| Abstract: | Little has been written on the relationship between psychiatric services in public general hospitals and in other institutional settings. The authors analyze the interaction between them and its effects on quality of care. They suggest that clinicians and administrators are biased in favor of institutional care. Several recommendations for further research on the subject are made.Luis R. Marcos, M.D., is Vice-President, Mental Hygiene Services, New York City Health and Hospitals Corporation, and Associate Professor of Psychiatry, New York University School of Medicine. Rosa M. Gil, D.S.W., is Assistant Vice President and Assistant Professor of Social Work at Columbia University. The authors thank Dr. Reuben Margolis for his comments. Assistance in data analysis was provided by Beverly Carroll, Sara Craig, Edith Cresmer, Margaret Escoe, Jacqueline Huey, Fred Johnson, Simon Levin, William Mates, Eleanor Rothenberg, and Kathleen Vazquez. Views expressed in this paper are those of the authors and do not necessarily reflect the opinions or policies of the New York City Health and Hospitals Corporation. Requests for reprints should be directed to Dr. Marcos at the New York City Health and Hospitals Corporation, 125 Worth Street, New York, NY 10013, Telephone (212) 566-7113. |
