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Administration in mental health

, Volume 15, Issue 3, pp 139–156 | Cite as

Community mental health systems generate new chronics: The study of a pure case

  • Harvey J. Lieberman
  • Judith Nigro
  • Patricia Trembath
  • Dolores H. Tenczynski
  • Doris Dlugacz
  • Steven Scher
Article

Abstract

This study indicates that while a well-integrated comprehensive community mental health system (CMHS) can dramatically reduce the utilization of long-stay inpatient beds compared to more traditional care systems, it does not banish the appearance of “new chronic” patients from a catchment area. South Beach Psychiatric Center, the CMHS which is the focus of this study, is a state-operated program with a New York City location that provides all long-stay hospital beds and the major proportion of acute inpatient and community care for the 1.36 million people in its service delivery region. Compared to the patient population of traditional care systems, CMHS new chronic patients are younger, composed of more males, have a higher percentage of schizophrenia diagnoses, and show fewer signs of institutionalization. In addition, CMHS patients frequently exhibit dangerous behaviors. Major elements of CMHS operations contributing to these findings, particularly the small number of available long-stay beds, are reviewed. Recommendations are made for community-oriented system design.

Keywords

Schizophrenia Service Delivery Catchment Area York City Community Care 
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 1988

Authors and Affiliations

  • Harvey J. Lieberman
  • Judith Nigro
  • Patricia Trembath
  • Dolores H. Tenczynski
  • Doris Dlugacz
  • Steven Scher

There are no affiliations available

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