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Evaluating the Implementation of Community Mental Health Care

  • W. an der Heiden
  • H. Häfner
  • J. Klug

Abstract

With respect to the increasing number of beds and the overcrowding of mental hospitals in many countries in the middle of the century, attempts to avoid long stays in hospital became a major goal among reformers of the mental health care system. The attempt of reducing patient populations was based on a profound dissatisfaction with the conditions and effects of mental hospitals. As a result, several countries with very high bed rates showed a significant decline (HÄFNER and KLUG, 1982), whereas at the same time the number of admissions has continued to rise. In the beginning, the developments of community alternatives to inpatient treatment were prompted more by political and economic considerations than by any planned treatment strategies. Comprehensive services to the mentally ill in the community have been justified for a variety of reasons, ranging from the clinical-humanitarian to the fiscal-political. Although this broad array of rationales was useful initially, continuation must be justified in terms of benefits that they produce. Fiscal appropriations may be ultimately determined by political or other criteria, data about effectiveness of services are vital for continued funding.

Keywords

Schizophrenic Patient Community Mental Health Psychiatric Hospital Mental Hospital Community Mental Health Service 
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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References

  1. BYERS, E.S., COHEN, S., and HARSHBARGER, D. (1978): Impact of aftercare services on recidivism of mental hospital patients. Community Mental Health Journal 14, 26–34.PubMedGoogle Scholar
  2. HÄFNER, H., and KLUG, J. (1980): First evaluation of the Mannheim Community mental health service. In Strömgren, E. (ed): Epidemiological research as a basis for the organization of extramural psychiatry. Acta psychiat. scand., Supp1.285, vol. 62, 68–78.Google Scholar
  3. HÄFNER, H., and KLUG, J. (1982): The impact of an expanding community mental health service on patterns of bed usage: evaluation of a four-year period of implementation. Psychological Medicine 12, 177–190.PubMedCrossRefGoogle Scholar
  4. TANTAM, D., and KLERMAN, G. (1979): Patient transfer from one clinician to another and dropping-out of outpatient treatment. Social Psychiatry 14, 107–113.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • W. an der Heiden
    • 1
  • H. Häfner
    • 1
  • J. Klug
    • 1
  1. 1.Central Institute of Mental HealthMannheimGermany

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