Abstract
This paper describes the relative effects of certain structural techniques; that is, the type, timing, and frequency of the receiving agency's contact with the potential client, in implementing a continuum of care from the psychiatric hospital to a professionally recommended community-based rehabilitation center. The differential success of these techniques range from zero to 52%. The findings concerned with the timing of interventions are interpreted in terms of crisis theory and the findings concerned with the type and frequency of contacts lead to greater specification within the theory. It was suggested that in order for a crisis intervention to be effective, the intervention must, as a necessary condition, satisfy the dependency and affiliative needs of the client. Implications for interventions at other points on the continuum of care are suggested and specific recommendations made.
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This study was undertaken as part of a larger project concerned with the “Social Rehabilitation of Released Psychiatric Patients” supported in part by Grant No. MH-818 from the National Institute of Mental Health, U.S. Public Health Service, to Mental Health Rehabilitation & Research (Hill House), Cleveland. This report is based on a talk delivered at the National Conference on Social Welfare, June 1966. Initial data analyses were performed by Norman Keane, Sigrid Sample, Lee Woods, and Lester Wyman as part of a research practicum at the School of Applied Social Sciences. Western Reserve University. Gratitude is expressed to David Sugiuchi and Henry Tanaka for constructive suggestions in all phases of this study. Arden Melzer is thanked for his comments on an earlier draft of this paper.
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Wolkon, G.H. Effecting a continuum of care: An exploitation of the crisis of psychiatric hospital release. Community Ment Health J 4, 63–73 (1968). https://doi.org/10.1007/BF01434453
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DOI: https://doi.org/10.1007/BF01434453