Abstract
Reding, Raphelson and Montgomery's paper raises issues relating to psychiatry's role in mental health service systems. We focused on the place of psychiatric home visits in the context of national health care reform and the place of home visits in psychiatric training. Our perspective on these issues has been shaped by extensive outpatient experience with seriously ill psychiatric patients, including experience with inhome family therapy during psychiatric residency training and, more recently, clinical participation in the New York State replication of Stein and Test's Training in Community Living model. As noted by the authors, this service model calls for the patient's home as the preferred service site. In the Westchester County model program, more than 50 percent of clinical services were delivered at locations other than the core clinical facility.
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