Consultation or Direct Service?
CHARLES J. RABINER M.D.1,
SEYMOUR SILVERBERG M.S.S.S.2,
JOHN W. GALVIN M.S.W.3, , and
LEON D. HANKOFF M.D.4
1 Director of psychiatry, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432
2 Chief, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432
3 Assitant chief of psychiatric social work, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432
4 Staff consultant in community psychiatry, Hillside Hospital/Queens Hospital Center Affiliation, 82-68 164th St., Jamaica, Queens, N.Y. 11432
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.
