Assuntos
Acidentes/psicologia , Serviços Comunitários de Saúde Mental , Homicídio/psicologia , Transtornos Mentais/psicologia , Suicídio/psicologia , Ferimentos por Arma de Fogo/psicologia , Internação Compulsória de Doente Mental/legislação & jurisprudência , Serviços Comunitários de Saúde Mental/legislação & jurisprudência , Humanos , Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência , WisconsinRESUMO
A cost-effective team adaptation of the Global Assessment Scale (GAS) is used on the admitting ward of a state hospital. At admission staff meetings and at weekly progress review meetings, each member of the multidisciplinary team independently provides a GAS rating for each patient. The mean of each set of ratings becomes the patient's current team GAS score. The scores for individual patients, the changes in the scores over time, and the average scores for the ward offer a method for objectively expressing the patients' levels of functioning. Reliability and validity data supporting the method are reported. The team GAS format serves planning, evaluation, and research functions for individual patients and for the ward as a whole.
Assuntos
Internação Compulsória de Doente Mental , Transtornos Mentais/psicologia , Planejamento de Assistência ao Paciente/organização & administração , Escalas de Graduação Psiquiátrica , Adolescente , Adulto , Seguimentos , Humanos , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Admissão do Paciente , Unidade Hospitalar de Psiquiatria , Transtornos Psicóticos/psicologia , Ajustamento Social , Meio SocialRESUMO
Gallows humor, as depicted in television shows such as MASH and Hill Street Blues, fulfills important psychological and sociological functions in maintaining therapeutic attitudes in the stressful and sometimes dangerous milieu of a maximum-security psychiatric unit. Humor provides an emotional language with which the unit's staff mark the sense of incongruity that characterizes their work. Staff invoke humor to move away from a macho attitude in their interactions with aggressive patients. Humor also bolsters staff solidarity through playful inversions of the usual patterns of authority.
Assuntos
Agressão/psicologia , Transtorno da Personalidade Antissocial/psicologia , Internação Compulsória de Doente Mental , Prisioneiros/psicologia , Medidas de Segurança , Senso de Humor e Humor como Assunto , Adaptação Psicológica , Atitude Frente a Morte , Humanos , Masculino , Relações Profissional-Paciente , Estresse Psicológico/complicações , WisconsinRESUMO
The authors introduce an ambulatory restraint procedure developed for a specialized inpatient unit with repetitively aggressive patients. Preventive Aggression Devices (PADS) reduce the length and frequency of seclusion and humanely foster a safer, more therapeutic environment for patients requiring a highly controlled environment. Indications and contraindications for PADS are listed, and criteria for their use are described.
Assuntos
Agressão/psicologia , Assistência Ambulatorial , Transtornos Mentais/psicologia , Restrição Física/instrumentação , Intervenção em Crise , Hospitalização , Humanos , Masculino , Transtornos Mentais/terapia , Prisões , Isolamento SocialRESUMO
The present study is a replication of Schofield's findings (1978) in the use of the Draw-A-Person as a measure of racial identity acceptance. Unlike Schofield's study, the present investigation involved an adolescent sample of blacks and whites, and race of figure drawn was determined by judges' consensus rather than an objective scoring system. The findings generally supported those of Schofield and the racial identity and preference literature as a whole in revealing blacks to be less accepting of their racial identity than whites.
