Deinstitutionalization Of The Mentally Ill
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Author | : George Paulson, M.D. |
Publisher | : McFarland |
Total Pages | : 221 |
Release | : 2014-01-10 |
Genre | : Social Science |
ISBN | : 078649266X |
One of the most significant medical and social initiatives of the twentieth century was the demolition of the traditional state hospitals that housed most of the mentally ill, and the placement of the patients out into the community. The causes of this deinstitutionalization included both idealism and legal pressures, newly effective medications, the establishment of nursing and group homes, the woeful inadequacy of the aging giant hospitals, and an attitudinal change that emphasized environmental and social factors, not organic ones, as primarily responsible for mental illness. Though closing the asylums promised more freedom for many, encouraged community acceptance and enhanced outpatient opportunities, there were unintended consequences: increased homelessness, significant prison incarcerations of the mentally ill, inadequate community support or governmental funding. This book is written from the point of view of an academic neurologist who has served 60 years as an employee or consultant in typical state mental institutions in North Carolina and Ohio.
Author | : Clayton E. Cramer |
Publisher | : Createspace Independent Publishing Platform |
Total Pages | : 0 |
Release | : 2012-06-28 |
Genre | : Mental health laws |
ISBN | : 9781477667538 |
America started a grand experiment in the 1960s: deinstitutionalization of the mentally ill. The consequences were very destructive: homelessness; a degradation of urban life; increases in violent crime rates; increasing death rates for the mentally ill. My Brother Ron tells the story of deinstitutionalization from two points of view: what happened to the author's older brother, part of the first generation of those who became mentally ill after deinstitutionalization, and a detailed history of how and why America went down this path. My Brother Ron examines the multiple strands that came together to create the perfect storm that was deinstitutionalization: a well-meaning concern about the poor conditions of many state mental hospitals; a giddy optimism by the psychiatric profession in the ability of new drugs to cure the mentally ill; a rigid ideological approach to due process that ignored that the beneficiaries would end up starving to death or dying of exposure.
Author | : Dan A. Lewis |
Publisher | : |
Total Pages | : 174 |
Release | : 1988 |
Genre | : Community mental health services |
ISBN | : |
Author | : George Ikkos |
Publisher | : Cambridge University Press |
Total Pages | : 435 |
Release | : 2021-06-24 |
Genre | : Medical |
ISBN | : 1009040243 |
Mind, State and Society examines the reforms in psychiatry and mental health services in Britain during 1960–2010, when de-institutionalisation and community care coincided with the increasing dominance of ideologies of social liberalism, identity politics and neoliberal economics. Featuring contributions from leading academics, policymakers, mental health clinicians, service users and carers, it offers a rich and integrated picture of mental health, covering experiences from children to older people; employment to homelessness; women to LGBTQ+; refugees to black and minority ethnic groups; and faith communities and the military. It asks important questions such as: what happened to peoples' mental health? What was it like to receive mental health services? And how was it to work in or lead clinical care? Seeking answers to questions within the broader social-political context, this book considers the implications for modern society and future policy. This title is also available as Open Access on Cambridge Core.
Author | : Phil Brown |
Publisher | : Routledge |
Total Pages | : 258 |
Release | : 2022-05-24 |
Genre | : Psychology |
ISBN | : 1000574172 |
Originally published in 1985, this book provides a comprehensive analysis of mental health policy and practice in the USA during the latter part of the 20th Century by focussing on 3 main themes: political-economic structures, the pitfalls of professionalism and institutional obstacles to adequate care.
Author | : Richard H. Lamb |
Publisher | : Jossey-Bass |
Total Pages | : 136 |
Release | : 2001-07-25 |
Genre | : Psychology |
ISBN | : |
Both the scope and effects of deinstitutionalization have been dramatic. This volume examines both positive and negative effects of this mass movement of persons with severe mental illness out of the state hospitals and into the community. The chapters address the following issues: the use of community alternatives to state hospitalization; the very large numbers of persons with severe mental illness who have found their way into the criminal justice system, why this has happened, and what to do about it; the community treatment of mentally ill offenders; how to prevent inappropriate entry of mentally ill persons into the criminal justice system; the value of mental health consultation in courtroom settings; the therapeutic use of mental health conservatorship; and finally, psychiatric rehabilitation. Although deinstitutionalization for the most part can result in a much richer life experience in the community, much more needs to be done to make that occur. This is the 90th issue of the Jossey-Bass series New Directions for Mental Health Services.
Author | : Ann B. Johnson |
Publisher | : |
Total Pages | : 344 |
Release | : 1990-10-09 |
Genre | : Psychology |
ISBN | : |
The author is a social worker who writes with experience, authority, and compassion about what really happened when thousands of mental patients were discharged from state hospitals--and what to do about it. Annotation copyrighted by Book News, Inc., Portland, OR
Author | : E. Fuller Torrey |
Publisher | : |
Total Pages | : 264 |
Release | : 1997 |
Genre | : Political Science |
ISBN | : |
The author "reveals how we have failed our mentally ill and offers a viable, provocative blueprint for change."--Jacket.
Author | : United States. Congress. House. Committee on the District of Columbia. Subcommittee on Fiscal Affairs and Health |
Publisher | : |
Total Pages | : 842 |
Release | : 1983 |
Genre | : Community mental health services |
ISBN | : |
Author | : Despo Kritsotaki |
Publisher | : Springer |
Total Pages | : 301 |
Release | : 2016-11-29 |
Genre | : History |
ISBN | : 3319453602 |
The book relates the history of post-war psychiatry, focusing on deinstitutionalisation, namely the shift from asylum to community in the second part of the twentieth century. After the Second World War, psychiatry and mental health care were reshaped by deinstitutionalisation. But what exactly was involved in this process? What were the origins of deinstitutionalisation and what did it mean to those who experienced it? What were the ramifications, both positive and negative, of such a fundamental shift in psychiatric care? Post-War Psychiatry in the Western World: Deinstitutionalisation and After seeks to answer these questions by exploring this momentous change in mental health care from 1945 to the present in a wide range of geographical settings. The book articulates a nuanced account of the history of deinstitutionalisation, highlighting the constraints and inconsistencies inherent in treating the mentally ill outside of the asylum, while seeking to inform current debates about how to help the most vulnerable members of society.