Consultation and education in community mental health: a historical analysis

A historical analysis of consultation and education services within community mental health centers is presented with a focus on the two major tasks that these services were intended to address:prevention andcommunity service system enhancement. This analysis begins with events that shaped the development of the initial community mental health center (CMHC) legislation, then examines key factors that influenced the nature and scope of consultation and education services as the federal CMHC program was implemented, and ends with a look at the changes that have occurred in these services since block grant funding was instituted. Throughout the analysis, central problems are discussed that have seriously hindered the development of viable consultation and education programs, and key policy, definitional and organizational issues are identified that must be addressed if these services are to become a meaningful component of the mental health service system.