TY - JOUR
T1 - Toward increased psychiatric presence in community mental health centers
AU - Beigel, A.
AU - Sharfstein, S.
AU - Wolfe, J. C.
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 1979
Y1 - 1979
N2 - The presence of psychiatrists in community mental health centers has diminished in recent years, especially in centers that are non-hospital-based and that are located in rural or disadvantaged urban settings. The decrease in psychiatric leadership in the centers is particularly notable. Factors contributing to the trend include lower salaries than in the private sector, a decrease in the number of patients with severe mental disorders coming to the centers, and the impact of a decrease in specialized training programs in community psychiatry. The authors suggest several incentives to increase psychiatric presence in the centers, including developing staffing standards as a condition of funding, giving psychatrists time to do research and evaluation and to teach, and increasing the medical involvement of centers through links with general hospitals, private psychiatric hospitals, and medical schools.
AB - The presence of psychiatrists in community mental health centers has diminished in recent years, especially in centers that are non-hospital-based and that are located in rural or disadvantaged urban settings. The decrease in psychiatric leadership in the centers is particularly notable. Factors contributing to the trend include lower salaries than in the private sector, a decrease in the number of patients with severe mental disorders coming to the centers, and the impact of a decrease in specialized training programs in community psychiatry. The authors suggest several incentives to increase psychiatric presence in the centers, including developing staffing standards as a condition of funding, giving psychatrists time to do research and evaluation and to teach, and increasing the medical involvement of centers through links with general hospitals, private psychiatric hospitals, and medical schools.
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U2 - 10.1176/ps.30.11.763
DO - 10.1176/ps.30.11.763
M3 - Article
C2 - 488932
AN - SCOPUS:0018599082
SN - 1075-2730
VL - 30
SP - 763
EP - 767
JO - Hospital and Community Psychiatry
JF - Hospital and Community Psychiatry
IS - 11
ER -