Skip to main content
SpringerLink
Log in

Community Treatment Teams: An Alternative to State Hospital

  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

This article describes the implementation of Community Treatment Teams as a strategy to provide services to patients discharged from a state psychiatric hospital. The closing of Philadelphia State Hospital was the impetus for the development of an alternative long term care treatment system for the seriously mentally ill which was based on a variation of the community treatment team model. This article provides a description of the teams, their functioning, structure, and the impact they have had on the service system.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  1. Bassuk EL, Gerson S: Deinstitutionlization and mental health services. Scientific American 1978; 238:46-53.

    PubMed  Google Scholar 

  2. Talbott, JA: Deinstitutionalization: Avoiding the disasters of the past. Hospital and Community Psychiatry 1979; 30:621-624.

    PubMed  Google Scholar 

  3. Goldman, HH, Adams, NH & Taube, CA: Deinstitutionalization: The data demythologized. Hospital and Community Psychiatry 1983; 34:129-134.

    PubMed  Google Scholar 

  4. Bachrach LL, Talbot JA, Meyerson AT: The chronic psychiatric patient as a “difficult” patient: A conceptual analysis. In Meyerson AT (ed.): Barriers to Treating the Chronic Mentally Ill (New Directions for Mental Health Services, no. 33). San Francisco: Jossey-Bass, 1987; pp. 35-49.

    Google Scholar 

  5. Test MA, Stein LI: An alternative to mental hospital treatment. In: Stein L, Test MA (eds.): Alternatives To Mental Hospital Treatment. New York: Plenum Press, 1978; pp. 43-56.

    Google Scholar 

  6. Thompson KS, Griffith E, Leaf P: A historical review of the Madison model of community care. Hospital and Community Psychiatry 1990; 41:625-646.

    PubMed  Google Scholar 

  7. Stein, LI & Test, MA: Alternative to mental hospital treatment: I. Conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry 1980; 37:392-397.

    PubMed  Google Scholar 

  8. Chamberlain, R, Rapp C: Training Manual For Case Managers In Community Mental Health (Available from Dr. Rapp, University of Kansas, School of Social Welfare, Twenty Hall, Lawrence, Kansas 66045), 1983.

  9. Rapp, CA, Gowdy, E, Sullivan, WP, & Wintersteen, R: Client outcome reporting: The status method. Community Mental Health Journal 1988; 24:118-133.

    PubMed  Google Scholar 

  10. Modrein, M, Rapp, CA, & Chamberlain, R: Case management and psychiatrically disabled individuals: Curriculum and training program. Lawrence, KS: The University of Kansas School of Social Welfare, 1985.

    Google Scholar 

  11. Test, MA & Stein, LI,: Community treatment of the chronic patient: Research overview. Schizophrenia Bulletin 1979; 4:350-364.

    Google Scholar 

  12. CTT Program Principles. Philadelphia Office of Mental Health, 1990.

  13. Anthony WA: A US perspective: The key to designing systems that work. In Jansen MA (ed.): An International Perspective on Community Services and Rehabilitation for Persons with Chronic Mental Illness (Monograph no. 36). New York: International Exchange of Experts and Information in Rehabilitation, World Rehabilitation Fund, Inc., 1986; pp. 55-65.

    Google Scholar 

  14. Stroul BA: Community support systems for persons with long-term mental illness: A conceptual framework. Psychosocial Rehabilitation Journal 1993; 12:9-26.

    Google Scholar 

  15. Rutman ID: Editorial. Psychosocial Rehabilitation Journal 1993; 16:1-3.

    Google Scholar 

  16. Bond, GR, McDonel, EC, Miller, LD, Pensec, M: Assertive community treatment and reference groups. An evaluation of their effectiveness for young adults with serious mental illness and substance abuse problems. Psychosocial Rehabilitation Journal 1991; 15:31-43.

    Google Scholar 

  17. Santos AB, Deci P, Lachance KR, et al.: Providing assertive community treatment for severely mentally ill patients in a rural area. Hospital and Community Psychiatry 1993; 44:34-39.

    PubMed  Google Scholar 

  18. Taube CA, Burns BA, Murlock L et al.: Research on assertive community treatment. Hospital and Community Psychiatry 1990; 41:642-647.

    PubMed  Google Scholar 

  19. Solomon, P: The efficacy of case management services for severely mentally disabled clients, Community Mental Health Journal: 1992; 28:163-180.

    PubMed  Google Scholar 

  20. Durell, J, Lechtenberg, R, Corse, S & Frances, R: Intensive case management of persons with chronic mental illness who abuse substances. Hospital and Community Psychiatry 1993; 44:415-416.

    PubMed  Google Scholar 

  21. Stein LI: On the abolishment of the case manager. Health Affairs 1992; 1:172-177.

    Google Scholar 

  22. Solomon, P, Draine, J: Satisfaction with mental health treatment in a randomized trial of consumer case management. Journal of Nervous and Mental Disease 1994; 182:667-682.

    PubMed  Google Scholar 

  23. Solomon, P: The closing of a state hospital: What is the quality of patients' lives one year post release? Psychiatric Quarterly, 1992; 63:279-296.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center for Mental Health Policy and Services Research, Department of Psychiatry, University of Pennsylvania, USA

    Trevor R. Hadley (Professor, Research Assistant) & Martin C. McGurrin (Research Assistant Professor, Center for Mental Health Policy and Services Research, Department of Psychiatry, University of Pennsylvania)

  2. Philadelphia State Management Team, Philadelphia, PA

    Roland Turk (Executive Director) & Sandra Vasko (Case Management Director, Philadelphia State Management Team, Philadelphia, PA)

Authors
  1. Trevor R. Hadley
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Roland Turk
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sandra Vasko
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Martin C. McGurrin
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hadley, T.R., Turk, R., Vasko, S. et al. Community Treatment Teams: An Alternative to State Hospital. Psychiatr Q 68, 77–90 (1997). https://doi.org/10.1023/A:1025461206155

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025461206155

Keywords

Search

Navigation