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This study, which started in 1942 as a survey of the effect of the war on the psychiatric outpatient services of England and Wales, has turned out to be far more than its author originally intended. As it stands, it is a comprehensive blueprint of clinic organization, psychiatric education, industrial psychiatry, the relationship of psychiatry to general medicine and the respective roles of the general and the mental hospital. For various reasons so comprehensive a plan could hardly be executed soon in this country; mental health and, indeed, most health matters are state responsibilities, not central, as in England; besides, the medical profession of this country is fortunately not under governmental control. Nevertheless the material presented by Dr. Blacker is valuable as a guide to all who are interested in medical progress and a more effective cross fertilization of psychiatry and the rest of medicine.
Altogether, 216 clinics were studied,
Neurosis and the Mental Health Services. JAMA. 1946;132(16):1043–1044. doi:10.1001/jama.1946.02870510081034