Abstract

Hospitals,Middleton said that returning a patient too early to his family may destroy the family, or even the cornmunity itself, as a resource for the patient. A substantial number of people in this group cxpressed concern about the lack of teaching of psychiatric rehabilitation both in medical schools and in psychiatric residency programs.clergymen, teachers, and other community figuresalthough there is real need for adequate preparation, supervision, and guidance of mental health counselors. Dr. James 0. Cromwell said that hospitalization need not be harmful, provided the patient is not permitted to outstay his period of movement in therapy. This implies the need for follow-up services. Mr. JohnII. NonmedicalWINIFav.i‘and principles this group supported without reservation the Joint Commission’s recommendations on nonmedical care, but they differed about the methods and feasibility of implemen. tation. They expressed special concern about the nature of therapeutic efforts, who should be engaged in therapy, and how nonmedical health workers should be supervised. They thought the problem less acute within a mental hospital, where allied professionals are working as team members. But nonmedical people supplying some form of treatment in the community present particular problems in supervision. They elected to discuss the less difficult problem first-nonmedical