The Challenge of Chronic Mental Illness: A Retrospective and Prospective View
Abstract
The challenge of chronic mental illness lies in developing effective service delivery systems that will preserve patients' functioning and limit their disability. The author uses a review of changes and excesses of the past 30 years—including deinstitutionlization, relocation of patients to nursing homes, the domination of psychodynamic concepts, and the naivety and partial successes of the community mental health movement—as a basis for outlining manageable ways to meet this challenge. Care for the chronic patient must be developed within a long-term rehabilitatives context and with wiser use of available benefits and funds, induding consolidation of funding sources. Mental health advocates should coordinate activities rather than compete with one another and case management should be based on more sophisticated concepts and training.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).
