Differences in both policies and programmes contributed to course differences between the groups. System characteristics that may lead to better outcomes are discussed.
The need exists for a prescriptive treatment program for chronic mental patients within the state hospital. The community mental health center has not met the needs of the chronic patient, and the state hospital has developed neither the diagnostic nor treatment system to qualify as a viable aspect of the overall mental health delivery system. This article presents a diagnostic system based upon developmental stages which considers the whole person and allows prescriptive treatment for the chronic patient. The description of this treatment system within a state hospital suggests the role of the large institution in the total mental health delivery system.
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