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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.
Deinstitutionalization and People with Intellectual Disabilities is an international collaboration between qualitative researchers and former institutional residents with intellectual disabilities that presents a comprehensive overview of personal and professional perspectives on deinstitutionalisation. Personal stories alternate with cultural and political analysis, and reflections on implementing and evaluating deinstitutionalisation. This great diversity of perspectives is complemented by insights into the personal and professional life of one institutional ex-resident, Thomas Allen, whose.
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.
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.
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
Provides expert help you need to make difficult bio-ethical decisions, covering a broad range of current and future health care issues, as well as institutional and social issues applicable to multiple disciplines and settings.
This vital addition to carceral, prison, and disability studies draws important new links between deinstitutionalization and decarceration Prison abolition and decarceration are increasingly debated, but it is often without taking into account the largest exodus of people from carceral facilities in the twentieth century: the closure of disability institutions and psychiatric hospitals. Decarcerating Disability provides a much-needed corrective, combining a genealogy of deinstitutionalization with critiques of the current prison system. Liat Ben-Moshe provides groundbreaking case studies that show how abolition is not an unattainable goal but rather a reality, and how it plays out in differe...
69 selected references to miscellaneous reports and journal articles that have appeared mostly after 1974. Each entry gives bibliographical information and abstracts. Alphabetical author, title lists.