Trends in Public Urban Psychiatry in the United States

Abstract
In the context of trends in the social and economic life of the United States, a nascent model of public urban psychiatry is presented as a prediction. The model is presented as a set of propositions: (1) Public psychiatry is urban based and urban oriented. (2) Public urban psychiatry is pragmatic, eclectic, and existential. (3) Public urban psychiatry takes on the character of a mass service and mass transit system. (4) Public urban psychiatry is conceptually and operationally integrated into a human services and resources industry. (5) Public urban psychiatry is universally accessible and acceptable. (6) Public urban psychiatry is rationally organized according to the requirements of a communications network. These propositions describe the structure of public psychiatry as anticipated by the end of this century.

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