Anatomy of psychiatric consultation to rural Indians |
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| Authors: | Dr J David Kinzie MD Dr James H Shore MD Dr E Mansell Pattison MD |
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| Institution: | (1) University of Washington, USA;(2) Present address: Queens Hospital, Honolulu, Hawaii;(3) Present address: Indian Health Service, Portland, Oregon, USA;(4) University of California at Irvine, California;(5) Special Services, Orange County Community Mental Health Services, USA |
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| Abstract: | The development of a community mental health consultation program to an Indian population both geographically isolated and with minimal community resources poses major tasks. The first is the successful negotiation of a consultation contract with several levels of government involved in Indian health affairs. Second is the selection of entry into the community that will afford community visibility and acceptance. Third is the necessity of providing a modicum of direct services to operate concurrently with the indirect services of consultation. Fourth a systematic method of program evaluation must be carried on to prevent premature solidification of consultation work and provide guidelines for necessary program change and development.This project was supported in part by State of Washington Initiative 171 Funds for Research in Biology and Medicine. The paper was read at the 126th Annual Meeting of the American Psychiatric Association San Francisco, May 1970. |
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