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October 1962, Vol 7, No. 4 >
Article | October 1962

Treatment of Chronic Schizophrenia in a Day Center

PAUL FREEMAN, M.D.
Arch Gen Psychiatry. 1962;7(4):259-265. doi:10.1001/archpsyc.1962.01720040025002.
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In 1960 the Veterans Administration offered grants to its Mental Hygiene Clinics for the purpose of creating psychiatric day centers, in order that a broader range of treatment might be included in the outpatient treatment program. In the San Francisco clinic this offer was seen as an opportunity to approach in a new way a problem of singular importance to our clinic because of the nature of our patient group. In recent years it has been observed that, as the peak of new cases of wartime service-connected psychiatric disabilities is passing, the clinic is faced with an increasing number of chronically ill individuals, both new applicants and those already in treatment, often for many years. Many among these are socially isolated, economically dependent, emotionally regressed, and so vulnerable that the slightest stress may result in decompensation and hospitalization. It was these persons, not

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