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An Integrative Ideology to Guide Community-Based Multidisciplinary Care of Severely Mentally Ill Patients
Mark R. Munetz; Alan Birnbaum; Philip F. Wyzik
Psychiatric Services 1993; doi:
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405 Tallmadge Road, Cuyahoga Falls, Ohio 44221

Worcester (Mass.) Area Community Mental Health Center

West Central Services in Lebanon, New Hampshire

1993 by the American Psychiatric Association

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Abstract

Most practitioners working in community support settings understand the need to provide a comprehensive array of well-coordinated services to individuals with severe mental disabilities. However, a lack of consensus about the conceptual basis of mental health care, especially between advocates of psychosocial rehabilitation and psychiatric practitioners who favor a more medically oriented approach, has hindered efforts to optimize the effectiveness of the multidisciplinary teams found in most community support programs. The authors articulate 18 basic assumptions that have been helpful in their clinical practice in building an integrative ideology among professionals with disparate training and orientations. The assumptions attempt to balance the reality of psychiatric disorders with a fundamental interest in maintaining the autonomy and dignity of people with severe mental disorders.

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