Excesses associated with deinsitutionalization during the 1970s provided a legacy of homelessness, revolving door rehospitalization, and gridlock in metropolitan hospital emergency rooms.
To allow for the seriously and persistently mentally ill to move planfully into community life, caregivers must utilize new and improved care models.
One option is the HMO capitation model being tested in the Monroe/Livingston County Mental health Demonstration in New York State.
Experience indicates positive results for patients and lower than anticipated costs.
Integrated Mental Health (IMH) is the local authority for this locally designed demonstration in New York State.
Community Mental health Centers (CMHCs) act as « Lead Agencies » to manage care and rehabilitation for seriously mentally ill patients previously dependent totally on the State hospitals' services.
Mots-clés Pascal : Désinstitutionnalisation, Facteur risque, Sans domicile fixe, Traitement communautaire, Intégration sociale, Analyse économique, Psychiatrie communautaire, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Santé mentale, Homme
Mots-clés Pascal anglais : Desinstitutionalization, Risk factor, No fixed abode, Community treatment, Social integration, Economic analysis, Community psychiatry, United States, North America, America, Public health organization, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 92-0309557
Code Inist : 002B18H05. Création : 199406.