Skip to main content
SpringerLink
Log in

Practical guidelines for the community treatment of markedly impaired patients

  • Articles
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

A sound technology does not yet exist for successfully treating in the community those patients traditionally treated by public mental hospitals and aftercare programs. The current paper attempts to advance this technology by presenting practical guidelines based on the empirical work of the writers and others. Recommendations include a focus on the teaching of coping skills, an in vivo site of treatment, an assertive approach, and use of a variety of social learning techniques. Staffing and monetary needs for community treatment are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Chu, F.D., & Trotter, S.The madness establishment. New York: Grossman, 1974.

    Google Scholar 

  • Cumming, J. Inadequacy syndrome.Psychiatric Quarterly, 1963,37, 723–733.

    PubMed  Google Scholar 

  • Discharged chronic mental patient.Medical World News, April 12, 1974, pp. 47–58.

  • Glasscote, R.M., Cumming, E., Rutman, I.P., Sussex, J.N., & Glassman, S.M.Rehabilitating the mentally ill in the community. Washington, D.C.: Joint Information Service of the American Psychiatric Association and National Association for Mental Health, 1971.

    Google Scholar 

  • Glasscote, R.M., Kraft, A.M., Glassman, S.M., & Jepson, W.W.Partial hospitalization for the mentally ill. Washington, D.C.: Joint Information Service of the American Psychiatric Association and National Association for Mental Health, 1969.

    Google Scholar 

  • Goffman, E.Asylums. Garden City, N.Y.: Doubleday, 1961.

    Google Scholar 

  • Gold Award: A community treatment program—Mendota Mental Health Institute, Madison, Wisconsin.Hospital and Community Psychiatry, 1974,25, 669–672.

    Google Scholar 

  • Hobbs, N. Mental health's third revolution.American Journal of Orthopsychiatry, 1964,34, 822–833.

    PubMed  Google Scholar 

  • Margolin, R. The concept of mental illness: A new look at some old assumptions.Community Mental Health Journal, 1968,4, 417–424.

    Google Scholar 

  • Marx, A.J., Test, M.A., & Stein, L.I. Extrohospital management of severe mental illness.Archives of General Psychiatry, 1973,29, 505–511.

    PubMed  Google Scholar 

  • Mendel, W.M., & Rapport, S. Determinants of the decision for psychiatric hospitalization.Archives of General Psychiatry, 1969,20, 321–328.

    PubMed  Google Scholar 

  • Murphy, H.B.M., Pennee, B., & Luchins, D. Foster homes: The new back wards?Canada's Mental Health, September–October, 1972, pp. 1–17.

  • Paul, G.L. Chronic mental patient: Current status—Future directions.Psychological Bulletin, 1969,71, 81–94.

    PubMed  Google Scholar 

  • Pollock, H.M. Is the paroled patient a menace to the community?Psychiatric Quarterly, 1938,12, 236–244.

    Google Scholar 

  • Price, R.H. Psychological deficit versus impression management in schizophrenic word association performance.Journal of Abnormal Psychology, 1972,79, 132–137.

    PubMed  Google Scholar 

  • Rappeport, J.R., & Lassen, G. Dangerousness: Arrest rate comparisons of discharged patients and the general population.American Journal of Psychiatry, 1965,121, 776–783.

    PubMed  Google Scholar 

  • Rosenblatt, A., & Mayer, J.E.The recidivism of mental patients: A review of past studies. Paper presented at the meeting of the American Orthopsychiatric Association, San Francisco, 1974.

  • Segal, S.P.Life in board and care: Its political and social context. Paper presented at the National Institute of Mental Health Conference, Scottsdale, Arizona, February, 1974.

  • Stein, L.I., Test, M.A., & Marx, A.J.Alternative to the hospital-A controlled study.American Journal of Psychiatry, 1975,132, 517–522.

    PubMed  Google Scholar 

  • Trotter, S., & Kuttner, B. The mentally ill: From backwards to back alleys.Washington Post, February 24, 1974.

  • Weinman, B., Kleiner, R., Yu, J.H., & Tillson, V.A. Social treatment of the chronic psychotic patient in the community.Journal of Community Psychology, 1974,2, 358–365.

    Google Scholar 

  • Wolpe, J.The practice of behavior therapy. New York: Pergamon Press, 1969.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Mendota Mental Health Institute, 301 Troy Drive, 53704, Madison, Wisconsin

    Mary Ann Test Ph.D. (Director of Research)

  2. Department of Psychiatry at the University of Wisconsin Medical School, Madison

    Leonard I. Stein M.D. (Associate Professor)

Authors
  1. Mary Ann Test Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Leonard I. Stein M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

The research on which this paper is partially based is bang supported in part by Grant 05 R000009 from the National Institute of Mental Health.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Test, M.A., Stein, L.I. Practical guidelines for the community treatment of markedly impaired patients. Community Ment Health J 12, 72–82 (1976). https://doi.org/10.1007/BF01435740

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01435740

Keywords

Search

Navigation