To study patients' and relatives' expectations of treatment, type of treatment desired, service assignment, and service utilization patterns, 611 applicants to a comprehensive community mental health center during a five-month period, and 433 of their relatives, were interviewed. Patients and relatives agree on wanting first of all, a lessening of symptoms and secondly, the overcoming of addictive behavior (alcohol and drugs). Patients prefer services which require minimal commitment from them; 51% of the patients received hospitalization as the initial assignment, as against 11.9% requests for hospitalization by patients and 23% by relatives. Most patients made limited use of services to which they were assigned. Comment is directed in terms of the need to develop briefer outpatient programs for selected patients.
Hornstra RK, Lubin B, Lewis RV, Willis BS. Worlds Apart: Patients and Professionals. Arch Gen Psychiatry. 1972;27(4):553-557. doi:10.1001/archpsyc.1972.01750280109018