Response to "evaluation of brain injury related behavioral disturbances in community mental health centers." (response to Thomas W. McAllister in this issue, p. 341)

Article Abstract:

Five case studies of psychiatric disorders resulting from trauma brain injury reflect the important aspects of community mental health services. The first case involves a 31 year old female who had to undergo an extensive psychological evaluation, but whose prospects for continued treatment were blocked by financial constraints. Rural mental health centers face the challenge of gaining access to some diagnostic and treatment technology, and patients who could not afford insurance have limited opportunities for expensive treatment.

Care and treatment, Economic aspects, Services, Community psychiatric services, Psychiatric clinics, Community mental health services, Brain damage, Psychiatric facilities

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Treatment boundaries in the case management relationship: a behavioral perspective

Article Abstract:

A behavioral approach can further enhance the recommendations of Williams and Swartz regarding treatment boundaries in the case management method used in psychotherapy. In behavior therapy, the therapheutic relationship fosters collaboration between therapist and client, and emphasizes explicit treatment goals and problem-oriented interventions. The variables of therapeutic relationship are not considered the source of change but merely the basic elements for allowing change. Finally, the therapist acts as a significant other.

Methods, Medical case management, Psychotherapy, Behavior therapy

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Management approaches for mental health program report cards

Article Abstract:

A study on the mental health program monitoring system adopted by the Veterans Administration is evaluated. It is argued that the system's use of summaries from large administrative databases provides accurate assessments of program effectiveness while eliminating the need to collect first hand data. However, summaries are vulnerable to gaming and can be poor substitutes for the data that require evaluation.

Similar abstracts:

• Abstracts: Debate and argument: reply to James's "The sex ratios of the sibs of children with psychiatric diagnoses." (response to William H. James in this issue, p. 595)
• Abstracts: Ending the millenium: commentary on "HMO's and the seriously mentally ill - a view from the trenches." (response to an article published in this issue)
• Abstracts: Response to Rosenheck and Ciccheti's "A Mental Health Program Report Card: A Multidimensional Approach to Performance Monitoring in Public Sector Programs." (response to article by Robert Rosenheck and Domenic Cicchetti in this issue, p. 85)
• Abstracts: Group performance depends on the majority rule. From laboratories to collaboratories: a new organizational form for scientific collaboration

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