“…It had been pandemic across the country, so to speak, throughout the 1970s and 1980s, except for a few sites that managed to retain the remnants of the 1960s mental health manpower movement (Brown & Goldman, 1993;Cutler, Wilson, Godard, & Pollack, 1993;Talbott, Jefferies, & Arana, 1987). In particular, the State-University collaborations in Maryland and Oregon were established in the late 1960s and early 1970s, and have somehow continued uninterrupted ever since then (Bloom, Cutler, Faulkner, & Godard, 1989;Godard, Cutler, & Pollack, 1989;Weintraub et al, 1984). Nevertheless, for the rest of the country, following President Carter's 1978 Mental Health Commission Report, by the early 1980s there was continuing widespread concern about poor quality care in state hospitals, inadequate care in community mental health centers and low numbers of psychiatrists working in mental health systems (Cutler, Bevilacqua, & McFarland, 2003).…”