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Transinstitutionalisation
Transinstitutionalisation is the phenomena where inmates released from one therapeutic community move into other institutions, either as planned move or as an unforeseen consequence. For instance, when the residential mental hospitals were closed as the result of a political policy change, the prison population increased by an equivalent number. In the United States patients that would have formerly have been in psychiatric hospitals wound up in general hospitals and private nursing homes which then became a growth industry. There is an over-representation of the mentally ill in corrective settings. There are 400,000 prison inmates with mental health problems, and 25–40% of the mentally ill will spend some time in prison. Background In 1939, Lionel Penrose published a cross-sectional study from 18 European countries which included Scandinavia. He demonstrated that there was an inverse relationship between the number of mental hospital beds and the number of prisoners; and then a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Deinstitutionalisation
Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the late 20th century, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses and clinics, in regular hospitals, or not at all. Deinstitutionalisation works in two ways. The first focuses on reducing the population size of mental institutions by releasing patients, shortening stays, and reducing both admissions and readmission rates. The second focuses on reforming psychiatric care to reduce (or avoid encouraging) feelings of dependency, hopelessness and other behaviors that make it hard for patients to adjust to a life outside of care. The modern deinstitutionalisation movement was made possible by the discovery of psychiatric drugs in the mid-20th century, which could manage psych ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Therapeutic Community
Therapeutic community is a participative, group-based approach to long-term mental illness, personality disorders and drug addiction. The approach was usually residential, with the clients and therapists living together, but increasingly residential units have been superseded by day units. It is based on milieu therapy principles, and includes group psychotherapy as well as practical activities. Therapeutic communities have gained some reputation for success in rehabilitation and patient satisfaction in Britain and abroad. In Britain, 'democratic analytic' therapeutic communities have tended to specialise in the treatment of moderate to severe personality disorders and complex emotional and interpersonal problems. The evolution of therapeutic communities in the United States has followed a different path with hierarchically arranged communities (or concept houses) specialising in the treatment of drug and alcohol dependence. History Antecedents There are several antecedents to ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
History Of Psychiatric Institutions
The lunatic asylum (or insane asylum) was an early precursor of the modern psychiatric hospital. The fall of the lunatic asylum and its eventual replacement by modern psychiatric hospitals explains the rise of organized, institutional psychiatry. While there were earlier institutions that housed the "insane", the conclusion that institutionalization was the correct solution to treating people considered to be "mad" was part of a social process in the 19th century that began to seek solutions outside of families and local communities. History Medieval era In the Islamic world, the '' Bimaristans'' were described by European travellers, who wrote about their wonder at the care and kindness shown to lunatics. In 872, Ahmad ibn Tulun built a hospital in Cairo that provided care to the insane, which included music therapy. Nonetheless, physical historian Roy Porter cautions against idealising the role of hospitals generally in medieval Islam, stating that "They were a drop in the oce ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Prison
A prison, also known as a jail, gaol (dated, standard English, Australian, and historically in Canada), penitentiary (American English and Canadian English), detention center (or detention centre outside the US), correction center, correctional facility, lock-up, hoosegow or remand center, is a facility in which inmates (or prisoners) are confined against their will and usually denied a variety of freedoms under the authority of the state as punishment for various crimes. Prisons are most commonly used within a criminal justice system: people charged with crimes may be imprisoned until their trial; those pleading or being found guilty of crimes at trial may be sentenced to a specified period of imprisonment. In simplest terms, a prison can also be described as a building in which people are legally held as a punishment for a crime they have committed. Prisons can also be used as a tool of political repression by authoritarian regimes. Their perceived opponents may be ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lionel Penrose
Lionel Sharples Penrose, FRS (11 June 1898 – 12 May 1972) was an English psychiatrist, medical geneticist, paediatrician, mathematician and chess theorist, who carried out pioneering work on the genetics of intellectual disability. Penrose was the Galton professor of eugenics (1945–1963), then professor of human genetics (1963–1965) at University College London, and later emeritus professor. Education Penrose was educated at the Downs School, Colwall and the Quaker Leighton Park School, Reading. On leaving school in 1916, he served, as a conscientious objector, with the Friends' Ambulance Unit/British Red Cross in France until the end of the First World War. He went on to study at St John's College, Cambridge, where he was a Cambridge Apostle. At Cambridge, he gained a first class degree in moral sciences before leaving for Vienna for a year, to study at the psychological department at the University of Vienna. In 1928, he qualified with the conjoint in 1928 at St Thomas' ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Erving Goffman Erving Goffman (11 June 1922 – 19 November 1982) was a Canadian-born sociology, sociologist, Social psychology (sociology), social psychologist, and writer, considered by some "the most influential American sociologist of the twentieth century". In 2007 ''The Times Higher Education Guide'' listed him as the sixth most-cited author of books in the humanities and social sciences, behind Michel Foucault, Pierre Bourdieu, and |
