpreted in the context of UK psychiatric research and services. Finally it examines the ways in which, by the selective reviewing or editorializing of evidence, CM has been brought into disrepute in the UK. Literature of the recent evidence for CM is reviewed, and 3 questions are asked of CM: Has it been shown to be efficacious in controlled research? Is it effective in applied settings? and, Is it cost effective? The concurrent representations of the UK evidence in both the academic literature and the media is examined. There is strong evidence for the efficacy, effectiveness and cost-effectiveness of CM in psychiatry, the closer it conforms to active and assertive community treatment models. It appears, however, that studies and evidence-based reviews of CM may have been misused and misrepresented in a highly charged atmosphere of professional media debate. The potential for this abuse is not limited to psychiatry and remains a challenge for all evidence-based practice. (PsycINFO Database Record (c) 2003 APA )b[DOI 10.1046/j.1440-1614.2001.00956.x Peer Reviewed Journal; Conference Proceedings/Symposia'U Wollongong, School of Public Health, Australia [Rosen] Email Address [mailto:arosen@doh.health.nsw.gov.au] Contact Individual Rosen, Alan, Australia, U Sydney, Dept of Psychological Medicine, Sydney, NSWt82Rosen, A. Trauer, T. Hadzi Pavlovic, D. Parker, G. 2001HBDevelopment of a brief form of the Life Skills Profile: The LSP-2060Australian and New Zealand Journal of Psychiatry355c 677-83Aust N Z J Psychiatryd 0004-8674 LSP-00001*Disability Evaluation; Mental Disorders diagnosis; Psychiatric Status Rating Scales standards Adult ; New South Wales; Psychometrics ; Reproducibility of Results; Severity of Illness Index Female; Human; Male; Support, Non U.S. Gov'tOBJECTIVE: To develop a brief form of the Life Skills Profile (LSP) that incorporates all five subscales of the full form. METHOD: A new short form of the LSP (LSP-20) was developed to incorporate all five subscales of the full form. The LSP-20 development was based on a reanalysis of data from previously published studies. These data sets were also reanalysed to determine any differential effects of numbers and percentages of items in the LSP-39, LSP-16 and LSP-20, comparability of scores of the different forms, of test-retest and interrater reliability, and validity of the LSP-20 by comparison with the Positive and Negative Syndrome Scale (PANSS). RESULTS: A twenty-item short form of the LSP-39 (LSP-20) is described which retains 16 items of an earlier short form but which also reproduces the subscale concerned with disability associated with positive psychotic phenomena. The subscales correlated highly with their counterparts in the full form, interrater and test-retest reliabilities were comparable, and concurrent validity was good. CONCLUSIONS: The LSP-20 is a brief form of a widely used instrument that offers equivalent coverage to the full form with sound empirical properties, though unlike the LSP-39, it can be scored in the direction of impairments or strengths. Therefore the LSP-20 may be more suited to routine service disability and aggregated outcome assessments, but less suited than the LSP-39 to detailed research, or to interactive use as part of service user's individual care planning and review. Oct Englishf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=35&page=677&goto=abstract'Community Mental Health Services, Royal North Shore Hospital, 55 Hercules Street, Chatswood, New South Wales 2067, Australia. arosen@doh.health.nsw.gov.auaring psychiatric diagnoses generated by the Strengths and Difficulties Questionnaire with diagnoses made by cliniciansu2,Australian New Zealand Journal of Psychiatry388639-643 Aug2004-17339-009 SDQ-00076*rl*psychiatric diagnosis; Strengths and Difficulties Questionnaire; clinician diagnosis; mental health serviceObjective: To examine the level of agreement between clinical diagnoses by a community child and adolescent mental health service (CAMHS) and diagnoses generated by the Strengths and Difficulties Questionnaire (SDQ). Method: A computerized algorithm developed by Goodman et al. was used at a community CAMHS in Australia to predict child psychiatric diagnoses on the basis of the symptom and impact scores derived from the SDQ completed by parents (n = 130), teachers (n = 101) and young people (n = 38). These diagnoses were compared with the diagnoses made by clinicians in a multidisciplinary community outpatient team and an independent clinician that examined the case notes and was blind to the SDQ scores. Results: The level of agreement between SDQ generated diagnoses and clinical team diagnoses was moderate to high, ranging from 0.39 to 0.56. Correlations between the SDQ and an independent clinician ranged from 0.26 to 0.43. All were statistically significant. Conclusion: The SDQ is a useful instrument to aid clinicians in diagnosis and could be used as part of the initial assessment process. (PsycINFO Database Record (c) 2004 APA ) (journal abstract ) H@ B8Alfred Hospital, Monash University, Victoria, Australia.& Trauer, T. Callaly, T. Hantz, P. 1999ZSThe measurement of improvement during hospitalisation for acute psychiatric illness2+Australian & New Zealand Journal Psychiatry333H 379-84 Junt10442794 HON-00007**Hospitalization statistics and numerical data; *Mental Health Services standards; *Mood Disorders therapy; *Outcome Assessment Health Care methods; *Schizophrenia therapy Australia ; Health Care Surveys; Hospitals, Private statistics and numerical data; Hospitals, Public statistics and numerical data; Prospective Studies; Severity of Illness Index statistics and numerical data; standards; therapy; methods{OBJECTIVE: The aim of this paper is to compare clinical changes and lengths of stay of patients with schizophrenic and affective disorders in public and private hospital settings. METHOD: Recently published Australian work using the Health of the Nation Outcome Scales (HoNOS) was compared with new data collected in a public setting. Changes in HoNOS scores between admission and discharge were analysed against length of stay. Individual HoNOS items were also examined. RESULTS: Public facilities tended to show greater improvements, owing to higher admission severities, and their lengths of stay tended to be shorter. Certain HoNOS items, notably the self-harm item, were significantly more severe in both diagnostic groups on admission in the public facilities. CONCLUSIONS: The findings are discussed in terms of the fact that self-harm is a criterion for involuntary hospitalisation, and private facilities do not treat involuntary patients. Certain problems assessed by the HoNOS are more amenable to rapid reduction than others, and this may contribute to differences in length of stay. Implications for outcome measurement are discussed.r(!0004-8674 English ; Meta-Analysiscf`Blackwell-Synergy http://www.blackwell-synergy.com/rd.asp?code=ANP&vol=33&page=379&goto=abstract'~wDepartment of Psychological Medicine, Monash Medical Centre, Clayton, Victoria, Australia. trauer@vaxc.cc.monash.edu.au Trauer, T. 2000Update from Down Under$British Journal of Psychiatry 176h393- 394 HON-00100*~$Bream, Victoria Buchanan, Anne 2003d^Distress among children whose separated or divorced parents cannot agree arrangements for them$British Journal of Social Work332227-238c Mar*#0045-3102 Electronic ISSN 1468-263Xu SDQ-00012*& Human; Male; Female; Childhood (birth-12 yrs) Distress; Divorce; Emotional Adjustment; Marital Separation; Family Violence; Parents parental separation; adjustment problems; domestic violence; divorced parents; children; distress; General Health Questionnaire General Health QuestionnaireThis paper, based on a larger study of children and their parents who were subjects of a welfare report for the court following parental separation and divorce, highlights the very high levels of distress amongst the children involved. As measured by the Strength and Difficulties Questionnaire (SDQ), 52 per cent of boys and 48 per cent of girls had significant adjustment problems immediately after the proceedings and a year later, 62 per cent of boys and 32 per cent of girls were still maladjusted. Children were more likely to have problems where parents were also distressed and where there was domestic violence. These findings suggest that these children should be considered 'children in need' under the 1989 Children Act, and that preventive services need to be developed to help parents resolve the arrangements for the children without going to court. (PsycINFO Database Record (c) 2004 APA ) (journal abstract)leDOI 10.1093/bjsw/33.2.227 Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'>7St Hilda's College, Oxford, United Kingdom [Buchanan] Email Address [mailto:ann.buchanan@socres.ox.ac.uk] Contact Individual Buchanan, Ann, Department of Social Policy and Social Work, University of Oxford, Barnett House, Wellington Square, Oxford, United Kingdom, OX1 2ER, [mailto:ann.buchanan@socres.ox.ac.uk]>8Brems, Christiane Johnson, Mark E. Namyniuk, Lorraine L. 2002haClients with substance abuse and mental health concerns: A guide for conducting intake interviews60Journal of Behavioral Health Services & Research293327-334A Aug( 1094-3412* BAS-00008*Human; Adulthood (18 yrs & older) Comorbidity; Drug Abuse; Intake Interview; Mental Health; Mental Health Services substance abuse; mental health concerns; intake interviews; comorbidityyNotes that although comorbidity (co-occurrence of a psychiatric and substance use disorder) is a common phenomenon at both mental health and substance abuse treatment agencies, rarely do such agencies thoroughly assess for both types of diagnoses during their standard intake interview. This article describes the development of an intake form designed to guide a comprehensive assessment of both mental health and substance abuse concerns. The form guides 11 intake interviewers toward documenting administrative and demographic information, substance use and mental health concerns, and variables needed for compliance with grant funding sources. Use of the protocol can provide a clinical foundation for treatment planning and continuity of care for clients, while also providing error-free agency data that can be used for administrative, program planning, outcome assessment, and research purposes. