The study examined whether state hospitals in operation before deinsti
tutionalization still carry vestiges of older models of psychiatric ca
re, Using a national database, the authors compared 166 state hospital
s built before 1949 with 80 state hospitals built after that time, The
old hospitals treated fewer children and adolescents, received more s
tate funding and less third-party funding, had fewer professional clin
ical staff, spent less on salaries and maintenance, and had more beds,
a lower turnover rate, and a longer average length of stay, Findings
suggest that planners and policymakers should take into account a faci
lity's history when attempting to introduce innovations.