Current Perspectives in the United States on the Chronically Mentally Ill

  • John A. Talbott
Part of the International Perspectives Series: Psychiatry, Psychology, and Neuroscience book series


The current situation of the chronically mentally ill in the United States is believed by most experts to be suboptimal. Hundreds of chronically mentally ill persons are homeless in each of our major urban centers, thousands are now imprisoned in our overcrowded correctional system, and more than half a million are housed but not treated in our “new” institution—the nursing home.


Nursing Home State Hospital Current Perspective State Mental Hospital Community Support Program 
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  1. 1.
    Deutsch A: The Mentally Ill in America: A History of Their Care and Treatment from Colonial Times, ed 2. New York, Columbia University Press, 1949.Google Scholar
  2. 2.
    Rothman DJ: The Discovery of the Asylum: Social Order and Disorder in the New Republic. Boston, Little Brown, 1971.Google Scholar
  3. 3.
    Dain N: From colonial America to bicentennial America: two centuries of vicissitudes in the institutional care of mental patients. Bull NY Acad Med 1976;52:1179–1196.Google Scholar
  4. 4.
    Talbott JA: The Death of the Asylum: A Critical Study of State Hospital Management, Services, and Care. New York, Grune & Stratton, 1978.Google Scholar
  5. 5.
    Meyer NG: Provisional Patient Movement and Administrative Data State and County Psychiatric Inpatient Services, July 1, 1974 to June 30, 1975, Mental Health Statistical Note no. 132. Rockville, MD, US Department of Health, Education and Welfare, 1976.Google Scholar
  6. 6.
    Talbott JA: Twentieth century developments in American community psychiatry. Psych Quart 1982;54:207–219.CrossRefGoogle Scholar
  7. 7.
    Hurd HM (ed): The Institutional Care of the Insane in the United States and Canada. Baltimore, MD, Johns Hopkins Press, 1946 (vol 1).Google Scholar
  8. 8.
    Talbott JA: Deinstitutionalization: avoiding the disasters of the past. Hosp Commun Psych 1979;30:621–624.Google Scholar
  9. 9.
    Deutsch A: Shame of the States. Garden City, NY, Doubleday, 1937.Google Scholar
  10. 10.
    Brill H, Patton RE: Analysis of population reduction in New York State mental hospitals during the first four years of large-scale therapy with psychotropic drugs. Am J Psych 1959;116:495–509.Google Scholar
  11. 11.
    Scull AT: Decarceration: Community Treatment and the Deviant: A Radical View. Englewood Cliffs, NJ, Prentice-Hall, 1977.Google Scholar
  12. 12.
    Stone AA: Mental Health and Law: A System in Transition. Rockville, MD, National Institute of Mental Health, 1975.Google Scholar
  13. 13.
    Talbott J A (ed): What are the problems of the chronic mental patient—a report of a survey of psychiatrists’ concerns, in The Chronic Mental Patient: Problems, Solutions, and Recommendations for a Public Policy. Washington, DC, The American Psychiatric Association, 1978.Google Scholar
  14. 14.
    Talbott J A (ed): The Chronic Mental Patient: Problems, Solutions and Recommendations for A Public Policy. Washington, DC, The American Psychiatric Association, 1978.Google Scholar
  15. 15.
    President’s Commission on Mental Health: Report of the President’s Commission on Mental Health. Washington, DC, US Government Printing Office, 1978.Google Scholar
  16. 16.
    Toward A National Plan for the Chronically Mentally Ill: Report to the Secretary by the Department of Health and Human Services Steering Committee on the Chronically Mentally 111 (DHHS publication no. (ADM) 81–1077). Rockville, MD, Department of Health & Human Services, 1981.Google Scholar
  17. 17.
    Public Law 96-398, Mental Health Systems Act, 1980.Google Scholar
  18. 18.
    Lamb HR (ed): The Homeless Mentally III: A Task Force Report of the American Psychiatric Association. Washington, DC, The American Psychiatric Association, 1984.Google Scholar
  19. 19.
    Sokas P: Rapidly growing NAMI becomes influencial advocate for mentally ill. Hosp Commun Psych 1986;37:88–89.Google Scholar
  20. 20.
    Sharfstein S, Turner JE, Clark H: Financing issues in the delivery of services to the chronically mentally ill and disabled, in The Chronic Mental Patient: Problems, Solutions, and Recommendations for a Public Policy. Washington, DC, The American Psychiatric Association, 1978, pp 137–150.Google Scholar
  21. 21.
    Public Law 100-77, July 1987.Google Scholar
  22. 22.
    Bittker MD: Health maintenance organizations and prepaid psychiatry, in The New Economics and Psychiatric Care. Washington, DC, The American Psychiatric Association, 1985, pp 119–129.Google Scholar
  23. 23.
    Levenson Al: Issues surrounding the ownership of private psychiatric hospitals by investor-owned hospital chains. Hosp Commun Psych 1983;34:1127–1131.Google Scholar
  24. 24.
    Public Law 98-21, 1984.Google Scholar
  25. 25.
    Stein L, Test MA: A state hospital-initiated community program, in The Chronic Mentally Ill: Treatment, Programs, Systems. New York, Human Sciences Press, 1981, pp 160–174.Google Scholar
  26. 26.
    Lehman AF, Possidente S, Hawker F: The quality of life of chronic patients in a state hospital and in community residences. Hosp Commun Psych 1986;37:901–907.Google Scholar
  27. 27.
    Aiken LH, Somers SA, Shore M: Private foundations in health affairs: a case study of the development of a national initiative for the chronically mentally ill. American Psychologist 1986;41:1290–1295.PubMedCrossRefGoogle Scholar
  28. 28.
    Talbott JA, Sharfstein S: A proposal for future funding of chronic and episodic mental illness. Hosp Commun Psych 1986;37:1126–1130.Google Scholar
  29. 30.
    Talbott J A (ed): Our Patients’ Future in a Changing World. Washington, DC, The American Psychiatric Press, Inc., 1986.Google Scholar
  30. 30.
    Goldman HH, Manderscheid RW: Epidemiology of chronic mental disorder, in The Chronic Mental Patient/II. Washington, DC, The American Psychiatric Press, Inc., 1987, pp 41–63.Google Scholar

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© Springer-Verlag New York Inc. 1990

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  • John A. Talbott

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