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ABSTRACT: The authors present information about clients admitted to a state hospital in Texas, from both a rural and an urban local mental health authority. Data were gathered from multiple sources and analyzed using qualitative and quantitative methods to determine if there were differences in the populations admitted to the hospital from these settings, and in the way the two authorities utilized the state hospital. The results suggest that despite several similarities, clients from the urban setting have different types of encounters with the state mental health hospital than clients from the rural setting. Based on these findings, it may be appropriate for public mental health systems to differ depending on their proximity to state hospitals. Moreover, policymakers may wish to develop systems that vary according to whether urban or rural communities will be served.
Administration and Policy in Mental Health 04/1996; 23(5):439-454. · 2.09 Impact Factor