The article describes the experience of one psychiatric team in considering and then organizing a group for friends and families of schizophrenics for their psychiatric ward in a general hospital. Included in the article are suggested procedures, program areas to develop, and estimated costs. The benefits to patients, families and friends as well as staff are highlighted.
After discussing maintenance as an appropriate treatment philosophy for treating the long-term chronically mentally disabled, the authors describe a day centre based on this approach. Resources and costs, the target population, clients and their needs, activities, and referral and back-up procedures are reviewed. The article concludes with a look at some of the problem areas and benefits involved in a program using a maintenance approach.
This article describes a program developed in Burnaby, British Columbia in early 1981 to provide former boarding home clients with placements in unsupervised group home settings. The article also demonstrates how the mentally ill can foster solutions to their housing problems by means of participation in a special needs housing society.
The mental health system as we know it today is essentially a linear extension of the system in place thirty years ago. "System lethargy" results from planning which has relied excessively on past models and has emphasized "facts" over principles rather than taking advantage of changing values and societal trends. This paper identifies major environmental changes likely to influence the health field, including changes in technology, scale of organization, and leadership style. Vibrant mental health services of the future are likely to be less exclusively based in the health care system, with greater emphasis on initiatives in the workplace, more use of electronic media, development of new professional roles and more intensive client-focused programming.
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