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'U Alaska, Dept of Psychology, Alaska Comprehensive & Specialized Evaluation Services, Anchorage, AK, US [Brems, Johnson]; Convenant House Alaska, Anchorage, AK, US [Namyniuk] Email Address [mailto:afcb@uaa.alaska.edu] Contact Individual Brems, Christiane, U Alaska, Dept of Psychology, Alaska Comprehensive & Specialized Evaluation Services, 3211 Providence Drive, Anchorage, AK, US, 99508, [mailto:afcb@uaa.alaska.edu]s Broadbent, M.l 2001b\Reconciling the information needs of clinicians, managers and commissioners: A pilot projectPsychiatric Bulletin2511423-425t Nov}2001-09088-003 HON-00060*F@*Clinicians; *Management Personnel; *Models; *Treatment Outcomes2,Clinicians are often required, by managers, to provide information that does not appear relevant to clinical practice. Rooted in compromise, an outcome-based information model that supports practice and also provides information for managers was developed. A 9-month pilot project at three sites in South-East London took place to test the feasibility of this model in real clinical settings. Accurate data were reliably collected. Clinicians at participating sites agreed the model produced potentially useful information and, on condition that support is provided, continue to collect data voluntarily. This is not an exclusively clinical model. However, because it also fulfills management needs there is a better chance that clinicians will get the support they need. (PsycINFO Database Record (c) 2003 APA )Englishlhttp://www.rcpsych.ac.ukD>Brooker, Charlie Molyneux, Philip Deverill, Mark Repper, Julie 1997ZSAn audit of costs and outcome using HoNOS-3 in a rehabilitation team: A pilot study\$Journal of Mental Health (UK)c6c5c491-502 Octd1997-43769-006 HON-00048**Costs and Cost Analysis; *Long Term Care; *Mental Health Program Evaluation; *Rehabilitation; *Treatment Outcomes; Caregivers; PatientsThe Tameside and Glossop Rehabilitation Team have developed a progressive and targeted service through the systematic implementation of research-based evidence in practice and service configuration. This study was independently commissioned from a small research team to provide a method of auditing the cost and outcome of the service which could be integrated in the day-to-day delivery of services, and which could inform future service developments. Changes in the functioning of the total population of Rehabilitation Team clients were assessed over a 1-yr period by Health of the Nation Outcome Scales (HoNOS) ratings at 6-mo intervals. Costs of formal and informal care used by a sample of clients over the year were also calculated and client and carer satisfaction was examined. Taken as a whole, the global HoNOS scores of all 182 clients showed no improvement over the study period; however, for the two-thirds of the sample in medium and high dependency level groups, a significant improvement in global score was observed. The overall results give clear indications of areas of work which needed improving or changing, and identified ways in which the ongoing process of data collection could be refined. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.tandf.co.ukl .'Carpenter, G. I. Main, A. Turner, G. F.p 1995^XCasemix for the elderly inpatient: Resource Utilization Groups (RUGs) validation projectAge and Ageing241 5-13 Age Ageing 0002-0729d RUG-00019dNGDiagnosis Related Groups economics; Health Resources utilization; Health Services for the Aged utilization; Patient Admission statistics and numerical data Activities of Daily Living classification; Aged ; Aged, 80 and over; Cost Control trends; England ; Forecasting ; Geriatric Assessment; Health Resources economics; Health Services for the Aged economics; Long Term Care economics; Long Term Care utilization; Patient Admission economics; Rehabilitation Centers economics; Rehabilitation Centers utilization; Utilization Review; Wales Female; Human; Male; Support, Non U.S. Gov'tnCurrent methods of contracting for patient treatment in the health service are not suitable for elderly patients with multiple pathology and functional impairment. This study examines Resource Utilization Groups (RUGs) for use in geriatric medicine in England and Wales, based on 1675 patients from 26 hospitals in eight health districts in England and Wales. Nurses completed a questionnaire on the clinical characteristics of patients required to allocate them to one of 44 RUG groups. Nurse/patient contact times were recorded over a 24-hour period. Therapist/patient contact times were recorded for a week. Data were analysed using analysis of variance with time as independent and RUG group as dependent variable. Variance explanation in excess of 45% was achieved in acute and rehabilitation wards. In long-stay wards, variance explanation (23%) was no better than ADL score alone. RUG-III could form the basis of a casemix system for geriatrics in England and Wales in acute and rehabilitation settings.<6Jan English Comment In: Age Ageing. 1995 Jan;24(1):1-4'60Casemix For The Elderly Inpatient Working Group. ,&Carthew, R., Elphick, M., and Page, R. 2003HAReport on the Development of Mental Health Groupings. Version 1.0\ March, 2003s UK-00001*s  The project has developed mental health groupings, for both Healthcare Resource Groups (HRGs) and Health Benefit Groups (HBGs). These are designed to be used by specialist mental health providers. The NHS IAs Healthcare Framework provides the philosophical rationale underpinning the Groupings. It requires information to be collected around patient needs, interventions and outcomes, can be summarised in the questions who are we treating?, what are we doing with and for them? and what is the effect? The analytical strategy has been simple: to collect data from first hand sources in the three categories; patient needs, interventions and outcomes. A pilot study was undertaken, identifying sources of data, then determining robust groups of both people and interventions, independently of each other. Ultimately, six sites from three English Regions provided data, following an advertisement in the national press. Each site collected a dataset of twenty items, plus HoNOS, over a period of six months, which was designed to capture two CPA assessments or reviews for each patient in the study. Over 6,000 patient records were collected, during the period mid 1999 to mid-2000. The project team visited each site several times, and received feedback during and after the data collection process. For HBGs, a tool was developed to identify those characteristics of the person that affect their clinical outcome (the prognostic indicators), including the natural history of the disorder, its seriousness and complexity. The proposed HBGs are defined on two axes: diagnosis (ICD-10-Primary Care Version) and severity. There are three levels of severity, based on HoNOS scores: high is over 20, or one 4 or two 3s in Scales 1 8; moderate is HoNOS score 11-20; low is 10 or less. This results in 69 HBGs. For HRGs, a tool was required that classified interventions according to clinical homogeneity and similarity of resource use. We were not aware (in 1998) of any national tool in routine use, apart from inpatient Occupied Bed Days (OBDs) and Krner contacts (neither returns are patient-based). However, Paul Cliffords 1993 FACE (Functional Analysis of Care Environment) tool covered clinical use and resources, and was tested in the pilot sites. The results showed that while the resource use was covered adequately by the FACE tool, the interventions were not. The proposed HRGs use elements of the Department of Healths Service Mapping exercise as well as the FACE intensities. The result has been the development of 130 HRGs.www.nhsia.nhs.uk @ <*#Arling, G. Zimmerman, D. Updike, L.. 1989JDNursing home case mix in Wisconsin. Findings and policy implications Medical Care272n 164-81Med Care 0025-7079 RUG-00026Diagnosis Related Groups economics; Health Policy economics; Nursing Homes economics; Prospective Payment System economics Activities of Daily Living; Affective Symptoms therapy; Cost Control trends; Direct Service Costs trends; Long Term Care economics; Medicaid economics; Rate Setting and Review economics; United States; Wisconsin Human; Support, Non U.S. Gov't; Support, U.S. Gov't, P.H.S.`YAlong with many other states, Wisconsin is considering a case mix approach to Medicaid nursing home reimbursement. To support this effort, a nursing home case mix model was developed from a representative sample of 410 Medicaid nursing home residents from 56 facilities in Wisconsin. The model classified residents into mutually exclusive groups that were homogeneous in their use of direct care resources, i.e., minutes of direct care time (weighted for nurse skill level) over a 7-day period. Groups were defined initially by intense, Special, or Routine nursing requirements. Within these nursing requirement categories, subgroups were formed by the presence/absence of behavioral problems and dependency in activities of daily living (ADL). Wisconsin's current Skilled/Intermediate Care (SNF/ICF) classification system was analyzed in light of the case mix model and found to be less effective in distinguishing residents by resource use. The case mix model accounted for 48% of the variance in resource use, whereas the SNF/ICF classification system explained 22%. Comparisons were drawn with nursing home case mix models in New York State (RUG-II) and Minnesota. Despite progress in the study of nursing home case mix and its application to reimbursement reform, methodologic and policy issues remain. These include the differing operational definitions for nursing requirements and ADL dependency, the inconsistency in findings concerning psychobehavioral problems, and the problem of promoting positive health and functional outcomes based on models that may be insensitive to change in resident conditions over time.r Feb Englisha'^XCenter for Health Systems Research and Analysis, University of Wisconsin, Madison 53706."Armbruster, P. Lichtman, J. 1999\VAre school