Toward a national mental health policy
In an address to a 1991 symposium on community psychiatry in Albany, NY, the recent history of public mental health programs is traced, noting a severe disintegration of these services during the 1980s. Personal experience as administrator of the Philadelphia (Pa) Office of Mental Health & Menta...
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| Veröffentlicht in: | Psychiatric quarterly 1991-10, Vol.62 (3), p.267-275 |
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| container_end_page | 275 |
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| container_title | Psychiatric quarterly |
| container_volume | 62 |
| creator | Surles, R C |
| description | In an address to a 1991 symposium on community psychiatry in Albany, NY, the recent history of public mental health programs is traced, noting a severe disintegration of these services during the 1980s. Personal experience as administrator of the Philadelphia (Pa) Office of Mental Health & Mental Retardation is drawn on to chronicle decline in the number of community mental health centers affiliated with hospitals, animosity between city & state, charges of racism, & a serious increase in the use of psychiatric emergency rooms. In the 1990s the mental health system has retreated from a comprehensive system of care to one that is complex, fragmented, & incomplete. Recommendations are made to establish national policy for those at greatest risk, increase coordination between general hospitals & state psychiatric hospitals, & support innovative case management & financing systems. Although the impact of insurers, employers, increased monitoring of services by state & federal bodies has resulted in reducing or rationing access to care, some benefits are cited: greater acceptance of responsibility by mental health professionals, & a renewed interest in working in public & community mental health & a national mental health agenda. S. Dilts |
| doi_str_mv | 10.1007/BF01955801 |
| format | Article |
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Personal experience as administrator of the Philadelphia (Pa) Office of Mental Health & Mental Retardation is drawn on to chronicle decline in the number of community mental health centers affiliated with hospitals, animosity between city & state, charges of racism, & a serious increase in the use of psychiatric emergency rooms. In the 1990s the mental health system has retreated from a comprehensive system of care to one that is complex, fragmented, & incomplete. Recommendations are made to establish national policy for those at greatest risk, increase coordination between general hospitals & state psychiatric hospitals, & support innovative case management & financing systems. 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| fulltext | fulltext |
| identifier | ISSN: 0033-2720 |
| ispartof | Psychiatric quarterly, 1991-10, Vol.62 (3), p.267-275 |
| issn | 0033-2720 1573-6709 |
| language | eng |
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| source | MEDLINE; Sociological Abstracts; Periodicals Index Online; SpringerLink Journals - AutoHoldings |
| subjects | Community Mental Health Health Policy Health Services Needs and Demand Hospitalization - trends Humans Male Mental Disorders - psychology Mental Disorders - therapy Mental Health Mental Health Services - legislation & jurisprudence Mental Health Services - trends Policy Making Public Health United States United States of America |
| title | Toward a national mental health policy |
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