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OBJECTIVE The study examined the effect of medication noncompliance and substance abuse on symptoms of schizophrenia. METHODS Short-term inpatients with a diagnosis of schizophrenia were enrolled in a longitudinal outcomes study and continued to receive standard care after discharge. At baseline and six-month follow-up, Brief Psychiatric Rating Scale(More)
The results of a study comparing the structure and function of the social networks of a group of first-admission schizophrenics with those of a group of multiple-admission schizophrenics are presented. Structurally, the networks of the first-admission patients are larger and more interconnected. Functionally, their networks have a greater percentage of(More)
OBJECTIVE The study examined the extent of clinical recognition of comorbid substance use disorders and the clinical management of these disorders among inpatients hospitalized for an acute exacerbation of schizophrenia. METHODS Medical records of 42 inpatients who met research diagnostic criteria for both schizophrenia and a current substance use(More)
Outcomes management has received considerable attention in the literature on mental health services delivery. However, relatively little practical information is available on how to implement an outcomes management system in the mental health care setting. The authors review seven key issues that must be addressed in planning such a system: involving senior(More)
In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUERI used literature review, expert(More)
OBJECTIVE Medication adherence continues to be a challenge for patients with schizophrenia. Many interventions have been tested but not widely adopted. To fill this gap, this qualitative study examined patient and provider perspectives on barriers, facilitators, and motivators related to adherence. METHODS Twenty-six patients (15 veterans and 11(More)
Neurosurgical patients are at high risk for the development of thrombosis and thromboembolism. We compared the perioperative clotting factor and coagulation parameters of 20 patients undergoing elective craniotomy for brain tumors to those of 20 patients undergoing elective abdominal surgery. We also measured the levels of plasma arginine vasopressin to(More)
OBJECTIVE This brief report describes the engagement strategy used in the Reaching out to Educate and Assist Caring, Healthy Families (REACH) program, a nine-month family psychoeducation program for veterans with serious mental illness or posttraumatic stress disorder (PTSD). METHODS A motivational interviewing-based strategy was created and implemented(More)
Die andere Bildung " Wissenschaft wird erst verstanden,..., wenn sie wie ein Kunstwerk gestaltet wird, das eine bestimmte wahrnehmbare Form bekommen soll, die ein offenes Geheimnis tragen und zur Schau stellen kann. " Goethes Farbenlehre Wenn wir von (der Wissenschaft) eine Art von Ganzheit erwarten, so müssen wir uns die Wissenschaft notwendig als Kunst(More)
OBJECTIVE This study examined the relationships of substance abuse, use of community-based services, and symptom severity among rural and urban residents with schizophrenia in the six months after discharge from short-term inpatient care. METHODS At baseline and six-month follow-up, symptom severity of 139 subjects was assessed using the Brief Psychiatric(More)
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