based mental health services effective? Evidence from 36 inner city schools&Community mental health journal356493-504lCommunity Ment Health J; 0010-3853m CGA-00010*xqCommunity Mental Health Services utilization; School Health Services utilization Adolescent ; Child ; Child Behavior; Child, Preschool; Community Mental Health Services standards; Health Services Accessibility; Mental Disorders therapy; Outcome Assessment Health Care; Poverty ; Program Evaluation; School Health Services standards; Urban Population Female; Human; MaleoNGIn an effort to bridge the gap between service need and service utilization, an urban based, university-affiliated children's psychiatric outpatient clinic implemented a program which provides mental health services in inner city schools. Since impressions of school and mental health personnel affirmed the effectiveness of such services, an evaluation of this program was conducted, despite the difficulties inherent in implementing research in "naturalistic settings." A clinic sample of children (N = 220) was compared with a sample served in the urban schools (N = 256). The findings revealed that both sets of children showed improvement as indicated by the Children's Global Assessment Scale (C-GAS) and Global Assessment of Functioning Scale (GAF). The improvement was comparable, even though the school children were seen for a slightly shorter period of time (an average of 5 versus 8 months) but had an equally frequent level of service (3 sessions per month in each setting). This finding may have important implications for the managed care environment. These results indicate that school based mental health services show improvement comparable to the clinic-based services, and have the potential for bridging the gap between need and utilization by reaching disadvantaged children who would otherwise not have access to these services.o Dec EnglishS'\VChild Study Center, Yale University School of Medicine, New Haven, CT 06520-7900, USA.}Aronson, M. K. Cox, D. Guastadisegni, P. Frazier, C. Sherlock, L. Grower, R. Barbera, A. Sternberg, M. Breed, J. Koren, M. J. 1992@:Dementia and the nursing home: association with care needs0*Journal of the American Geriatrics Society401l 27-33rJ Am Geriatr Soc 0002-8614  RUG-00014aDementia nursing; Nursing Homes Activities of Daily Living; Adult ; Aged ; Aged, 80 and over; Geriatric Assessment; Middle Aged; Nurses' Aides; Prospective Studies; Time and Motion Studies Female; Human; Male; Support, Non U.S. Gov't`ZOBJECTIVE: To determine whether RUG reimbursement categories accurately predict requirements for care in nursing homes. DESIGN: Prospective descriptive study of residents in lower reimbursement categories according to RUG. SETTING: Three nursing homes in New York City. PARTICIPANTS: Convenience sample of 173 residents who agreed to participate, not significantly different from 201 who did not agree to participate. MAIN MEASURES: Chart review; assessment of residents' cognitive and functional abilities; nursing assistants' ratings of residents' functional abilities, behavioral problems, the amount of effort required in care; and time-motion studies of staff-resident interactions. RESULTS: Both the residents' RUG classification (P less than 0.01) and the level of ADL independence (P less than 0.001) had significant impacts on the staff effort required in their care, with more dependent residents requiring greater effort. The residents' level of cognitive impairment also had a significant impact on the staff effort, with the severely impaired requiring greater effort (P less than 0.05). The time-motion analysis indicated that residents within the same RUG category differed in the number of staff-resident interactions based on their level of cognitive impairment. CONCLUSIONS: Cognitive impairment is a significant morbidity (or co-morbidity) in determining the quantity of staff effort required by the resident, and behavioral interventions are an important care component. There is marked heterogeneity within lower (RUG) reimbursement categories which translates into strikingly different care requirements.D>Jan English Comment In: J Am Geriatr Soc. 1992 Jan;40(1):101-2'4.Jewish Guild for the Blind, Yonkers, NY 10701.Wf$Lee, L. Kennedy, C. Aitken, J. 1996lfDoes the NAIP classification predict length of stay in rehabilitation, geriatrics and palliative care?Australian Health Review192c 56-74cAust Health Rev 0156-5788 RUG-00012oPIDiagnosis Related Groups classification; Geriatric Assessment classification; Length of Stay; Rehabilitation Centers utilization Activities of Daily Living; Aged ; Australia ; Health Expenditures; Hospitalization ; Palliative Care economics; Palliative Care utilization; Rehabilitation Centers economics; Utilization Review Humang|uThe Australian National Non-Acute Inpatient Project (NAIP) reported its findings on casemix in rehabilitation and slow stream geriatric medicine in October 1992. It proposed a per diem NAIP classification of 19 classes using six major clinical groups and the resource utilisation groups version three activities of daily living index (RUG III ADL index). Weightings were determined based on time spent by clinical staff in treating these patients. A quality management study was undertaken in the rehabilitation, geriatrics, and palliative care wards of the Illawarra Area Health Service for three months in 1993, analysing length of stay and cost against the predictive weights of the NAIP classification. The study concluded that this classification was an acceptable predictor of per diem costs of care in these wards of the Illawarra but was not a good predictor of length of stay. Englishs@9Lee, Martha B. Lester, Patricia Rotheram-Borus, Mary Janee 2002\VThe relationship between adjustment of mothers with HIV and their adolescent daughters,&Clinical Child Psychology & Psychiatry7o1e 71-84N Janh 1359-1045srequesti.(Human; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older) Us Adjustment; Daughters; Human Immunodeficiency Virus; Mother Child Relations; Mothers; Family Relations adolescent daughters; mothers; HIV; disclosure; parental bonding; familiesThe emotional distress, self-esteem and problem behaviors of adolescent daughters aged 11-18 years (n = 121) and their mothers with HIV were examined and related to reports of parental disclosure of serostatus and adolescents' perceived bonds with their parents. Most mothers with HIV reported emotional distress in the clinical range (70%). The levels of emotional distress, self-esteem and drug use were significantly correlated between mothers and daughters. Adolescent's emotional distress was significantly related to maternal disclosure of HIV status. Daughters who perceived their mothers as highly caring also perceived them as low in overprotection. Daughters who perceived their mothers as low in caring were more emotionally distressed and reported more conduct problems and lower self-esteem. Interventions to enhance adjustment of daughters in families coping with HIV must focus on mental health symptoms and mother-daughter bonds. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'haU California, Los Angeles, CA, US [Lee]; U California, Dept of Psychiatry, Ctr for Community Health, Los Angeles, CA, US [Lester]; U California, Neuropsychiatric Inst, Ctr for Community Health, Los Angeles, CA, US [Rotheram-Borus] Contact Individual Lee, Martha B, 10920 Wilshire Boulevard, Suite 350, Los Angeles, CA, US, 90024, [mailto:mblee@ucla.edu]pjLee, Sloane Nguyen Gargiullo, Audrey Brayman, Sara Kinsey, Jodi Coppage Jones, Hope Carroll Shotwell, Mary 2003B;Adolescent performance on the Allen Cognitive Levels Screeng.(American Journal of Occupational Therapy573l342-346iMay-Jun  0272-9490f LSP-00047u<6Human; Male; Female; Inpatient; Adolescence (13-17 yrs) Cognitive Assessment; Community Mental Health Services; Performance; Psychiatric Patients; Test Validity adoloscents performance; comparison; functional cognitive performance; mental health facilities; community; cognitive functional; performance scoresHAThe purpose of this study was to provide information regarding the validity of using the Allen Cognitive Levels Screen (ACL-90 version) by comparing functional cognitive performance between adolescents living in the community and adolescents residing in mental health facilities. Sixty-three adolescents were assessed using the ACL-90:32 adolescents living in the community, and 28 adolescents residing in residential mental health facilities. Using a one-tailed t test, performance scores for adolescents residing in the community were statistically higher than those for adolescents living in residential mental health facilities (t(34) = 4.3, p<.001). This study suggests the validity of the ACL-90 as an assessment to use for screening the cognitive functional performance of adolescents. (PsycINFO Database Record (c) 2003 APA )>7Peer Reviewed Journal; Empirical Study; Journal Article'Access Therapy, Inc, Atlanta, GA, US [Lee]; Dekalb Medical Center, Decatur, GA, US [Gargiullo]; Occupational Therapy Department, Brenau University, Gainesville, GA, US [Brayman, Shotwell]; South Georgia Rehabilitation Services, Valdosta, GA, US [Kinsey]; Restore Rehabilitation, Atlanta, GA, US [Jones] Email Address [mailto:nguyensloan@hotmail.com] Contact Individual Lee, Sloane Nguyen, Access Therapy, Inc, 656 Elmwood Drive, Atlanta, GA, US, 30606, [mailto:nguyensloan@hotmail.com]yLees-Haley, Paul R.y 1992Efficacy of MMPI-2 validity scales and MCMI-II modifier scales for detecting spurious PTSD claims: F, F-K, Fake Bad scale, Ego Strength, Subtle-Obvious subscales, DIS, and DEB$Journal of Clinical Psychology485 681-689a Sep.