Laurie Chassin focuses on the elevated prevalence of substance use disorders among young offenders in the juvenile justice system and on efforts by the justice system to provide treatment for these disorders. She emphasizes the importance of diagnosing and treating these disorders, which are linked both with continued offending and with a broad range of negative effects, such as smoking, risky ...

OBJECTIVE To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners. DESIGN Multicentre randomised controlled trial. SETTING Nine memory clinics and 159 general practitioners in the Netherlands. PARTICIPANTS 175 patients with a new diagnosis of mild to moderate dementia living in the community and their...

AIMS This study investigated the relationship between craving in abstinent alcohol-dependent patients measured by the Obsessive Compulsive Craving Scale (OCDS) (Anton et al., 1995) and relapse during and after completion of an intensive outpatient treatment programme. METHODS In a prospective study, participants were interviewed at entry to, and end of, an outpatient treatment programme, and ...

New Look at mental disorder and seeks to shift the emphasis from hospital to domiciliary care. Its aim is to give patients with mental illness the same facilities as patients suffering from physical illness, to make admission to, and discharge from hospital as informal as possible, and to provide care and after care at home or in residential hostels which will compare favourably with similar fa...

As demonstrated at the recent Consensus Conference on the "suicidal crisis" held by the French Psychiatry Union and the National Agency for the Accreditation and the Evaluation of Care, suicide is recognised as a current public health problem. The general practitioner's role is situated on two levels: in a preliminary stage, the early identification of risk, and in a secondary stage, the provis...

This study investigates health concerns and access to health services for Roma from Romania who live in homelessness in Copenhagen, Denmark. They collect refundable bottles and call themselves "badocari," which in Romanian refers to "people who work with bottles." Homeless Roma in Denmark have not previously been studied through ethnographic research. The study stresses the importance of a synd...

BACKGROUND Although evidences emphasize on the importance of aftercare programs to achieve continuity of care, different studies have revealed controversial results about the outcome. The objective of this study was to investigate the effect of aftercare program on outcome measures of patients with severe mental disorders. MATERIALS AND METHODS Of a total 123 eligible patients with severe men...

A wound and abscess clinic, held concurrently with a syringe exchange, provided economical treatment and aftercare for injection-associated soft tissue infections. During 20 two-hour clinic sessions, 173 treatment episodes were logged, and the visit cost was estimated at $5 per patient. Increased patient-clinician interactions provided opportunities beyond those afforded by the syringe exchange...

The role of the general practitioner (GP) in cancer control is being redefined. An increase in cancer prevalence and survivorship has thrust new demands on the healthcare system and in doing so has provided the impetus to consider new models of integrated cancer care. Domains that have been flagged as key priorities for improving cancer outcomes, including primary prevention, early detection, t...

Men's preventive health and wellness is largely neglected in rural Nicaragua, where a machismo culture prevents men from seeking health care. To address this issue, a men's educational group appointment model was initiated at a rural health post to increase awareness about hypertension, and to train community health leaders to measure blood pressure. Men's hypertension workshops were conducted ...