PRN medication use in inpatient psychiatry

1. Administration of p.r.n. medications occurs frequently for staff nurses in inpatient psychiatry. 2. The appropriate use of p.r.n. medications is not well addressed in nursing textbooks or hospital policies and procedures. 3. Thorough assessment of patients is an essential step in the safe administration of p.r.n. medications. 4. Concise, accurate clinical evaluations may be the most successful way to determine the best dose of medication for each patient.     

Children of Adolescent Mothers: Cognitive and Behavioral Status at Age Six

The cognitive and behavioral status at age six years of 185 children of adolescent mothers (60.5% boys) were assessed using the mother (CBCL) and teacher (TRF) report forms of the Child Behavior Checklist and the Bracken Basic Concepts Scale. There was evidence for impairment in all areas of functioning. More than half of the sample exceeded the borderline clinical cutoff (T = 60) on either the CBCL or TRF Total Problem score, and nearly half the sample had Bracken scores that were more than 1 SD below the normative mean. Only 26.9% of the children were in the normal range on all three measures. These results are discussed in terms of implications for social work practice with children and adolescent mother families.     

Urban tree cover: an ecological perspective

Analysis of urban tree cover is generally limited to inventories of tree structure and composition on public lands. This approach provided valuable information for resource management. However, it does not account for all tree cover within an urban landscape, thus providing insufficient information on ecological patterns and processes. We propose evaluating tree cover for an entire urban area that is based on patch dynamics. Treed patches are classified by their origin, structure, and management intensity. A patch approach enables ecologists to evaluate ecological patterns and processes for the entire urban landscape and to examine how social patterns influence these ecological patterns and processes.     

Siblings of handicapped children

There is a strong suggestion that the siblings of handicapped children are at risk psychologically. Factors which contribute to this risk, aspects of the sibling relationship, and the siblings' issues, concerns and feelings are discussed so that professionals may have a framework within which to assess and evaluate these children's needs. Case examples are given.     

CMHS/CSAT Collaborative Demonstration Program for Homeless Individuals

The Collaborative Demonstration Program for Homeless Individuals is providing an opportunity for several community agencies in the United States to explore innovative intervention and treatment strategies to address the needs of homeless people with co-occurring (mental illness and substance abuse) disorders. This cooperative agreement, funded jointly by the Center for Mental Health Services (CMHS) and the Center for Substance Abuse Treatment (CSAT), is a $3 million project supporting programs in various community agencies to develop, document, and evaluate programs for persons who are homeless with co-occurring disorders to be used as models in other communities. The program models include: Assertive Community Treatment, Psychosocial Rehabilitation, Therapeutic Community, and an integrated treatment model. The first phase of the two-phase project funded 16 programs in the U.S. to develop manuals within their primary treatment modalities for homeless people with co-occurring disorders. For Phase II of the project, six of the 16 model programs were competitively selected to demonstrate program impact through formal program evaluation efforts. The data derived from the various projects will be compiled into a compendium of information for state agencies and community service providers throughout the U.S.     

Mindfulness, vulnerability, and love: Spiritual lessons from frail elders, earnest young pilgrims, and middle aged rockers

Gerontologists have studied religion and spirituality for almost three decades. Much of this work focuses on determining how elders' religious and spiritual beliefs and practices affect various indicators of well-being. This paper critiques many of the assumptions underlying this research and suggests alternatives to individualistic formulations of well-being. Experiences in spiritual communities of various types may help aging persons to be mindfully present to others, to recognize that all are vulnerable to the afflictions of aging and the certainty of death, and to love and care for others while working to promote justice. In this paper, I describe how my marriage to a minister enabled me to develop relationships with frail elders and young adults seeking to live faithfully. These friends have influenced my work and have helped to shape my views on my own aging.