The Posttransfer Fate of Relocated Patients

  • Elizabeth W. Markson
  • John H. Cumming
Part of the Current Topics in Mental Health book series (CTMH)


It is evident that the role of the state mental hospital is changing. Four developments in particular have contributed to the shift away from state hospital-centered care to community-based treatment. First, the proliferation of new psychotropic drugs has accelerated remission and permitted more rapid release of patients to the community.1,2,3,4 Second, development of the notion of therapeutic milieu and therapeutic community has promoted the resocialization of patients and the redefining of staff roles. Third, and related to the redefining of the treatment environment, is the geographic decentralization of large state hospitals, a phenomenon eradicating or reducing reliance on custodial administrative patterns, thus promoting more rapid release of patients. And last, shifts in federal, state, and local funding modalities for treatment of the mentally ill have encouraged evolution of community-based facilities.5


State Hospital Mental Hospital Chronic Patient Therapeutic Community Hospital Policy 
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Copyright information

© Plenum Publishing Corporation 1976

Authors and Affiliations

  • Elizabeth W. Markson
    • 1
  • John H. Cumming
    • 2
  1. 1.Massachusetts Department of Mental HealthBostonUSA
  2. 2.Department of Health Services and Health InsuranceVictoriaCanada

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