Specialized Treatment Unit Research Articles

PTSD among Vietnam veterans: An early look at treatment outcome using direct therapeutic exposure

AbstractVietnam combat veteran inpatients were evaluated after being treated in a PTSD special treatment unit. Selected pretreatment measures that included mental and physical problems, combat variables, PTSD symptoms, and the standard MMPI scales found no clinically meaningful differences between a group that was found to be “successes” and another group found to be “failures,” based on predetermined cutoff scores on the VETS scale, a reliable outcome measure for veteran patients. At 3 months post‐therapy, a significantly greater number of subjects treated with Direct Therapeutic Exposure (DTE) (flooding therapy) as compared to another group treated with a more conventional individual therapy, were identified as “successes” as opposed to “failures,” based on the VETs scale. Also, the number of “failures” was greater for those treated with the more conventional therapy and the number of “successess” was greater for those treated with DTE, when compared to all other subjects in the sample. These preliminary results were interpreted as indicating that DTE, when offered as part of an inpatient milieu, shows promise as an effective treatment for chronic/severe combat veteran PTSD sufferers.

Lithium response and VBR in schizophrenia : S. Kelwala, M.D., A.K. Jain, M.D., P. Baddigam, M.D., L.J. Bronn, M.D., N. Vinluan, M.D., J. McCown, B.A. Veterans Affairs Medical Center and Wayne-Northville Special Studies & Treatment Unit, Northville,Regional Psychiatric Hospital, Northville, MI 48167

Lithium response and VBR in schizophrenia : S. Kelwala, M.D., A.K. Jain, M.D., P. Baddigam, M.D., L.J. Bronn, M.D., N. Vinluan, M.D., J. McCown, B.A. Veterans Affairs Medical Center and Wayne-Northville Special Studies & Treatment Unit, Northville,Regional Psychiatric Hospital, Northville, MI 48167

Treatment outcomes of Vietnam veterans with PTSD and the consistency of the MCMI.

This study addresses two issues: treatment changes on the MCMI of Vietnam veterans with PTSD and test-retest reliability of the Millon Clinical Multiaxial Inventory (MCMI). Fifty Vietnam veterans carefully were identified for the diagnosis Post-Traumatic Stress Disorder (PTSD). They were admitted to a Special PTSD Treatment Unit that consisted of an intense 5-week period with focus on the revivified Vietnam experience. They also were given the MCMI at two points in time, treatment inception and 35 days later at discharge. Results show that 17 of 20 scales on the MCMI changed in the negative direction as a result of treatment. Also, the MCMI has adequate test-retest reliability, and the personality scales (with the exception of Borderline) have higher reliability coefficients than do symptom scales. The use of the MCMI is encourged both as a monitor of treatment for these veterans and for its stability.

Crises and Motivation for Treatment in Alcoholics

Abstract: A minority of alcohol dependent persons ever enters specialized treatment units and there is little information on why they are admitted. This study of 50 consecutive clients revealed that admission occurred in the presence of a recent psychosocial crisis in an otherwise protracted disorder. Motivation for treatment was difficult to assess. The decision to admit for inpatient rather than outpatient treatment tended to be influenced by the distressed state of the client or the degree of disturbance created in relation to the crisis. The complex issues of crisis, motivation and treatment compliance are reviewed.

Insulin adsorption to an air-eliminating inline filter

Journal Article Insulin adsorption to an air-eliminating inline filter Get access Terence D. Wingert, M.D., Terence D. Wingert, M.D. Assistant Professor of Medicine Medical College of Ohio. At the time of this study he was a Fellow, Endocrinology and Metabolism, VA Wadsworth Medical Center, Los Angeles, CA Search for other works by this author on: Oxford Academic Google Scholar Seymour R. Levin, M.D. Seymour R. Levin, M.D. Chief, Special Diagnostic Treatment Unit, VA Wadsworth Medical Center, and Associate Professor of Medicine, University of California-Los Angeles Address reprint requests to Dr. Levin at the VA Wadsworth Medical Center, 691/11lK, Building 500, Room 3077N, Los Angeles, CA 90073. Search for other works by this author on: Oxford Academic Google Scholar American Journal of Hospital Pharmacy, Volume 38, Issue 3, 1 March 1981, Pages 382–383, https://doi.org/10.1093/ajhp/38.3.382 Published: 01 March 1981

Veterans administration hospital staff attitudes toward alcoholism

Attitudes toward alcoholism among psychiatrists, psychologists, social workers, registered nurses, licensed practical nurses, and nursing assistants (464 subjects) were surveyed. A nine-factor questionnaire was utilized (emotional difficulties, character defect, social status, illness conception, harmless indulgence and addiction liability). All groups were homogeneous in their perceptions about emotional difficulties contributing to alcoholism, alcoholics not coming from the lower socioeconomic strata of society, and the belief that alcoholics did recover and could be helped by treatment. Age, sex, and special training in the treatment of alcoholism did not have any significant influence on attitudes. All groups believed that periodic excessive drinkers could be alcoholics. None of the groups believed that the alcoholic had a character defect. Psychologists disbelieved the concepts of illness and addiction liability. All groups disagreed with harmless indulgence. Nursing assistants tended to see the alcoholic as a harmless heavy drinker. Working on a special alcoholism treatment unit did not alter the perceptions of psychiatrists, psychologists and nursing assistants. Social workers and registered nurses showed only a minor trend toward a positive attitude change, while the trend went in the opposite direction for licensed practical nurses.

