Subject(s)
Alcoholism/epidemiology , Schizophrenia/epidemiology , Schizophrenic Psychology , Adult , Alcoholism/genetics , Alcoholism/psychology , Comorbidity , Disruptive, Impulse Control, and Conduct Disorders/epidemiology , Disruptive, Impulse Control, and Conduct Disorders/genetics , Disruptive, Impulse Control, and Conduct Disorders/psychology , Female , Humans , Male , Risk Factors , Schizophrenia/genetics , United States/epidemiologySubject(s)
Antidepressive Agents/therapeutic use , Attention Deficit Disorder with Hyperactivity/drug therapy , Child Behavior Disorders/drug therapy , Attention Deficit Disorder with Hyperactivity/genetics , Attention Deficit Disorder with Hyperactivity/psychology , Child , Child Behavior Disorders/genetics , Child Behavior Disorders/psychology , Dose-Response Relationship, Drug , Female , Humans , Male , Methylphenidate/therapeutic use , RecurrenceABSTRACT
Since 1976 a child and adolescent unit in a public psychiatric hospital has used a part-time child and adolescent psychiatrist to improve inpatient treatment. In this model the consultant is directly responsible for all admission and discharge decisions. The consultant provides only essential medical treatment, which includes assessing, monitoring, and evaluating patients and prescribing medications, and directs patient care through nonmedical primary clinicians. A senior nurse coordinates on-site scheduling, confirms orders, documents treatment changes, and routinely phones the consultant with clinical updates. The consultant enhances the skills and performance of hospital staff and local physicians through case consultation and other interchanges. The authors recommend the model for the public sector because it increases the possibility of recruiting private-sector psychiatrists into the public system.
Subject(s)
Adolescent Psychiatry/trends , Adolescent, Hospitalized/psychology , Child Psychiatry/trends , Child, Hospitalized/psychology , Patient Care Team/trends , Adolescent , Child , Child, Preschool , Combined Modality Therapy , Female , Humans , Male , New York , Quality Assurance, Health Care/trends , Rural Health/trendsABSTRACT
Thirteen percent of the general population show the traits of emotional over-reactivity, emotional lability and impulsiveness that appear to be genetically transmitted. The troublesome manifestation of these traits can often be medically controlled, thereby reducing their costs to society.
