Services Received by Maryland Residents in Facilities Directed by a Psychiatrist: First Year of a State Case Register

Ak, Bahnl; Gorwitz, K; Gd, Klee; Kramer, Morton; Tuerk, I

doi:10.2307/4592438

Cited by 16 publications

(4 citation statements)

References 11 publications

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“…The corresponding ratios for private mental hospitals were 640; for general hospitals with psychiatric services, 5Patient care episodes were converted to unduplicated numbers of persons by multiplying the episodes by a factor of .81. This is an approximate factor derived from studies of the Maryland Psychiatric Case Register which indicated that every case in the register had an average of 1.23 episodes of care per year in a universe of services that was similar in composition to the universe used in the determination of patient care episodes for the United States (Bahn, Gorwitz, Klee, Kramer, & Tuerk, 1965). Copyright American Psychological Association.…”

Section: Type Of Facilitymentioning

confidence: 99%

Patterns of use of psychiatric facilities by the aged: Past, present, and future.

Kramer¹,

Taube²,

Redick³

1973

The Psychology of Adult Development and Aging.

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State and County Mental Hospitals 1946-66 Historical background Changes in the total resident population Changes specific for age and diagnosis Outpatient clinics Day care services Community mental health centers Halfway houses Psychiatric services in general hospitals Nursing homes Utilization of other facilities 1955-68 Morton Kramer received his ScD in hygiene (biostatistics) from Johns Hopkins University in 1934. He is currently Chief of the Biometry Branch of the National Institute of Mental Health. He formerly served as statistician in the

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Section: Type Of Facilitymentioning

confidence: 99%

Patterns of use of psychiatric facilities by the aged: Past, present, and future.

Kramer¹,

Taube²,

Redick³

1973

The Psychology of Adult Development and Aging.

Self Cite

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“…However, they reflect one county only and are stable over an intensively studied five-year period. Goldberg and Allen do find higher readmission rates for the mid-1970s than Bahn et al (1965) found for the early 1960s. However, other differences between the two places where the data were gathered could easily account for the difference.…”

Section: Has the Rate Of Rehospitalization Been Rising?mentioning

confidence: 78%

“…The data that have been discussed most frequently over the years derive from a study by Bahn, Gorwitz, Klee, Kramer, and Tuerk (1965) on the first-year data for the Maryland State Psychiatric Register. Such registers attempt to track all psychiatric episodes, whether inpatient or outpatient, within a given year.…”

Section: Has the Rate Of Rehospitalization Been Rising?mentioning

confidence: 99%

Public and professional myths about mental hospitalization: An empirical reassessment of policy-related beliefs.

Kiesler¹

1982

American Psychologist

112

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This article focuses on national data relevant to the following questions: (a) To what extent is mental hospitalization effective? (b) How many people are hospitalized for mental disorders yearly? (c) Has the rate of mental hospitalization been stable or rising in recent years? (d) What is the length of an inpatient episode and is it changing? (e) Has the rate of rehospitalization been rising? (f) What proportion of total • hospital days are for mental disorders? The article suggests that a set of beliefs or myths about mental hospitalization exists that is not supported by national data. The national data base on mental hospitalization is surprisingly sparse, but available data suggest the following: The rate of mental hospitalization is increasing, but the place in which it occurs has changed dramatically. The length of hospital stay has been stable in most sites over the last decade; a substantial decrease has occurred in two sites, but they handle only 20 % of the episodes. At least several treatment modes exist that appear to be more effective and less expensive than hospitalization. There is little evidence to support the notion of a "revolving door." Mental hospitalization is a substantial national issue: 25 % of all hospital days in the United States are for mental disorders. Issues related to the need for new public policy and the difficulties in changing curfenf policies are discussed.I have distinguished before between de jure and de facto national mental health policy (Kiesler, 1980). The de jure policy is that which we legislatively and collectively intend to carry out in the name of mental health. The de facto policy is that which occurs, regardless of public intent or agreement.In the case of mental health, the distinctions between de jure and de facto policies are very important. Our national de jure policy is the development of outpatient care and deinstitutionalization. The policy of developing outpatient care, at least, has been quite successfully implemented.

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“…Galactosemia, an inborn error of carbohydrate metabolism, can cause growth failure, cirrhosis of the liver, cataracts, and mental retarda- A random sample of 2,468 physicians practicing in U.S. nonmetropolitan areas was surveyed in 1967 with a questionnaire entitled "Medical Practice in Small and Large Communities." The responses of 1,853 physicians indicated that smalltown practitioners and their wives had predominantly smalltown backgrounds, and physicians practicing in nonmetropolitan cities of 25,-000 or more generally were reared in similarly sized cities.…”

Section: Medical Radiation Physics a New Program Inmentioning

confidence: 99%

Changing Patterns of Hospitalization for Psychiatric Disorders

Bloom¹

1970

Public Health Reports (1896-1970)

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Services Received by Maryland Residents in Facilities Directed by a Psychiatrist: First Year of a State Case Register

Cited by 16 publications

References 11 publications

Patterns of use of psychiatric facilities by the aged: Past, present, and future.

Patterns of use of psychiatric facilities by the aged: Past, present, and future.

Public and professional myths about mental hospitalization: An empirical reassessment of policy-related beliefs.

Changing Patterns of Hospitalization for Psychiatric Disorders

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