Abstract
Previous research on federally funded community mental health centers has largely failed to recognize fundamental differences among different types of centers. Here we show that such basic factors as the arrangement for providing inpatient services and the period of initial federal funding have large effects on the development and organization of a center. Although the centers joining the federal program from 1965–1970 are the largest, those facilities funded between 1971–1975 are generally smaller than those funded later. The arrangement for providing inpatient services has an important effect on staffing. This work suggests the national norms may not be the most useful data for evaluating past performance or planning the future of a specific center.
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References
Bachrach, L.L. Feedback: General hospitals taking greater role in providing services for chronic patients.Hospital and Community Psychiatry, 1979,30, 448.
Bass, R.D..CMHC staffing: Who minds the store? National Institute of Mental Health, Series B, No. 16. Washington DC: U.S. Government Printing Office, 1978.
Bass, R.D.Trends among core professionals in organized mental health settings: Where have all the psychiatrists gone? Statistical Note 160. Rockville, Md, National Institute of Mental Health, 1981.
Bassuk, E.L., & Gerson S. Deinstitutionalization and mental health services.Scientific American, 1978,238, 46–53.
Borus J. Issues critical to the survival of community mental health.American Journal of Psychiatry, 1978,135, 1029–1035.
Clark, G. In defense of deinstitutionalization.Milbank Memorial Fund Quarterly, 1979, 461–479.
Foley, H.A., & Sharfstein, S.S.Madness and government. Washington, DC, American Psychiatric Association, 1983.
General Accounting Office.Returning the mentally disabled to the community: Government needs to do more. Washington, D.C.: U.S. Government Printing Office, 1977.
Greenblatt, M.Psychopolitics. lNew York: Grune & Stratton.
Kiesler, C.A. Public and professional myths about mental hospitalization: an empirical reassessment of policy-related beliefs.American Psychologist, 1982,37, 1323–1339.
Kimberly, J.R., Miles, R.H. and Associates.The organizational life cycle. San Francisco: Jossey-Bass Publishers, 1980.
Kimberly, J.R. Initiation, innovation, and institutionalization in the creation process. In J.R. Kimberly & R.H. Miles (Eds.),The organizational life cycle. San Francisco: Jossey-Bass Publishers, 1980.
Kramer, M.Psychiatric services and the changing institutional scene 1950–1985. Washington, D.C.: U.S. Government Printing Office, 1977.
Langsley, D.G. & Barter, J.T. Psychiatric roles in the community mental health center.Hospital & Community Psychiatry, 34, 729–733, 1983.
Leighton, A.:Caring for mentally ill people. New York: Cambridge University Press, 1982.
Naierman, N., Haskins B., & Robinson, G.Community mental health centers, a decade later. Cambridge, Mass: Abt Books, 1978.
President's Commission on Mental Health.Report to the president (vol. 1). Washington, D.C.: U.S. Government Printing Office. (Stock No. 040-000-00390-8), 1978.
Regier, D., Goldberg, I.D. & Taube, C.A.: The de facto U.S. mental health service system.Archives of General Psychiatry, 1978,35, 689–693.
Rose, S.M. Deciphering deinstitutionalization: Complexities in policy and program analysis.Milbank Memorial Fund Quarterly, 1979, 429–460.
Sarason, S.G.The creation of settings and the future societies. San Francisco: Jossey-Bass Publishers, 1972.
Steering Committee on the Chronically Ill.Toward a national plan for the chronically mentally ill. Washington, D.C.: Department of Health and Human Services, 1980.
Taube, C.A. & Barrett, S.A.Mental health, United States, 1983. Rockville, Md, National Institute of Mental Health, 1983.
Thompson, J.W., Bass, R.D., & Witkin, M.J.: Fifty years of psychiatric services: 1940–1990.Hospital & Community Psychiatry, 1982,33, 711–717.
Tischler, G.L., Henisz, J., Myers, J.K. et al. Catchmenting and the use of mental health services.Archives of General Psychiatry, 1972,27, 389–392.
Wagenfeld, M.O., & Jacobs, J.H.: The community mental health movement its origins and growth. In M. Wagenfeld, P. Lemkau & B. Justice (Eds.),Public mental health. Beverly Hills, Calif.: Sage Publications, 1982.
Windle, C., & Woy, J.R. From programs to systems: Implications for program evaluation illustrated by the community mental health centers program experience.Evaluation and Program Planning, 1983,6, 53–68.
Winslow, W.: The changing role of psychiatrists in community mental health centers.American Journal of Psychiatry, 1979,136, 24–27, 1979.
Witkin, M.J.Change in numbers of additions to mental health facilities, by modality, United States, 1971, 1975, and 1977. Mental Health Statistical Note #157, 1981.
Zusman, J. Philosophic basis for a community and social psychiatry In: W.E. Barton and C.J. Sanborn (Eds.),An assessment of the community mental health movement. Lexington, Mass.: Lexington Books, 1977.
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Rosalyn D. Bass is with the Division of Biometry and Epidemiology, National Institute of Mental Health.
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Leaf, P.J., Brown, R.L., Manderscheid, R.W. et al. Federally funded CMHCs: The effects of period of initial funding and hospital affiliation. Community Ment Health J 21, 145–155 (1985). https://doi.org/10.1007/BF00754730
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DOI: https://doi.org/10.1007/BF00754730