EDITOR'S NOTES

David Mechanic

1. The Challenges of Managed Care Managed care will lead to consolidation and fundamental restructuring of general hospital inpatient psychiatry.

David Mechanic

2. The Psychiatric Unit Comes to the General Hospital: A History of the Movement The needs of the psychiatric profession and hospital managers aided the growth of general hospital inpatient units, but these influences are changing rapidly

James Walkup

3. Toward an Integrated Approach to the Study of Inpatient Treatment of Schizophrenia Treatment orientation for patients with schizophrenia can be assessed by an instrument covering medication management, medication education, illness education, family involvement, substance abuse treatment, psychosocial rehabilitation, and linkage to external services.

Mark Olfson

Carol A. Boyer

Stephen Hansell

James Walkup

Sara L. Kellermann

Sarah Rosenfield

David Mechanic

4. Medication Noncompliance Reducing medication noncompliance is one of the critical challenges in inpatient treatment.

Mark Olfson

Stephen Hansell

Carol A. Boyer

5. Family Involvement in General Hospital Inpatient Care Family programs offer significant opportunities for improving care for patients with schizophrenia, but they have not been a major priority for inpatient units.

James Walkup

6. Treatment for Comorbid Schizophrenia and Substance Abuse Disorders There are significant barriers to providing appropriate treatment for patients with comorbid schizophrenia and substance abuse disorders.

Stephen Hansell

7. Discharge Planning in Psychiatric Units in General Hospitals Good discharge planning is the key to effective coordination of services for persons with serious mental illness.

Mark Olfson

James Walkup

8. Meaningful Linkage Practices: Challenges and Opportunities Although more is done with longer inpatient stays, approaches that involve families make linkage strategies possible with reduced lengths of stay.

Carol A. Boyer

9. The Future of Inpatient Psychiatry in General Hospitals Managed care will demand more inpatient program responsibility for reducing poor community outcomes and readmissions.

David Mechanic

NAME INDEX

SUBJECT INDEX