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Psychiatric and Mental Health Commons™
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Full-Text Articles in Psychiatric and Mental Health
Changing Patterns Of Acute Psychiatric Hospitalization Under A Public Managed Care Program, Christopher G. Hudson
Changing Patterns Of Acute Psychiatric Hospitalization Under A Public Managed Care Program, Christopher G. Hudson
Christopher Hudson
This study evaluates changes in patterns of acute psychiatric hospitalization under Massachusetts' Medicaid-funded Mental Health and Substance Abuse (MMHSA) carve-out program. The data consists of the Case Mix Database, for FY 1996 and FY 1997, compiled by the state's Division of Health Care Finance and Policy, on all acute hospital episodes in the state. Key comparisons involve hospital utilization during the nine months preceding the 1996 implementation of the current expanded carve-out program and the subsequent 15 months of its implementation. Secondary comparisons are made between patients funded by the state's two major Medicaid programs, its behavioral carve-out and its …
Is There Evidence For The Bipolar Spectrum And The Safety Of Pharmaceutical Interventions?, Jill Littrell
Is There Evidence For The Bipolar Spectrum And The Safety Of Pharmaceutical Interventions?, Jill Littrell
jill l littrell Dr.
Social workers constitute a high proportion of mental health professionals and a high percentage of social workers provide mental health care. Thus, psychiatric diagnoses and pharmaceutical interventions are relevant for many social workers. This paper reviews the rise in the diagnoses of Bipolar spectrum disorders for both children and adults. It considers the safety of antipsychotic medications, a mainstay of treatment for children and adults, which, in addition to other well-documented negative side effects, have recently been shown to decrease brain volume by a significant percent. These issues are particularly relevant for children in the foster care system.
Taking The Perspective That A Depressive State Reflects Inflammation: Implications For The Use Of Antidepressants, Jill Littrell
Taking The Perspective That A Depressive State Reflects Inflammation: Implications For The Use Of Antidepressants, Jill Littrell
jill l littrell Dr.
This paper reviews both the evidence that supports the characterization of depression as an inflammatory disorder and the different biochemical mechanisms that have been postulated for the connection between inflammation and depression. This association offers credible explanation for the short term efficacy of antidepressants, which have short term anti-inflammatory effects. Evidence for those anti-inflammatory effects is discussed. Evidence of the contrary long-term effects of antidepressants, which increase rather than decrease inflammation, is also reviewed. It is argued that this increase in inflammation would predict an increase in chronicity among depressed patients that have been treated with antidepressants drugs, which has …
Children In Foster Care And Excessive Medications, Jill Littrell
Children In Foster Care And Excessive Medications, Jill Littrell
jill l littrell Dr.
Children in foster care system are more likely to receive diagnoses of major mental illness and to be medicated with powerful medications such as antipsychotic drugs. Reasons for the increased risk of the actual mental illnesses and for the diagnoses of illness among children in foster care are reviewed. The reliabilities of various diagnoses are considered. The legitimacy of the rationale for early medications to prevent later disability is discussed. The very real hazards of medicating with antipsychotics, anticonvulsants, stimulants, mood stabilizers and antidepressants are reviewed. A discussion of advocacy efforts occurring around the United States on behalf of medicated …