Shira Birnbaum

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On January 1, 1987, the Board of Trustees of Southwest Washington Hospitals instituted a smoking ban in all of its facilities, including the 17-bed general psychiatry unit. Our study of ward atmosphere, PRN medications, and negative incidents related to that change are reported. We feel the change was introduced successfully with minimal impact on the(More)
Depression is a common psychiatric disorder affecting approximately 17 million Americans each year and resulting in a significant economic burden, estimated at $43-$53 billion in 1990. The cost burden of depression extends beyond the direct cost of treatment, to include the costs of lost productivity, both while at work and days absent from work, as well as(More)
Interest has grown in the use of doll therapy, particularly in geropsychiatric and dementia care settings. In a long-term state psychiatric hospital, a dollhouse-play activity was implemented in an effort to engage an acutely disturbed, middle-aged woman undergoing medication trials and whose symptoms had been refractory to conventional treatments. A(More)
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