Assuntos
Sintomas Afetivos/psicologia , Transtornos do Comportamento Infantil/psicologia , Transtornos Neurocognitivos/psicologia , Apego ao Objeto , Sintomas Afetivos/diagnóstico , Maus-Tratos Infantis/psicologia , Transtornos do Comportamento Infantil/diagnóstico , Pré-Escolar , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Masculino , Transtornos Neurocognitivos/diagnóstico , Fatores de Risco , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/psicologiaRESUMO
While the combined psychiatric and medical treatment of patients is highly desirable, such treatment of more complex medical patients in a psychiatric milieu has been difficult to accomplish. This paper describes the creation of and experience with a psychiatric unit for adolescents with both difficult medical and psychiatric problems. Useful aspects of the structure of such a unit are discussed, and case examples are presented.
Assuntos
Psiquiatria do Adolescente/organização & administração , Unidades Hospitalares/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Unidade Hospitalar de Psiquiatria/organização & administração , Adolescente , Adulto , Feminino , Humanos , Masculino , Transtornos Psicofisiológicos/psicologia , Resultado do TratamentoRESUMO
In 1977, the 65th Texas Legislature created the Texas Family Practice Residency Program to encourage the training of family physicians and to improve access to health care in medically underserved areas. During the past 12 years, the number of family practice residency programs has grown from 12 to 25, with 1,174 graduates as of September 1988. This article discusses the program's origins, administration, effectiveness, and future.