The family treatment program at Brentwood V.A. Medical Center.

1984 ◽  
Vol 2 (1) ◽  
pp. 102-106 ◽  
Author(s):  
Melvin R. Lansky
Keyword(s):  
Treatment Program ◽  
Medical Center ◽  
Family Treatment ◽  
The Family

Le Traitement des Aliénés dans les Families. by Ch. Féré., Félix Alcan. Paris. 1893.

1894 ◽  
Vol 40 (169) ◽  
pp. 281-283
Keyword(s):  
Private Enterprise ◽  
Treatment Costs ◽  
Special Care ◽  
Family Treatment ◽  
Medical Psychology ◽  
The Family ◽  
Care And Treatment

Any contribution to medical psychology from M. Féré is likely to be of value, and this little book on the family treatment of the insane forms no exception. He belongs to the school which would treat the insane in the country with the advantage of being well occupied in farm labour or other ways. It is stated that the Conseil Général de la Seine has decided to place out in this way 400 inoffensive senile dements. With regard to this it is rather difficult to understand how this class of patients are suitable for this location, however desirable it may be to eliminate them from an ordinary asylum. Many references are made to England and Scotland by M. Féré. At present the family treatment of the insane may take the form of a colony annexed to an asylum; a free colony; or thirdly, as single patients. Of the first, Altscherbitz, near Leipsic, is a well-known example. Claremont (Oise), while carried on by the private enterprise of the brothers Labitte, has presented a successful instance of economy. The author especially mentions under this head the colony of Ilten, near Hanover, founded by Dr. Whrendorff.” The system of Ilten consists essentially in the extension of the surveillance of the establishment, to which the patients may be returned at the shortest notice, the doctor having his eye always upon them. They may besides receive there special care and treatment. This mode of treatment costs little, the maintenance of each patient amounting to 337.50 francs annually, without any building” (p. 19).

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1951 ◽  
Vol 8 (2) ◽  
pp. 277-292
Author(s):  
GEORGE BAEHR ◽  
NEVA R. DEARDORFF
Keyword(s):  
New York ◽  
Home Visiting ◽  
Medical Center ◽  
New York State ◽  
Routine Care ◽  
Comprehensive System ◽  
Group Practice ◽  
York State ◽  
Medical Groups ◽  
The Family

1. Under a comprehensive system of prepaid medical care (HIP), the services of qualified pediatricians, as well as of laboratories, clinical specialists, and visiting nurses have been made available to children without any extra charges to prevent their full utilization. 2. The 63,500 children under 15 years of age enrolled in HIP on March 1, 1951, constituted 24.5% of the total insured population on that date (259,170). Of these 36.0% were under 5 years, 34.6% between 5 and 9 years and 29.4% were aged 10 to 14. 3. Of the 5,500 children born into HIP since it was established four years ago, 90% were delivered by qualified obstetricians. 4. Since 1949 all infants are routinely under the care of a qualified pediatrician at least until the end of the first year of life, 48.5% of HIP children are cared for by pediatricians to school age, and almost 32% receive all their routine care from pediatricians to the age of puberty. 5. Of the 62 qualified pediatricians on the staffs of the 30 HIP medical groups, 40 are diplomates of the American Board of Pediatrics. 6. HIP has one pediatrician for each 1,025 enrolled children under 15. This is 2½ times the proportionate number available to children living in the larger urban centers of New York State, assuming that all of the pediatricians in the State are located in such areas. 7. In medical groups in which pediatricians provide child care to puberty, the proportion of home visiting is high as compared with their medical center, office, and hospital services; 34% of their services are home calls, 59% medical center or office calls, and 7% are rendered in the hospital. The pediatricians who serve chiefly as consultants do much less home visiting (8.4% of their total services) but provide a much higher percentage of medical center and office services (79.3%) and also a higher proportion (12.3%) of their services in the hospital. 8. Children under one year average 13.1 physicians' services per year, many of a purely preventive nature. Age-specific utilization rates have been computed for the 1948 experience on 500,000 physician services and are reported in this paper. 9. HIP's neonatal mortality rate was about 9 per 1,000 live births, whereas the rate of New York City as a whole during the same year was 20 per 1,000, of New York State 20.7 per 1,000, and of the country about 25 per 1,000. 10. An analysis is reported in this paper of HIP's experience with pediatric surgery during the last six months of 1949, which included 1,528 surgical procedures in relation to 27,925 enrollee years of children. 11. Although consultant services of psychiatrists can be provided under a comprehensive system of prepaid group practice, the pediatricians of the medical group must continue to carry the responsibility, as in any other system of medical care, for that large part of medical practice which is concerned with the behavior and emotional problems of childhood. In comprehensive group practice it has therefore been found desirable for the pediatrician to relieve the family physician of the routine care of young children in the family, at least during infancy and the preschool period.