*#0021-9762 Electronic ISSN 1097-4679m MHI-00048v<6Human; Adulthood (18 yrs & older) Malingering; Millon Clinical Multiaxial Inventory; Minnesota Multiphasic Personality Inventory; Posttraumatic Stress Disorder effectiveness of MMPI-2 validity vs Millon Clinical Multiaxial Inventory modifier scales; detection of spurious PTSD claims; personal injury claimantsCompared 119 personal injury claimants' scores on MMPI-2 and Millon Clinical Multiaxial Inventory-II (MCMI-II) validity scales. Data from 32 male and 23 female pseudo-posttraumatic stress disorder (PTSD) patients (mean age 38.9 yrs) and 64 controls (mean 39.1 yrs) confirm the utility of these scales. The following cutoffs were most effective for identifying spurious PTSD: F > 62, F-K >= -4, Ego Strength (Es) >= 30, Fake Bad Scale (FBS) >= 24 (men), FBS >= 26 (women), total obvious minus subtle >= 90, DIS >= 60, and DEB >= 60. Pseudo-PTSD patients were those who (1) claimed to be suffering a psychological injury, (2) that was so severe that it was disabling, (3) due to an experience that was implausible as a candidate for PTSD criterion A in Mental Disorders-III-Revised (DSM-III-R), and (4) scored T = 65 or higher on both PK and PS, the PTSD subscales of the MMPI-2. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study jcKlasen, H. Woerner, W. Wolke, D. Meyer, R. Overmeyer, S. Kaschnitz, W. Rothenberger, A. Goodman, R.H 2000~xComparing the German versions of the Strengths and Difficulties Questionnaire (SDQ-Deu) and the Child Behavior Checklist.(European Child and Adolescent Psychiatry9n4d271-276 *#1018-8827 Electronic ISSN 1435-135X; SDQ-00020*Human; Male; Female; Inpatient; Outpatient; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Austria; Germany Child Behavior Checklist; Foreign Language Translation; Questionnaires; Test Forms; Test Validity validity of the German versions of Strengths and Difficulties Questionnaire vs Child Behavior Checklist; 4-10 & 12-13 yr oldsthaThe Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening questionnaire that can be completed quickly by parents and teachers of 14-16 yr olds. The scores of the English version correlate well with those of the considerably longer Child Behavior Checklist (CBCL). This study compares the German versions of the questionnaires. Both SDQ and CBCL were completed by the parents of 273 children drawn from psychiatric clinics (aged 4-10 yrs) and from a community sample (aged 12-13 yrs). The children from the community sample also filled in the SDQ self-report and the Youth Self Report (YSR). The children from the clinic sample received an International Classification of Diseases (ICD) diagnosis if applicable. Scores from the parent and self-rated SDQ an CBCL/YSR were highly correlated and equally able to distinguish between the community and clinic samples, with the SDQ showing significantly better results regarding the total scores. They were also equally able to distinguish between disorders within the clinic sample, the only significant difference being that the SDQ was better able to differentiate between children with and without hyperactivity-inattention. The study shows that like the English originals, the SDQ-Deu and the German CBCL are equally valid for most clinical and research purposes. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s007870070030 Peer Reviewed Journal; Empirical Study'b[St George's Medical School, Dept of Child & Adolescent Psychiatry, London, England [Klasen]g.(Klinkenberg, W. D. Cho, D. W. Vieweg, B. 1998XRReliability and validity of the interview and self-report versions of the BASIS-32Psychiatric Services499\1229-31cPsychiatr Serv 1075-2730d BAS-00025**#Mental Retardation complications; Mental Retardation diagnosis; Mental Retardation rehabilitation; Psychiatric Status Rating Scales standards; Psychometrics methods; Psychometrics standards Adult ; Interview, Psychological standards; Mental Disorders complications; Mental Disorders diagnosis; Middle Aged; Missouri ; Multivariate Analysis; Outcome Assessment Health Care methods; Outcome Assessment Health Care standards; Questionnaires standards; Reproducibility of Results; Severity of Illness Index Female; Human; Male; Support, Non U.S. Gov'taThe psychometric properties of the interview and self-report versions of the BASIS-32 were compared. A total of 120 severely mentally ill adults enrolled in psychosocial rehabilitation were randomly assigned to either a self-report or an interview condition. The BASIS-32 had good internal consistency and test-retest reliability on most subscales; coefficients were higher in the self-report condition. Only the interview version of the psychosis subscale had unacceptable internal consistency. Validity correlations were generally good for the symptom subscales but disappointing for the functional domains. The subscale scores did not discriminate between diagnostic subgroups.D>Sep English Comment In: Psychiatr Serv. 1998 Dec;49(12):1621-2'vpMissouri Institute of Mental Health of the University of Missouri School of Medicine, St. Louis 63139-1361, USA.om dental cases. As judged against a semistructured interview, the SDQ was significantly better than the CBCL at detecting inattention and hyperactivity, and at least as good at detecting internalizing and externalizing problems. Mothers of low-risk children were twice as likely to prefer the SDQ. (PsycINFO Database Record (c) 2003 APA )HBDoi 10.1023/a:1022658222914 Peer Reviewed Journal; Empirical Study'd^U London, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]der. The power to detect mood and anxiety disorders of the MHI-5 was better for the 4-week compared with the 12-month diagnoses. The MHI-5 can be recommended to screen for mood disorders. Data have to be confirmed for primary care settings.Dec 31 English\UScienceDirect (tm) http://www.sciencedirect.com/science?10.1016/S0165-1781(01)00329-8c'Department of Psychiatry and Psychotherapy, Medical University of Lubeck, Ratzeburger Allee 160, D-23538 Lubeck, Germany. rumpf.h@psychiatry.mu-luebeck.de>f x0)Rumpf, H. J. Meyer, C. Hapke, U. John, U.c 2001tmScreening for mental health: Validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standardgPsychiatry Research 1053243-253Psychiatry Res 0165-1781 MHI-00015*Mass Screening; Mental Disorders diagnosis; Mental Disorders epidemiology Adolescent ; Adult ; Middle Aged; Psychiatric Status Rating Scales; Questionnaires ; ROC Curve; Reproducibility of Results; Sensitivity and Specificity Human; Support, Non U.S. Gov'tXRShort screening questionnaires for mental health are useful tools for research and clinical practice, e.g. they could play a major role in detecting patients with psychiatric disorders in primary care. The present study tests the validity of the five-item Mental Health Inventory (MHI-5) screening test using DSM-IV Axis I diagnoses as a gold standard and analyzes its performance in different diagnostic groups. A random sample was drawn from the resident registration office files in northern Germany. Personal interviews with a response rate of 70% were conducted. Of the sample, 4036 respondents filled in the MHI-5. DSM-IV diagnoses were assessed using the Munich Composite International Diagnostic Interview (M-CIDI). The area under the receiver operating characteristics curve (AUC) of 0.72 in identifying any DSM-IV Axis I disorder (except substance use) is not satisfying. The MHI-5 revealed best performance for mood (AUC: 0.88) followed by anxiety disorders (AUC: 0.71). Sensitivity and specificity were poor for somatoform and substance use disorders, especially in cases without comorbid mood or anxiety disorder. The power to detect mood and anxiety disorders of the MHI-5 was better for the 4-week compared with the 12-month diagnoses. The MHI-5 can be recommended to screen for mood disorders. Data have to be confirmed for primary care settings.Dec 31 English\UScienceDirect (tm) http://www.sciencedirect.com/science?10.1016/S0165-1781(01)00329-8'Department of Psychiatry and Psychotherapy, Medical University of Lubeck, Ratzeburger Allee 160, D-23538 Lubeck, Germany. rumpf.h@psychiatry.mu-luebeck.de82Rumpf, Hans-Jurgen Lontz, Werner Uesseler, Susanne 2004\VA self-administered version of a brief measure of suffering: First aspects of validity& Psychotherapy and Psychosomatics731c 53-56dJan-Feb*#0033-3190 Electronic ISSN 1423-0348\ MHI-00033*Human; Male; Female; Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Germany Health Attitudes; Psychological Assessment; Skin Disorders; Suffering; Test Validity; Illness Behavior; Quality of Life suffering; test validity; skin disorders; health attitudes; vitiligo; psychological assessment; Pictorial Representation of Illness Measure; SF-36 Health Survey SF-36 Health Survey0)Recently, a new instrument was introduced using a pictorial approach in measuring the perception of suffering caused by illness: the Pictorial Representation of Illness Measure (PRISM). This study introduces a self-administered version of PRISM and provides some first data on its validity. A postal survey was conducted in Ss with the chronic depigmentation disorder vitiligo. Data of 333 respondents completing the PRISM were used for analysis. Besides illness-related measures, psychological variables were assessed with the following instruments: Satisfaction with Life Scale (SWLS), five-item version of the Mental Health Inventory, adaptation of the Skindex- 29, a quality-of-life measure for skin diseases. Only 2.9% did not fill in the PRISM. Self-illness separation correlated as predicted with some illness-related variables. The distance was significantly larger in subjects whose depigmentation was no longer spreading. Significant correlations were also found with mental health (0.50), satisfaction with life (-0.28), perceived impairment of outward appearance (-0.65), and the Skindex subscales 'emotions' (-0.66) and 'functioning' (-0.67). Data suggest that PRISM can be self-administered. Measures of convergent validity confirm the usefulness of the new measure. (PsycINFO Database Record (c) 2004 APA )haDoi 10.1159/000074440 Peer Reviewed Journal; Empirical Study; Quantitative Study; Journal Article'ztDepartment of Psychiatry and Psychotherapy, Lubeck, Germany [Rumpf]; Department of Dermatology, University of Lubeck, Lubeck, Germany [Lontz, Uesseler] Email Address [mailto:h.rumpf@ukl.mu-luebeck.de] Contact Individual Rumpf, Hans-Jurgen, Department of Psychiatry and Psychotherapy University of Lubeck, Ratzeburger Allee 160, DE-23538, [mailto:h.rumpf@ukl.mu-luebeck.de]RLRungreangkulkij, Somporn Chafetz, Linda Chesla, Catherine Gilliss, Catherine 2002NGPsychological morbidity of Thai families of a person with schizophreniai.