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Changing Influences on Delivery of Mental Health Services and the Role of the State Mental Hospital
Donald J. Scheri
Psychiatric Services 1974; doi:
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Executive Office of Human Services Commonwealth of Massachusetts Boston, Massachusetts

1974 by the American Psychiatric Association

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Abstract

The author examines some of the social, legislative, and therapeutic developments of the past 25 years, particularly trends that arose in the 1960s, that have influenced the way in which mental health care is delivered today. He describes the impact on the state mental hospital of such developments as more specific drug therapies, the community mental health movement, renewed citizen interest, new uses of manpower, and the reduction of institution of populations. With fewer resident patients, the institutions have come to reconsider their current and future role, often in the context of broader human-services systems with decentralied service delivery. In such systems an umbrella agency attempts to provide an array of services to meet the varied needs of clients or patients; the author discusses the objectives of the systems and the obstacles to developing them.

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