Subject(s)
Community Mental Health Services/statistics & numerical data , Hospitalization/trends , Mental Disorders/epidemiology , Ambulatory Care/statistics & numerical data , Combined Modality Therapy , Cross-Sectional Studies , Hospitals, Veterans/statistics & numerical data , Humans , Incidence , Mental Disorders/psychology , Mental Disorders/rehabilitation , Utilization Review , VermontABSTRACT
Previous research has demonstrated a reduction in utilization of medical services following the initiation of psychiatric services for certain patients. The phenomenon has been called the offset effect. The authors investigated the offset effect in a Veterans Administration medical center setting. They found that the offset effect emerged only for patients who had high rates of use of medical services who received mental health services for 1 year or less. They discuss factors related to higher rates of medical care utilization as well as important differences between the present and previous research that require further study.
Subject(s)
Ambulatory Care/statistics & numerical data , Hospitals, Veterans/statistics & numerical data , Mental Disorders/therapy , Age Factors , Humans , Mental Health Services/statistics & numerical data , Middle Aged , Time FactorsABSTRACT
Effects of lateralized brain damage on the Satz-Mogel (1962) WAIS-R short form were examined. Patients (N = 65) were assigned to groups based on diffuse, predominantly left, or predominantly right brain damage. Overall, results supported the validity of the Satz-Mogel short-form IQs with neurological patients, although there were significant ANOVA results for various subtests when original scores were compared to short-form scores. A comparison of groups in regard to the number of deviations (i.e., +/- 3) from original WAIS-R subtests raised questions with regard to the effects of lesion laterality on certain short-form subtest scores. Criteria for evaluating short forms and issues for further research are discussed.