Treatment and follow-up of adolescents addicted to heroin.

A survey of the first year's referral of heroin-addicted adolescents was undertaken exactly two years after the opening of a special treatment unit. Out of 130 patients presenting 78 were selected for treatment and were followed up. The drug-taking pattern of this group is reported. At the time of the survey 27% were assessed as off all addictive drugs.

Gamma Knife Radiosurgery: An Overview of Physics, Chemistry, Biology and Neuro-medicine

The gamma knife is a highly specialized treatment unit thatprovides an advanced sophisticated stereotactic approachto treatment of tumour and vascular malformations withinthe internal structure of the head. The gamma knife deliversa single high dose of radiation emanating from 201 cobalt-60 unit sources. All 201 beam simultaneously intersect atthe same time in a pre-defined location. The treatmentplanning system for gamma knife radiosurgery has beendeveloped using nonlinear programming techniques. Thesystem optimizes the shot sizes, location and weights forgamma knife treatments. Open stereotactic technique in the1990’s was essential for the treatment of a number offunctional conditions and cystic space occupying lesions.It has an important part to play in the investigation oftumours and can help to increase the number which areaccessible to treatment. It can be employed to guide notonly solid instruments but also ionizing irradiation to “masslesion– targets”. It is just this combination of stereotacticguidance and narrow beam, high energy radiation toprecisely defined target, is the basis of gamma kniferadiosurgery . The topic on radiological physics presents abroad field, which includes physics of radiation therapy,diagnosis and nuclear medicine. The emphasis is on thebasic physical principles which form a common foundationfor these areas. Consequently, the topic provides both basicradiation physics, physical aspects of treatment planningand use of radiation beams. Some knowledge of the effectof ionizing radiation on living tissues is necessary, for thosewho wish to understand the nature of any treatment usingradiation and who also wish to inform patients about suchtreatment. The topic relates to the effects of radiation onvisible structures, in other words, cells and tissues. Theradiobiological knowledge described here has beendeveloped in relation to standard radiotherapy. Moreover,the linear quadratic model of cell killing is also applicablefor single dose irradiation.DOI: 10.3329/jbcps.v28i2.5370J Bangladesh Coll Phys Surg 2010; 28: 100-112

Nuevo hospital provincial, en Riedlingen, Alemania

This building consists of five interconnected blocks. Block A has 8 storeys and has an outpatients department, management offices, special treatment units, pharmacy, laboratory, records office and ancillaries. Block B has three storeys, and has a gynecological dept., kitchens, cooling and heating installations. Block C, of 3 floor levels, has operating rooms and auxiliary facilities. Block D has two levels, and houses the laundry, dining room and secondary offices. Block F is the rest of the hospital. It has three storeys and is devoted to patients who need to be isolated. The chapel is in block E. The whole project has been made of unfaced concrete, and in some parts «Ytong» concrete has been utilised. All installations are of the most modern type.

Experimental Program for Deviant Blind Children

The extended study of multiple-handicapped and deviant blind children has shown that if special treatment and care were provided, a surprisingly large percentage of these children could be habilitated sufficiently so that they might enter either day school classes or residential schools. Since the problem of these blind children is still urgent and gives every evidence of continuing to remain so, suggestions for adequately staffed special treatment units as adjuncts to existing state schools have been submitted. The importance of training and stimulation early, in the crucial stage, has been demonstrated in the dramatic changes possible in the developmental growth of deviant blind children as a result of the experimental summer sessions held at the Michigan School for the Blind.

Values in Alcoholics After LSD-25

i other values, than unremitted alcoholics. The rationale of the hypo- thesis is the emphasis shown in the A.A. program on fellowship and i the submission of the self to a higher power. The instrument used by these investigators was the Allport-Vernon-Lindzey Study of t: Values (2) which has six scales based on Spranger's classification of interests: theoretical, economic, esthetic, social, political and reli- i gious. The test does not yield absolute measures of value but only ! the relative strength of each of the values within each individual, i The hypothesis that alcoholics associated with A.A. would have i higher social and religious values was not confirmed in the study by Machover et al., and the authors stated that they found this i puzzling. We report herein a study of alcoholics, using the Study of Values, which relates to their hypothesis. ! Our study was done in a special treatment unit for alcoholics i_