A Model Inpatient Psychiatric Program

Its Relationship to a Continuum of Care for the Mentally Retarded-Mentally Ill
  • John J. McGee
  • Larry Folk
  • Donald A. Swanson
  • Frank J. Menolascino


The purpose of this chapter is to review the needs of the mentally retarded-mentally ill and to outline the range of programs and services that persons with these needs require. The mentally retarded-mentally ill represent the last group of retarded persons in the United States to move into the mainstreams of family and community life. They present multiple programmatic and environmental challenges. Their needs are often poorly identified. Services to meet their needs are few, and professionals often refer them from agency to agency because they fall between the cracks of most current human-service systems.


Mental Retardation Personality Disorder Group Home Community Life Dual Diagnosis 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Menolascino FJ: Emotional disturbances in mentally retarded children. Am J Psychiatr 126;54–62, 1969.Google Scholar
  2. 2.
    Chess S, Hassibi S: Behavior deviations in mentally retarded children. J Am Acad Child Psychiatr 9(2);282–297, 1970.CrossRefGoogle Scholar
  3. 3.
    Donoghue EC, Abbas KA: Unstable behavior in severely subnormal children. Dev Med Child Neurol 13;512–519, 1971.PubMedCrossRefGoogle Scholar
  4. 4.
    Philips I, Williams N: Psychopathology and mental retardation: A study of 100 mentally retarded children. Am J Psychiatr 132;1265–1271, 1975.PubMedGoogle Scholar
  5. 5.
    Groden G, Domingue D, Pueschel S, et al: Behavioral/emotional problems in mentally retarded children and youth. Psychol Rep 51;143–146, 1982.PubMedCrossRefGoogle Scholar
  6. 6.
    Eaton LF, Menolascino FJ: Psychiatric disorders in the mentally retarded: Types, problems, and challenges. Am J Psychiatr 139;10, 1982.Google Scholar
  7. 7.
    Menolascino FJ, McGee JJ: The new institutions: Last ditch arguments. Ment Retard 19(5);215–220, 1981.PubMedGoogle Scholar
  8. 8.
    Menolascino FJ: Schizophrenia in the Mentally Retarded. A Comparative Study of Thioridazine and Thiothixene in Retarded and Non-Retarded Scizhophrenic Adults. New York, Impact Medical Communications, Inc., 1983.Google Scholar
  9. 9.
    Kanner L: Autistic disturbances of affective contact. Nerv Child 2;217–250, 1943.Google Scholar
  10. 10.
    Menolascino FJ, Eaton LF: Psychosis of childhood: A five year follow-up of experiences in a mental retardation clinic, in Chess S, Thomas A (eds): Annual Progress in Child Psychiatry and Child Development. New York, Brunner/Mazel, 1967.Google Scholar
  11. 11.
    Rutter M, Schopler A: Autism: A Reappraisal of Concepts and Treatment. New York, Plenum Press, 1978.Google Scholar
  12. 12.
    Menolascino FJ: Challenges in Mental Retardation: Progressive Ideology and Services. New York, Human Sciences Press, 1977.Google Scholar
  13. 13.
    Barr W: Mental Defectives: Their History, Treatment and Training. Philadelphia, Blakiston, 1904.Google Scholar
  14. 14.
    Menolascino FJ, Strider F: Advances in the prevention and treatment of mental retardation, in Arieti S (ed): American Handbook of Psychiatry, ed. 7. New York, Basic Books, 1981.Google Scholar
  15. 15.
    Beier D: Behavioral disturbances in the mentally retarded, in Stevens H, Heber R (eds): Mental Retardation: A Review of Research. Chicago, Chicago University Press, 1964.Google Scholar
  16. 16.
    May J, May J: Overview of Emotional Disturbances in Mentally Retarded Individuals. Presented at the Annual Convention of the National Association for Retarded Citizens, Atlanta, 1979.Google Scholar
  17. 17.
    Chess S, Horn S, Fernandez P: Psychiatric Disorders of Children with Congenital Rubella. New York, Brunner/Mazel, 1971.Google Scholar
  18. 18.
    Webster TB: Unique aspects of emotional development in mentally retarded children, in Menolascino FJ (ed): Psychiatric Approaches to Mental Retardation. New York, Basic Books, 1970.Google Scholar
  19. 19.
    Levie CA, Roberts BD, Menolascino FJ: Providing psychiatric services for clients of community-based mental retardation programs. Hosp Comm Psychiatr 30;383–384, 1979.Google Scholar
