PubMed · 6611828
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1983. Introduction.. https://pubmed.ncbi.nlm.nih.gov/6611828/
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The purpose was to estimate the number and nature of contacts in a newly-established community psychiatry centre and their distribution according to diagnostic category, registered on computer. The number of contacts and day-patient days were about 6000 each per year. Two professionals participated in 20% of the contacts and 20% were in the patient's home (psychotic patients). Fifty percent of the contacts had a psychotherapeutic content, 10% were about medicine and 30% had a mixed content. The chronic patients made 20-25 contacts/year and other patients 6-10 per treatment episode. Forty-five percent of the resources were used on out-patients/hometreatment, 30% on activities, 10% on intake, 10% on secretarial work and 5% on administration. Seventy percent of resources were used on chronic patients and 20% on patients with minor disorders. Fifty-five percent of time spent was used for direct patient contact (40% for psychiatrists). Time for contacts was 45-60 minutes/patient/2 weeks (6 minutes for psychiatrists). In accordance with the politically defined goal the main part of the resources were used for psychotic patients. The patients valued the contacts as seen by a low rate of non attendance. The amount of time for contact seems reasonable although it was low for psychiatrists.
This DataWatch analyzes the effect of the Utah Prepaid Mental Health Plan (UPMHP) on use of mental health services by and mental health treatment expenditures for Medicaid beneficiaries from July 1991 to June 1992. During this period three community mental health centers (CMHCs) provided mental health services to Medicaid beneficiaries in their catchment areas in return for capitated payments. Utilization and expenditure rates per beneficiary per month were analyzed using a "fixed-effects" statistical modeling approach, controlling for categories of beneficiary, time trends, seasonal effects, and CMHC grouping (capitated urban, capitated rural, noncapitated urban, and noncapitated rural). The results of the analysis suggest that the UPMHP reduced admissions for inpatient mental health treatment, inpatient mental health expenditures, and total mental health expenditures for Medicaid beneficiaries. These findings must be regarded as preliminary because of the relatively short time period covered by the data.
The purpose of this paper is to describe the psychiatrist's role in community mental health programs, beginning with the evolution of psychiatric involvement in community mental health centers (CMHCs). There is a discussion of the current state of psychiatry in community mental health programs with descriptions of the types of roles psychiatrists occupy and their thoughts about those roles. The concluding sections focus on the ways psychiatrists can be utilized in community mental health programs so that both the psychiatrist and the agency benefit and are satisfied.