Improving the Care of Patients with Chronic Mental Illness

TitleImproving the Care of Patients with Chronic Mental Illness
Publication TypeJournal Article
Year of Publication1987
AuthorsMechanic, David, and Linda H. Aiken
JournalNew England Journal of Medicine
Volume317
Pagination1634-1638
ISBN Number0028-4793
Accession NumberPMID: 3317058
AbstractExamines deficiencies in community care for the chronic mentally ill and suggests steps for improving the quality of care for these patients. It is noted that community mental health centers have failed to recreate the functions and responsibilities of the mental health hospital in community settings. Problems with the case management approach to community care and deteriorating public attitudes toward the mentally ill are discussed. A key to improving community services is to capture more hospital funds for local use with inpatient and outpatient populations. A strong organizational structure is essential to development of local programs, including case management and teaching of psychosocial skills. The problem of housing for these patients is considered.
URLhttp://dx.doi.org/10.1056/NEJM198712243172605
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