Deinstitutionalization And The Community
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| Author | : Robert H. Bruininks |
| Publisher | : |
| Total Pages | : 432 |
| Release | : 1981 |
| Genre | : Community mental health services |
| ISBN | : |
Ce document a été élaboré afin de soutenir la démarche d'intégration sociale des personnes ayant une déficience intellectuelle et les services qui leur sont offerts. La désinstitutionnalisation ayant pris de l'expansion aux États-Unis, il s'agit maintenant d'évaluer les systèmes de services résidentiels.
| 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 | : Gerald N. Grob |
| Publisher | : Princeton University Press |
| Total Pages | : 433 |
| Release | : 2014-07-14 |
| Genre | : Psychology |
| ISBN | : 1400862302 |
The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
| 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 | : 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 | : Andrew Scull |
| Publisher | : Princeton University Press |
| Total Pages | : 12 |
| Release | : 2015-04-06 |
| Genre | : History |
| ISBN | : 0691166153 |
Originally published: London: Thames & Hudson Ltd, 2015.
| Author | : Ian Cummins |
| Publisher | : Policy Press |
| Total Pages | : 182 |
| Release | : 2020-04-24 |
| Genre | : Social Science |
| ISBN | : 1447350596 |
This critical interdisciplinary study charts the modern history of mental health services, reflects upon the evolution of care in communities, and considers the most effective policies and practices for the future. Starting with the development of community care in the 1960s, Cummins explores the political, economic, and bureaucratic factors behind the changes and crises in mental health social care, returning to those roots to identify progressive principles that can pave a sustainable pathway forward. This is a groundbreaking contribution to debates about the role, values, and future of community care, and is vital reading for students, teachers, and researchers in the field of social work and mental health.
| Author | : Kelley Johnson |
| Publisher | : Jessica Kingsley Publishers |
| Total Pages | : 295 |
| Release | : 2005-06-29 |
| Genre | : Social Science |
| ISBN | : 1846421349 |
This international collection of personal and professional perspectives takes a fresh look at deinstitutionalization. It addresses the key steps towards deinstitutionalization as they have been experienced by people with intellectual disabilities: living inside total institutions, moving out, living in the community and moving on to new forms of both institutionalization and community life. Many of the chapters are contributions from people with intellectual disabilities. They are based on a life history approach and give a unique personal account of the lived experiences of institutional life and deinstitutionalization by the people who were subject to it. The life story of Tom Allen (1912-1991) is interspersed throughout the book, providing a powerful testimony of the way institutions and deinstitutionalization have affected one individual over the course of almost a century. Researchers and practitioners will find this book an insightful and accessible reflection on deinstitutionalization, and a source of encouragement for improving the lives of people with intellectual disabilities.
| Author | : Albert Deutsch |
| Publisher | : |
| Total Pages | : 204 |
| Release | : 1948 |
| Genre | : Insane |
| ISBN | : |
Expose on the deplorable conditions in state mental hospitals, including overcrowding, understaffing, inadequate budgets, lack of adequate treatment facilities, etc. It consists mostly of pieces written for the New York newspaper PM and its successor the Star, as well as some less journalistic content, written from 1940-1948.
