Community Mental Health Journal

, Volume 22, Issue 3, pp 175–189 | Cite as

A comprehensive treatment program for schizophrenia and chronic mental illness

  • Alan S. Bellack
  • Kim T. Mueser


The failure of deinstitutionalization and the community mental health movement to improve the treatment of chronic psychiatric patients, particularly schizophrenics, is described. Problems with the current treatment paradigm include unrealistic expectations concerning the rehabilitative effects of antipsychotic medications, inadequate funding of the community mental health system, and the predominance of the “infectious disease model”, rather than the more appropriate “chronic disease model” of mental illness. A model for the comprehensive treatment of chronic mental illness is proposed that includes: treatment, rehabilitation, social services, and continuity of care. The need for an integrated community approach to rehabilitating chronic psychiatric patients is stressed, and some of the specific ingredients essential to such a program are identified.


Schizophrenia Disease Model Community Mental Health Antipsychotic Medication Comprehensive Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Human Sciences Press 1986

Authors and Affiliations

  • Alan S. Bellack
    • 1
  • Kim T. Mueser
  1. 1.Medical College of Pennsylvania at EPPIPhiladelphia

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