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 expertise of rehabilitation teachers and diabetes nurse educators can complement each other in components of diabetes management for people who have become visually impaired. The role of each professional involves education; integration of diabetes self-management into a comprehensive rehabilitation program; nutrition; exercise; medication,…

Medical students (N=284) from four Northeastern medical schools interacted with standardized patients, then were given a free-response form (blank form for writing diagnostic impressions) and then they completed a cued-response form, which listed a series of diagnoses generated by the case author. The patients also completed a checklist. (MLW)

The extent that order effects in multiple-station clinical examinations are prevalent is addressed and an analysis of individual student score profiles pertaining to order effects is included. A clinical skills examination using standardized patients was administered to 157 medical students at the University of Illinois College of Medicine at…

A seminar designed to teach the principles of psychiatric history-taking, diagnosis, and management to first-year residents was found to be an effective format. Further research into the effectiveness of current educational models is recommended. (Author/MSE)

This article describes the structure, content, and functions of a specialized adaptive diabetes education program in a large community-based blindness rehabilitation agency in Cleveland, Ohio. The program emphasizes helping clients learn diabetes self-care skills and adjust emotionally to their situation. (Author/DB)

Studied the use of a problem-posing model in health education. The model based on the ideas of Paulo Freire is presented. Four innovative experiences of teaching-learning in environmental and occupational health and patient education are reported. Notes that the problem-posing model has the capability to transform health-education practice.…

Describes basic counseling skills for use in patient education. A study involving activity levels in back patients is described. Variability in patient activity due to random influences in the patient's life is contrasted with maintenance of basics over time. The single-case method is used for evaluating counseling skills. (Author/EMK)

Compared accuracy of an actuarial procedure for the prediction of community violence by patients with mental illnesses to accuracy of clinicians' concern ratings of patient violence. Data came from a study of 357 pairs of patients seen in a psychiatric emergency room. Actuarial predictions based only on patients' histories of violence were more…

Elements of the twentieth century care facility of state origin are enumerated as the reader hopefully gets some idea of the social milieu or ethos of that period and the management profile thought to be proper and expeditious for unfortunate, homeless and poorly adjusted citizens. The life of staff and patients within these state sponsored…

Participants were 30 adult outpatients diagnosed with avoidant personality disorder or obsessive-compulsive personality disorder who enrolled in an open trial of cognitive therapy for personality disorders. Treatment consisted of up to 52 weekly sessions. Symptom evaluations were conducted at intake, at Sessions 17 and 34, and at the last…

Context: Barriers to providing optimal palliative care in rural communities are not well understood. Purpose: To identify health care personnel's perceptions of the care provided to dying patients in rural Kansas and Colorado and to identify barriers to providing optimal care. Methods: An anonymous self-administered survey was sent to health care…

Context: Hospitalization due to ambulatory care sensitive conditions (ACSCs) is often used as an indicator for measuring access to primary care. Rural health clinics (RHCs) provide basic primary care services for rural residents in health professional shortage areas (HPSAs). The relationship between RHCs and ACSCs is unclear. Purpose: The purpose…

This study evaluated the specific effectiveness of cognitive-behavior therapy (CBT) combined with medication tapering for benzodiazepine discontinuation among generalized anxiety disorder (GAD) patients by using a nonspecific therapy control group. Sixty-one patients who had used benzodiazepines for more than 12 months were randomly assigned to…

Given the availability of violence risk assessment tools, clinicians are now better able to identify high-risk patients. Once these patients have been identified, clinicians must monitor risk state and intervene when necessary to prevent harm. Clinical practice is dominated by the assumption that increases in psychiatric symptoms elevate risk of…