Young Adult Chronic Patients: An Analytical Review of the Literature

L’intervention en santé mentale : le mandat inattendu des maisons d’hébergement pour femmes sans abri

“…Un bon nombre d'entre elles sont bien connues des services sociaux et de santé, plus particulièrement dans les organismes offrant des services en santé mentale. La littérature psychiatrique (Bachrach, 1982;Goldfinger et al, 1984;Robbins et al, 1978;Santiago et al, 1990) -indique des recoupements entre cette clientèle et un sous-groupe dans la population des malades mentaux chroniques et qui donne du fil à retordre aux services! En fait, ce qui caractériserait cette population n'est pas tant son problème que le type de rapports qu'elle entretient avec les services sociaux et de santé.…”

Dual diagnosis: Co-Morbidity of severe mental illness and substance misuse

“…Since the early 1980s a population of 'difficult to treat' patients with severe mental illness and substance misuse has emerged in the psychiatric literature (Bachrach, 1982). Various terms have been used to describe this group, including 'dual diagnosis', 'co-morbidity' and 'co-occurring addictive and mental disorders' (COAMD).…”

Managed care in the public mental health system

“…The public mental health system serves individuals who are vulnerable to falling out of the system entirely, to making repeated use of familiar but narrow or inappropriate forms of care, and to lapsing into cycles of personal crisis requiring a system response that is both expensive and difficult to manage on an ongoing basis (Goldfinger, Hopkin, & Surber, 1984;Bachrach, 1982). While private sector systems tend to serve cooperative help-seeking consumers, important segments of the population served by the public mental health system have been characterized as "help-seeking yet help-rejecting" (Pepper, Kirshner, & Ryglewicz, 1981).…”