Objectives This analytical review is intended to update the author's earlier writings on the
position of the state mental hospital within the spectrum of services for long-term mental …

This study addresses four major questions about the delivery of community‐based mental
health services: Which target groups are benefiting from recent policy shifts? What services …

Widespread reduction of financia! resources has created a growing concern about the
survival of community mental health services and their inherent concepts and ideals. To …

There is little data about the role of psychiatrists within CMHCs. To gain perspective on this
issue, job descriptions for medical directors and staff psychiatrists were collected from 214 …

In a study to refine the methodology for evaluatitig the impact of community mental health
centers on state hospital admissions, data were gathered on hospital patients' demographic …

During my tenure as a mental health administrator for these past 27 years, I have served as
Director of Community Mental Health Services for the Department of Mental Health in Maine …

SIn early 1976, feeling increasing disillusionment with being a community psychiatrist and
believing that patients could be better served in a private-practice setting, I talked with …

FOR fifteen years mental health workers in this country have been grappling with. the
consequences of a fundamental policy change in the mental health field. This reform was …

The development of a community mental health center as described in federal legislation
requires an understanding of certain basic principles and guidelines which are applicable …

Editor's Note: Many psychiatrists working in community mental health centers feel
professionally compromised by practices that give them responsibility for patient care …