Advertisement

Psychiatric Quarterly

, Volume 66, Issue 3, pp 237–248 | Cite as

The state psychiatric center as an academically affiliated tertiary care hospital

  • James H. Bopp
  • William A. Fisher
Articles

Abstract

Conventional wisdom views state psychiatric hospitals as a problem as much as a solution in the fight against mental illness. The legacy of the historic shortcomings of these hospitals-overcrowding, dreary environment, ineffective treatments, understaffing-frames the discussions of their future. The authors argue that a positive, constructive mission and vision for state hospitals is emerging in New York. This vision calls for fewer, smaller, specialized centers redefined as academically affiliated, community based, consumer oriented, tertiary care centers. To transform these centers, a major reengineering is proposed, including centralized treatment, patient and family participation, continuing education for all staff, outcome research, specialization, multi-service campuses, and technology transfer programs. With this transformation, State Psychiatric Centers become partners in efforts to improve the quality of life for people with mental illness throughout society.

Keywords

Public Health Mental Illness Outcome Research Care Center Technology Transfer 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Grob, GN: Mental Illness and American Society 1875–1940. Princeton, New Jersey, Princeton University Press, 1983.Google Scholar
  2. 2.
    Vogel, W: A Personal Memoir of the State Hospitals of the 1950's. Hospital and Community Psychiatry 42:593–597, 1991.Google Scholar
  3. 3.
    Grob, GN: Op. Cit..Google Scholar
  4. 4.
    Redick, RW, Witkin, MJ, Atay, JE, et. al.: Patient Care Episodes in Mental Health Organizations, United States: Selected Years From 1955 to 1988. Mental Health Statistical Note 204:1–16, 1992.Google Scholar
  5. 5.
    Mechanic, D.: Correcting Misconceptions in Mental Health Policy: Strategies for Improved Care of the Seriously Mentally Ill. Milbank Quarterly 65:203–229, 1987.Google Scholar
  6. 6.
    Grob, GN: From Asylum to Community Princeton, New Jersey, Princeton University Press, 1991.Google Scholar
  7. 7.
    Center for Mental Health Services and National Institute of Mental Health. Mental Health, United States, 1992. Manderscheid, R.W., and Sonnenschein, M.A., eds. DHHS Pub. No. (SMA) 92-1942. Washington, D.C.: Supt. of Docs., U. S. Govt. Print. Off., 1992.Google Scholar
  8. 8.
    Geller, JL: Defining the Meaning of “in the community”. Hospital and Community Psychiatry 42:1197, 1991.Google Scholar
  9. 9.
    Lamb, HR: Is it Time for a Moratorium on Deinstitutionalization? Hospital and Community Psychiatry 43:669, 1992.Google Scholar
  10. 10.
    Surles, RC: Regaining Innovation in Community Mental Health. Psychiatric Quarterly 61:11–19, 1990.Google Scholar
  11. 11.
    Statewide Comprehensive Plan for Mental Health Services: 1993–1997. Albany, New York, NYS Office of Mental Health, 1992.Google Scholar
  12. 12.
    Goffman, E.: Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. Garden City, New York, Anchor Books 1961.Google Scholar
  13. 13.
    Deegan, PE: Recovery: The Lived Experiences of Rehabilitation. Psychosocial Rehabilitation Journal. Volume 11, Number 4: 11–19, 1988.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1995

Authors and Affiliations

  • James H. Bopp
    • 1
  • William A. Fisher
    • 2
    • 3
  1. 1.Middletown Psychiatric CenterMiddletown
  2. 2.Creedmoor Psychiatric of CenterColumbiaUSA
  3. 3.College of Physicians and SurgeonsColumbia UniversityColumbiaUSA

Personalised recommendations