New rights for deaf patients; new responsibilities for mental hospitals.

In an era in which mental hospital administrators are confronted by shrinking budgets and cost containment strategies in order to survive, the recently enacted Americans with Disabilities Act requires their special attention. This article addresses the anticipated effect of the ADA upon inpatient psychiatric facilities. We assume that adminstrators should anticipate increased ligation and settlement costs associated with specialized services to deaf and other qualifying patients who seek equal access to psychiatric services provided in mental hospitals.

Occipital arteriovenous fistulae.

Occipital arteriovenous fistulae may be congenital or traumatic. The distinguishing characteristics of each and diagnosis by dynamic computed tomographic (CT) scanning, obviating the need for angiography, is outlined and illustrated by a case report. The indications for surgery and operative approach are discussed.