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Psychiatric Services

  • Volume 30
  • Number 9
  • September 1979

Article

Publication date: 01 September 1979

Pages599–604

The process of deinstitutionalization began almost unnoticed in 1955 as state hospital populations started to decline, and it proceeded without adequate planning and without development of a social consensus. The inevitable result was strong criticism, ...

https://doi.org/10.1176/ps.30.9.599

Publication date: 01 September 1979

Pages605–608

Recalling the important statement about the bankruptcy of the state hospital system and the need for a multitude of treatment settings made by Harry Solomon, M.D., in 1958, the authors acknowledge that the changes he prophesized have largely come about. ...

https://doi.org/10.1176/ps.30.9.605

Publication date: 01 September 1979

Pages609–612

As a result of the deinstitutionalization movement, increasing numbers of former state hospital patients are being rehospitalized in general hospital psychiatric units. Because of this change in patient population, the general hospital has had to adjust ...

https://doi.org/10.1176/ps.30.9.609

Publication date: 01 September 1979

Pages613–617

In attempting to build a successful program for chronic patients at the Somerville (Mass.) Mental Health Clinic, the authors first found it necessary to uncover, address, and resolve six fundamental paradoxes engendered by deinstitutionalization that were ...

https://doi.org/10.1176/ps.30.9.613

Publication date: 01 September 1979

Pages618–620

In Massachusetts there is a growing trend to transfer both direct and indirect mental health service delivery from civil mental hospitals to prison facilities. Three factors associated with deinstitutionalization and a community-based delivery system ...

https://doi.org/10.1176/ps.30.9.618

Publication date: 01 September 1979

Pages621–624

The reasons for the problems created by deinstitutionalization have only recently become clear; they include a lack of consensus about the movement, no real testing of its philosophic bases, the lack of planning for alternative facilities and services (...

https://doi.org/10.1176/ps.30.9.621

Publication date: 01 September 1979

Pages625–627

In order to interest businesses in buying mental health services for their employees, professionals must be able to speak the businessman's language and market their product—mental health services. They must emphasize the cost-effectiveness of mental ...

https://doi.org/10.1176/ps.30.9.625

Publication date: 01 September 1979

Pages628–630

Walk-in clinics, originally established in community mental health centers to provide primary and secondary prevention through around-the-clock emergency services, may be serving many people other than those in crisis. The authors conducted an 11-week ...

https://doi.org/10.1176/ps.30.9.628

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