I n 1996 the Joint Commission onAccreditation of Health Care Organizations began monitoring sentinel events of patient falls. An analysis of fatal falls indicated that, of 22 fatal falls, four (18%) involved psychiatric patients in various psychiatric facilities and the rest occurred in general hospitals and long-term-care facilities (1). However, 17 (77%) of the 22 patients had an impaired mental
Adolescent drug and alcohol use is a major public health problem. Multiple studies indicate that substance use is a risk factor for physical and mental disorders in adolescents. Secondary schools and the communities they serve have been facing a long-standing problem of substance abuse.
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