Study indicated that, although well-integrated comprehensive community mental health system (CMHS) dramatically reduces utilization of long-stay inpatient beds compared to traditional health care systems, it does not banish appearance of "new chronic" patients from a catchment area. CMHS new chronic patients were younger, mostly male,…

Paper presented at the annual meeting of the American Orthopsychiatric Association (Chicago, 1968).

In an increasingly cost-conscious health care environment, average length of hospital stay has decreased. Although psychiatric inpatient treatment is largely exempt from the constraints of the Medicare diagnosis related groups (DRG's), length of stay for geropsychiatric hospital services has decreased also. A trend toward higher rates of early…

The report of a team project concerned with idea development for community mental health centers includes--(1) concept description, (2) development of facility and resource requirements, (3) conceptual diagrams, (4) schematic plans, and (5) model photographs. (MH)

This paper focuses on the catchment area, administration, continuity of care, staffing and funding of community mental health centers. A companion paper explores the area of planning for services. (Author)

Although the occurrence of medical illnesses in psychiatric patients is quite high, medical illnesses manifested by psychiatric symptoms are often overlooked. The higher mortality rates among psychiatric patients when compared to the general population may be a reflection of neglect or inadequate treatment of the psychiatric patients' medical…

To determine the extent of perceived mental health problems and the adequacy of services in a six-county area of West Virginia, a questionnaire was mailed to a sample population selected from voter registration lists, the number in the sample from each county proportionately determined by the counties' total population. The conclusion that…

A program of home visits was developed through the Crisis Intervention Unit of the Department of Psychiatry of Toronto East General Hospital in order to provide alternative clinical counselling for psychiatric patients. Preliminary results suggest that home visits have considerable implications for the development of suicide prevention services.…

To pin down the appropriate parameters for graduate nursing education, the authors say we must explore the meanings of advanced generalist and specialist. They discuss the focus, scope, and depth of the community health major, psychiatric mental health nursing, nursing care of children, maternity nursing, medical-surgical nursing, and nursing…

The major burden of mental illness borne by our communities is imposed by severely mentally disordered people who become chronically deteriorated in their social functioning. Yet much of this burden is unnecessary. At least half the people currently becoming chronically deteriorated would not do so if our present knowledge was put to work. (Author)

Describes "linkage agreement" system between Illinois community mental health centers and Anna Mental Health and Developmental Center serving 28 rural counties. Agreements specify responsibilities of community centers and hospital staff regarding referrals, client treatment, and discharge. Describes improvements over previous…

This report attempts to identify important variables affecting the success of the Lodge Program, affiliated with the Fort Logan Mental Health Center. The Lodge Program is a community based, group oriented, social and work program for the rehabilitation of the refractory, long stay mental patient. Findings reported include the following: (1) the…

This study sought to develop and test a method for predicting inpatient utilization in the New York State Department of Mental Hygiene. A Markov chain mathematical model was developed and tested ex post facto for its accuracy in prediction of inpatient workload by age groups for two successive fiscal years. (Author)

In this paper, the history and objectives of the Council on Suicide Prevention are discussed, together with a brief summary of a survey of Toronto Social Service agencies having contact with suicidal persons. (Author)

Describes Maryland program in which senior psychiatric residents work one day a week for a year as consultants to health departments, in effort to prepare them more adequately for work in the community. (CJ)