Problems of psychiatric practice in community mental health centers

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Abstract
Initial enthusiasm about community mental health centers (CMHCs) had diminished. The participation of psychiatrists in CMHCs declined in the 1970s and may decline further. One center is described to highlight problems encountered by community psychiatrists: unrealistic treatment expectations; limitations of psychiatric knowledge; need for a broad range of clinical expertise; supervision of other CMHC clinicians; limited funds and rehabilitation facilities; complex medical and legal problems; and lack of adequate training in administration. It was suggested that the public be reeducated regarding realistic treatment goals, that CMHCs be allied with university departments of psychiatry, that finding be stabilized, and that community psychiatrists be given more support.

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