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A comprehensive treatment program for schizophrenia and chronic mental illness.

A S Bellack, K T Mueser

    Community Mental Health Journal
    |January 1, 1986
    PubMed
    Summary

    The community mental health system struggles to treat chronic psychiatric patients due to funding issues and an inappropriate disease model. A comprehensive, integrated community approach is needed for effective chronic mental illness rehabilitation.

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    Area of Science:

    • Psychiatry
    • Mental Health Services Research

    Background:

    • Deinstitutionalization and community mental health initiatives have not adequately improved chronic psychiatric patient care.
    • Schizophrenia treatment remains a significant challenge within current mental healthcare paradigms.

    Purpose of the Study:

    • To describe the failures in treating chronic psychiatric patients.
    • To propose a comprehensive treatment model for chronic mental illness.
    • To identify essential components for integrated community rehabilitation programs.

    Main Methods:

    • Analysis of the current treatment paradigm for chronic mental illness.
    • Identification of systemic issues including medication expectations, funding, and disease modeling.
    • Development of a proposed comprehensive treatment and rehabilitation model.

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    Main Results:

    • Current treatment models exhibit unrealistic expectations for antipsychotic medications.
    • Inadequate funding plagues the community mental health system.
    • The "infectious disease model" is prevalent, overshadowing the more suitable "chronic disease model" for mental illness.

    Conclusions:

    • A comprehensive model integrating treatment, rehabilitation, social services, and continuity of care is essential.
    • An integrated community approach is crucial for rehabilitating chronic psychiatric patients.
    • Specific program components must be identified and implemented for successful rehabilitation.