Journal ArticleDOI
Why psychiatrists leave the public sector.
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The flight of psychiatrists from public mental health facilities must be halted if the sickest psychiatric patients--the severely and chronically mentally ill--are to receive the best care and treatment possible.Abstract:
The flight of psychiatrists from public mental health facilities must be halted if the sickest psychiatric patients—the severely and chronically mentally ill—are to receive the best care and treatment possible. The author emphasizes the need for commitment by organized psychiatry, universities, and communities to support the public sector and those working in it. He examines the factors that influence psychiatrists to enter public service and those that eventually cause them to leave. He notes that the departure of public hospital psychiatrists for quasi-public settings has paralleled the transfer of patients to community settings, and that these psychiatrists may now be treating in such settings patients they once saw in the hospital.read more
Citations
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Journal ArticleDOI
Careers in psychiatry: Options for the future
John A. Talbott,Roger B. Granet +1 more
TL;DR: An examination of data on careers in psychiatry discusses the trends in psychiatric careers, mental health services, manpower needs, and academic psychiatry.
Journal ArticleDOI
Strategies to Attract Psychiatrists to State Mental Hospital Work: Results From a Survey of Potential Employees
TL;DR: The most persuasive options involved either part-time employment or structural changes within the health care provision system, which included integration with other health care facilities, increased use of allied health personnel, and improved quality of care within the SMH.
Journal ArticleDOI
An Analysis of the Movement to Private Psychiatric Practice
David J. Knesper,Bruce W Carlson +1 more
TL;DR: Describing the differential influence of foreign or US medical education, SMH or university training program, and years since graduation on the decision to take a job in either a private, public, or university medical school practice setting highlights manpower problems.
Journal ArticleDOI
The Maryland Plan: the rest of the story.
TL;DR: The authors describe the conditions in Maryland that made successful collaboration possible, including a large and stable university residency program, attractive incentives available for the university from the state, a favorable economic climate, a crusading spirit, and psychiatric authority in the central office of the mental hygiene administration.
Journal ArticleDOI
Securing patients' rights--responsibly.
TL;DR: Mental health professionals should not treat patients' rights as if they were a sacred cow, but should distinguish responsible advocacy from irresponsible advocacy, and advocates should be rigorously screened within bureaucracies.
References
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Journal ArticleDOI
The American Psychiatric Association in relation to American psychiatry.
Book
The death of the asylum: A critical study of state hospital management, services, and care
TL;DR: One that the authors will refer to break the boredom in reading is choosing the death of the asylum a critical study of state hospital management services and care as the reading material.
Journal ArticleDOI
The Chronic Mental Patient: Problems, Solutions, and Recommendations for a Public Policy
Journal ArticleDOI
Psychiatric Manpower: An Overview
TL;DR: Federal and state support should be increased for university-affiliated psychiatric training programs based in settings where psychiatrists are needed: state hospitals, VA hospitals, community mental health centers, and similar facilities, which would result in the recruitment and retention of greater numbers of psychiatrists in public service settings.
Journal ArticleDOI
Toward Increased Psychiatric Presence in Community Mental Health Centers
TL;DR: The authors suggest several incentives to increase psychiatric presence in the centers, including developing staffing standards as a condition of funding, giving psychiatrists time to do research and evaluation and to teach, and increasing the medical involvement of centers through links with general hospitals, private psychiatric hospitals, and medical schools.