THE ORGANIZATION of psychiatric services in the United States is presently undergoing a dramatic reappraisal and change. The federal government has taken a strong position, backed by financial support, in favor of comprehensive services in community centers. This new emphasis has been accompanied by declarations of the obsolescence of the state mental hospitals.1-4 The hope has been expressed that the community center can obviate the need for the mental hospital. However, the problem of the chronic hospitalized patient has not been faced squarely by the planners.
Although presently few programs in the United States exactly follow the lines of the proposed centers, the development in 1961 of the Fort Logan Mental Health Center was coincident with the changed views about mental health services. While Fort Logan is by no means a model comprehensive community mental health center in the terms set forth by current legislation and