ABSTRACT
From 1965–1973, the Case Aide Program was based on the philosophy of mobilizing community people to address all three of these issues. The patients are still waiting, the institutions are still understaffed, and the communities are still reluctant to accept such populations without the resources to deal with them. Since the Case Aide Program is no longer in existence, we have no way of systemmatically following up on the people with whom we had worked. Mary Ellen had been referred to us by the Occupational Therapy Department whose staff believed that there was still a “spark” beneath the institutionalization, the unsuccessful lobotomy, the hundreds of shock treatments, and the persistent paranoid and delusional thinking. Mary Ellen was helped to apply for and be accepted into a hospital-based sheltered workshop. Her delusion that she was still physically incapacitated from her initial breakdown interfered with her job schedule.
