Integrated Mental Health Services: Modern Community Psychiatry

Hardcover | March 1, 1995

EditorWilliam R. Breakey

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Modern community psychiatry provides public sector psychiatric services to populations in efficient yet cost-effective ways. Increasingly, psychiatrists are applying the same methods and principles in the private sector as better organized managed systems of care are evolving. This bookresponds to this new interest by providing a thorough examination of community psychiatry. It places modern mental health services in their historical context, describes the methods and programs used to provide such services, and emphasizes integration between service components. With contributions from some of the foremost authorities in the field of psychiatry, the book discusses the public health principles that underlie community approaches, and present the methods used within the several components of a comprehensive service system in order to address the needs ofspecific populations, stressing interdisciplinary teamwork and coordination within an integrated service network. In addressing target populations, whether they be the residents of specific geographic areas, or special populations such as homeless people or AIDS victims, community psychiatry dealsnot only with interactions between clinicians and patients but also with the systems that enable these interactions and services to be provided effectively. In modern community psychiatry, success, measured by cost-effectiveness rather than by its faithfulness to any particular theoretical model, isachieved through interdisciplinary teamwork and the involvement of consumers. This book describes the history of public mental health services and the scientific underpinnings of modern community psychiatry in epidemiology, mental health services research and administration. It will be of interestto those in the field of psychiatry interested in the methods and strategies used to provide the range of services that constitute a comprehensive mental health porogram.

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Modern community psychiatry provides public sector psychiatric services to populations in efficient yet cost-effective ways. Increasingly, psychiatrists are applying the same methods and principles in the private sector as better organized managed systems of care are evolving. This bookresponds to this new interest by providing a thoro...

William R. Breakey is at The Johns Hopkins University.

other books by William R. Breakey

Format:HardcoverDimensions:448 pages, 6.73 × 9.57 × 0.98 inPublished:March 1, 1995Publisher:Oxford University Press

The following ISBNs are associated with this title:

ISBN - 10:0195074211

ISBN - 13:9780195074215

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Table of Contents

1. William R. Breakey: Modern Community PsychiatryI. History and Context2. William R. Breakey: The Rise and Fall of the State Hospital3. William R. Breakey: Developmental Milestones for Community Psychiatry4. Steven S. Sharfstein: The Political and Social Context of Modern Community Psychiatry5. Hugh L. Freeman: The Evolution of Community Psychiatry in BritainII. The Foundations6. Jack F. Samuels and Gerald Nestadt: Epidemiology: The Distribution of Mental Disorders in the Community7. Ronald J. Diamond, Leonard I. Stein, and Kathleen Schneider-Braus: Administration: The Psychiatrist as Manager8. Mark Olfson and Howard H. Goldman: Mental Health Services Research9. Graham Thornicroft and Paul Bebbington: Quantitative Methods in the Evaluation of Community Mental Health Services10. William R. Breakey: The Catchment Area11. Annelle B. Primm, Bruno R. Lima, and Cyprian L. Rowe: Cultural and Ethnic Sensitivity12. William R. Breakey, Laurie Flynn, and Laura Van Tosh: Citizen and Consumer Participation13. Jeffrey S. Janofsky: The Mental Health System and the LawIII. Methods14. Geetha Jayaram: The Outpatient Clinic15. Mary C. Eaton: The Psychotherapy of Schizophrenia16. Annelle B. Primm: Assertive Community Treatment17. Mark N. Mollenhauer and Michael J. Kaminsky: Emergency Services in the Community Psychiatry network18. Gerald Nestadt: Partial Hospitalization19. William R. Breakey: Inpatient Services20. Gerard Gallucci and Bruno R. Lima: General Health Care21. Ruth A. Hughes, Anthony F. Lehman, and Thomas E. Arthur: Psychiatric Rehabilitation22. Anthony F. Lehman and Sandra J. Newman: Housing23. Paila N. Goering and Donald Wasylenki: Case Management24. William R. Breakey: PreventionIV. Services for Special Populations25. Robert E. Drake, Fred C. Osher, and Stephen J. Bartels: The "Dually Diagnosed"26. Michael Bogrov and Raymond L. Crowel: Community Service Systems for Children and Adolescents27. Susan W. Lehmann and Peter V. Rabins: Community Service Systems for Older Persons28. Pamela J. Fischer, Paul Colson, and Ezra Susser: Homelessness and Mental Health Services29. Constantine G. Lyketsos, Marc Fishman, and Glenn J. Treisman: Patients with HIV Disease

Editorial Reviews

"In concept and in practice, community psychiatry has resided in the public sector. The dynamics of managed care, however, influence both the public domain and that of private practice. This book provides useful discussions of their integration; in addition, its historical perspective is veryhelpful as a framework for understanding the evolution of public policy, private practice, and public systems of care for the mentally ill....Its coverage of the approaches in modern community psychiatry, from institutionalization to deinstitutionalization, and of linkages between differentcommunity-based services, is very thorough. More contemporary issues, including dual diagnosis, homelessness, AIDS, and the elderly, are also discussed in detail."--Readings: A Journal of Reviews and Commentary in Mental Health