Hogg Foundation for Mental Health

Considerable progress has been made within the past decade in knowledge and treatment of mental illness. Historically, mental health care has been under the aegis of state and local governments, with state general funds as the major source of support. However, recent federal reports conclude that the overall quality of these services remains fragmented and the future direction is uncertain at best. As a result, the federal government has proposed to transform mental health care systems beyond that brought about by the community mental health movement. Although state governments maintain ownership and responsibility for the level of services, the federal government has used four related financial and legal strategies to reduce historic control by the states and move them toward transformation. Tension over the extent of federalism characterizes the relationships between state and federal levels of government. The vast economic contribution of mental health services (jobs and purchases) slows the acceptance of transformation change at the state level sought by the federal government. Nationalization of existing state systems of mental health by the federal government offers a means of rapidly improving quality of mental health care and eliminating fragmentation and uncertainty.

The Personnel and Guidance JournalVolume 35, Issue 4 p. 214-218 Use of the Survey of Study Habits And Attitudes for Counseling Students WILLIAM F. BROWN, WILLIAM F. BROWN William F. Brown is with the George Washington University, Washington, D. C.Search for more papers by this authorWAYNE H. HOLTZMAN, WAYNE H. HOLTZMAN Wayne H. Holtzman is with the Hogg Foundation for Mental Hygiene, University of Texas, Austin.Search for more papers by this author WILLIAM F. BROWN, WILLIAM F. BROWN William F. Brown is with the George Washington University, Washington, D. C.Search for more papers by this authorWAYNE H. HOLTZMAN, WAYNE H. HOLTZMAN Wayne H. Holtzman is with the Hogg Foundation for Mental Hygiene, University of Texas, Austin.Search for more papers by this author First published: December 1956 https://doi.org/10.1002/j.2164-4918.1956.tb01744.xCitations: 7 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume35, Issue4December 1956Pages 214-218 RelatedInformation