Recovery From Schizophrenia: Psychiatry And Political Economy

362 NOTES4,600 cases were active at any one time and over 720 of these were suffering from afunctional psychosis. Of the clients, 37 per cent were children and adolescents, 58per cent were adults between the ages of 18 and 64, and five per cent were age 65 orolder. Nearly 30 per cent of the clients belonged to an ethnic minority, primarilyHispanic-American.The center employs approximately 450 part-time and full-time staff (300 full-timeequivalent employees). Around two-thirds of the full-time equivalent employeesprovide clinical services and one-third have administrative and clerical duties.The center’s budget for 2001–2 was $22.5 million (£15 million). The sources ofrevenue were as follows:Federal governmentState governmentLocal government (cities and counties)Fees and health insuranceOther sources$7.0 million$6.8 million$4.3 million$0.8 million$3.5 millionMost of the federal and state government revenue came in the form of percapita payments for recipients of governmental Medicaid health insurance.2 Turner, J.C. and Tenhoor, W.J., “The NIMH community support program: Pilotapproach to a needed social reform,” Schizophrenia Bulletin, 4:319–48, 1978.3 Warner, R., “Jail services and community care for the mentally ill in BoulderCounty, Colorado,” in H.J.Steadman, D.W.McCarty and J.P.Morrisey (eds), TheMentally Ill in Jail: Planning for Essential Services, New York: Guilford Press, 1989,pp. 198–213.4 Ibid.5 For a description of the PACE program and the client outcomes after the first yearof operation go to the web page of the Mental Health Center of Boulder County,www.mhcbc.org, and click on “research.”6 Warner, R. and Wollesen, C., “Cedar House: A non-coercive hospital alternative inBoulder, Colorado,” in R.Warner (ed.), Alternatives to the Hospital for AcutePsychiatric Treatment, Washington, DC: American Psychiatric Press, 1995, pp. 3–17.7 Sladen-Dew, N., Young, A.-M., Parfitt, H. and Hamilton, R., “Venture: TheVancouver experience,” in Warner, Alternatives to the Hospital for Acute PsychiatricTreatment, pp. 21–36.8 Bourgeois, P. “Crossing Place, Washington, D.C.,” in Warner, Alternatives to theHospital for Acute Psychiatric Treatment, pp. 37–56.9 Fields, S.L., “Progress Foundation, San Francisco,” in Warner, Alternatives to theHospital for Acute Psychiatric Treatment, pp. 57–73.10 Polak, P.R., Kirby, M.W. and Deitchman, W.S., “Treating acutely ill psychoticpatients in private homes,” in Warner, Alternatives to the Hospital for Acute PsychiatricTreatment, pp. 213–23; Brook, B.D., Cortes, M., March, R. and SundbergStirling,M., “Community families: An alternative to psychiatric hospital intensive care,”Hospital and Community Psychiatry, 27:195–7, 1976.11 Bennett, R., “The crisis home program of Dane County,” in Warner, Alternatives tothe Hospital for Acute Psychiatric Treatment, pp. 227–36.