Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
255
result(s) for
"Mentally ill Deinstitutionalization."
Sort by:
Bedlam on the Streets
What happens when the mad are let out of the asylum and there is nowhere for them to go? This hard-hitting and controversial new book traces the terms on which the mad occupy the city's streets, homeless shelters, shopping centres and fast food outlets. This social geography of madness is situated within the broader parameters of systems of social welfare and globalization, arguing that the 'community mental health care' system is actually a system of neglect. Bedlam on the Streets is a richly textured ethnography combining stark photographic images of people and places with an examination of city space and the voices of those that we label \"mad\".
' Bedlam more than succeeds ... its methodological plurality and ethico-political standpoint work together admirably.' - Sociology
1. Voice, Image and Text 2. Madness and the Grammar of Urban Space 3. Interior Space, Aesthetics and Subjectivities 4. Living in Transit 5. 'Schizophrenic' Lives 6. Dangerousness and Endangerment 8. Conclusion
eBook
Moral panics, mental illness stigma, and the deinstitutionalization movement in American popular culture
This book argues the cultural fascination with the \"madperson\" stems from the contemporaneous increase of chronically mentally ill persons in public life due to deinstitutionalization--the mental health reform movement leading to the closure of many asylums in favor of outpatient care.
Book
50 Years After Deinstitutionalization: Mental Illness in Contemporary Communities
Throughout the 1960's and 1970's, a revolution in mental health policy and practice known as deinstitutionalization occurred in Europe and the US. This movement was catalyzed by criticisms of psychiatric institutions and resulted in the release of thousands of people with serious mental illness from long-term care facilities into the community. It is acknowledged that these reforms held great promise, but have had numerous unintended negative consequences. Moreover, deinstitutionalization has strained the resources and reach of community-based mental health treatment systems, spilling into other institutions such as criminal justice and education. Volume 17 of Advances in Medical Sociology will examine deinstitutionalization's legacies approximately 50 years after reintegration began, turning a critical lens toward contemporary problems and solutions related to mental illness in countries where reform occurred. This volume will highlight pressing issues around mental health treatment, social and health policy, and the lived experiences of people and families coping with mental illness that were or continue to be significantly influenced by deinstitutionalization reforms.
eBook
To Reach for the Stars: How Social/Affective Education Can Foster Truly Inclusive Environments
Deinstitutionalizing the mentally ill failed because proper implementation required large-scale societal changes. Dumping disabled kids into regular education without appropriate supports could mirror that fiasco. Inclusion can help create a sense of community through promoting acceptance and respect among classmates. The Social Awareness-Social Problem Solving Project aids this process. (28 references) (MLH)
Journal Article
American psychiatry in the new millennium: a critical appraisal
This article casts a critical eye over the development of American psychiatry from 1980 to the present. It notes the rapid decline of psychoanalysis that followed the publication of DSM III; the rising influence of genetics and neuroscience; the re-emphasis on the biology of mental illness; and the collapse of public psychiatry that accompanied deinstitutionalization. It argues that while genetics and neuroscience have made scientific progress, the clinical utility of their findings to date has been very limited. The fifth edition of the DSM was supposed to base itself on this new science but that proved impossible. Diagnosis remains purely phenomenological and controversial. One of the ironies of research on psychiatric genetics is that has failed to find either a Mendelian origin of schizophrenia and depression or to validate the importance of hypothesized candidate genes. Genome-wide association studies have instead uncovered risk factors for major mental illnesses, but these overlap considerably, and the genetic associations are not dispositive. Most of those who carry these genetic variants do not develop mental illness. The status of psychopharmacology since the mid-1950s is scrutinized, as is the influence of the pharmaceutical industry on contemporary psychiatry, and the implications of its recent decision to abandon work in this arena. The paper concludes with an assessment of the crisis that it contends confronts contemporary American psychiatry: its overemphasis on biology; the urgent questions that persist about diagnosis and therapeutics; concerns about the directions of future research; and its inability to reduce the excess mortality that plagues the mentally ill.
Journal Article
Creating a Science of Homelessness During the Reagan Era
Context: A decade after the nation's Skid Rows were razed, homelessness reemerged in the early 1980s as a health policy issue in the United States. While activists advocated for government-funded programs to address homelessness, officials of the Reagan administration questioned the need for a federal response to the problem. In this climate, the National Institute of Mental Health (NIMH) launched a seminal program to investigate mental illness and substance abuse among homeless individuals. This program serves as a key case study of the social and behavioral sciences' role in the policy response to homelessness and how politics has shaped the federal research agenda. Methods: Drawing on interviews with former government officials, researchers, social activists, and others, along with archival material, news reports, scientific literature, and government publications, this article examines the emergence and impact of social and behavioral science research on homelessness. Findings: Research sponsored by the NIMH and other federal research bodies during the 1980s produced a rough picture of mental illness and substance abuse prevalence among the US homeless population, and private foundations supported projects that looked at this group's health care needs. The Reagan administration's opposition to funding \"social research,\" together with the lack of private-sector support for such research, meant that few studies examined the relationship between homelessness and structural factors such as housing, employment, and social services. Conclusions: The NIMH's homelessness research program led to improved understanding of substance abuse and mental illness in homeless populations. Its primary research focus on behavioral disorders nevertheless unwittingly reinforced the erroneous notion that homelessness was rooted solely in individual pathology. These distortions, shaped by the Reagan administration's policies and reflecting social and behavioral scientists' long-standing tendencies to emphasize individual and cultural rather than structural aspects of poverty, fragmented homelessness research and policy in enduring ways.
Journal Article
Understanding psychiatric institutionalization: a conceptual review
Background
Since Goffman’s seminal work on psychiatric institutions, deinstitutionalization has become a leading term in the psychiatric debate. It described the process of closure or downsizing of large psychiatric hospitals and the establishment of alternative services in the community. Yet, there is a lack of clarity on what exactly the concept of institutionalization means in present-day psychiatry. This review aims to identify the meaning of psychiatric institutionalization since the early 1960s to present-day.
Method
A conceptual review of institutionalization in psychiatry was conducted. Thematic analysis was used to synthesize the findings.
Results
Four main themes were identified in conceptualizing institutionalization: bricks and mortar of care institutions; policy and legal frameworks regulating care; clinical responsibility and paternalism in clinician-patient relationships; and patients’ adaptive behavior to institutionalized care.
Conclusions
The concept of institutionalization in psychiatry reflects four distinct themes. All themes have some relevance for the contemporary debate on how psychiatric care should develop and on the role of institutional care in psychiatry.
Journal Article
Vita
Zones of social abandonment are emerging everywhere in Brazil’s big cities—places like Vita, where the unwanted, the mentally ill, the sick, and the homeless are left to die. This haunting, unforgettable story centers on a young woman named Catarina, increasingly paralyzed and said to be mad, living out her time at Vita. Anthropologist João Biehl leads a detective-like journey to know Catarina; to unravel the cryptic, poetic words that are part of the “dictionary” she is compiling; and to trace the complex network of family, medicine, state, and economy in which her abandonment and pathology took form. An instant classic, Vita has been widely acclaimed for its bold fieldwork, theoretical innovation, and literary force. Reflecting on how Catarina’s life story continues, this updated edition offers the reader a powerful new afterword and gripping new photographs following Biehl and Eskerod’s return to Vita. Anthropology at its finest, Vita is essential reading for anyone who is grappling with how to understand the conditions of life, thought, and ethics in the contemporary world.
eBook