Preface / Roger E. Meyer -- Foreword / Roger J. Bulger -- Introduction / 1. Academic Psychiatry in an Uncertain Time / Roger E. Meyer and Christopher J. McLaughlin -- 2. The Response of Academic Psychiatry to Managed Care: Clinical Delivery Systems / 3. The Educational Missions of Academic Psychiatry / 4. The Place of Research in the Mission of Academic Psychiatry / 5. Psychiatry and the New Emphasis on Primary Care / 6. The Impact of Academic Psychiatry on the Mental Health Care of Veterans: A Fifty-Year Perspective / Thomas B. Horvath -- 7. Summary of the Case Studies and Recommendations / The Department of Psychiatry at the University of Colorado Health Sciences Center / The Department of Psychiatry at the University of Louisville / The Department of Psychiatry at Dartmouth-Hitchcock Medical Center / The Department of Psychiatry at the University of Maryland-Baltimore and the University of Maryland Health Sciences Center / The Sheppard and Enoch Pratt Hospital, Towson, Maryland / The Department of Psychiatry at Stanford University / Roger E. Meyer