Adults living with intellectual and developmental disabilities are often prescribed psychotropic medication on an "as needed" basis (PRN) in response to behavioural challenges. In the present study we conducted a retrospective analysis of medication administration records in the 6-months preceding and following discharge of 11 adults…

Purpose: This study aimed to evaluate the effectiveness of using a virtual patient (VP) software program in increasing clinical reasoning skills confidence among medical students. Design/methodology/approach: A quasi-experimental design was used to compare the outcomes of students' confidence levels on clinical reasoning between problem-based…

Purpose: Families of dementia patients receiving skilled homecare do not receive supportive services. We evaluated whether a proven intervention, Environmental Skill-building Program (ESP), which reduces caregiver burden and enhances skills managing patient functioning, can be integrated into homecare practices of occupational therapists (OTs) and…

Web-based self-management interventions (W-SMIs) are designed to help a large number of chronically ill people become more actively engaged in their health care. Despite the potential to engage more patients in self-managing their health, the use of W-SMIs by patients and their clinicians is low. Using a self-management conceptual model based on…

The population surveyed consisted of all cases referred to the Social Service-Mental Health Section of the El Rio Santa Cruz Neighborhood Health Center (NHC) from June to October 1971. The NHC provides comprehensive mental health services to the predominantly Mexican American Model Cities area of Tucson, Arizona. The principal contact person at…

Purpose: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Design and Methods: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in…

The aim of this paper was to investigate the feasibility and impact of dialectical behaviour therapy (DBT) for patients with borderline personality disorder (BPD) in a clinical outpatient setting. Eighteen clinicians were trained and supervised in using DBT. Twenty-seven female patients were assessed on a number of variables before the treatment,…

Compared film programs on family violence and alcoholism, in an alcohol rehabilitation program. Patients (N=77) were evaluated for their reactions to the two film programs. A majority of patients rated the film program on family violence very highly, indicating a need for such interventions in alcohol rehabilitation. (JAC)

Findings about the influence of coping on psychological adjustment in children with different medical conditions are inconsistent and often based on cross-sectional data. This prospective study evaluated the effect of various coping strategies on children's post-traumatic stress symptoms and behavioral problems 1 month and 1 year after an…

Results from an outcome study of 50 adolescents with behavioral and emotional problems in a partial hospitalization program reflect parental involvement during the treatment process. High parental involvement is related to greater improvement in school and home functioning, reduced rehospitalization, and reduced pathology and problem severity…

The demands by applicants for prompt emergency services and by funding sources for greater accountability along with long waiting lists resulted in the formation of a crisis unit offering brief psychotherapy in a problem-solving framework. The services focused on: (1) the presenting problem as it reflected a core conflict or longstanding life…

The National Assembly on School-Based Health Care conducted the 2004-05 Census, the tenth count of school-based health centers (SBHCs) since 1986, to: (1) provide a better understanding of the role of SBHCs in meeting the needs of underserved children and adolescents; (2) collect up-to-date data on demographics, staffing services, operations,…