Abstract
The current Alcohol, Drug Abuse, and Mental Health block grant program represents a return to the form of federal promotion of community mental health services that existed in the 50s and early 60s. Federal mental health policy during this period is outlined, and associated changes in the number and characteristics of outpatient psychiatric clinics are described. This policy is contrasted with both the CMHC program that succeeded it and the current block grant program. Differences with the earlier block grant suggest that the current one will be minimally effective in maintaining or increasing state support of community-based services.
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Bahn, A. K., & Norman, V. B.Outpatient Psychiatric Clinics in the United States, 1954–55. PHS Pub. No. 538, U.S. Government Printing Office, Washington D.C., 1957.
Bahn, A. K., & Norman, V. B. First national report on patients of mental health clinics.Public Health Reports, 1959 74, 943–56.
Bahn, A. K., Rosen, B. M., McCarty, C. L., & Rippy M. A. Current services and trends in outpatient psychiatric clinics, 1963,Psychiatric Studies and Projects, 1965 63, 1–20.
Bloom, B. L.Community Mental Health Brooks/Cole Publishing Co., Monterey CA. 1977.
Brand, J. L. The United States: A historical perspective. In R. H. Williams & L. D. Ozarin (Eds.),Community Mental Health: An International Perspective. Jossey-Bass, Inc., San Francisco, 1968.
The Budget of the United States Government—Appendix, Fiscal years 1965, 1966, 1967, 1968, U.S. Government Printing Office. Washington, D.C., 1964–67.
Chelimsky, E. Making block grants accountable. In L. Datta (Ed.),Evaluation in Change: Meeting New Government Needs. Sage Publications, Beverly Hills, CA, 1981.
Commission on Mental Health and Developmental Disabilities.Blue Sheet #30. Chicago, IL, April 4, 1983.
The Council of State Governments.The Mental Health Programs of the Forty-eight States. The Council of State Governments, Chicago, IL, 1960.
Derthick, M.The Influence of Federal Grants. Harvard University Press, Cambridge, MA. 1970.
Edelman, P. B., Coordinator.Report of the Task Panel on Community Mental Health Centers Assessment. Submitted to the President's Commission on Mental Health. February 15, 1978. U.S. Government Printing Office. Washington, D.C., 1978.
Felix, R. H. State planning for participation in the National Mental Health ActPublic Health Reports, 1947 62, 1183–91.
Felix, R. H. States act to improve their mental health programs.American Journal of Psychiatry, 1958 115. 262–63.
Foley, H. A.Community Mental Health Legislation Lexington Books, Lexington, MA, 1975.
General Accounting Office.Early Observations on Block Grant Implementation (GAO/GGD-82-79). U.S. General Accounting Office, Washington, D.C., August 24, 1982.
Gramlich, E. M. Intergovernmental grants: A review of the empirical literature. In W. E. Oates (Ed.),The Political Economy of Fiscal Federalism. Lexington Books, Lexington, MA, 1977.
Gramlich, E. M.Benefit-Cost Analysis of Government Programs. Prentice-Hall, Englewood Cliffs, NJ, 1981.
Interstate Clearing House on Mental Health.State Action in Mental Health, 1955. The Council of State Governments, Chicago, IL. 1955.
Interstate Clearing House on Mental Health.Action in the States in the Fields of Mental Health, Mental Retardation and Related Areas (RM 373). The Council of State Governments. Chicago, IL. 1965.
Joint Commission on Mental Illness and Health.Action for Mental Health. Basic Books, New York, 1961.
Lerman, P.Deinstitutionalization and the Welfare State. Rutgers University Press. New Brunswick, NJ. 1982.
Lowry, J. V. How the National Mental Health Act works.Public Health Reports: 1949 64: 303–12.
McCarty, C. L.Data on Outpatient Psychiatric Clinics by State Economic Areas, United States, 1961 PHS Pub., No. 1170. U. S. Government Printing Office, Washington, D. C., 1964.
Mechanic, D.,Mental Health and Social Policy (2nd ed.). Prentice Hall, Englewood Cliffs, NJ, 1980.
National Institute of Mental Health.Data on Staff Man-hours. Outpatient Psychiatric Clinics in the United States, 1960. U.S. Goverment Printing Office, Washington, D.C., 1961.
National Institute of Mental Health.Data on Patients of Outpatient Psychiatric Clinics, 1963 U.S. Government Printing Office. Washington, D.C., 1965.
National Institute of Mental Health.Data on Staff Man-hours, Outpatient Psychiatric Clinics in the United States, 1964. U.S. Government Printing Office, Washington, D.C., 1965.
National Institute of Mental Health.Provisional Patient Movement, Outpatients Psychiatric Clinics, United States. July 1, 1966, June 30, 1967. Series MHB-J-2. U.S. Government Printing Office. Washington, D.C., 1968.
Pennel, N. Y., Cameron, D. C., & Kramer, M. Mental health clinic services for children in the United States, 1950.Public Health Reports, 1951 66, 1559–72.
Price, R. J.Health block grants. (Report No. 81-269). Congressional Research Service. The Library of Congress, Washington, D. C., December 29, 1981.
Rosen, B. M., Kramer, M., Redick, R. W., & Willner, S. G.Utilization of Psychiatric Facilities by Children: Current Status, Trends, Implications PHS Publ. No. 1868. U.S. Government Printing Office. Washington, D.C., 1968.
Rosen, B. M., Wiesner, J., Hench, C. L. Willner, S. G., & Bahn, A. K. A nationwide survey of outpatient psychiatric clinic functions, intake policies and practices.American Journal of Psychiatry, 1966 122. 908–15.
Steering Committee on the Chronically Mentally Ill.Toward a National Plan, for the Chronically Mentally Ill. DHHS Publ. No. (ADM) 81-1077. Public Health Service, Washington, D.C., December 1980.
Task Force on Federal Medical Services.Report on Federal Medical Services. Prepared for the Commission on Organization of Executive Branch of the Government. U.S. Government Printing Office. Washington, D.C., 1955.
U.S. Congress, House, Committee on Interstate and Foreign Commerce,Hearing on H.R. 3688, H.R. 3689, and H.R. 2567. 88th Congress. 1st session, 26. 27, and 28 March 1963. (a)
U.S. Congress, House, Committee on Interstate and Foreign Commerce,The Public Health Service: Background Material Concerning the Mission and Organization of the Public Health Service. April 1963. (b)
U.S. Congress. Senate. Committee on Labor and Public Welfare.Hearings on S.755 and 756, 88th Congress, 1st session, 5, 6, and 7 March 1963. (c)
U.S. Congress, House, Committee on Interstate and Foreign Commerce,Hearings on H.R. 6431, 90th Congress, 1st session, 4 and 5 April 1967.
Weissert, C. Block grants: The promise and the reality.Intergovernmental Perspective, Spring 1981 7. 16–17.
Woy, J. R., Wasserman, D. B., & Weiner-Pomerantz R. Community mental health centers: Movement away from the model?Community Mental Health Journal, 1981 17, 265–76
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Howard Chernick. Charles Kiesler. Thomas Vischi, and Charles Windle provided helpful comments on the manuscript.
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Buck, J.A. Block grants and federal promotion of community mental health services, 1946–65. Community Ment Health J 20, 236–247 (1984). https://doi.org/10.1007/BF00808110
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DOI: https://doi.org/10.1007/BF00808110