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When the National Institute of Mental Health (NIMH) was created, Congress agreed that federal money could be used to train psychiatrists and other mental health professionals. Between 1948 and 1984, NIMH spent $2.1 billion on such training programs, increasing the number of psychiatrists more than tenfold, from 3000 to more than 32,000. However, when the community mental health centers (CMHCs) were opening in the 1960s, they had a very difficult time finding psychiatrists who would work there. Most of the psychiatrists who had been trained with federal money had gone into private practice in affluent communities. For example, two adjacent office buildings in New York City housed offices of 65 psychiatrists, more than existed in any one of 16 states. Because most American psychiatrists were unwilling to work in public sector jobs, the United States began importing large numbers of foreign medical graduates to fill the CMHC and state hospital positions.

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Where Did All the Psychiatrists Go?

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  • 出版模式：

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  • 发表日期：

    2025年

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  • E. Fuller Torrey

摘要

When the National Institute of Mental Health (NIMH) was created, Congress agreed that federal money could be used to train psychiatrists and other mental health professionals. Between 1948 and 1984, NIMH spent $2.1 billion on such training programs, increasing the number of psychiatrists more than tenfold, from 3000 to more than 32,000. However, when the community mental health centers (CMHCs) were opening in the 1960s, they had a very difficult time finding psychiatrists who would work there. Most of the psychiatrists who had been trained with federal money had gone into private practice in affluent communities. For example, two adjacent office buildings in New York City housed offices of 65 psychiatrists, more than existed in any one of 16 states. Because most American psychiatrists were unwilling to work in public sector jobs, the United States began importing large numbers of foreign medical graduates to fill the CMHC and state hospital positions.