Abstract
Wisconsin cares for its chronic mental patients in county-operated institutions. Two state hospitals provide treatment for acute patients. A demonstration experiment in one of these counties revealed that patients who normally require hospitalization at the state institution could be treated at the county facility. This opening of a county hospital required changes in 3 major areas: (1) changes in public policy regarding the use of the hospital for custodial purposes, (2) changes in the administrative practices of the hospital itself, and (3) the assignment of treatable cases to the institution. It did not require the development of inpatient treatment programs.
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