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Muddling through mental health policies.

L R Marcos, R M Gil

The American Journal of Psychiatry

|July 1, 1983

Summary

New York City implemented a mental health policy change to reduce overcrowding in psychiatric inpatient units. The policy demonstrated a positive impact on municipal hospitals, highlighting the need for strategic planning and professional training in mental health policy.

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Area of Science:

Public Health
Health Policy
Psychiatric Services

Background:

Overcrowding in municipal adult psychiatric inpatient units poses significant challenges.
Effective policy interventions are crucial for managing psychiatric bed capacity.

Purpose of the Study:

To report the process and outcomes of a mental health policy change aimed at alleviating overcrowding.
To analyze the impact of revised admission policies on New York City's municipal hospitals.

Main Methods:

Description of strategies employed for policy modification.
Comparative analysis of hospital conditions before and after the policy implementation.

Main Results:

The policy change positively impacted conditions within municipal psychiatric inpatient units.
Evidence suggests a reduction in overcrowding and improved hospital functioning.

Conclusions:

Incremental policy changes can yield positive outcomes in mental healthcare.
Emphasizes the importance of comprehensive planning, professional training in policy-making, and continued research in psychiatric policy.

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