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HRD-84-48 1 (1984-04-19)

handle is hein.gao/gaobabeom0001 and id is 1 raw text is: 




BY THE COMPTROLLER GENERAL

  Report To The Chairman

  Committee On District Of Columbia

  House Of Representatives

  OF THE UNITED STATES



  A Proposal For Transferring

  St. Elizabeths Hospital T6

,/Yhe District,0 Columbia


  In response to the Chairman's request, GAO devel-
  oped a plan for transferring St. Elizabeths to the
  District and integrating the hospital into a restruc-
  tured mental health care system for District residents.
  The plan would shift the primary place of care from St.
  Elizabeths to community-based programs.

  Under GAO's proposed system, three mental health
  service districts within the District's Mental Health
  Services Administration would provide community-
  based services and oversee needed inpatient care.
  General hospitals, rather than St. Elizabeths, would
  be used to provide acute (short-term) psychiatric inpa-
  tient care. St. Elizabeths would continue to provide
  long-term psychiatric care, as well as psychiatric care
  for patients referred by courts.
  The proposed system would cost about $22 million
  les than St. Elizabeths and District-operated pro-
  grams cost in fiscal year 1983. Because fewer
  patients would be treated at St. Elizabeths, it would
  neadfewer staff and resources for mental health care
  programs.
                  ,ll~~~~ill B                              ~ lD II i Il~llll~l


                                                            124195




  SGAO/HRD-84-48
                                                           APRIL 19, 1984

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