Traditional insight psychotherapy and the medical model have little relevance to mental health facilities viewed as essentially social training institutions for disturbed and disturbing persons with limited social competence. If training for community living is indeed the major function of so-called mental health facilities, it would be as well to change their name to behavioral, social training programs. An integrated four-level training program is suggested: Level I. Out-patient Clinics; Level II. Day Treatment Centers; Level III. Halfway Houses; and Level IV. State and Community Mental (Psychiatric) Hospitals.
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