Psychiatric Quarterly

, Volume 76, Issue 2, pp 177–194 | Cite as

Against the Grain? A Reasoned Argument for Not Closing a State Hospital

  • Jeffrey L. Geller
  • Helen Shore
  • Albert J. GrudzinskasJr.
  • Paul S. Appelbaum


In the face of the Massachusetts Governor’s attempts to close one of the state’s four remaining state hospitals, Massachusetts legislators overrode the Governor’s veto of funding for the hospital, but required the state’s Mental Health Authority to author a study of the implications of further loss of public sector inpatient beds. The Center for Mental Health Services Research of the University of Massachusetts Medical School conducted its own study concluding that maintaining a longer-term inpatient capacity in the public sector in central Massachusetts was both necessary and accrued a significant number of benefits. This article can serve as a model for the reasoned position that a state hospital in 21st century psychiatry can be looked at as a multiservice center that fulfills a key role in a public sector, integrated system of treatment, care, training and research.

state hospital reimbursability Medicaid care and treatment closing 


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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Jeffrey L. Geller
    • 1
    • 2
  • Helen Shore
    • 1
  • Albert J. GrudzinskasJr.
    • 1
  • Paul S. Appelbaum
    • 1
  1. 1.Center for Mental Health Services Research, Department of PsychiatryUniversity of Massachusetts Medical SchoolWorcester
  2. 2.Department of PsychiatryUMass Medical SchoolWorcester

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