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Published Online:https://doi.org/10.1176/ajp.123.11.1430

The Home Treatment Service of Boston State Hospital seeks to provide alternatives to hospitalization for the mentally ill by means of a referral network in the community conducive to early therapeutic intervention and by drawing the family as well as the patient into the treatment alliance. Of 154 patients reported here, all of whom were initially diagnosed as functionally psychotic, the HTS was able to avert hospitalization for 62 percent. HTS was more effective in maintaining patients in the community than in enhancing community adjustment.

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