Transinstitutionalisation
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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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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' ...
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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 Anthony Giddens, and ahead of Jürgen Habermas. Goffman was the 73rd president of the American Sociological Association. His best-known contribution to social theory is his study of symbolic interaction. This took the form of dramaturgy (sociology), dramaturgical analysis, beginning with his 1956 book ''The Presentation of Self in Everyday Life''. Goffman's other major works include ''Asylums (book), Asylums'' (1961), ''Stigma'' (1963), ''Interaction Ritual'' (1967), ''Frame Analysis'' (1974), and ''Forms of Talk'' (1981). His major areas of study inclu ...
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Total Institution
A total institution is a place of work and residence where a great number of similarly situated people, cut off from the wider community for a considerable time, together lead an enclosed, formally administered round of life. Privacy is limited in total institutions, as all aspects of life including sleep, play, and work, are conducted in the same place. The concept is mostly associated with the work of sociologist Erving Goffman. Etymology The term is sometimes credited as having been coined and defined by Canadian sociologist Erving Goffman in his paper "On the Characteristics of Total Institutions", presented in April 1957 at the Walter Reed Institute's Symposium on Preventive and Social Psychiatry. An expanded version appeared in Donald Cressey's collection, ''The Prison'', and was reprinted in Goffman's 1961 collection, '' Asylums''. Fine and Manning, however, note that Goffman heard the term in lectures by Everett Hughes (likely during the late-1940s seminar, "Work and O ...
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Walter Reed Army Institute Of Research
The Walter Reed Army Institute of Research (WRAIR) is the largest biomedical research facility administered by the U.S. Department of Defense (DoD). The institute is centered at the Forest Glen Annex, in the Forest Glen Park part of the unincorporated Silver Spring urban area in Maryland just north of Washington, DC, but it is a subordinate unit of the U.S. Army Medical Research and Development Command (USAMRDC), headquartered at nearby Fort Detrick, Maryland. At Forest Glen, the WRAIR has shared a laboratory and administrative facility — the Sen Daniel K. Inouye Building, also known as Building 503 — with the Naval Medical Research Center since 1999. The Institute takes its name from Major (United States), Major Walter Reed, MD (1851–1902), the Army physician who, in 1901, led the team that confirmed the theory that yellow fever is transmitted by a particular mosquito species, rather than by direct contact. Today, the WRAIR fosters and performs biomedical research ...
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Everett Hughes (sociologist)
Everett Cherrington Hughes (November 30, 1897 – January 4, 1983) was an American sociologist best known for his work on ethnic relations, work and occupations and the methodology of fieldwork. His take on sociology was, however, very broad. In recent scholarship, his theoretical contribution to sociology has been discussed as interpretive institutional ecology, forming a theoretical frame of reference that combines elements of the classical ecological theory of class (human ecology, functionalism, Georg Simmel, aspects of a Max Weber-inspired analysis of class, status and political power), and elements of a proto-dependency analysis of Quebec's industrialization in the 1930s (Helmes-Hayes 2000). The efforts to look for a broader theoretical framework in Hughes's work have also been criticized as anachronistic search for coherent theoretical core when Hughes is more easily associated with a methodological orientation (Chapoulie 1996, see also Helmes-Hayes 1998, 2000 on critiques ...
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SAGE Publishing
SAGE Publishing, formerly SAGE Publications, is an American independent publishing company founded in 1965 in New York by Sara Miller McCune and now based in Newbury Park, California. It publishes more than 1,000 journals, more than 800 books a year, reference works and electronic products covering business, humanities, social sciences, science, technology and medicine. SAGE also owns and publishes under the imprints of Corwin Press (since 1990), CQ Press (since 2008), Learning Matters (since 2011), and Adam Matthew Digital (since 2012). History SAGE was founded in 1965 in New York City by Sara Miller (later Sara Miller McCune) with Macmillan Publishers executive George D. McCune as a mentor; the name of the company is an acronym formed from the first letters of their given names. SAGE relocated to Southern California in 1966, after Miller and McCune married; McCune left Macmillan to formally join the company at that time. Sara Miller McCune remained president for 18 years ...
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