235the newly admitted patient is more prone to elope. While the assault rate is lower than expected, and seems not to support the relationship between patients' age and length of hospitalization and assaults, it must be remembered that dist,urbed patients from this building are usually transferred to building 7.The major implication of these results is that temporal and demographic variables should be considered when assigning patients to a given building treatment program. Such assignments could allow increased supervision of patients who are more likely to be involved in the critical incidents. While from a therapeutic viewpoint, building transfer may be undesirable, such assignments might reduce the likelihood of the patient doing harm to himself or others.Service cunriection. Table 1 shojvs that only the incidence of elopements was significantly related to this variable. Patients who had service connected disabilities tended to elope more frequently than those whose disabilities were not service connected. A possible explanation of this result is that the veteran with a non-service connected disability might fear that he will not be readmitted upon his return, whereas the service connected patient does not have this fear.SUMMARXThis study iiivest,igated the temporal aiid demographic correlates of assault, injury, and elopement, as examples of what might be considered as "critical incidents" in a neuropsychiatric hospital. The data on a number of temporal and deniographic variables were found to be related to the occurrence of assaults, iiijury, and elopements. In general, it is the younger, more acutely disturbed, and more recently hospitalized patient who is involved in the critical incident. A t the other extreme, it is the older, more chronic, aiid cont,inually hospitalized patient who is infrequently involved in the critical incident.These results ivere discussed in terms of the standard dichottomy of psychiatric diagnosis, chronic versus acute disturbance. Although it is the younger, more acutely disturbed patient who has the best prognosis for recovery, and is therefore given the most intensive treatment program, it is this same patient who is most often involved in a critical incident. It was suggested that the hospital programmed for intensive rehabilitation may need a larger and more thoroughly trained staff, not only for the treatment program itself, but to aid in the prevention of critical incidents. PROBLEMconsistently demonstrating that social class and ethnic-cultural factors covary with incidence and treatment of psychiatric illness. The present investigators share the view of Hollingshead and Redlich that the attitudes and values of patients are an integral part of the demonstrated correlations. We mould go further and suggest that attitudes are the clinically useful mediating factors in the correlations between social class variables and phenomena of treatment.
Utilization by Mexican Americans of Mental Facilities of a Barrio area neighborhood health center, and demographic and symptom characteristics of this population were investigated. The findings suggest that contrary to other studies this program was able to reach a high risk Mexican American population frequently missed by mental health programs. The barrio location, the relationship to a neighborhood health clinic and a large proportion of Spanish speaking and local personnel, seemed to be factors in this result. The patients tended to be young adult women with marital problems, somatic complaints and depressive symptoms.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.