(International Journal of Nursing Studies391i 35-50n Jan  0020-7489 LSP-00019*Human; Male; Female; Adulthood (18 yrs & older); Thirties (30-39 yrs); Middle Age (40-64 yrs) Thailand Emotional Adjustment; Family; Mothers; Schizophrenia; Stress family stress; psychological morbidity; schizophrenia; mothers; relativesStudied families of persons with schizophrenia in rural Thailand, using the resiliency model of family stress, adjustment, and adaptation. The aim was to assess the impact of family factors on psychological morbidity of the mothers and relatives of persons with schizophrenia. 108 Thai families were interviewed based on family assessment instruments. Multiple regression analysis was performed. The findings suggest that in a stable stage of illness, other stresses of family life may have stronger impact on psychological status of family members, than the illness. Implications for clinical nurses and researchers are presented. (PsycINFO Database Record (c) 2003 APA )NHDoi 10.1016/s0020-7489(01)00005-0 Peer Reviewed Journal; Empirical Study'6/Khon Kaen U, Faculty of Nursing, Dept of Psychiatric & Mental Health Nursing, Khon Kaen, Thailand [Rungreangkulkij]; U California, School of Nursing, Dept of Community Health Systems, San Francisco, CA, US [Chafetz]; U California, School of Nursing, Dept of Family Health Care, San Francisco, CA, US [Chesla]; Yale U, School of Nursing, New Haven, CT, US [Gilliss] Email Address [mailto:somrun@kkul.kku.ac.th] Contact Individual Rungreangkulkij, Somporn, Khon Kaen U, Faculty of Nursing, Dept of Psychiatric & Mental Health Nursing, Khon Kaen, Thailand, 40002;[^Dj nRLWichstrom, Lars Anderson, Ann Martha Chmielewski Holte, Arne Wynne, Lyman C. 1996Disqualifying family communication and childhood social competence as predictors of offspring's mental health and hospitalization: A 10- to 14-year longitudinal study of children at risk of psychopathology,%Journal of Nervous and Mental Disease 18410581-588 Oct 0022-3018 MHI-00029*"Human; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Us Family Relations; Interpersonal Communication; Mental Health; Psychiatric Hospitalization; Social Skills; Anxiety; At Risk Populations; Longitudinal Studies; Offspring disqualifying family communication & child anxiety & social competence; offspring mental health & hospitalization; 30-64 yr old psychiatric inpatients & their 7-10 yr olds; 14 yr studyForty-nine families from the University of Rochester Child and Family Study were followed up 10 to 14 years after initial assessment. Two inclusion criteria were applied: at least one of the parents had been hospitalized for a functional psychiatric disorder before initial assessment and, second, the male index offspring should be 18 years or older at follow-up. Initial measures included observationally based coding of the family's level of disqualifying communication toward the index offspring, index child's scores on the Child Manifest Anxiety Scale, and ratings of the index child's social competence carried out by peers, teachers, and parents. Offspring outcome was measured by the Mental Health Inventory, Global Assessment Scale (GAS), and hospitalization for psychiatric disorder. The results showed that every measure of offspring outcome was predicted by the amount of disqualification directed to the offspring from the other family members. In addition, GAS score and mental health were predicted by the offspring's competence as a child. Family disqualification, childhood competence, and socioeconomic status accounted for 63% of the variance in adult GAS scores. (PsycINFO Database Record (c) 2003 APA ) (journal abstract)f_Doi 10.1097/00005053-199610000-00001 Peer Reviewed Journal; Empirical Study; Longitudinal Study'\UNorwegian U of Science & Technology, Dept of Psychology, Dragvoll, Norway [Wichstrom] Wilcock, A. 2001:4The use of HoNOS in a low secure in-patient setting.81The Approach. Care Programme Approach Associationi19 15-16} not available& Wilkins, Linda P. White, Mark B. 2001Interrater reliability and concurrent validity of the Global Assessment of Relational Functioning (GARF) Scale using a card sort method: A pilot studyFamily Therapy283;157-170a 0091-6544A BAS-00044lF?Human; Male; Female; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Thirties (30-39 yrs); Middle Age (40-64 yrs) Family Relations; Interrater Reliability; Rating Scales; Test Validity interrater reliability; concurrent validity; Global Assessment of Relational Functioning Scale; GARF"Examined the interrater reliability and concurrent validity of the Global Assessment of Relational Functioning (GARF) Scale after providing raters with a point-specific vignette associated with each quintile. The vignettes were arranged on color-coded cards with the corresponding GARF quintile description, and were used by 7 raters to rate 28 couples or families (all Ss aged 14-54 yrs) who presented for therapy at a university-based marriage and family therapy (MFT) clinic. Interrater reliability was evaluated between GARF scores assigned to master's level MFT student therapist interns at the conclusion of the initial sessions and those assigned to videotapes of the sessions by 2 additional raters (an MFT extern and an undergraduate student). Modest interrater reliability was demonstrated. Concurrent validity was examined with several self-report inventories. Evidence for the validity of the GARF was obtained. Results show that the GARF scale with additional anchor points demonstrated moderate interrater reliability. Concurrent validity was present between the GARF and self-report measures. The authors state that future use of the GARF may be benefited by providing a standardized vignette that illustrates the midpoint score of each GARF quintile. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'The Pastoral Inst, Columbus, GA, US [Wilkins] Contact Individual White, Mark B, 303 Justin Hall, Kansas State U, Manhattan, KS, US, 66506eWilkinson, Ross B. 1995|uChanges in psychological health and the marital relationship through childbearing: Transition or process as stressor?& Australian Journal of Psychology472v 86-92l Aug 0004-9530 MHI-00044Human; Adulthood (18 yrs & older) Distress; Marital Satisfaction; Pregnancy; Well Being childbearing; psychological well being & distress & marital dissatisfaction; 23-51 yr old primiparous vs multiparous females vs malesExamined the effects of childbearing on the psychological well-being, distress, and marital dissatisfaction in primiparous and multiparous individuals. 107 females (aged 23-41 yrs) and 103 males (aged 24-51 yrs) rated their dissatisfaction with their spouse, and completed the Mental Health Inventory in the 2nd and 3rd trimesters of pregnancy, and 3 mo postpartum. Results show that multiparous Ss reported higher levels of distress and lower levels of well-being than primiparous Ss. There was a general increase in distress and decrease in well-being, particularly in the postnatal period, with no differential effect for either parity or sex. However, self-reported spouse dissatisfaction increased significantly more for 1st time mothers than for any other group. Findings suggest that the process of childbearing has a deleterious effect on psychological health irrespective of whether the individual is an experienced parent or not. (PsycINFO Database Record (c) 2003 APA ),&Peer Reviewed Journal; Empirical Study'hbAustralian National U, Faculty of Science, Div of Psychology, Canberra, ACT, Australia [Wilkinson]Winefield, Helen R. 2000|vStress reduction for family caregivers in chronic mental illness: Implications of a work stress management perspective0*International Journal of Stress Management7r3 193-207n Jule 1072-5245  LSP-00054m*#Human Caregiver Burden; Caregivers; Industrial and Organizational Psychology; Stress Management; Well Being; Schizophrenia; Theories organizational psychology perspective on well being & stress reduction for family caregivers of schizophrenia sufferers & principles of work stress management,In several studies involving a total of 291 family caregivers for schizophrenia sufferers, the stressors that arise from caregiving were identified. Also identified were the outcomes for caregivers, which often include psychological distress. Caregivers develop various stress-reduction techniques, but this article explores the use of applying the principles of work stress management to caregiver well-being. An organizational psychology perspective suggests that a comprehensive focus must include not only how individuals can learn to manage the emotional demands of their work, but also how the work of caregiving can be made less stressful for them. Suggestions from a work stress management perspective highlight the possible contributions of worker participation in policy formulation and a collaborative relationship between family and professional caregivers. Potentially fruitful research directions are noted. (PsycINFO Database Record (c) 2003 APA )81Doi 10.1023/a:1009566231620 Peer Reviewed Journal'JCU Adelaide, Dept of Psychiatry, Adelaide, SA, Australia [Winefield]~JxrShapiro, David A. Barkham, Michael Stiles, William B. Hardy, Gillian E. Rees, Anne Reynolds, Shirley Startup, Mike 2003`YTime is of the essence: A selective review of the fall and rise of brief therapy researchi>7Psychology & Psychotherapy: Theory, Research & Practicef763t211-235f Sepy2004-10038-001 HON-00066*^X*Brief Psychotherapy; *Experimentation; *Psychotherapeutic Outcomes; *Treatment DurationTMFor compelling reasons of equity and the advance of public health, brief psychotherapy has become the dominant format in both practice and research. One consequence of this is the apparent decline of a distinct stream of brief therapy research. However, much of the agenda formerly identified with that research stream is of increasing importance to the field. Time is indeed of the essence in current psychotherapy research. For example, factors conducive to the time efficiency of brief psychodynamic therapy have been described recently. The important question 'How much therapy is enough?' has been addressed by studies inspired by the dose-response analysis of Howard and colleagues. The value of ultra-brief interventions has been examined. These issues are considered in a selective review, drawing in particular on