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This paper examines aspects of school nursing and its work setting as bases for the interactive nature of nursing practice in schools. Mental health consultation is presented as a means of reducing role stress and increasing effectiveness. A case example of the consultative process is given. [ABSTRACT FROM AUTHOR]

The article presents a discussion of the orientation of mental health professionals toward human services in the U.S. The author in this paper has traced the development of ideology among mental health professionals and has concluded that a more inclusive human service belief system is developing among mental health and other community caregivers. Growing out of the community mental health ideology which gained prominence during the nineteen sixties, the human service orientation is seen as potentially playing a major role in rationalizing and justifying an even more expanded pattern for organizing comprehensive integrated programs of service for the nineteen-seventies.

Hospitalized mental patients are increasingly being discharged into the community. Yet, despite the construction of hundreds of community mental health centers, readmission rates continue to rise. This paper analyzes the reasons for this problem and provides suggestions for its solutions. [ABSTRACT FROM AUTHOR]

Based on a review of problems in treatment evaluation in mental health centers, this paper offers a theoretical rationale and a methodology for dealing with them using automated computer techniques. [ABSTRACT FROM AUTHOR]

The article discusses the issues concerning the training and deployment of social work manpower in the U.S. Manpower problems involved in providing health and medical care services to the total population of the country has, for the first, been recognized by health professionals, the consumers of services and policy-makers. Another concern in the country's health system is the significant changes in the organization and structure of the health and mental health services, which will have great impact on the ultimate delivery of service.

A different type of psychiatric emergency program is described and preliminary data concerning its operation are presented. The program provides emergency service ranging from outpatient visits to twenty-four hour care. Further reports are anticipated. [ABSTRACT FROM AUTHOR]

Viewing comprehensive health centers and community mental health programs as links in a delivery system that may provide the framework for a possible national health system, five goals in planning and providing liaison-care are described. A case illustrating this interaction is presented. [ABSTRACT FROM AUTHOR]

The development of a coordinated program utilizing a team approach to care of discharged psychiatric patients is described. [ABSTRACT FROM AUTHOR]

Eight conceptual models of community are presented with brief outlines of the implications of each model for several characteristics of community mental health centers: characteristics of the target population and mental health staff, staff awareness of community needs, the effect of programming on the community, and the roles of citizens and staff. [ABSTRACT FROM AUTHOR]

The development of an information system for a state health department is considered in terms of cybernetic and information theories. [ABSTRACT FROM AUTHOR]

A report is presented on emergency services in community mental health. Clarification of such services is discussed as is crisis intervention. Recommendations are made for the operation of crisis intervention programs. [ABSTRACT FROM AUTHOR]

Description and discussion are presented of a program for more than 76,000 employees to deal with mental health problems that have an effect on employment, work habits, and related matters. The broader significance of such activities is stressed. [ABSTRACT FROM AUTHOR]

A study was made to see what categories of cases were referred to mental health consultants by health agencies, and to see whether in the course of time there was any change in the distribution of cases among the categories. Findings are reported. Although the original intent was not completely fulfilled, the discussion of the problems encountered will be of value to other investigators. [ABSTRACT FROM AUTHOR]

The article focuses on the level of mental health services offered at hospitals and health departments in the U.S. It assess the interest of health planners and administrartors in the development of mental health services. The author has identified the significant community, organization, and personal variables associated with different implementation levels. Services and activities selected for study include outpatient diagnosis, treatment services, inpatient diagnosis and treatment services, follow-up care after hospitalization, integration of mental health services with other health services and the use of indigenous workers for case-finding and information dissemination.

The evaluation of a new community mental health service is discussed in four parts. One, the theoretical, ethical, and practical considerations in designing the described evaluation systems are reviewed. Two, the rationale or goals for the program are specified. Three, the therapy system and built-in evaluation is described. And finally, staff reactions and problems related to the procedures and evaluation in general are discussed. [ABSTRACT FROM AUTHOR]

This study was made to determine consumer attitudes toward health needs in an Appalachian community, and to find out what are the priorities of such consumers for health care. A gap between the priorities of consumers and those of physicians is discussed and its implications for planning and providing services is stressed. [ABSTRACT FROM AUTHOR]

High-risk groups and suicidogenic constituents are identified and the community's responsibility for preventive efforts is discussed. The Suicide Prevention Center's role in a community approach is critically examined with the conclusion that such Centers should function primarily as catalysts and educators rather than 24-hour, telephone referral systems. Suicide prevention efforts which include anything less than total community involvement are doomed to failure. [ABSTRACT FROM AUTHOR]

A report is presented on the Psychiatric Utilization Review and Evaluation Project, its nature, objectives and accomplishments. Using the developed patient care appraisal mechanism a further study will be carried out in four community mental health centers. [ABSTRACT FROM AUTHOR]

The integration of community mental health with the comprehensive community health center is discussed. Reasons for earlier separation are explained and means for achieving integration are explored. [ABSTRACT FROM AUTHOR]

The employment of a nurse within the context of a local health department is the model used to demonstrate the possibility of delivering mental health services despite a critical personnel shortage. Various aspects are discussed operationally. [ABSTRACT FROM AUTHOR]

Reorganization of the Illinois Department of Mental Health with revised programming during the period 1960-1970 should have improved patient services in the State of Illinois, and should be reflected in the Department's operating statistics. Several indices bearing on patient services are reviewed together with some speculative comment on the future of mental health services in the state. [ABSTRACT FROM AUTHOR]

A report is presented on a project to identify program costs for community mental health centers, and to establish principles for relating cost of input to types of services received by beneficiaries. Problem areas are delineated, discussed, and relation to possible measurement indicated. [ABSTRACT FROM AUTHOR]

A description is presented of the development of mental health services for Mexican-Americans in a Texas city, and of the changes that occurred in the program in terms of philosophy and personnel. [ABSTRACT FROM AUTHOR]

The article focuses on the military mental health care delivery system, the oldest third party payment system in the U.S. Despite its differences from the civilian programs, the military system may be considered a paradigm of a total third party payment system. All payments for mental health care services for active duty personnel are drawn together by the organization, except the employer of both the provider and the recipient of the services. Furthermore, it is necessary in selecting what is beneficial from the experience of existing systems and attempt to offer enlightened guidance to the farmers of National Health Insurance to ensure the inclusion of adequate psychiatric coverage.

The article discusses the conceptual framework for embarking on the design of objectives for a community mental health plan, where a number of administratively independent facilities provide mental health services to the population. Each component unit must determine and submit its own goals and objectives in designing a mental health plan subscribed to by various service organizations. The health plan's objectives should be proposed with due recognition for three characteristics, including relevancy, practicability and measurability.

The article explores some practical difficulties that have emerged concerning the status of paraprofessionals or lay mental workers in the U.S. These difficulties include their utilization and selection, job roles, identification problems and troubles concerning research and evaluation. In practice, most paraprofessionals are potential consumers of community mental health services like the poor and the black. There do not seem to be very many middle and upper class paraprofessionals. The article also proposes a greater emphasis to be placed on middle class volunteer workers.

The article offers information on the ways to establish a clinic in response to the existing demand for physical and mental health services for women in San Pedro, California. The author offers several steps to be taken in the establishment of women's health facilities including the assessment of both physical and mental health needs of those whom the clinic is set up to serve and the determination of its objective and methods of achieving it. The article also emphasizes the maintenance of the clinic's responsiveness through the control of its participants, and the implementation of the theoretical clinic into operation.