title: The chronic psychiatric patient: problems, promises and perspectives, past, present and future.
abstract: OBJECTIVE
  To present an overview of the issues involving the severely and chronically mentally ill over the past 50 years and summarize new research that may aid them.
  
  
  METHODS
  To present the problems that have faced and will face this population, the promises that have been made about and to them, and assess how well we fulfilled our promises and handled the problems.
  
  
  RESULTS
  We have made some but not enough progress in solving the problems facing the severely and chronic mentally ill in the past and at present, but the future holds more hope if recent solid, practical, economically feasible mental health services research is translated through policy and practice into better patient care.
  
  
  CONCLUSIONS
  As pessimistic as we often are about the plight of the chronic mentally ill, their future can be better if recent research is implemented.
authors.affiliation: University of Maryland, Baltimore, MD 21201, USA. jtalbott@psych.umaryland.edu
authors.forename: J A
authors.initials: JA
authors.lastname: Talbott
mesh_terms: D002908:Chronic Disease; D003156:Community Mental Health Services / Q000191:economics / Q000639:trends; D003362:Cost-Benefit Analysis / Q000639:trends; D003688:Deinstitutionalization / Q000639:trends; D005544:Forecasting; D018166:Health Care Reform / Q000191:economics / Q000639:trends*; D006291:Health Policy / Q000191:economics / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services / Q000191:economics / Q000639:trends*; D011340:Problem Solving; D011785:Quality Assurance, Health Care / Q000191:economics / Q000639:trends; D014481:United States