The purpose, of this study was to determine the type of community resources which facilitate community adjustment and tenure for ex-mental patients. Particular emphasis was placed on the extremely visible variable of post-hospital 1iving arrangements available to mentally and/or emotionally disturbed patients. Initially, the researchers assumed that such living situations would be a decisive element in the aftercare needs of ex-mental patients. However, the study was in itself broad enough to introduce other significant factors of equal or greater importance to the target population. The study, then, attempted to assess the relative value of such interrelated activities as living situation, day treatment programs, crisis intervention, home visits, pre-hospital diagnosis and assessment, day hospitalization, brief asylum, and long-term sheltered settings to successful community adjustment for both the ex-patient and the community. Particular attention was focused on application of the findings to Region I.

In recent years attention has been given to the problems of the chronically mentally ill in regard to the effects of deinstitutionalization and a need for community supports. In this study, 77 service providers to the chronically mentally ill of Multnomah County (Portland), Oregon were interviewed to assess the components of the existing community support system for this population, as well as to identify the strengths and weaknesses of the system. Ten chronically mentally ill clients were interviewed in a similar manner.

The purpose of this survey was to obtain information from hospital emergency room staff on each mental health admission during the period of December 15, 1977 to January 15, 1978. Mental health admissions were broadly defined to include those people who were experiencing an observable mental health difficulty, but who may have initially presented primary medical problems. At the request of Multnomah County Mental Health Division's Management Team, and with the approval of the Emergency Department Nurses Association (EDNA), questionnaires were distributed among 16 general hospitals in the Portland, Oregon, Tri-County area. These hospitals are located in Multnomah, Clackamas, and Washington Counties. This survey represents the first attempt (1) to obtain information on an area-wide basis, on emergency room (ER) treatment of mental health admissions; and (2) to ascertain the availability and use of community mental health resources. The collection of such information is important to planning for comprehensive mental health services and in improving the existing service delivery system.