In-patient Mental Health Care from the Asylum System to the Present Day

In-patient Mental Health Care from the Asylum System to the Present Day PDF

Author: Andrew Colley (Teacher)

Publisher:

Published: 2024

Total Pages: 0

ISBN-13: 9781032595115

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"With a focus on the progression and dismantlement of the Asylum system, this book examines key issues around the policy and practice of in-patient mental health provision in the UK, making comparisons with similar services in other parts of the world. Part narrative history and critical analysis, part autoethnography, this unique volume critiques the ethics of early policy decisions which led to the closure of the old Victorian asylums and the advent of care in the community, identifying continuing issues of institutionalisation, containment, and segregation. Drawing parallels with the continuing dilemmas of 'inclusion' in other areas of public policy and provision, chapters discuss controversial issues such as the response to the Covid pandemic, the influence of 'anti-psychiatry', and the continuing use of electro convulsive therapy. Ultimately, the book makes a vital theoretical and practical contribution to the continuing debate around in-patient mental health care in the 21st century. The book will be of interest to academics, researchers and policy makers in the fields of healthcare policy and history of mental health provision more broadly. Psychiatrists interested in the history of the asylum system in the UK, as well as present day mental health professionals will also find the book of use"--

In-patient Mental Health Care from the Asylum System to the Present Day

In-patient Mental Health Care from the Asylum System to the Present Day PDF

Author: Andrew Colley

Publisher: Taylor & Francis

Published: 2024-02-27

Total Pages: 111

ISBN-13: 1040013163

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With a focus on the progression and dismantlement of the Asylum system, this book examines key issues around the policy and practice of in-patient mental health provision in the UK, making comparisons with similar services in other parts of the world. Part narrative history and critical analysis, part autoethnography, this unique volume critiques the ethics of early policy decisions which led to the closure of the old Victorian asylums and the advent of care in the community, identifying continuing issues of institutionalisation, containment, and segregation. Drawing parallels with the continuing dilemmas of ‘inclusion’ in other areas of public policy and provision, chapters discuss controversial issues such as the response to the Covid pandemic, the influence of ‘anti-psychiatry’, and the continuing use of electro convulsive therapy. Ultimately, the book makes a vital theoretical and practical contribution to the continuing debate around in-patient mental health care in the 21st century. The book will be of interest to academics, researchers and policy makers in the fields of healthcare policy and history of mental health provision more broadly. Psychiatrists interested in the history of the asylum system in the UK, as well as present day mental health professionals will also find the book of use.

From Asylum to Community

From Asylum to Community PDF

Author: Gerald N. Grob

Publisher: Princeton University Press

Published: 2014-07-14

Total Pages: 433

ISBN-13: 1400862302

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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.

Mental Health of Refugees and Asylum Seekers

Mental Health of Refugees and Asylum Seekers PDF

Author: Dinesh Bhugra

Publisher: Oxford University Press

Published: 2010-08-12

Total Pages: 322

ISBN-13: 0199557225

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This comprehensive reference book provides both background information and practical, clinical advice on all areas of nutrition for the cancer patient at all stages of their disease trajectory.

Closing The Asylum

Closing The Asylum PDF

Author: Peter Barham

Publisher:

Published: 2020-12

Total Pages: 238

ISBN-13: 9781899209217

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Closing The Asylum: The Mental Patient in Modern Society. The Covid-19 pandemic has affected the mental health of almost everyone, but it has impacted most severely on disadvantaged groups such as people with severe mental health problems, throwing pre-existing inequalities into sharper and starker relief. Though they had mostly all been closed by the turn of the century, the passing of the old Victorian asylums is still a matter of enduring controversy. In this acclaimed book, first published almost thirty years ago, Peter Barham examines the changing fortunes of mental patients in the era of the asylum and after. He demonstrates powerfully that the closure of mental hospitals cannot meet the real needs of people with severe mental health problems without a profound rethinking of the role, rights and status of the former mental patient in society. In a prologue to this new edition, he highlights the ironies of a post-asylum present afflicted by welfare minimalism, widespread deprivation and impoverishment, and a dramatic increase in the use of coercion and constraint in the delivery of mental health care. Closing the Asylum sets the scene for understanding how the experience of being treated as second class citizens has come about, and the author's forceful warnings of the dangers in the current mental health scene are highly germane to any consideration of what must change in our society after Covid. Veteran mental health survivor and campaigner Peter Campbell also contributes a preface in which he examines the passing of the asylums, and their after-life, in the light of his own experience.

