Assuntos
Condução de Veículo/psicologia , Transtornos Mentais/psicologia , Acidentes de Trânsito , Adulto , Idoso/psicologia , Responsabilidade pela Informação/legislação & jurisprudência , Feminino , Humanos , Masculino , Transtornos Mentais/tratamento farmacológico , Pessoa de Meia-Idade , Psicotrópicos/uso terapêuticoRESUMO
The "linchpin" model of collaboration between state mental health agencies and university training programs has been developed in two states. This paper describes the model, pointing out both strengths and weaknesses. Recommendations for institutions seeking this type of collaboration and persons who are in the collaborative role are provided.
Assuntos
Academias e Institutos , Serviços de Saúde Mental/tendências , Desenvolvimento de Programas , Psiquiatria/educação , Pessoal de Saúde/educação , Oregon , Estados Unidos , United States Public Health Service/tendências , Virginia , Recursos HumanosRESUMO
Public psychiatry training in Oregon traces its roots to the community mental health movement of the 1960s and now includes a focus on training in the community and in state hospitals.
Assuntos
Psiquiatria Comunitária/educação , Educação Médica/história , Psiquiatria Comunitária/história , Educação Médica/tendências , História do Século XX , Internato e Residência , OregonRESUMO
The Public Psychiatry Training Program offers an education in the unique knowledge, attitudes, and skills essential for working with persons with severe and chronic illness in both hospital and community settings.
Assuntos
Psiquiatria Comunitária/educação , Internato e Residência , Serviços Comunitários de Saúde Mental/organização & administração , Currículo , Humanos , Relações Interinstitucionais , Oregon , Faculdades de MedicinaRESUMO
Thirty-three insanity acquittees who had refused drug treatment were matched to a sample of nonrefusing hospitalized insanity acquittees in an attempt to measure the effect of treatment refusal on length of hospital stay. No measurable effects on the length of hospitalization were found. However, upon comparing the amount of time under court jurisdiction spent in the hospital and on conditional release in the community, it becomes evident that refusers spent significantly greater proportions of time hospitalized than the average hospitalized insanity acquittee, who had less hospitalization and spent more time on conditional release. These differences do not seem to be related to the issue of treatment refusal.
Assuntos
Psiquiatria Legal , Defesa por Insanidade , Tempo de Internação , Transtornos Mentais/tratamento farmacológico , Cooperação do Paciente , Adulto , Feminino , Humanos , Masculino , Transtornos Mentais/reabilitação , Pessoa de Meia-Idade , Estados UnidosRESUMO
The unplanned extension of the right to refuse treatment to the precommitment period is described in this paper. This extension of the right to refuse treatment has important public policy implications for the civil commitment process. These implications, as well as the pros and cons of the extension of the right to refuse treatment, are discussed.