Taking the suspected mentally ill off the streets to public general hospitals
Psychiatry takes to the streets: the New York City initiative for the homeless mentally ill
The authors describe New York City's program to remove seriously mentally ill homeless people from the streets to a public hospital. They report on the 298 patients hospitalized during the first year of this program. Most of the patients were male (66%), single (77%), and from outside of New York City (79%) and claimed a history of previous psychiatric hospitalization (92%) and that they had been homeless for more than 1 year (66%). Most of the patients suffered from schizophrenia (80%) and had additional medical diagnoses (73%). Follow-up contact with the patients 2 years after initiation of the program revealed that 55% of the patients either were living in a community setting or were under institutional care
DYSFUNCTIONS IN PUBLIC PSYCHIATRIC BUREAUCRACIES [Editorial]
Psychiatrist-executive management styles: nature or nurture?
The authors studied the management styles of the 11 directors of psychiatry in municipal general hospitals in New York City. The Lead-Self Scale and the Lead-Other Scale were used. The directors' Lead-Self Scale scores were compared with those of 11 psychiatric residents. Results show that the directors had a high task/high relationship primary style and a high relationship/low task secondary style. Psychiatric residents revealed a less differentiated pattern of self-perceived management style. The authors speculate about the effects of experience, training, role models, and personality traits on management styles and suggest areas for further research
TEACHING MENTAL-HEALTH POLICY TO PSYCHIATRIC-RESIDENTS
The language barrier in evaluating Spanish-American patients
Strategies and risks in psychotherapy with bilingual patients: the phenomenon of language independence
The presence of two separate languages, each with its own lexical, syntactic, semantic, and ideational components, can complicate psychotherapy with proficient bilingual patients. If only one language is used in therapy, some aspects of the patients emotional experience may be unavailable to treatment; if both languages are used, the patient may use language switching as a form of resistance to affectively charged material. The authors suggest that monolingual therapists should carefully assess the degree of language independence in bilinguals in order to minimize its impact on therapy. They conclude that study of bilingual patients may provide important insights into the nature of the therapeutic process.
Inclusion, Diversity, Access, and Equity in Infectious Diseases Fellowship Training: Tools for Program Directors
The Infectious Diseases Society of America (IDSA) has set clear priorities in recent years to promote inclusion, diversity, access, and equity (IDA&E) in infectious disease (ID) clinical practice, medical education, and research. The IDSA IDA&E Task Force was launched in 2018 to ensure implementation of these principles. The IDSA Training Program Directors Committee met in 2021 and discussed IDA&E best practices as they pertain to the education of ID fellows. Committee members sought to develop specific goals and strategies related to recruitment, clinical training, didactics, and faculty development. This article represents a presentation of ideas brought forth at the meeting in those spheres and is meant to serve as a reference document for ID training program directors seeking guidance in this area.
New approaches to academic health center affiliations: public hospitals and the Department of Veterans Affairs
Outreach intervention models for the homeless mentally ill
Washington, DC, US: American Psychiatric Publishing, Inc., 1992