Children With Encopresis: A Study of Treatment Outcome

PEDIATRICS ◽  
1976 ◽  
Vol 58 (6) ◽  
pp. 845-852 ◽  
Author(s):  
Melvin D. Levine ◽  
Harry Bakow
Keyword(s):  
Treatment Outcome ◽  
Treatment Program ◽  
Marked Improvement ◽  
Medical Center ◽  
Outcome Data ◽  
Careful Monitoring ◽  
Maintenance Program ◽  
Pediatric Treatment ◽  
One Year

A pediatric treatment program for encopresis was established in a large medical center. This consisted of counseling and education, initial bowel catharsis, a supportive maintenance program to potentiate optimum evacuation, retraining, and careful monitoring and follow-up. A group of 127 children received care for this problem. At the end of one year, outcome data were obtained on 110 patients. Of these, 51% had not had "accidents" for more than six months. Another 27% showed marked improvement and were having only rare episodes of incontinence. 14% of these children showed some improvement, but continued to have incontinence, while 8% showed no improvement whatsoever during the treatment year. These four outcome groups were compared with respect to a large number of demographic, developmental, psychosocial, and clinical variables.

Session 11: Planning for Termination/Relapse Prevention

2007 ◽  
pp. 97-103
Author(s):  
John Piacentini ◽  
Audra Langley ◽  
Tami Roblek
Keyword(s):  
Treatment Program ◽  
Relapse Prevention ◽  
The Family ◽  
Symptom List

Session eleven reviews the progress that the child has made so far on their symptom list, and plans for the termination of the treatment program. The family is encouraged to address relapse prevention, and the potential for the reappearance of symptoms.

scholarly journals Family Medicine Patients Have Shorter Length of Stay When Cared for on a Family Medicine Inpatient Service

2019 ◽  
Vol 10 ◽  
pp. 215013271984051 ◽  
Author(s):  
Gregory M. Garrison ◽  
Rachel L. Keuseman ◽  
Christopher L. Boswell ◽  
Jennifer L. Horn ◽  
Nathaniel T. Nielsen ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Length Of Stay ◽  
Medical Center ◽  
Academic Medical Center ◽  
General Medicine ◽  
Inpatient Service ◽  
Academic Medical ◽  
The Family ◽  
Hospital To Home

Introduction: Hospitalists have been shown to have shorter lengths of stays than physicians with concurrent outpatient practices. However, hospitalists at academic medical centers may be less aware of local resources that can support the hospital to home transition for local primary care patients. We hypothesized that local family medicine patients admitted to a family medicine inpatient service have shorter length of stay than those admitted to general hospitalist services which also care for tertiary patients at an academic medical center. Methods: A retrospective cohort study was conducted at an academic medical center with a department of family medicine providing primary care to over 80 000 local patients. A total of 3100 consecutive family medicine patients admitted to either the family medicine inpatient service or a general medicine inpatient service over 3 years were studied. The primary outcome was length of stay, which was adjusted using multivariate linear regression for demographics, prior utilization, diagnosis, and disease severity. Results: Adjusted length of stay was 33% longer (95% CI 24%-44%) for local family medicine patients admitted to general medicine inpatient services as compared with the family medicine inpatient service. Readmission rates within 30 days were not different (19% vs 16%, P = .14). Conclusions: Local primary care patients were safely discharged from the hospital sooner on the family medicine inpatient service than on general medicine inpatient services. This is likely because the family physicians staffing their inpatient service are more familiar with outpatient resources that can be effectively marshaled to help local patients with the transition from hospital to home.

Sign in / Sign up

Export Citation Format

Share Document