Changing mental health services : the politics and policy

著者

書誌事項

Changing mental health services : the politics and policy

Tom Butler

Chapman & Hall, c1993

1st ed

  • : UK : Chapman & Hall
  • : USA

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

Mental health services are changing due to pressures from within the services and changes in social policy outside of mental health care. "Changing Mental Health Services: The Politics & Policy" examines the issues involved in the care of the mentally ill in the context of a society undergoing profound changes in health and social care. The book looks at a range of differing strategies which have been used in providing for those with mental illness from containment in institutions to care in the community policies. The origins of these policies are explored and the consequences for the professionals and service users alike examined. Challenging the 20th-century public policy on mental halth, this text argues that social policy is necessarily political, especially when dealing with issues such as public expenditure and the loss of liberty. The reforms of the NHS and the role of social service departments are discussed to enable an understanding of how these changes came about and the implications for mental health services. A case study of managing change and providing mental health services in Manchester in the early 1990s is included. This is contrasted by looking at the development of services in America. An alternative approach to the planning and management is given to enable mental health provision which records the impact of services on the quality of life of service users. This book is aimed at those health professionals undergoing training or education in the mental health field who want to look at issues of policy and practice in a social, political and historical context.

目次

  • Part 1 The Victorian legacy of the mentally ill: institutions and attitudes - the problem of doing good
  • the unintended consequences of reform
  • enduring relationships for the mentally ill. Part 2 From custody to therapy: ordinary lives? - patients and staff in the old hospitals
  • the rise of therapy
  • the National Health Service - unfulfilled promises for the mentally ill. Part 3 Community care - the elusive solution: the myth of the 1950s revolution in care
  • all change - running down the old hospitals
  • community care - the mythical alternative
  • the drift towards care in the community
  • the 1983 Mental Health Act - missed opportunities for change. Part 4 Radical conservatism: health, social care and the new politics
  • the white paper chase - towards managed care. Part 5 The politics of working for patients: reforming the National Health Service
  • managing health and social care in the community. Part 6 Managing change from the centre: better services for the mentally ill?
  • the local consequences of central plans
  • case management - the new panacea? Part 7 On the new frontier - American mental health care: the coming crisis of American health care
  • the search for a system - change and continuity
  • innovation in services for the chronically mentally ill
  • lessons for Britain from the American experience. Part 8 Mental Health Services in the inner city: Manchester - development and deprivation
  • providing services in central Manchester - objectives, principles and aims
  • managing change ina contract culture
  • management structure
  • management process. Part 9 From here to alternatives: the cost and quality problem
  • towards an alternative service.

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