Marcia Meldrum

Marcia Meldrum
University of California, Los Angeles | UCLA · Department of Psychiatry and Biobehavioural Sciences

About

44
Publications
4,336
Reads
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1,121
Citations
Introduction

Publications

Publications (44)
Article
Purpose: Assisted outpatient treatment (AOT) programs can compel treatment-refusing individuals to participate in mental health treatment via civil court order. In California’s AOT programs, individuals first must be offered 30 days of outreach services and can accept services voluntarily. This study examines the use of outreach strategies in an AO...
Article
Objective: The study evaluated the effect of California’s Mental Health Services Act (MHSA) on the structure, volume, location, and patient centeredness of Los Angeles County public mental health services. Methods: This prospective mixed-methods study (2006–2013) was based in five Los Angeles County public mental health clinics, all with usual car...
Chapter
In this chapter, the authors provide snapshots illustrating the development and impact of California’s mental health policies since the 1970s. Using historical primary source documents, oral history interviews and ethnographic observations, the authors tell the stories of how family members of individuals with mental illness, policymakers and clien...
Article
Full-text available
Objective: The authors’ objective was to determine how assisted outpatient treatment (AOT) has been implemented in actual practice in the 45 states with AOT statutes. Methods: A national survey of AOT programs was conducted to examine the extent to which AOT programs have been implemented and variations in implementation models. Results: Although...
Article
Keith Wailoo takes a new and perceptive approach to the history of pain, presenting it as a legal, political, and cultural touchstone in post–World War II America. In his account, the problem of chronic, disabling pain refined and solidified the meanings of liberalism and conservatism in U.S. politics in this period. After briefly touching on the a...
Article
Background: Little is known about the perceived causes of stress and what strategies African American men use to promote resiliency. Participatory research approaches are recommended as an approach to engage minority communities. A key goal of participatory research is to shift the locus of control to community partners. Objective: To understand pe...
Article
Full-text available
"Community Partners in Care (CPIC): Video Summary of Rationale, Study Approach / Implementation, and Client 6-month Outcomes" is a 2 minute, 46 second video summarizing the study rationale, study approach, and the 6-month outcomes. The video was produced by four agencies: Healthy African American Families II, a health advocacy organization in South...
Article
Full-text available
Little is known about the perceived causes of stress and what strategies African American men use to promote resiliency. Participatory research approaches are recommended as an approach to engage minority communities. A key goal of participatory research is to shift the locus of control to community partners. To understand perceived sources of stre...
Article
Modern hospice care began to take shape in England in the late 1950s, and Dame Cicely Saunders is recognized as the pivotal figure in the growth of the modern hospice, both in the UK and worldwide. This chapter considers the historical development of end-of-life care, focusing on the two countries most influential in its development, the United Kin...
Article
Christopher Tietze proposed that any contraceptive approach succeeds only if it is “use-effective” – one which individual women and women find appropriate for use within their own lives. This idea has very different connotations; in developed countries they are marketed products and in the developing world they are tactics in government population...
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Full-text available
This article identifies some of the challenges of implementing patient-centeredness in multiparty clinical visits. Specifically, it describes four interview practices with which clinicians address these challenges in a US outpatient tertiary care pediatric pain clinic. Using the qualitative method of conversation analysis, we analyze clinicians' ch...
Article
This study employed a mixed-method design to test sex-specific parent-child pain associations. Subjects were 179 chronic pain patients aged 11-19 years (mean = 14.34; 72% female) presenting for treatment at a multidisciplinary, tertiary clinic. Mothers and children completed questionnaires prior to their clinic visit, including measures of children...
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Full-text available
Little is known about how sociodemographic factors relate to children's chronic pain. This paper describes the pain, health, and sociodemographic characteristics of a cohort of children presenting to an urban tertiary chronic pain clinic and documents the role of age, sex and minority status on pain-related characteristics. A multidisciplinary, ter...
Article
Chronic or recurrent nonmalignant pain is a significant problem for many children and adolescents and often limits the child's participation in normal physical, academic, and social activities. To better understand the impact of chronic or recurrent pain on children within the context of their own lives and experiences, using qualitative analysis,...
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Full-text available
This article is the second in a two-part series reviewing the empirical evidence for complementary and alternative medicine (CAM) approaches for the management of pain related to medical procedures in infants up to 6 weeks of age. Part I of this series investigated the effects of sucrose with or without non-nutritive sucking (NNS). The present arti...
Article
Full-text available
There is increasing concern regarding the number of painful medical procedures that infants must undergo and the potential risks of alleviating infant pain with conventional pharmacologic agents. This article is Part I of a two-part series that aims to provide an overview of the literature on complementary and alternative (CAM) approaches for pain...
Article
Full-text available