  20. 20.
    Fletcher RJ: A Model Day Treatment Service for the Mentally Retarded/Mentally Ill. Kingston, NY, Beacon House, 1982 (unpublished manuscript).Google Scholar
  21. 21.
    Baron FN: Group therapy improves mental retardate behavior. Hosp Comm Psychiatr 23;7–11, 1972.Google Scholar
  22. 22.
    Berkovitz IH, Sugar M: Indications and Contraindications for Adolescents in Group and Family Therapy. New York, Brunner/Mazel, 1975.Google Scholar
  23. 23.
    Baucom LD, Bensberg GJ: Advocacy Systems for Persons with Severe Disabilities: Context, Components, and Resources. Lubbock, Texas Tech University, 1976.Google Scholar
  24. 24.
    Greenspan S: A Unifying Framework for Educating Caregivers about Discipline. Omaha, NE, Boys Town Center for the Study of Youth Development, 1980.Google Scholar
  25. 25.
    Hewitt FM: Educational engineering with mentally disturbed children. Excep Child 33;459–467, 1967.Google Scholar
  26. 26.
    Gold M: Research in the vocational habilitation of the retarded: The present, the future, in Ellis N (ed): International Review of Research on Mental Retardation, vol 6. New York, Academic Press, 1973.Google Scholar
  27. 27.
    Horner RH, Bellamy GT: A conceptual analysis of vocational training with the severely retarded, in Snell M (ed): Systematic Instruction of the Moderately, Severely, and Profoundly Handicapped. Columbus, Charles E. Merrill, 1978.Google Scholar
  28. 28.
    Irvin LK, Bellamy GT: Manipulation of stimulus features in vocational skill training of the severely retarded: Relative efficacy. Am J Ment Defic 81;486–491, 1977.PubMedGoogle Scholar
  29. 29.
    Fisher MA, Zeaman D: An attention-retention theory of retardate discrimination, in Ellis N (ed): International Review of Research on Mental Retardation. New York, Academic Press, 1973.Google Scholar
  30. 30.
    Terrace HS: Discrimination learning with and without “errors.” J Exp Med 6(1);1–27, 1963.Google Scholar
  31. 31.
    Irvin LK: General utility of easy to hard discrimination training procedures with the severely retarded. Educ Training Ment Retard 11;247–250, 1976.Google Scholar
  32. 32.
    Crosson JE: The Experimental Analysis of Vocational Behavior in Severely Retarded Males. Final report (Grant No. OEG32–47–0230–6024). Washington, D.C., U.S. Department of Health, Education, and Welfare, 1967.Google Scholar
  33. 33.
    Crosson JE: The functional analysis of behavior. A technology for special education practices. Ment Retard 7(4)-15–19, 1969.PubMedGoogle Scholar
  34. 34.
    Bellamy GT, Horner RH, Inman D: Vocational Habilitation of Severely Retarded Adults: A Direct Service Technology. Baltimore, University Park Press, 1979.Google Scholar
  35. 35.
    Wilson J: Psychopharmacological agents in mental retardation. Issues and challenges, in Menolascino F, McCann B (eds): Bridging the Gap: Mental Health Needs of Mentally Retarded Persons. New York, Wiley, 1982.Google Scholar
  36. 36.
    Freeman RD: Psychopharmacological approaches and issues, in Menolascino FJ (ed): Psychiatric Approaches to Mental Retardation. New York, Basic Books, 1970.Google Scholar
  37. 37.
    Lipman RS: The use of psychopharmacological agents in residential facilities for the retarded, in Menolascino FJ (ed): Psychiatric Approaches to Mental Retardation. New York, Basic Books, 1970.Google Scholar

Copyright information

© Plenum Press, New York 1984

Authors and Affiliations

  • John J. McGee
    • 1
  • Larry Folk
    • 2
  • Donald A. Swanson
    • 3
  • Frank J. Menolascino
    • 4
  1. 1.Department of Psychiatry, Nebraska Psychiatric Institute and Meyer Children’s Rehabilitation InstituteUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Mental Health Coordinator, Dual Diagnosis Service, Nebraska Psychiatric InstituteUniversity of Nebraska Medical CenterOmahaUSA
  3. 3.Department of Psychiatry, Nebraska Psychiatric InstituteUniversity of Nebraska Medical CenterOmahaUSA
  4. 4.Departments of Psychiatry and Pediatrics, Nebraska Psychiatric InstituteUniversity of Nebraska Medical CenterOmahaUSA

Personalised recommendations