Growing demands for mental health service, training, and research are pressing psychiatric clinics to make pivotal decisions. One trend is to limit the selection of patients to those the clinic is best equipped to handle. An opposite trend is to modify clinic practices to meet the pressures placed upon it.10
This paper follows the second trend and is based on the premise that effective service is the foundation of psychiatric training and the goal of clinical research.2,5 In clinical medicine treatment is continually revised to bring it into closer harmony with the needs of the patient. Following this tradition we believe that the psychiatric clinic should respond to those who call upon it for service. If it fails to meet this responsibility, the clinic must anticipate declining usefulness to society.
One way to increase service is to expand the clinic staff. It is