a r t i c l e i n f o This paper contributes to knowledge about the challenges of youth reentry by examining how transitional services can function as a barrier to – instead of a support for – healthy reintegration of youth. Using participant observation conducted in 2003–2004 at a juvenile aftercare program in Philadelphia, we explore a pervasive problem that Merton (1940) termed " bureaucrati...

OBJECTIVE To compare the clinical outcome and costs of care of psychiatric patients allocated to community multidisciplinary teams or to hospital based care programmes after discharge from inpatient care. DESIGN Randomised controlled trial. SETTING Inner London (Paddington and North Kensington) and outer London (Brent) psychiatric services. SUBJECTS 155 patients with severe mental illness...

Scientific attention has shifted to understanding the underlying mechanisms that account for the efficacy of brief intervention (BI) based on the principles of motivational interviewing (MI). A large portion of work thus far has emphasized therapist skills and client language mechanisms in the context of single-session interventions. The present study examined three global therapist variables o...

s Translations (Spanish) Cost-effectiveness Analysis of an Aftercare Service vs Treatment-AsUsual for Patients with Severe Mental Disorders Análisis de Coste-efectividad de un Servicio de Seguimiento vs. Tratamiento Habitual para Pacientes con Trastornos Mentales Graves Eshagh Barfar, Vandad Sharifi, Homayoun Amini, Yasaman Mottaghipour, Masud Yunesian, Mehdi Tehranidoost, Payam Sobhebidari and...

INTRODUCTION In Denmark, following psychiatric emergency admission, patients with depression, anxiety or personality disorders are discharged as early as possible due to pressure on psychiatric beds. However, the receiving out-patient units frequently have waiting time. The design of a brief, cognitive-based psychiatric aftercare service and the early treatment results are presented. MATERIAL...

PURPOSE: Detoxification often serves as an initial contact for treatment and represents an opportunity for engaging patients in aftercare to prevent relapse. However, there is limited information concerning clinical profiles of individuals seeking detoxification, and the opportunity to engage patients in detoxification for aftercare often is missed. This study examined clinical profiles of a ge...