Abstract
The development of a demonstration program to provide multiphasic, multi-modality treatment, and rehabilitation services in a community mental health clinic is described. Critical components are presented, and an underlying therapeutic philosophy which eschews unwitting reinforcement of social breakdown is propounded. Followup studies show that more than 70% of the psychotic patient population are benefited.
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Barten, H. H.: The coming of age of the brief psychotherapies. In: Progress in Community Mental Health. Vol. I. Bellak, L. and Barten, H. H. (Eds.). Grune and Stratton. New York. 1969.
: Brief Therapies. Behavioral Publications. New York. 1971.
Brown, O. S.: The Work Village: An Innovative Treatment for Chronic Schizophrenic Patients. The University of Texas, Austin. 1971.
Caffey, E. M. Jr.; Jones, R. D.; Diamond, L. S.; Burton, E., and Bowen, W. T.: Brief hospital treatment of schizophrenia—Early results of a multiple-hospital study. Hosp. & Commun. Psychiat., 19: 282–287, 1968.
Carlton, M. G.: The pre-admission period and precare programs for the mentally ill: A review of the literature. Commun. Ment. Health J., 1: 43–54, 1965.
Friedman, L.; Von Mering, O., and Hinko, E. N.: Intermittent patienthood. Arch. Gen. Psychiat., 14: 386–392, 1967.
Gruenberg, E. M.: The social breakdown syndrome—Some origins. Am. J. Psychiat., 123, 1481–1489, 1967.
: From practice to theory. Community mental-health services and the nature of psychoses. Lancet I: 721–724, 1969.
Hansell, N.: Casualty management method—An aspect of mental health technology in transition. Arch. Gen. Psychiat., 19: 281–289, 1968.
Herz, M. I.: The therapeutic community: a critique. Hosp. & Commun. Psychiat., 23: 69–72, 1972.
Hogarty, G. E.: The plight of schizophrenics in modern treatment programs. Hosp. & Commun. Psychiat., 22: 197–203, 1971.
Kraft, A. M.: Binner, P. R., and Dickey, B. A.: The community mental health program and the longer-stay patient. Arch. Gen. Psychiat., 16: 64–70, 1967.
Lamb, H. R., and Goertzel, V.: Discharged mental patients—Are they really in the community. Arch. Gen. Psychiat., 24: 29–34, 1971.
Langsley, D. G.; Pittman, F. S.; Machotka, P., and Flomenhaft, K.: Family crisis therapy—Results and implications. Fam. Process, 7: 145–158, 1968.
Mendel, W. M., and Rapport, S.: Determinants of the decision for psychiatric hospitalization. Arch. Gen. Psychiat. 20, 321–328, 1969.
Pittman, F. S.; De Young, C.; Flomenhaft, K.; Kaplan, D. M., and Langsley, D. G.: Techniques of crisis family therapy. In: Current Psychiatric Therapies, Vol. VI. Masserman, J. (Ed.). Grune and Stratton. New York. 1966.
Rutledge, L., and Binner, P.: Readmissions to a community mental health center. Commun. Ment. Health J., 6: 136–143, 1970.
Schwartz, D. A.: Community mental health in 1972: An assessment. In Progress in Community Mental Health, Vol. II. Barten, H. H. and Bellak, L. (Editors) Grune and Stratton. New York. 1972.
Wilkinson, C. B., and Hornstra, R. K.: Characteristics of after-care patients. Dis. Nerv. Syst., 30: 246–250, 1969.
Wolkon, G. H.: Effecting a continuum of care: An exploration of the crisis of psychiatric hospital release. Commun. Ment. Health J., 4: 63–73, 1968.
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Clinical Associate Professor of Psychiatry, Cornell Medical College.
This program has been supported by a grant under Section 314(d) of the Public Health Services Act, which is administered by the New York State Department of Mental Hygiene. Portions of this paper were presented in similar form at the Fifth World Congress of Psychiatry, Mexico City, Nov., 1971.
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Barten, H.H. Developing a multiphasic rehabilitation program for psychotic patients in a community mental health clinic. Psych Quar 47, 159–174 (1973). https://doi.org/10.1007/BF01562222
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DOI: https://doi.org/10.1007/BF01562222