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IMAGINE if you could dramatically cut suicide rates and mental health relapses, get hundreds of previously sick people into work, and achieve all… ....
Intensive Home Treatment for Acute Mental Disorders: An Alternative to Hospitalization 1513 In 1978, I became the medical director of a general hospital psychiatric unit serving the twin cities of Kitchener/Waterloo in southwestern Ontario, Canada. Over the next four years, population growth accelerated, and more psychiatrists joined the department, both of which resulted in increasing pressure on beds. We reached a point where patients had to wait a dangerously long time to be admitted. The provincial Ministry of Health policy was clear: no more funding for hospital beds only funding for community programs. I couldn’t see a way forward. An acute day hospital did not seem feasible; most of our patients were too ill to reliably attend, and public transportation is poor. There were no workable models for a crisis residence at that time. ....