Avoiding extinction: successful private psychiatric hospitals in the opening decade of the twenty-first century

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Health Facility Closure; Hospitals, Private; Hospitals, Psychiatric; Humans; Maryland; Massachusetts; United States


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


The history of the private psychiatric hospital has been characterized by the rise and demise of scores, if not hundreds of facilities. In recent years some well known, long-standing psychiatric hospitals have closed their doors. What has accounted for the ability of some of the private psychiatric hospitals to flourish? Two strategies are proposed: 1) progressive change through a broadened scope and a geographic spread, and 2) staying true to the institution's core mission with clinical and fiscal modifications at the perimeter of that mission. A case example is provided for each adaptation: Sheppard Pratt Health System (Baltimore) for the former; Austen Riggs Center (Stockbridge, Massachusetts) for the latter.

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Citation: Psychiatr Q. 2006 Summer;77(2):189-201. Link to article on publisher's site

Journal/Book/Conference Title

The Psychiatric quarterly

Related Resources

Link to Article in PubMed

PubMed ID