the work of the Sheffield/Leeds psychotherapy of depression research group. This research treats the number of treatment sessions as an independent variable, thereby providing a causal analysis of the dose-response relationship over a range from two to 16 sessions, illuminated by a comparative analysis of change processes in treatments of different durations. Its results enable some specification of the extent and nature of incremental benefit derived from additional... (PsycINFO Database Record (c) 2004 APA ) (journal abstract)Englishhttp://www.bps.org.uk*$Sharma, V. K. Wilkinson, G. Fear, S. 1999NGHealth of the Nation Outcome Scales: A case study in general psychiatryo$British Journal of Psychiatryu 174\ 395-8 Mayy10616603 HON-00053zt*Community Mental Health Services organization and administration; *Health Status Indicators; *Mental Disorders therapy; *Outcome Assessment Health Care; *Patient Care Team; *Psychiatric Status Rating Scales standards Adolescent ; Adult ; Cohort Studies; England ; Feasibility Studies; Middle Aged; Multivariate Analysis organization and administration; therapy; standardsxrBACKGROUND: Health of the Nation Outcome Scales (HoNOS) were incorporated in a data set recording the routine clinical activities of a mental health team in Liverpool. AIMS: To evaluate the use of HoNOS in general adult psychiatry. METHOD: All consecutive patients who came in contact with the mental health team were administered HoNOS by the consultant psychiatrist. A cohort (n = 204) of patients was identified over a period of 8 months. All patients (n = 156) who had a repeat HoNOS after an interval of 6 months were included in the study. RESULTS: There was an overall reduction in HoNOS scores after an interval of 6 months, more so among patients with psychotic and affective disorders. Patients scoring on other disorders showed no change on HoNOS. The measured change in clinical state based on the Clinical Global Impression scale was broadly consistent with HoNOS scores. CONCLUSIONS: It was feasible to administer HoNOS during routine assessments, but HoNOS data were of limited value in care-planning in day-to-day clinical practice. The widespread adoption of HoNOS for use in routine clinical practice would be premature.xq0007-1250 English Comment In: Br J Psychiatry. 1999 May;174:375-7 Comment In: Br J Psychiatry. 2000 Apr;176:392-5'.'University Hospital Aintree, Liverpool..ndon, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]$Goodman, Robert Scott, Stephen 1999rlComparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: Is small beautiful?*$Journal of Abnormal Child Psychology271D 17-24r Febe 0091-0627t SDQ-00029*Human; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs) England Behavioral Assessment; Child Behavior Checklist; Screening Tests; Statistical Validity; Test Validity; At Risk Populations; Mental Disorders; Prosocial Behavior; Psychiatric Patients; Psychopathology predictive validity of Strengths & Difficulties Questionnaire vs Child Behavior Checklist in ability to distinguish high vs low risk samples; 4-7 yr olds from psychiatric vs dental clinicsThe Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening questionnaire that can be completed in 5 min by the parents or teachers of children aged 4-16 yrs; there is a self-report version for 11-16 yr olds. In this study, mothers completed the SDQ and the Child Behavior Checklist (CBCL) on 132 children (aged 4-7 yrs) drawn from psychiatric (high risk Ss) and dental clinics (low risk Ss). The predictive validity of the 2 questionnaires was examined by establishing how well each questionnaire was able to distinguish between the low- and high-risk samples. Scores from the SDQ and CBCL were highly correlated and equally able to discriminate psychiatric from dental cases. As judged against a semistructured interview, the SDQ was significantly better than the CBCL at detecting inattention and hyperactivity, and at least as good at detecting internalizing and externalizing problems. Mothers of low-risk children were twice as likely to prefer the SDQ. (PsycINFO Database Record (c) 2003 APA )HBDoi 10.1023/a:1022658222914 Peer Reviewed Journal; Empirical Study'd^U London, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman] ("Goodman, R. Meltzer, H. Bailey, V. 1998lfThe Strengths and Difficulties Questionnaire: A pilot study on the validity of the self-report version.(European Child and Adolescent Psychiatry7c3d125-130 Sepd*#1018-8827 Electronic ISSN 1435-135Xi SDQ-00018*PIHuman; Male; Female; Childhood (birth-12 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) England Behavioral Assessment; Mental Disorders; Self Report; Test Validity validity of self-report version of the Strengths and Difficulties Questionnaire; positive & negative attributes; 11-16 yr olds attending a mental health clinicngThe self-report version of the Strengths and Difficulties Questionnaire (SDQ), a measure of positive and negative attributes, was administered to 2 samples of 11-16 yr olds: 83 young people in the community and 116 young people attending a mental health clinic. The questionnaire discriminated satisfactorily between the 2 samples. For example, the clinic mean for the total difficulties score was 1.4 standard deviations above the community mean, with clinic cases being over 6 times more likely to have a score in the abnormal range. The correlations between self-report SDQ scores and teacher- or parent-rated SDQ scores compared favourably with the average cross-informant correlations in previous studies of a range of measures. The authors conclude that the self-report SDQ appears promising and warrants further evaluation. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s007870050057 Peer Reviewed Journal; Empirical Study'\VInst of Psychiatry, Dept of Child and Adolescent Psychiatry, London, England [Goodman]Goodman, Robert  1999The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden HAJournal of Child Psychology and Psychiatry and Allied Disciplines405t791-799t Juln 0021-9630i SDQ-00030*Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Scotland; England Behavior Problems; Mental Disorders; Questionnaires; Test Forms; Test Validity; Distress; Family Relations; Psychiatric Symptoms; Screening Tests; Social Skills extended version of behavioral screening Strengths and Difficulties Questionnaire; assessment of psychiatric caseness & chronicity & distress & social impairment & family burden; 5-15 yr olds 82The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening questionnaire that asks about children's and teenagers' symptoms and positive attributes; the extended version also includes an impact supplement that asks if the respondent thinks the young person has a problem, and if so, enquires further about chronicity, distress, social impairment, and burden for others. Closely similar versions are completed by parents, teachers, and young people aged 11 yrs or more. The validation study involved 2 groups of 5-15 yr olds: a community sample (467 Ss) and a psychiatric clinic sample (232 Ss). The 2 groups had markedly different distributions on the measures of perceived difficulties, impact (distress plus social impairment), and burden. Impact scores were better than symptom scores at discriminating between the community and clinic samples; discrimination based on the single "Is there a problem?" item was almost as good. The SDQ burden rating correlated well with a standardized interview rating of burden. For clinicians and researchers with an interest in psychiatric caseness and the determinants of service use, the impact supplement of the extended SDQ appears to provide useful additional information without taking up much more of respondents' time. (PsycINFO Database Record (c) 2003 APA )JDDoi 10.1017/s0021963099004096 Peer Reviewed Journal; Empirical Study'd^U London, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]$Goodman, Robert Scott, Stephen 1999rlComparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: Is small beautiful?*$Journal of Abnormal Child Psychology271D 17-24r Febe 0091-0627t SDQ-00029*Human; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs) England Behavioral Assessment; Child Behavior Checklist; Screening Tests; Statistical Validity; Test Validity; At Risk Populations; Mental Disorders; Prosocial Behavior; Psychiatric Patients; Psychopathology predictive validity of Strengths & Difficulties Questionnaire vs Child Behavior Checklist in ability to distinguish high vs low risk samples; 4-7 yr olds from psychiatric vs dental clinicsThe Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening questionnaire that can be completed in 5 min by the parents or teachers of children aged 4-16 yrs; there is a self-report version for 11-16 yr olds. In this study, mothers completed the SDQ and the Child Behavior Checklist (CBCL) on 132 children (aged 4-7 yrs) drawn from psychiatric (high risk Ss) and dental clinics (low risk Ss). The predictive validity of the 2 questionnaires was examined by establishing how well each questionnaire was able to distinguish between the low- and high-risk samples. Scores from the SDQ and CBCL were highly correlated and equally able to discriminate psychiatric from dental cases. As judged against a semistructured interview, the SDQ was significantly better than the CBCL at detecting inattention and hyperactivity, and at least as good at detecting internalizing and externalizing problems. Mothers of low-risk children were twice as likely to prefer the SDQ. (PsycINFO Database Record (c) 2003 APA )HBDoi 10.1023/a:1022658222914 Peer Reviewed Journal; Empirical Study'd^U London, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]*#Goodman, R. Renfrew, D. Mullick, M.  2000Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka.