| Problems in community psychiatry: difficulties, constraints and future considerations. | |
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MedLine Citation:
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PMID: 10297835 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The difficulties and constraints of community psychiatry are reviewed from the feeling of omnipotence and false hopes it has engendered, to the problems posed for the psychiatrist (threat to status, unclear identity, conflicting demands and the necessity for increased training). Administrative problems and difficulties in providing effective care in the new system are outlined: isolation of community psychiatry from the mainstream of medicine due to reliance on the social rather than the medical model, necessity for decentralization leading to fragmentation of services, pressures from local interest groups, lack of continuity of service and disruption in the flow of information. The myriad of pressures to which the community psychiatry center is vulnerable are described: local groups seeking to politicize the center, conflict within the center as to most appropriate method of treatment, pressure to solve social problems such as crime and addiction, and the ever-present weight of setting priorities under conditions of limited financial and manpower resources. Means of dealing with many of these difficulties are discussed, and a model of a community psychiatry center is presented which minimizes the problems and maximizes service to the community and the individual. |
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Authors:
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A Schlosberg |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Public health reviews Volume: 5 ISSN: 0301-0422 ISO Abbreviation: Public Health Rev Publication Date: 1976 Apr-Jun |
Date Detail:
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Created Date: 1980-07-26 Completed Date: 1980-07-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370123 Medline TA: Public Health Rev Country: ISRAEL |
Other Details:
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Languages: eng Pagination: 101-29 Citation Subset: H |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Community Psychiatry
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trends* Conflict (Psychology) Delivery of Health Care Humans Mental Health Services / organization & administration Personnel Staffing and Scheduling Politics Social Change |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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