Community Residential Treatment

Alternatives to Hospitalization
  • Loren R. Mosher


In a properly designed and functioning community mental health system, community residential treatment facilities should serve the vast majority of disturbed and disturbing individuals in need of intensive interpersonal care who cannot be adequately treated by in-home crisis intervention. Use of these small, homelike facilities in conjunction with 24-hour mobile crisis intervention will dramatically reduce the need for psychiatric beds in hospitals (Hoult, 1986; Langsley, Pittman, & Swank, 1969; Mosher, 1982; Stein & Test, 1985). That is, a 100,000 population catchment area will need, at most, a 10-bed adult ward in a general hospital. This estimate presumes the existence of separate facilities for children and adolescents, the addictions, and geriatric cases. We also presume there will be no backup state hospital beds. This estimate also presumes that the system will have affordable transitional (halfway, quarterway houses) and nontransitional (e. g., group homes, Fair-weather lodges, foster care, apartments) supported (supervised) and unsupported housing readily available for its clientele’s use after the intensive care phase. Without adequate numbers of these facilities users will get “stuck” at home, in hospital, in alternatives to hospitalization, or in shelters. This is both clinically unwise and unnecessarily expensive (Mosher & Burti, 1988).


Residential Care Residential Treatment Mental Health System Crisis Intervention Community Psychiatry 
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Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • Loren R. Mosher
    • 1
  1. 1.Addiction, Victim and Mental Health Services for Montgomery CountyRockvilleUSA

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