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HRD-84-37 1 (1984-06-12)

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BY THE US, GENERAL ACCOUNTING OFFICE


Report To The Honorable

Daniel K. Inouye

United States Senate


Effectiveness Of Mental Health

Clinical Training Programs

Cannot Be Evaluated


The National Institute of Mental Health (NIMH) pro-
vides support for the clinical training of psychiatrists,
psychologists, social workers, and psychiatric nurses.
The support is intended to help assure an adequate
supply of providers to address certain congressionally
directed priorities, including the mental health needs
of minorities, children, and the elderly.

While NIMH training program priorities are consistent
with the congressional directives, the agency has not
developed actual data on program effectiveness, pri-
marily because of cuts in funding for the program--
over 70 percent since 1980--and uncertainty about its
continuation. GAO is recommending that the agency
discuss with cognizant congressional committees the
current practices and estimate the costs of developing
more reliable data.

In addition, clinical training funds have been used to
support individual students through the payment of
stipends. Most students receiving stipends are re-
quired to provide service to underserved areas or
groups following completion of their education. GAO
recommends that NIMH develop an adequate system
to enforce stipend payback obligations.

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JUNE 12, 1984


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