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Psychiatric manpower: an overview.

D G Langsley, C B Robinowitz

    Hospital & Community Psychiatry
    |November 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    The United States has a limited number of practicing psychiatrists, with uneven distribution across states. Increased federal and state support for training programs is crucial for retaining psychiatrists in public service settings.

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    Area of Science:

    • Psychiatry
    • Health Services Research

    Background:

    • The United States has an estimated 25,000-30,000 psychiatrists, with about 17,000 in clinical practice.
    • Understanding the distribution and work settings of psychiatrists is vital for assessing psychiatric manpower.

    Purpose of the Study:

    • To analyze the distribution of psychiatrists across U.S. states.
    • To examine population-per-psychiatrist ratios.
    • To investigate factors influencing psychiatrists' work settings, particularly in community mental health centers.

    Main Methods:

    • Descriptive analysis of psychiatrist distribution by state.
    • Calculation of population-per-psychiatrist ratios.
    • Qualitative discussion of factors affecting work setting choices.

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    Main Results:

    • Significant variations in psychiatrist availability exist across different states.
    • A declining percentage of psychiatrists are working in community mental health centers.
    • Factors such as center type, prevailing attitudes, and training site similarity influence practice location.

    Conclusions:

    • Increased federal and state support for psychiatric training programs is recommended.
    • Support should target university-affiliated programs in needed public service settings like state hospitals, VA hospitals, and community mental health centers.
    • This approach aims to improve recruitment and retention of psychiatrists in public mental health services.