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American analysis behavior catchment area Chapter chronically mentally ill clinical community mental health community needs Community Psychiatry community residents concepts consultation cultural delivery effects environment environmental ethnic minority clients example family members family therapy functions funding goal model Health Centers Act health nursing model identified implementation important individual interaction interpersonal support interview Journal measures medication mental disorder mental health agency mental health approach mental health centers mental health needs mental health nursing mental health professionals mental health services method needs assessment networks objectives organization outcomes patients persons planning population density populations at risk President's Commission primary prevention problems program development program effort psychiatric psychological psychotherapy questionnaire rates recidivism relationship response role sample Schwab simple random sample Social Casework social class social support specific staff strategies structure studies subsystems support group symptoms systems theory therapeutic therapist treatment units variables