title: Avoiding extinction: successful private psychiatric hospitals in the opening decade of the twenty-first century.
abstract: The history of the private psychiatric hospital has been characterized by the rise and demise of scores, if not hundreds of facilities. In recent years some well known, long-standing psychiatric hospitals have closed their doors. What has accounted for the ability of some of the private psychiatric hospitals to flourish? Two strategies are proposed: 1) progressive change through a broadened scope and a geographic spread, and 2) staying true to the institution's core mission with clinical and fiscal modifications at the perimeter of that mission. A case example is provided for each adaptation: Sheppard Pratt Health System (Baltimore) for the former; Austen Riggs Center (Stockbridge, Massachusetts) for the latter.
authors.affiliation: University of Massachusetts Medical School, Department of Psychiatry, Worcester, MA 01655, USA. jeffrey.geller@umassmed.edu
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Geller
mesh_terms: D006271:Health Facility Closure / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data* / Q000639:trends; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D008396:Maryland; D008404:Massachusetts; D014481:United States