(European Child and Adolescent Psychiatry9t2o129-134d Jund*#1018-8827 Electronic ISSN 1435-135X SDQ-00019*2+Human; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Adolescence (13-17 yrs) Bangladesh; England Computer Assisted Diagnosis; Psychiatric Symptoms computerized algorithm for predicting diagnosis; 4-16 yr olds with psychiatric disorders; England & BangladeshPA computerized algorithm was developed to predict child psychiatric diagnoses on the basis of the symptom and impact scores derived from Strengths and Difficulties Questionnaires (SDQs) completed by parents, teachers and young people. The predictive algorithm generates "unlikely", "possible" or "probable" ratings for 4 broad categories of disorder, namely conduct disorders, emotional disorders, hyperactivity disorders, and any psychiatric disorder. The algorithm was applied to patients attending child mental health clinics in Britain (101 Ss aged 4-16 yrs) and Bangladesh (89 Ss aged 4-16 yrs). The level of chance-corrected agreement between SDQ prediction and an independent clinical diagnosis was substantial and highly significant. A "probable" SDQ prediction for any given disorder correctly identified 81-91% of the children who definitely had that clinical diagnosis. There were more false positives than false negatives, i.e. the SDQ categories were overinclusive. It is concluded that the algorithm appears to be sufficiently accurate and robust to be of practical value in planning the assessment of new referrals to a child mental health service. (PsycINFO Database Record (c) 2003 APA )F@DOI 10.1007/s007870050008 Peer Reviewed Journal; Empirical Study'f`Kings Coll, Inst of Psychiatry, Dept of Child & Adolescent Psychiatry, London, England [Goodman]n0w HALindsey, Caroline Frosh, Stephen Loewenthal, Kate Spitzer, Esther  2003tnPrevalence of emotional and behavioural disorders among strictly orthodox Jewish pre-school children in London.(Clinical Child Psychology and Psychiatry84`459-472 Octa 1359-1045a SDQ-00051aHuman; Male; Female; Childhood (birth-12 yrs); Preschool Age (2-5 yrs) United Kingdom Behavior Disorders; Emotionally Disturbed; Epidemiology; Human Sex Differences; Jews; Child Psychiatry; Minority Groups; Parental Attitudes; Parents; Teacher Attitudes preschool age children; orthodox Jewish community; rates of emotional and behavioral disorder; predictors; gender differences; parent rating; teacher rating6/Although the frequency and importance of emotional and behavioural difficulties in the pre-school period are well established in the general population, relatively little is known about the situation among members of some specific minority groups. This article reports data from a study of 262 children living in the strictly orthodox Jewish community of North London, whose teachers and parents completed the Strengths and Difficulties Questionnaire. Rates of emotional and behavioural disorder, comparisons between parents' and teachers' ratings, predictors of difficulties, gender differences and a comparison with data from a general community sample are provided. The community is characterized by considerable family cohesion, with the overwhelming majority of children living with both parents. It is also characterized by very large family sizes and high levels of economic privation. Our data show that teachers are more likely than parents to rate these pre-school children as having difficulties, especially of the "hyperactive" kind, and that the levels of such difficulties are probably epidemiologically significant. There is some evidence that the strictly orthodox Jewish children had lower rates of disorder than is found in the general population... (PsycINFO Database Record (c) 2003 APA ) (journal abstract)\UDoi 10.1177/13591045030084004 Peer Reviewed Journal; Empirical Study; Journal Article'Tavistock Clinic, London, United Kingdom [Lindsey]; Birkbeck College, University of London, London, United Kingdom [Frosh]; Royal Holloway, University of London, London, United Kingdom [Loewenthal] Email Address [mailto:s.frosh@bbk.ac.uk] Contact Individual Frosh, Stephen, Centre for Psychosocial Studies, School of Psychology, Birkbeck College, Malet Street, London, United Kingdom, WC1E 7HX, [mailto:s.frosh@bbk.ac.uk] Link, B. et al.t 2003Part II. Socioeconomic Disparities in Mental Health and Mental Disorder. Section A. Fundamental Cause vs. Mechanism-Based ModelsrkSocioeconomic Conditions, Stress and Mental Disorders: Toward a New Synthesis of Research and Public PolicyUSA-MHS-00027*The papers in this collection examine recent research on relationships among socio-economic conditions, mental health, and mental disorder. They focus either on the social stress process as a mechanism in these relationships-- exposure to stress and the use of personal and social resources in coping with stress-- or on the influence of the larger context(s) on the way this mechanism works-- in particular, the socio-economic conditions of peoples lives and the settings in which they interact with others. Obstacles to translating basic knowledge into efficacious preventive strategies, and efficacious strategies into effective population and service interventions, are explored throughoutHBLittlefield, Christine Abbey, Susan Fiducia, Denise Cardella, Carl 1996NHQuality of life following transplantation of the heart, liver, and lungs"General Hospital Psychiatrye186 Suppl36S-47S Nov 0163-8343 MHI-00025*Human; Adulthood (18 yrs & older) Heart; Liver; Lung; Organ Transplantation; Quality of Life; Tissue Donation quality of life following transplantation; patients who received heart vs lung vs liver transplant6/Describes the quality of life of patients who have received a transplant of the heart, liver, and lungs. The authors document how the different patient groups fared in relation to each other with respect to physical, psychological, and social functioning as well as in relation to published normative data. A questionnaire was mailed and responses received from 55 heart, 149 liver, and 59 lung transplant recipients. Measures included the SF-36, Mental Health Inventory, a quality of life measure that rated degree of improvement since transplantation, a measure of degree of difficulty in following medical and lifestyle regimens, sleep disturbance, and the Illness Intrusiveness Rating Scale. Lung transplant Ss reported better functioning than heart or liver transplant patients in all 3 domains of physical, psychological, and social functioning. Lung recipients' level of functioning was equivalent to or better than published norms for the SF-36. Heart and liver recipients reported equivalent functioning to published norms in some domains, but reported impairment in the areas of physical and social functioning. Heart patients especially reported greater intrusiveness of their illness on their daily lives and indicated more difficulty complying with their lifestyle regimen. (PsycINFO Database Record (c) 2003 APA )f,&Peer Reviewed Journal; Empirical Study'81U Toronto, Toronto Hosp, ON, Canada [Littlefield];+75-./1423v2+Australian Institute of Health and Welfare,  2002$Certified Agreement 2002-2005uAUS-AIH-00002* 2+Australian Institute of Health and Welfare,a 2003F@Community mental health establishments National Minimum Data Set :4Canberra, Australian Institute of Health and WelfareAUS-AIH-00003* 2+Australian Institute of Health and Welfare,e 2003Admitted patient mental health care National Minimum Data Set. National Health Data Dictionary, Version 12. AIHW Cat. No. HWI 49. :4Canberra: Australian Institute of Health and WelfareAUS-AIH-00001* RKAustralian Institute of Health and Welfare, National Health Data Committee,3 20032+National Health Data Dictionary, Version 12r Canberra 0*Australian Institute of Health and Welfare 2+Australian Institute of Health and Welfare,s 2003tmCommunity mental health establishments National Minimum Data Set. National Health Data Dictionary. Version 12\ Canberra 0*Australian Institute of Health and WelfareAUS-AIH-00003* 2+Australian Institute of Health and Welfare,V 2003jcCommunity mental health care National Minimum Data Set. National Health Data Dictionary. Version 12h Canberra 0*Australian Institute of Health and WelfareAUS-AIH-00003* 2+Australian Institute of Health and Welfare,i 2004Community mental healthcare 200001. Review of data collected under the National Minimum Data Set for Community Mental Health Care :4Canberra, Australian Institute of Health and WelfareAUS-AIH-00004* 2+Australian Institute of Health and Welfare,l 20042+Mental health services in Australia 200102u :4Canberra, Australian Institute of Health and WelfareAUS-AIH-00005* 82Australian Institute of Health and Welfare (AIHW), 20034-National Health Information Model. Version 2.0 Canberra: AIHWAUS-AIH-00006* 82Australian Institute of Health and Welfare (AIHW), 2004HBMEDIA RELEASE - 3.4 Million GP consultations a year for depression Canberra: AIHWAUS-AIH-00007*82Australian Institute of Health and Welfare (AIHW), Yearb[AIHW Ethics Committee - Guidelines for the Preparation of Submissions for Ethical ClearanceaAUS-AIH-00008~D=Australian Mental Health Outcomes and Classification Network,  2004F@National Outcomes and Casemix Collection: Users Reference ManualAUS-NOC-00007* D=Australian Mental Health Outcomes and Classification Network,  2004& AMHOCN Joint Work Plan 2004-2005 AMH-00003* D=Australian Mental Health Outcomes and Classification Network, 20042,Stakeholder Consultations 2004. Presentation AMH-00001* D=Australian Mental Health Outcomes and Classification Network,t 2005TNChild and Adolescent National Outcomes and Casemix Collection Standard Reports Melbourne/Brisbane/Sydney D=Australian Mental Health Outcomes and Classification Network,l 2005NGOlder Persons National Outcomes and Casemix Collection Standard Reportsl Melbourne/Brisbane/Sydneyl D=Australian Mental Health Outcomes and Classification Network,S 2005F?Adult National Outcomes and Casemix Collection Standard Reportsl Melbourne/Brisbane/Sydney .