The indication of this study is that a common integrated treatment program by means of a team approach in an atmosphere of therapeutic optimism can be a potent factor in the rehabilitation of increasing numbers of the so-called chronic patient. By itself, however, it will be doomed to failure if these initial results cannot be followed by the combined efforts of the hospital and the community in combating the "Rip Van Winkle" effects observed in patients hospitalized for many years.Abstract Teaser