LITERATURE ABSTRACTS

Public Identification and Acceptance o f the Mentally IlL Derek L. Phillips. American Journal of Public Health, 1966, 56, 755-763. This study indicates that the public is frequently unwilling to associate with mentally ill individuals and even less willing to associate with persons described as having been in a mental hospital. The findings show that the sick individuals are still strongly stigmatized. Comprehensive Community Mental Health Services: Setting Social Policy. Bertram J. Black. Social Work, 1967, 12, 51-58. Many comprehensive mental health centers are planning broad approaches to preserving and insuring community mental health. How the centers define mental illness in practice, how they are staffed and structured, and what sort of relationships they have with existing community services will influence broad social policies. The issue of the relation of comprehensive mental health to comprehensive health may be determined by the practices of the mental health centers before general community health centers are established. There is a need to

provide documentation and evaluation and dissemination of experience. The Community Mental Health Program and the Longer-Stay Patient. Alan M. Kraft, Paul R. Binner, and Brenda A. Dickey. Archives of General Psychiatry, 1967, 16, 64-70. The experience of the Fort Logan Mental Health Center, Denver, is reviewed. The group largely made up of the chronic, unresponsive schizophrenic was found present in significant numbers and represents an unsolved clinical problem. Without new advances in techniques these chronic patients will accumulate to a substantial portion of the treatment population. The Comprehensive Mental Health Center: Uncharted Horizons for Inpatient Services. Harvey J. Newton. American Journal of Psychiatry, 1967, 123, 1210-1219. The author compares four existing models of hospital psychiatry: the large public hospital, the county hospital, the psychiatric unit in the general hospital, and the specialized psychiatric hospital. He states that a proven model for the provision of comprehensive community inpatient services compatible with ap-

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T r i z COMMUNITY MENTAL HEALTH JOURNAL

ILLINOIS, DEPARTMENT OF MENTAL HEALTH H. DOUGLAS SINGER ZONE CENTER The H. Douglas Singer Zone Center is supporting and encouraging the emergence of a network of mental health services in the northwest ten counties of Illinois. Our support and encouragement consists of: 1. 30-day inpatient facility 2. community development section 3. mental retardation section 4. alcoholism unit 5. children's unit 6. training and consultation section 7. evaluation section We need psychiatrists, psychologists, social workers, nurses, rehabilitation counselors, activity and recreation therapists. Consultation and program management skills desirable but we will provide opportunities for development of these skills for the right person. Attractive salary schedules, fringe benefits. For further information contact: Britomar Handlon-Lathrop, Ph.D., Assistant Zone Director, Professional Services, H. Douglas Singer Zone Center, 4402 North Main Street, Rockford, Illinois 61103. plied theories of social psychiatry has not as yet emerged. Two generalized hypothetical models are proposed: (1) a composite of all four inpatient models providing a coordinated spectrum of services and (2) a single, comprehensive, multiple service, inpatient and related care mental health complex. Both hypotheses are subject to verification in objective research.

Special Clinical Problems in Day Hospitalization. Richard M. Chasin. American Journal of

Psychiatry, 1967, 123, 7 7 9 - 7 8 5 . - - T h i s paper endeavors to note some of these problems and to indicate ways they may be managed, making specific reference to the experience of the day hospital at the Massachusetts Mental Health Center in Boston. Some issues considered are: the difficulty in evaluating fully the patient who is home most of the time; the problem of supervising patients with a potential for destructiveness and suicide; the dilemma of making progress where the patient finds it too easy to remain indefinitely in the comforts of day hospitalization; and the basic task of merely getting patients to come in the morning and leave in the afternoon. Various administrative measures are recommended. D r . Strangeelass: Or How I Stopped Worry-

ing About the Theory and Began Treating the Blue-Collar Worker. Robert E. Gould. American Journal of Orthopsychiatry, 1967, 37, 7 8 - 8 6 . - Psychotherapy with union auto workers is evaluated and on a basis of their life styles an attempt is

made to delineate differences between techniques needed for the "lower-class" patient and those commonly used for "middle upper-class" patients. It is suggested that psychiatrists with similar baekgrounds and values to their middle-class patients have been biased and limited in their approach to the blue-collar worker.

Soeiopsychiatrie Treatment of Disadvantaged P s y c h o t i c Adults. June Jackson Christmas.

American Journal of Orthopsychiatry, 1967, 37, 93100. A community-based self-help program for disadvantaged psychotic adults, with deprived nonprofessionals as therapeutic agents and identification models, brought about psyehiatrie and social improvement in its members. Reality stresses of the ghetto community were used to help the group cope more suecessfully and to change the disadvantaged environment. A Six-Year E x p e r i e n c e with Nontraditional Methods in a Child Clinic Setting. John J. O'Shea. American Journal of Orthopsychiatry, 1967, 37, 5 6 - 6 3 . - - T h i s is an aeeount of practiee modifications in a new small clinic setting over a three-year period from the standard team therapy approach to a more creative one, to the all-important individual crisis. Sueh innovations as a shortened interview whereby the limited elinie capacity was enlarged and the evaluation of the total clinical problem by the most broadly trained member of the team in the natural home setting are described.

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