(Australian Rehabilation Outcomes Centre, YearhbAustralian Rehabilitation Outcomes Centre (AROC) Subscription Form Organisations Submitting Data 0)Australian Rehabilitation Outcomes CentreXAUS-ARO-00002*\VAverill, Patricia M. Hopko, Derek R. Small, David R. Greenlee, Helen B. Varner, Roy V. 2001^WThe role of psychometric data in predicting inpatient mental health service utilizationbPsychiatric Quarterlyb723b215-235 Falt 0033-2720p LSP-00023*(!Human; Inpatient; Adulthood (18 yrs & older) Us Health Care Utilization; Mental Health Services; Prediction; Psychiatric Hospital Readmission; Psychometrics; Psychiatric Patients psychometric data; mental health service utilization prediction; readmission; psychiatric hospital inpatientsExamined the potential usefulness of psychometric data in predicting mental health service utilization. The sample consisted of 131 patients (mean age 35.9 yrs) hospitalized during an index period of 8 mo at an acute-care psychiatric hospital. Number of readmissions was recorded in a 9 mo post-index period. Measures completed during the index admission included the Brief Psychiatric Rating Scale-Anchored (BPRS-A), Symptom Checklist-90-Revised (SCL-90-R), Kaufman Brief Intelligence Test, and the Beck Depression Inventory (BDI). Results indicate that psychometric data accounted for significant variance in predicting past, present and future mental health service utilization. The BPRS-A, SCL-90-R, and BDI show particular promise as time efficient psychometric screening instruments that may better enable practitioners to identify patients proactively who are at increased risk for rehospitalization. Implications are discussed with regard to patient-treatment matching and discharge planning. (PsycINFO Database Record (c) 2003 APA )rHBDoi 10.1023/a:1010396831037 Peer Reviewed Journal; Empirical Study'PIU Texas, Houston Harris County Psychiatric Ctr, Houston, TX, US [Averill]n, US [Nelson, Zeh]; Boston Medical Ctr/HealthNet Plan, Boston, MA, US [Bennett] Email Address [mailto:deborah.nelson@beaconhs.com] Contact Individual Nelson, Deborah, Beacon Health Strategies, LLC, 500 Unicorn Park, Woburn, MA, US, 01801, [mailto:deborah.nelson@beaconhs.com] ,%New South Wales Department of Health,t 2001:3A framework for Building capacity to improve healthdAUS-NSW-00002*www.health.nsw.gov.au\4-Newcomer, Robert Swan, James Karon, Sarita L.n 200181Residential care supply and nursing home case mixr Schwarz, Benyamin *#Assisted living: Sobering realitiesr  New York, NY Haworth Press, Inc 57-660789014432 (paperback) RUG-00021Us Aging; Long Term Care; Nursing Homes; Policy Making; Residential Care Institutions residential care; assisted living; nursing homes; long-term care; state policy; industry practice; nursing home case mixrk(From the chapter) An evolution is occurring in state policy and industry practices relative to assisted living and expanded use of residential care facilities (RCFs) for persons with physical and cognitive frailty. This article summarizes an analysis of the relationships between this housing supply and nursing home case mix. The OnLine Survey, Certification, and Reporting System and the Minimum Data Set were used to determine facility, resident, and community characteristics in 5 states (Kansas, Maine, Mississippi, Ohio and South Dakota). The findings raise caution about the optimistic assumptions of the interplay between RCF policy and nursing home use. The proportion of nursing home cases with only physical and cognitive impairment likely to be affected by emerging long-term care policy appears to be much less than 25%. (PsycINFO Database Record (c) 2003 APA )r:3Target Audience Psychology: Professional & Researchi'U California, San Francisco, CA, US [Newcomer]; Wichita State U, Wichita, KS, US [Swan]; U Wisconsin, Madison, WI, US [Karon] Email Address [mailto:rjn@itsa.ucsf.edu] JD&/Muris, P. Maas, A. 2004Strengths and difficulties as correlates of attachment style in institutionalized and non-institutionalized children with below-average intellectual abilities,&Child Psychiatry and Human Development34317-328 SDQ-00043*zThe current study examined attachment style, strengths, and difficulties in institutionalized and non-institutionalized children with below-average intellectual abilities. Parents/caregivers and teachers of the children completed a brief measure of attachment style and the Strengths and Difficulties Questionnaire, which assesses the most important domains of child psychopathology (i.e., emotional symptoms, conduct problems, hyperactivity-inattention, and peer problems) as well as personal strengths (i.e., prosocial behavior). Results indicated that institutionalized children were more frequently insecurely attached and generally displayed higher levels of difficulties and lower levels of strengths than non-institutionalized children. Furthermore, within both groups of children, insecure attachment status was linked to higher levels of difficulties but lower levels of strengths.>7Najavits, Lisa M. Crits-Christoph, Paul Dierberger, AmyC 2000LEClinicians' impact on the quality of substance use disorder treatmentSubstance Use & Misuse35 12-14 2161-2190Oct-Dec2000-14313-019 MIS-00012TN*Counselor Characteristics; *Drug Rehabilitation; *Treatment Outcomes; ClientsReviews literature concerning the impact of clinicians on substance use disorder treatment. Key issues include clinicians' effect on treatment retention and outcome, professional characteristics, recovery status, adherence to protocols, countertransference, alliance, personality, beliefs about treatment, and professional practice issues. Suggestions for improving treatment through improved clinician effects include: (1) selecting clinicians based on their track record; (2) providing more support to clinicians; (3) improving dissemination of empirically based knowledge; (4) assessing clinician variables more broadly; (5) viewing clinicians as a key to improved treatment; (6) establishing success criteria; (7) educating clinicians outside of the substance use disorder field; (8) educating consumers of care; and (9) targeting clinicians for interventions. (PsycINFO Database Record (c) 2003 APA )Englishhttp://www.dekker.com *#Nation Mental Health Working Group, 1997*$National Standards for Mental Health 0)Commonwealth of Australia, Canberra, 1997aAUS-COM-00005* ,%National Mental Health Working Group,b 1999Mental Health Information Development: National Information Priorities and Strategies under the Second National Mental Health Plan 1998-2003 Canberra 6/Commonwealth Department of Health and Aged Carea ,%National Mental Health Working Group,b 2003Mental Health National Outcomes and Casemix Collection: Technical Specification of State and Territory Reporting Requirements for the Outcomes and Casemix Components of 'Agreed Data', Version 1.50c Canberra 2,Commonwealth Department of Health and AgeingNeale, MS Rosenheck, RAe 1995PJTherapeutic alliance and outcome in a VA intensive case management programPsychiatric Services467719-721 OUT-MH-000582,Nelson, Deborah Zeh, Donna Bennett, Kathleen 2001HBHigh-risk Medicaid enrollees and a community-based support program (!Dickey, Barbara Sederer, Lloyd I.l:3Improving mental health care: Commitment to qualitys Washington, DC *$American Psychiatric Publishing, Inc265-274c0880489634 (paperback) BAS-00037Us At Risk Populations; Community Mental Health Services; Health Care Costs; Medicaid; Quality of Care; Mental Disorders; Quality of Life at risk consumers; Medicaid; community based support program; quality of life; health plan costs.'(From the chapter) This chapter focuses on high-risk Medicaid enrollees and a community-based support program. At-risk consumers are frequently not identified early. As a result, their care may be disorganized and inappropriate. Consequences of not identifying at-risk consumers early include multiple (preventable) hospitalizations, poorer outcomes, decreased quality of life, and increased health plan costs. Furthermore, consumers, consumer advocates, and health experts are unanimous in their contention that the more restrictive, intensive, and costly environment of psychiatric hospitals should be employed only as a last resort and that consumers are often better served when able to be safely supported in less restrictive settings. Information about at-risk health plan members comes from a wide variety of sources: screening tools, claims data, chart review data, and provider reports. These disaggregate data sources are not designed to promote proactive, systematic identification of high-risk members. Each source typically captures only some of the information needed; for example, administrative data, such as claims data, are easy to access and include reimbursement information but do not yield adequate information about functional outcome and clinical status. (PsycINFO Database Record (c) 2003 APA ):3Target Audience Psychology: Professional & Research'>7Beacon Health Strategies, Woburn, MA, US [Nelson, Zeh]; Boston Medical Ctr/HealthNet Plan, Boston, MA, US [Bennett] Email Address [mailto:deborah.nelson@beaconhs.com] Contact Individual Nelson, Deborah, Beacon Health Strategies, LLC, 500 Unicorn Park, Woburn, MA, US, 01801, [mailto:deborah.nelson@beaconhs.com] ,%New South Wales Department of Health,t 2001:3A framework for Building capacity to improve healthdAUS-NSW-00002*www.health.nsw.gov.au\4-Newcomer, Robert Swan, James Karon, Sarita L.n 200181Residential care supply and nursing home case mixr Schwarz, Benyamin *#Assisted living: Sobering realitiesr  New York, NY Haworth Press, Inc 57-660789014432 (paperback) RUG-00021Us Aging; Long Term Care; Nursing Homes; Policy Making; Residential Care Institutions residential care; assisted living; nursing homes; long-term care; state policy; industry practice; nursing home case mixrk(From the chapter) An evolution is occurring in state policy and industry practices relative to assisted living and expanded use of residential care facilities (RCFs) for persons with physical and cognitive frailty. This article summarizes an analysis of the relationships between this housing supply and nursing home case mix. The OnLine Survey, Certification, and Reporting System and the Minimum Data Set were used to determine facility, resident, and community characteristics in 5 states (Kansas, Maine, Mississippi, Ohio and South Dakota). The findings raise caution about the optimistic assumptions of the interplay between RCF policy and nursing home use. The proportion of nursing home cases with only physical and cognitive impairment likely to be affected by emerging long-term care policy appears to be much less than 25%. (PsycINFO Database Record (c) 2003 APA )r:3Target Audience Psychology: Professional & Researchi'U California, San Francisco, CA, US [Newcomer]; Wichita State U, Wichita, KS, US [Swan]; U Wisconsin, Madison, WI, US [Karon] Email Address [mailto:rjn@itsa.ucsf.edu]