Psychopathology and Community Mental Health: Evolution, Revolution, or Revolving Door?

1973 ◽  
Vol 18 (2) ◽  
pp. 53-54
Author(s):  
Richard Carrera
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Revolving Door

System Needs for the Rehabilitative Treatment of the Revolving Door Population

1982 ◽  
Vol 1 (2) ◽  
pp. 64-75 ◽  
Author(s):  
Mark Dimirsky
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Psychiatric Symptoms ◽  
Average Length ◽  
Revolving Door ◽  
Natural Environments ◽  
Mental Health Systems ◽  
Health Movement ◽  
Comprehensive Service ◽  
Community Mental Health Movement

The community mental health ideology is closely identified with deinstitutionalization and community psychology in its efforts to maintain as many people as possible in their natural environments. One frequently used means of evaluating the success of the community mental health movement is the examination of recidivism rats and average length of stay per patient admitted to psychiatric facilities. Examination of both U.S. and Canadian rehospitalization statistics has shown a population at risk of frequent rehospitalization. This “treatment resistant” group threatens the perceived effectiveness of the community mental health movement because of its impact on the recidivism measure. The revolving door population presents for service a multiplicity of problems that are of two basic varieties: psychiatric symptoms and social/vocational deficits. Descriptions and explanation of the services required to address these problems are presented. Issues of co-ordination, evaluation and system self-correction are discussed in relation to the seven service functions identified as necessary for improving the community tenure of this marginally functional population. Implementation issues that include key assumptions that must be adhered to by systems personnel, likely failure points in the planning of comprehensive mental health systems, and practicalities of manpower recruitment are discussed. Suggestions for the goals and strategies of the planning of comprehensive service systems for the revolving door population are presented.

Mental illness management in corrections

2015 ◽  
Author(s):  
Charles L. Scott ◽  
Brian Falls
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Serious Mental Illness ◽  
The United States ◽  
Revolving Door ◽  
Community Settings ◽  
Correctional Systems

An increasing number of individuals with mental illness are now treated in correctional environments instead of community settings. In the incarcerated population, prevalence estimates of serious mental illness (SMI) range from 9 to 20% compared to 6% in the community. More astonishingly, over three times more persons with serious mental illness in the United States are located in jails and prisons than in hospitals. It was not always like this. How did U.S. correctional systems become de facto mental health institutions for so many? Scholars point to a number of reasons for the increasing prevalence of mental illness among incarcerated individuals, including deinstitutionalization and limited community resources, prominent court decisions and legislative rulings, and the ‘revolving door’ phenomenon. There are many similarities between correctional and community mental health care services. Both systems typically provide appropriate medications, emergency care, hospitalization, medication management, and follow-up care. However, key differences often exist in correctional systems, including restricted formularies due to concerns of medication abuse or cost, alternative involuntary medication procedures, restricted access by visitors, and the inability of mental health providers to control the treatment environment. This chapter summarizes the historical context of correctional versus community mental health; factors resulting in the increasing management of people with mental illness in correctional settings; and similarities and differences between the provision of mental health care in correctional versus community settings.

Revolving door and human resources in a community mental health system

2007 ◽  
Vol 22 ◽  
pp. S326
Author(s):  
G. Pardo-Castillo ◽  
A. Fontalba-Navas ◽  
D. Gutierrez-Castillo ◽  
F. Del Ojo-Garcia ◽  
E. Avanesi-Molina ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Human Resources ◽  
Health System ◽  
Mental Health System ◽  
Revolving Door

Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Psychometric Properties ◽  
Therapeutic Relationship ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Community Mental Health Care ◽  
German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

Community Mental Health: Promising or Delivering?

1976 ◽  
Vol 21 (10) ◽  
pp. 705-706
Author(s):  
BONNIE SPRING
Keyword(s):  
Mental Health ◽  
Community Mental Health
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