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Subprofessional Training in Mental Health

HAROLD I. LIEF, MD
Arch Gen Psychiatry. 1966;15(6):660-664. doi:10.1001/archpsyc.1966.01730180100013.
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THE MANPOWER shortage in the distribution of mental health care is acute and will get worse. Even a remarkable, though unlikely, increase in the production of psychiatrists, psychologists, psychiatric social workers, and psychiatric nurses will not provide enough trained personnel to staff the hundreds of community mental health centers now projected. Using professionals as consultants and supervisors to nonpsychiatric physicians will help somewhat, but given the acute shortage of doctors of all kinds this cannot possibly remedy the glaring deficiencies in manpower. Additional personnel who have been trained in new ways for specific tasks and community services are required. This paper explores the urgent need for the education of a new type of subprofessional mental health worker.

Changing Patterns of Medical Care Overpopulation.  —There are two major threats to man's survival, nuclear depopulation and overpopulation. If man is sane enough to prevent nuclear warfare, he must still solve the problems

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