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The American Journal of Psychiatry, VOL. 126, No. 9

Articles | March 01, 1970

Consultation or Direct Service?

CHARLES J. RABINER; SEYMOUR SILVERBERG; JOHN W. GALVIN; LEON D. HANKOFF

Am J Psychiatry 1970;126:1321-1325.

Director of psychiatry, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432

Chief, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432

Assitant chief of psychiatric social work, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432

Staff consultant in community psychiatry, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432

1970, American Psychiatric Association

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Abstract

The authors discuss their attempt to establish a community psychiatry program with an emphasis not on direct services but on consultation to administrative personnel of existing agencies. They present their problems with the community and conclude that psychiatric consultation in the kind of situation they describe is accepted only when direct services are already in effect; also, community participation in planning is essential.

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