Letter from America: Acute in-patient psychiatry bed shortages

Steven S. Sharfstein

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


The number of in-patient beds for psychiatric treatment in America has declined dramatically over the past 40 years. Public and private policies have encouraged an extremely short-term, crisis-stabilisation model of treatment. This is true on both general and subspecialty units. As a result, readmissions have increased, emergency rooms are crowded, and many patients end up homeless or incarcerated in the criminal justice system. These changes have created a public health crisis in America, and are the greatest challenges that American psychiatry faces today.

Original languageEnglish (US)
Pages (from-to)402-403
Number of pages2
JournalAdvances in Psychiatric Treatment
Issue number6
StatePublished - Nov 2009
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health


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