{"title":"Conclusion","authors":"","doi":"10.2307/j.ctv10crbz9.13","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.13","url":null,"abstract":"","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"218 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114169375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conclusion","authors":"","doi":"10.46692/9781447350637.009","DOIUrl":"https://doi.org/10.46692/9781447350637.009","url":null,"abstract":"","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126412770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Index","authors":"","doi":"10.2307/j.ctv10crbz9.15","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.15","url":null,"abstract":"","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130240442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conclusion","authors":"I. Cummins","doi":"10.1332/policypress/9781447350590.003.0009","DOIUrl":"https://doi.org/10.1332/policypress/9781447350590.003.0009","url":null,"abstract":"This chapter brings together the main themes of the volume. It argues that deinstitutionalisation and community care should be understood as distinct policies – one should follow on from the other, but this has not happened. These policies which have been adopted across the globe were driven by a combination of fiscal conservatism and progressive idealism. Fiscal conservatism was, for most of the period, the dominant force. Community care has become discredited, but it can be reinvigorated by a call to the progressive idealism that underpinned it.","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124116478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reform or revolution?","authors":"D. Hermann","doi":"10.2307/j.ctv10crbz9.10","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.10","url":null,"abstract":"","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127999442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inquiries","authors":"I. Cummins","doi":"10.2307/j.ctv10crbz9.8","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.8","url":null,"abstract":"This chapter will explore a number of mental health inquiries that took place in the early and mid-1990s. It will argue that the media reporting – particularly that which appeared in tabloid newspapers – had a key role in undermining support for the progressive elements of community care. This is not to diminish the nature of some of the cases that led to the Inquiries. It is, rather, to consider the way that this media reporting helped to construct a particular discourse around, risk and mental health. This reporting played on a series of long standing, often racialised tropes about the nature of mental illness. One of the most important of these was the notion that there is a clear, identifiable and causal link between mental illness and violence. These are complex issues. However, complexity was drown out by the dominant narrative was that the community faced new dangers in the form of “psychokillers”. Alongside this, a theme in the reporting of such cases was that liberal mental health professionals were refusing to use their powers to intervene","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"130 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141210200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"International perspectives","authors":"Ian Cummins","doi":"10.2307/j.ctv10crbz9.11","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.11","url":null,"abstract":"This chapter will examine deinstitutionalisation in Italy, the United States, and post-apartheid South Africa. In examining the different drivers and outcomes of policies in these areas, similar themes to the UK experience emerge. These include: the role of scandals in the pressure for change, the role of fiscal considerations in the development of policy, an initial period of optimism and the impact of scandals. In Italy, the work of the psychiatrist, Franco Basaglia was seen as a possible blueprint for wider reforms. Basaglia’s work became very influential amongst radicals and the anti-psychiatry movement. The USA was at the forefront of the deinstitutionalisation policy. The links between the closure of psychiatric facilities and the expansion of the use of imprisonment have been most closely examined in this context. Finally, the chapter examines the total policy failure that led to the deaths of one hundred and forty-four patients in Gauteng Province, South Africa in 2014","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"129 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141210227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"About the author","authors":"","doi":"10.2307/j.ctv10crbz9.3","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.3","url":null,"abstract":"","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"3 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133482642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"International perspectives","authors":"I. Cummins","doi":"10.1332/policypress/9781447350590.003.0007","DOIUrl":"https://doi.org/10.1332/policypress/9781447350590.003.0007","url":null,"abstract":"This chapter will examine deinstitutionalisation in Italy, the United States, and post-apartheid South Africa. In examining the different drivers and outcomes of policies in these areas, similar themes to the UK experience emerge. These include: the role of scandals in the pressure for change, the role of fiscal considerations in the development of policy, an initial period of optimism and the impact of scandals. In Italy, the work of the psychiatrist, Franco Basaglia was seen as a possible blueprint for wider reforms. Basaglia’s work became very influential amongst radicals and the anti-psychiatry movement. The USA was at the forefront of the deinstitutionalisation policy. The links between the closure of psychiatric facilities and the expansion of the use of imprisonment have been most closely examined in this context. Finally, the chapter examines the total policy failure that led to the deaths of one hundred and forty-four patients in Gauteng Province, South Africa in 2014","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124409383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The asylum and the community","authors":"I. Cummins","doi":"10.2307/j.ctv10crbz9.7","DOIUrl":"https://doi.org/10.2307/j.ctv10crbz9.7","url":null,"abstract":"This chapter will argue that the development of mental health policy was hugely influenced by conceptions of space and place. By the middle of the 20th century the asylum had become, in the public and sociological imagination a Gothic institution of seclusion and abuse. The chapter will explore the development of this representation of the asylum. The final representations of the asylum contrast dramatically with the original ones that saw the new institutions as a modern, progressive deinstitutionalisation was to present the community in binary opposition to the asylum. Community based services would, almost by reason of their location, lead to the creation of a new form of inclusive mental health provision. This is based on an idealised notion of community. As the pressures on mental health services grew, a range of social policies that were introduced that meant that urban communities, in particular, became exclusionary rather than inclusionary.","PeriodicalId":191109,"journal":{"name":"Mental Health Services and Community Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132912711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}