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DOCUMENT RESUME
00524 - [A1051800]
[Review of St. Elizabeth's Hospital]. march 28, 1977. 21 pp.
Tastimcny before the House Committee on District of Columbia:
Fiscal and Gove;.neent Affairs Subcommitteeg by Gregory J. Ahart,
Director, Human Resources Div.
Issue Arca: Health Programs: Health Facilities (1203).
Contact: Human Resources Div.
Budget Function: Health (550).
Organization Concerned: Alcohol, Drug Abuse, and dental Health
Adminibtration: National Inst. of mental Health; Department
of Health, Education, and Welfare; Saint Elizabeth's
Hospital, Washington, DC.
congressional Relevance: Hous0 Committee on District cf
Columbia: Fiscal and Government f airs Subcommittee.
Authority: Dixon v. Veinberger (1975).
Current levels of planring, coordination and
interaction among the National Institute of Mental Health
(NIuH), St. Elizabeth's Hospital, and the District of Columbia
Government have failed to produce an integrated mental health
care system for the District. Too many patients who cculd have
been treated at an alternate facility are being treated at St.
Elizabeth's. As long as patients remain on the rolls cf St.
Elizabeth's, the District community mental health centers dc not
take an active roll in providing treatment. St. Elizabeth's has
informally served as the catch all institution for the
)Pistrict when alternate facilities are not available, and many
patients' mental status would likely improve if they were placed
in an alternate facility or deteriorate if they were not placed.
of 1,284 patients identified as not needing the level of care
provided at the hospital, 848 were still in St. Elizabeth's as
of January 31, 1917. Its accreditation was removed in 1975. The
hospital is currently planning construction improvements, but
there has been sinimal participation by District officials in
determining construction needs, There is a lack cf communication
across clinical division lines, Jischarge planning seems weak,
and patient follovup work is lacking. The hospital does not have
a management system that adequately integrates the complex
management areas of budget, planning, evaluation and personnel.
The organizations involved in mental health c--e delivery in the
District should jointly develop a courdinated elan for the
provision of mental health services. (QM)](ViewImageLocal?handle=hein.gao/gaobadxtg0001&div=1&collection=&method=preview&ext=.png&size=3)