Financing a small independent community mental health clinic has applications to other clinics as well as influencing future trends in the economics of medicine. Though the experience is limited to one clinic, it can be considered representative, since the clinic is in a suburban-rural county adjoining a large city, an area of rapid population growth and social change. The clinic offers psychiatric, outpatient service to a population of 107,000 people. At present there are two psychiatric teams operating at the clinic, made up of two part-time psychiatrists (averaging 11/4 days per week each), two half-time psychologists, two full-time social workers, and three clerical workers. It also has the able support of dedicated volunteers and a strong board of directors.
The clinic originated in 1959 through the plans of the local community council. Coincidentally, the state government established matching funds for local clinics to compensate for an increasing shift of state
Crawshaw R. Financing a Small Community Mental Health Clinic. JAMA. 1965;194(6):638–642. doi:10.1001/jama.1965.03090190060014
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