Asylum Medicine

Asylum Medicine PDF

Author: Katherine C. McKenzie

Publisher: Springer Nature

Published: 2021-12-02

Total Pages: 250

ISBN-13: 3030815803

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Asylum medicine, a field encompassing medical forensic evaluations of asylum seekers, is an emerging discipline in healthcare. In a time of record global displacement due to human rights violations, conflict and persecution, interest in the medical and psychological evaluation of individuals subjected to torture and other ill-treatment is high. Health professionals are uniquely qualified to use their skills to make contributions to a group of vulnerable individuals fleeing danger and death in their home countries. Health professionals involved in asylum medicine perform medical and psychological forensic evaluations of asylum seekers. Their educational background prepares them to examine and describe physical and emotional scars related to trauma, and further training allows them to assess these scars in the context of persecution, describe them in a medical-legal affidavit and support these findings with testimony. Providers of asylum medicine are often involved in advocacy, as many governments become increasingly hostile to asylum seekers. Books on human rights exist, but there is no authoritative text of asylum medicine. This book presents a comprehensive overview of asylum medicine, with emphasis on the historical and legal background of asylum law, best practices for performing asylum examinations, challenges of examining detained asylum seekers, education of trainees and advocacy. Written by experts in the field, Asylum Medicine: A Clinician's Guide is a first of its kind resource for health care providers who practice asylum medicine.

Deinstitutionalisation and After

Deinstitutionalisation and After PDF

Author: Despo Kritsotaki

Publisher: Springer

Published: 2016-11-29

Total Pages: 297

ISBN-13: 3319453602

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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.

The Afterlives of the Psychiatric Asylum

The Afterlives of the Psychiatric Asylum PDF

Author: Graham Moon

Publisher: Routledge

Published: 2016-03-03

Total Pages: 208

ISBN-13: 1317045394

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The last 40 years has seen a significant shift from state commitment to asylum-based mental health care to a mixed economy of care in a variety of locations. In the wake of this deinstitutionalisation, attention to date has focussed on users and providers of care. The consequences for the idea and fabric of the psychiatric asylum have remained 'stones unturned'. This book address an enduring yet under-examined question: what has become of the asylum? Focussing on the 'recycling' of both the idea of the psychiatric asylum and its sites, buildings and landscapes, this book makes theoretical connections to current trends in mental health care and to ideas in cultural/urban geography. The process of closing asylums and how asylums have survived in specific contexts and markets is assessed and consideration given to the enduring attraction of asylum and its repackaging as well as to retained mental health uses on former asylum sites, new uses on former sites, and interpretations of the derelict psychiatric asylum. The key questions examined are the challenges posed in seeking new uses for former asylums, the extent to which re-use can transcend stigma yet sustain memory and how location is critical in shaping the future of asylum and asylum sites.

Mental Institutions in America

Mental Institutions in America PDF

Author: Robert Golembiewski

Publisher: Routledge

Published: 2017-09-04

Total Pages: 491

ISBN-13: 1351505718

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Mental Institutions in America: Social Policy to 1875 examines how American society responded to complex problems arising out of mental illness in the nineteenth century. All societies have had to confront sickness, disease, and dependency, and have developed their own ways of dealing with these phenomena. The mental hospital became the characteristic institution charged with the responsibility of providing care and treatment for individuals seemingly incapable of caring for themselves during protracted periods of incapacitation.The services rendered by the hospital were of benefit not merely to the afflicted individual but to the community. Such an institution embodied a series of moral imperatives by providing humane and scientific treatment of disabled individuals, many of whose families were unable to care for them at home or to pay the high costs of private institutional care. Yet the mental hospital has always been more than simply an institution that offered care and treatment for the sick and disabled. Its structure and functions have usually been linked with a variety of external economic, political, social, and intellectual forces, if only because the way in which a society handled problems of disease and dependency was partly governed by its social structure and values.The definition of disease, the criteria for institutionalization, the financial and administrative structures governing hospitals, the nature of the decision-making process, differential care and treatment of various socio-economic groups were issues that transcended strictly medical and scientific considerations. Mental Institutions in America attempts to interpret the mental hospital as a social as well as a medical institution and to illuminate the evolution of policy toward dependent groups such as the mentally ill. This classic text brilliantly studies the past in depth and on its own terms.

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