ABSTRACT

This chapter discusses a model of care with specific physical implications – Fountain House – which is followed by a discussion of the physical implications of service integration and design goals as outlined by N. Watkins and K. Anthony and D. Bauzin and C. Hicks. In the United Kingdom in 1971, Department of Health and Social Security outpatient facilities moved from having a pure triage function to providing patient assessment, care, and follow-up services. In collaboration with Mount Sinai St. Luke's and Mount Sinai Roosevelt, the center provides integrated medical, psychiatric, and social care. Data also showed that among cancer survivors and their spouses, females and survivors with chronic health conditions were more likely to seek mental healthcare through ambulatory visits and take psychotherapeutic medicines. While number and frequency of visitations might be impacted by affordability, accessibility, and type of diagnosis, patient dropout is a widely spread issue among mental health outpatients.