Phillip D. Akutsu

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OBJECTIVE This study examined patient characteristics and other factors that contributed to the involuntary return of patients to a psychiatric emergency service within 12 months of an initial evaluation in the service. The findings were used to consider whether the pressure to limit duration of hospital stays under managed care contributed to the patients'(More)
This study examined the referral patterns of Chinese, Japanese, Filipino, and Korean Americans at ethnic-specific versus mainstream programs in a public mental health system. As predicted, social/ community-based services and family/friends to a lesser degree referred each Asian American group to ethnic-specific programs more than other referral sources(More)
OBJECTIVE Under managed care, there is pressure to shorten hospital stays. Yet, previous investigations have shown longer hospitalizations following a psychiatric emergency service (PES) evaluation reduce recidivism. This study examines the relationship between post-PES hospitalization, patient characteristics and involuntary PES return within 12 months. It(More)
Investigated Antonovky's (1979, 1987) construct of sense of coherence (i.e., an individual's belief that the world was comprehensible, manageable, and meaningful) as the internal psychological mechanism mediating the effects of external stressors (generalized resistance deficits) and resources on psychological dysfunction (measured by depression, anxiety,(More)
OBJECTIVE The study examined factors affecting clinicians' decisions in the psychiatric emergency service about referring patients to less restrictive alternatives to inpatient care. Indicators of quality of care and the severity of the patient's condition were a particular focus. METHODS Trained mental health professionals observed the evaluations of 425(More)
The present study examined Asian and Caucasian differences in alcohol consumption and the self-reported socio-cultural and physiological correlates of consumption. The subjects were 83 Asian (38 male, 45 female) and 96 Caucasian (48 male, 48 female) students who were asked to complete questionnaires on: (1) demographic information, (2) general attitudes and(More)
In the DSM-5, adjustment disorders have undergone a conceptual shift with a new designation as a constellation of stress-related conditions in response to exposure to a distressing event which may be perceived as traumatic or non-traumatic. This is in contrast to its previous description in DSM-IV-TR, which focused on the presence of significant distress(More)
The authors examined the relationship of demographic, clinical, and service program factors with preintake attrition rates, or the nonattendance of intake appointments, among 5 Asian American groups at an ethnic-specific program. The results show that younger age, earlier appointment, Asian language match with the prescreening interviewer, and assignment of(More)
This study examined the relationship of demographic, clinical, and therapist factors to decisions about prioritized assignment to the earliest intake appointment for 983 Asian Americans who contacted an Asian-oriented, ethnic-specific mental health program. The logistic regression results showed that Asian language preference, ethnicity, suicidality,(More)