The role of the state hospital in the twenty-first century


The role of the state hospital in the twenty-first century

William D. Spaulding, editor

(New directions for mental health services, no. 84)

Jossey-Bass, c1999


Role of the state hospital in the 21st century

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"Winter 1999."

Includes bibliographical references and indexes



What is the appropriate role of state hospitals? Some argue that there is no legitimate role for them, that they are obsolete, inhumane, and a drain on mental health resources. Others hold that the complete elimination of state hospitals would constitute abandonment of people in great need, people who cannot get the services they require elsewhere. This volume of New Directions for Mental Health Services examines the role of state hospitals from a number of perspectives, addressing issues of clinical technology as well as policy. From this examination emerges a view of the state hospital of the future, a model that integrates the key technological and economic considerations and social values expected to determine the future of state hospitals. This is the 84th issue of the quarterly journal New Directions for Mental Health Services.


THE ROLE OF POLICY. 1. The State of the Mental Hospital at the Turn of the Century (Leona L. Bachrach). 2. Public Policy and State Psychiatric Hospitals (Richard H. Hunter). 3. State Hospitals in the New Millennium: Rehabilitating the "Not Ready for Rehab Players" (Paul Stuve & Anthony A. MAnditto). 4. The Unique Roles of State Hospital Programs: Keeping What Works in an Evolving System (Mary Sullivan). THE ROLE OF NEW TECHNOLOGIES. 5. No Place Else to Go: The Changing Role of State Hospitals and Forensic Mental Health Services (Mario J. Scalora). 6. The Psychiatric Hospital and Therapeutic Jurisprudence: Applying the Law to Promote Mental Health (Eric B. Elbogen & Alan J. Tomkins). 7. The State Hospital and the Community: An Essential Continuum for Persons with Severe and Persistent Mental Illness (Maria B. Monroe-DeVita & Dennis F. Mohatt). 8. Clinical Decision Support Systems in State Hospitals (Brett Buican, et al.). 9. State Hospitals in the Twenty-First Century: A Formulation (William D. Spaulding).

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