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Article   |    
Integrating State Hospital and Community-Based Services for the Chronic Mentally Ill
Hyman C. Pomp; Mark P. McGovern
Psychiatric Services 1988; doi:
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The authors acknowledge the contributions of Harold M. Visotsky, M.D., in the execution of the project described in this paper and of John Lyons, Ph.D., in the preparation of the paper.

Institute of Psychiatry at Northwestern Memorial Hospital

Institute of Psychiatry—Department of Mental Health Project.

American Psychiatric Association

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Abstract

We have reported on a demonstmation project aimed at the integration of state and community-based services. Although the integration is still not complete, it appears to have had a promising impact on systemic indicators of continuity of care. The project was undertaken in a naturalistic context with only minimal administrative adjustments and has required no additional funding for clinical pur- poses. It therefore appears generalizable to other settings. Future goals of the project will be focused on further identifying and effectiveby treating patients who do not benefit from community-based services; tracking the course of pa- tients' illness and treatment to devebop capitation payment models; and, finally, working toward more functional administrative relationships with adjacent community and subsuming state systems.

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