Although sex differences in anxiety sensitivity or the specific tendency to fear anxiety-related sensations have been reported in adults with clinical pain, there is a dearth of relevant research among children. This study examined sex differences in anxiety sensitivity across unselected samples of 187 children with chronic pain (71.7% girls; mean...
Article
Full-text available
This paper uses a mixed-methods approach to examine the impact of pain-associated functioning limitations on children's lives and the strategies they develop to try to continue functioning. Forty-five children ages 10-18 completed standardized questionnaires and participated in semistructured interviews prior to intake at a university-based tertiar...
Chapter
Full-text available
Pain may be a major cause of physical and emotional distress in chronic pediatric conditions, including cancer, juvenile arthritis, and cystic fibrosis. Complementary and alternative medical (CAM) therapies have become important and frequently used modalities in treating children’s pain. Yet, many practitioners have questioned whether there is suff...
Article
Unlabelled: Anxiety sensitivity (AS), or the fear of anxiety sensations, has been shown to independently predict poorer health-related quality of life (HRQOL) in adults with chronic pain. Specifically, AS was found to contribute to decrements in psychological well-being and social functioning but not to decrements in physical functioning. Existing...
Article
Full-text available
CAM therapies have become increasingly popular in pediatric populations. Yet, little is known about children's preferences for CAM. This study examined treatment preferences in chronic pediatric pain patients offered a choice of CAM therapies for their pain. Participants were 129 children (94 girls) (mean age = 14.5 years +/- 2.4; range = 8-18 year...
Article
Despite frequent targeting of health beliefs in pediatric chronic pain treatment interventions, there are currently no reliable and valid self-efficacy measures for children with chronic pain and their parents. The current study examined the psychometric properties of parent and child versions of a self-efficacy measure related to the child functio...
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Full-text available
Patient expectations regarding complementary and alternative medicine (CAM) interventions have important implications for treatment adherence, attrition and clinical outcome. Little is known, however, about parent and child treatment expectations regarding CAM approaches for pediatric chronic pain problems. The present study examined ratings of the...
Article
Three strands of activity can be identified in the history of pain measurement. The first, psychophysics, dates back to the nineteenth century and measures the effect of analgesia by quantifying the noxious stimulation required to elicit pain, as well as the maximum stimulation tolerated. The second uses standardized questionnaires for patients, de...
Article
The origins of the WHO Cancer Pain Relief Program (the Analgesic Ladder) and its research basis in two very different research traditions, one at Memorial Sloan-Kettering Cancer Center in New York, the other at St. Christopher's Hospice in London, are discussed. The Sloan-Kettering group emphasized precise relative differences in analgesic effects...
Article
Pain is a complex clinical problem. Assessment depends on verbal report, and the patient's physical perceptions may be modified by cognitive and affective factors. The salience of pain as a problem in its own right has grown since 1945 and new therapeutic alternatives have developed from research and from new theoretical perspectives. This short hi...
Article
This article discusses the history and development of randomized clinical trial methodology, the reasons for its status and authority as a method of therapeutic evaluation, and the continuing role of clinical judgement in designing, interpreting, and applying the findings of trials.
Article
This article discusses the history and development of randomized clinical trial methodology, the reasons for its status and authority as a method of therapeutic evaluation, and the continuing role of clinical judgement in designing, interpreting, and applying the findings of trials.
Article
Unlabelled: The purpose of this study was to use citation analysis to identify major themes and contributors to the pain and analgesia literature over the past two decades. A citation analysis was performed on a database of more than 110,000 articles in the biomedical literature from January 1981 through June 1997, and in the interval from January...
Article
Bulletin of the History of Medicine 73.3 (1999) 534-536 "Chronic pain definitely seems to create a crack in the dualism underlying our modes of thought" (p. 295). Is pain a thing of mind or body -- or both? And if the physician's powerful detection technologies cannot "find" it in the body, where and what is the patient's suffering? As anthropologi...
Article
Full-text available
The polio vaccine field trials of 1954, sponsored by the National Foundation for Infantile Paralysis (March of Dimes), are among the largest and most publicised clinical trials ever undertaken. Across the United States, 623 972 schoolchildren were injected with vaccine or placebo, and more than a million others participated as “observed” controls....
Article
Bulletin of the History of Medicine 70.2 (1996) 266-295 In the 1950s, the practice of contraception gained a measure of respectability, in the wake of endorsement by medical authorities and growing concern over world population growth. Yet a kind of moral stigma remained -- the product of Catholic opposition, the public glorification of postwar fam...
Article
Thesis (Ph. D.)--State University of New York at Stony Brook, 1994. Includes bibliographical references (leaves 388-412). Photocopy.

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Project (1)
Project
The goal of this study is to evaluate the implementation, composition, and effectiveness of a novel Assisted Outpatient Program (AOT) in Los Angeles County. This AOT program is unique for its extensive use of outreach and engagement to encourage those who are homeless and completely unengaged in services to engage in services at Full Service Partnership programs and Enriched Residential Services.