As the United States moves toward large-scale health care reform, understanding the
special needs that exist in rural communities becomes more urgent. The scarcity of health …

This article reviews research findings in rural mental health services during the past 10
years. Specifically considered are the prevalence of mental disorder in rural areas and …

An introductory chapter considers different models of forensic service systems and presents
the rationale for community-based systems. The rest of the volume presents a …

Abstract The 18-year Community Mental Health Center (CMHC) Program of the National
Institute of Mental Health (NIMH) was a complex and ambitious social experiment. This …

The merits of public versus private health care agencies have been vigorously debated,
particularly as states increasingly contract with community mental health agencies to serve …

This paper traces the dramatic rise of psychiatric emergency services (PES) and crisis
intervention services over recent decades. It examines three processes—the evolution of …

Major policy and funding shifts over the last several years have stimulated a series of
changes in local mental health agencies. Services offered by CMHCs became less …

Organizations are reflective of the environments within which they operate. The environment
for mental health care in rural areas discussed previously (Flax et al. 1979) was …

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 …

This article explores the impact of managed care on community mental health outpatient
services in New York State. A survey was sent to directors of all the licensed mental health …