Skip to main content
Log in

Introducing Community-Based Care of the Chronically Ill Into Residency Education

  • Regular Article
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Few departments have the resources to support an ideal program in community psychia-try. In this article, the authors discuss the difficulties and benefits of introducing long-term community-based treatment of the chronically mentally ill into a residency program with limited resources of time and personnel The residents initially were fearful of the program and tended to avoid its unique community aspects. The authors describe haw they dealt with these problems and haw the program evolved into a well-accepted part of the residency aver its first 4 years of operation. The authors conclude that, even on a time budget of 4 to 6 hours weekly, residents can have a meaningful learning experience in community-based care of the chronically mentally ill.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Yager J, Yager A, Siegel D, et al: Professional interests among residency applicants in psychiatry: a pilot study of autobiographical statements. Academic Psychiatry 1990; 14:80–85

    Article  Google Scholar 

  2. Knesper DJ: Psychiatric manpower for state hospitals: a continuing dilemma. Arch Gen Psychiatry 1978; 35:19–24

    Article  CAS  PubMed  Google Scholar 

  3. Pardes H, Sirovatka P, Jenkins J: Psychiatry in public service: challenge of the eighties. Hosp Community Psychiatry 1979; 30:763–767

    Google Scholar 

  4. Staton D: Psychiatry’s future: facing reality. Psychiatr Q 1991; 62:165–176

    Article  CAS  PubMed  Google Scholar 

  5. Neilsen AC, Stein L, Talbott JA, et al: Encouraging psychiatrists to work with chronic patients: opportunities and limitations of residency education. Hosp Community Psychiatry 1981; 32:767–775

    Google Scholar 

  6. Lefley HP, Bernbeim KF, Goldman CR: National forum addresses need to enhance training in treating the seriously mentally ill. Hosp Community Psychiatry 1989; 40:460–470

    CAS  PubMed  Google Scholar 

  7. Cutler DL, Bloom J, Shore JH: Training psychiatrists to work with community support systems for chronically mentally ill persons. Am J Psychiatry 1981; 138:98–106

    CAS  PubMed  Google Scholar 

  8. Lebourdette I, Rockland L: Developing a psychiatry residency program: focus on the community. Hosp Community Psychiatry 1975; 26: 279–282

    Google Scholar 

  9. Factor RM, Stein LI, Diamond RJ: A model community psychiatry curriculum for psychiatric residents. Community Ment Health J 1988; 24:310–326

    Article  CAS  PubMed  Google Scholar 

  10. Barreira PJ, Dion GL: Training psychiatrists in rehabilitation principles and practice for working with people with long-term mental illness. Psychosocial Rehabilitation Journal 1991; 15:93–96

    Google Scholar 

  11. Sabin JE, Sharfstein S: Integrating community psy-chiatry into residency training. Hosp Community Psychiatry 1975; 26:289–292

    CAS  PubMed  Google Scholar 

  12. Fink PJ: Problems of providing community psychiatry training to residents. Hosp Community Psychiatry 1975; 26:292–295

    CAS  PubMed  Google Scholar 

  13. Torrey EF: Continuous treatment terms in the care of the chronically mentally ill. Hosp Community Psychiatry 1986; 37:1243–1247

    CAS  PubMed  Google Scholar 

  14. Stein L, Diamond RJ: A program for difficult-to-treat patients, in The Training in Community Living Model: A Decade of Experience, edited by Stein LI, Test MA. San Francisco, CA, Jossey-Bass, 1985, pp 29–39

    Google Scholar 

  15. Faulkner LR, Cutler DL, Krohn DD, et al: A basic residency curriculum concerning the chronically mentally ill. Am J Psychiatry 1989; 146:1323–1327

    CAS  PubMed  Google Scholar 

  16. Cotton PG, Pruitt KD: The affective experience of residency training in community psychiatry. Am J Psychiatry 1975; 132:267–270

    CAS  PubMed  Google Scholar 

  17. Knoedler W: The continuous treatment team model: role of the psychiatrist. Psychiatric Annals 1989; 19:35–40

    Google Scholar 

  18. Miller MG: The aftercare clinic as a residency training site: community neuropsychiatry. Arch Gen Psychiatry 1977; 34:1349–1352

    Article  CAS  PubMed  Google Scholar 

  19. Talbott JA, Jeffries M, Arena JD: CMHCs: relationships with academia and the state. Community Ment Health J 1987; 23:271–281

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Silberman, E., Comer, R. & Butler, B. Introducing Community-Based Care of the Chronically Ill Into Residency Education. Acad Psychiatry 19, 132–141 (1995). https://doi.org/10.1007/BF03341423

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03341423

Keywords

Navigation