RESUMO
Thousands of mentally handicapped patients released from mental hospitals are now living in a variety of community settings. Services to help them remain in community are often fragmented, uncoordinated and limited. Research and experience have highlighted the services they need. Numerous demonstrations have shown that patients can be successfully maintained in community setting. Coordinated services and fixed responsibility for each individual placed are essential.
Assuntos
Serviços Comunitários de Saúde Mental , Transtornos Mentais/reabilitação , Adulto , Doença Crônica , Seguimentos , Hospitais Psiquiátricos , Humanos , Ajustamento Social , Estados UnidosRESUMO
The authors describe the changing trends in psychiatric care over the last quarter century. Whereas in 1950 state and county mental hospitals were the principal site for psychiatric care, by 1974 community mental health centers and other types of mental health facilities had an important role in providing such care. There has been a marked shift from inpatient to outpatient care, and more individuals with diagnoses other than psychoses are being treated today.
Assuntos
Serviços de Saúde Mental/história , Adulto , Serviços Comunitários de Saúde Mental/história , Feminino , Casas para Recuperação , História do Século XX , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Estatística como Assunto , Estados UnidosRESUMO
The Community Mental Health Center Amendments of 1975 (Public Law 94-63) mandate that federally funded mental health centers provide specific services to patients discharged from mental health facilities, including follow-up care and a system of transitional halfway houses. In addition, they must provide assistance in screening potential inpatients and provide alternative treatment when appropriate. The author stresses the need to coordinate the resources of public and private agencies through interagency planning, collaboration, and coordinated service delivery, the need to create new resources where none exist, and the need for more involvement by psychiatristis.
Assuntos
Serviços Comunitários de Saúde Mental , Hospitais Psiquiátricos , Transtornos Mentais/terapia , Assistência ao Convalescente , Hospitalização , HumanosRESUMO
A survey of halfway houses made in October 1973 identified 209 facilities primarily for psychiatric patients and 597 for alcoholics. The facilities for alcoholics average fewer employees than the psychiatric halfway houses, and proportionately more of them are recovered patients. The alcoholism facilities serve older clients, most of them males. Patients admitted to psychiatric halfway houses are more likely to enter from a hospital than from the community, and they have longer stays than the alcoholic patients. The largest percentage of both groups return to independent living; 15 per cent of the psychiatric patients are readmitted to hospitals.
