role of county psychiatric leaders

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Role of County Psychiatric Leaders Roger Peele, MD, DLFAPA RogerPeele.com [email protected] 1

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Role of County Psychiatric Leaders -- May 2012

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2. Outline2 3. History of Counties - 1Pre-1066, England divided into shires.Post-1066, county.First county in US, James City County, 1636[NACo]3 4. History - 2Since the 1770s, Americans have notwanted a king, have wanted authorityclose to the people.In 1800s, concept that county seats shouldbe within a days buggy ride.[NACO] 4 5. History - 3Two roles of counties: 1. Administrative arm of the state or national government. 2. Local government. 5 6. History - 4Over the years, there has been an increasein:1. Greater autonomy from the stategovernment.2. Rising revenue.3. Stronger political accountability.4. Widening range of services.[NACo] 6 7. Counties - Number48 statesAlaska uses boroughLouisiana uses parishTotal number: 3028Most: Texas: 254Least: Delaware: 3 7 8. Counties Size andPopulationArlington County, Virginia: 26 sq milesNorth Slope Borough, Alaska: 87,860 sq milesLoving County, Texas, 45 folksLos Angeles County, 9,848,011 folksMore than 2/3 counties have