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HISTORY OF MENTAL INSTITUTIONS

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AROSE IN 1970'S - 'ANTI-PSYCHIATRY' (KAUFMANN) ANTI-DISEASE. ANTI-SOCIAL CONTROL. ANTI-MEDICATION ... HOW EXERT SOCIAL CONTROL? SITUATION OF FAMILIES ... – PowerPoint PPT presentation

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Title: HISTORY OF MENTAL INSTITUTIONS


1
COMMUNITY TREATMENT
2
EVALUATIONS
  • 0192030702
  • HORWITZ, SOC. OF MENTAL ILLNESS
  • GOOD RIGHT BAD LEFT
  • ON BACK - MOVIE SUGGESTIONS AND ANYTHING ELSE

3
CONTEXT
  • DECLINE OF MENTAL HOSPITALS - NO NEED FOR INCOME,
    JOBS, BENEFITS
  • ALL SERVICES IN ONE PLACE -
  • HOUSING, MEALS, THERAPY, MEDICAL CARE, SOCIAL
    CONTROL, SOCIAL INTERACTION
  • HOW CREATE HOSPITAL IN THE COMMUNITY?

4
OUTPATIENT THERAPY
  • ONLY ALTERNATIVE MODEL
  • ONLY THERAPY - NO OTHER SERVICES
  • LIMITED SOCIAL CONTROL
  • INADEQUATE FOR SERIOUSLY MENTALLY ILL
  • NEED FOR NEW KIND OF PROFESSIONAL FOR S.M.I.

5
NEW PROGRAMS FOR SMI
  • EFFECTIVE MODELS ARE AVAILABLE
  • GOAL TO IMPROVE QUALITY OF LIFE AND EMPOWERMENT
    NOT JUST MANAGE SYMPTOMS
  • COORDINATE SERVICES
  • PACT

6
PACT
  • TEAM CONCEPT
  • GO OUT INTO THE COMMUNITY
  • 24/7 AVAILABILITY
  • PROVIDE SERVICES AND MEDICATION

7
BENEFITS OF PACT
  • KEEPS PEOPLE OUT OF HOSPITAL
  • COORDINATES SERVICES
  • RAISES QUALITY OF LIFE

8
PROBLEMS W/PACT
  • PATERNALISM?
  • ATTITUDE TOWARD MEDICATION?
  • WHAT DO ALL DAY?
  • FEW PROGRAMS, E.G. JOB TRAINING

9
FAMILIES
  • MORAL RESPONSIBILITY FOR ADULT SMI CHILDREN
  • FRUMKINS?
  • OFTEN BLAMED FOR ILLNESS OR FOR RELAPSES
  • BEARERS OF BURDEN

10
CONSUMER MOVEMENT
  • AROSE IN 1970S - ANTI-PSYCHIATRY (KAUFMANN)
  • ANTI-DISEASE
  • ANTI-SOCIAL CONTROL
  • ANTI-MEDICATION

11
CONSUMER MOVEMENT
  • COMBAT STIGMA
  • ALL SERVICES VOLUNTARY
  • CONSUMER RUN SERVICES
  • SOME TRY TO COMBINE CONSUMER-RUN WITH
    PROFESSIONALS

12
REVIEW
13
REVIEW
  • 60 MULTIPLE CHOICE
  • 40 TWO GENERAL ESSAYS FROM THREE CHOICES
  • ESSAY QUESTIONS BROAD - ANSWERS PARTICULAR
  • 1/3 OF GRADE BUT ALSO TREND
  • NOT CUMULATIVE

14
CUCKOOS NEST
  • HOW ILLUSTRATES MENTAL HOSPITALS BEFORE DI
  • SOCIAL CONTROL
  • MEDICAL MODEL
  • TYPES OF PATIENTS

15
IS THERE NO PLACE ON EARTH FOR ME?
  • HOW ILLUSTRATES DI - SINCE 1970S
  • PROBLEMS OF DI SYSTEM
  • LACK OF INTEGRATION
  • HOW EXERT SOCIAL CONTROL?
  • SITUATION OF FAMILIES
  • WHAT WOULD BE EFFECTIVE WITH SOMEONE W/SYLVIAS
    PROBLEMS?

16
MENTAL HOSPITALS
  • HISTORY OF MENTAL HOSPITALS
  • WHEN AROSE
  • TYPE OF TREATMENT
  • TYPES OF PATIENTS
  • CHARACTERISTICS OF INSTITUTIONS
  • CHANGES OVER TIME - 1850-1955

17
DEINSTITUTIONALIZATION
  • CHANGES IN RESIDENTS AND ADMISSIONS - 1950S -
    2000
  • CHANGES IN TYPES OF PATIENTS
  • CHANGES IN COMMITMENT
  • MEDICAL AND LEGAL MODELS
  • CHANGES IN HOSPITALS

18
REASONS FOR DI
  • DRUGS
  • IDEOLOGY CMHC, PRO-FEDERAL, ANTI-STATE
  • LEGAL - COMMITMENT, IN HOSPITAL, RELEASE
  • ECONOMIC

19
ECONOMIC
  • FROM STATE TO FEDERAL FUNDING
  • MEDICAID, MEDICARE
  • SSI

20
COMMUNITY TREATMENT
  • MAJOR ASPECTS OF PACT AND COMMUNITY TREATMENT
  • HOW DIFFERENT FROM TRADITIONAL INPATIENT AND
    OUTPATIENT
  • STRONG AND WEAK ASPECTS

21
KAUFMANN
  • MENTAL HEALTH CONSUMER MOVEMENT
  • WHEN AROSE
  • MAJOR IDEOLOGY
  • ATTITUDES TOWARD M.H. PROFS.

22
PICKETT, COOK
  • PSYCHIATRIC REHABILITATION
  • WHAT ARE IMPORTANT OUTCOMES?

23
HIDAY
  • RATES OF M.I. IN PRISONERS AND GENERAL
    POPULATION
  • VIOLENCE AND MENTALLY ILL
  • USE OF INSANITY DEFENSE

24
GUEST SPEAKER
  • HOW POLICE SHOULD HANDLE MENTALLY ILL
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