Transinstitutionalization
Transinstitutionalisation is the phenomenon 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 in the United States 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 o ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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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 1950s and 1960s, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses, group homes, 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 medication, psychiatric drugs in the mid-20 ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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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 ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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Unforeseen Consequence
In the social sciences, unintended consequences (sometimes unanticipated consequences or unforeseen consequences, more colloquially called knock-on effects) are outcomes of a purposeful action that are not intended or foreseen. The term was popularized in the 20th century by American sociologist Robert K. Merton.Robert K. Merton, Versatile Sociologist and Father of the Focus Group, Dies at 92 Michael T. Kaufman, '''' Unintended consequences can be grouped into three types: * ''Unexpected benefit'': A positive unexpected benefi ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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History Of Psychiatric Institutions
The lunatic asylum, insane asylum or mental asylum was an institution where people with mental illness were confined. It was an early precursor of the modern psychiatric hospital. Modern psychiatric hospitals evolved from and eventually replaced the older lunatic asylum. The treatment of inmates in early lunatic asylums was sometimes brutal and focused on containment and restraint. The discovery of anti-psychotic drugs and mood-stabilizing drugs resulted in a shift in focus from containment in lunatic asylums to treatment in psychiatric hospitals. Later, there was further and more thorough critique in the form of the deinstitutionalization movement which focuses on treatment at home or in less isolated institutions. 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 ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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Mentally Ill People In United States Jails And Prisons
People with Mentally ill, mental illnesses are over-represented in Incarceration in the United States, jail and prison populations in the United States relative to the general population. There are three times as many mentally ill people in jails and prisons than in Mental hospitals, hospitals in the United States. Mentally ill people are subjected to solitary confinement at disproportionate rates compared to the general prison population. There are a number of reasons for this over-representation of mentally ill people in jails and prisons, including the deinstitutionalization of mentally ill individuals in the mid-twentieth century, inadequate community treatment resources, and the criminalization of mental illness itself. Research has shown that mentally ill offenders have comparable rates of recidivism to non-mentally ill offenders. The Supreme Court of the United States, United States Supreme Court has upheld the right of inmates to mental health treatment. The majority of ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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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 Genetics is the study of genes, genetic variation, and heredity in organisms.Hartl D, Jones E (2005) It is an important branch in biology because heredity is vital to organisms' evolution. Gregor Mendel, a Moravian Augustinians, Augustinian ... of intellectual disability. Penrose was initially the Galton professor of eugenics (1945–1963) at University College London, before having his title changed to professor of human genetics (1963–1965) at his request. He was later emeritus professor. Education Penrose was educated at the Downs School, Colwall and the Quaker Leighton Park School, Reading, Berkshire, 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 ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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Erving Goffman
Erving Goffman (11 June 1922 – 19 November 1982) was a Canadian-born American sociologist, 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. 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 dramaturgical analysis, beginning with his 1956 book '' The Presentation of Self in Everyday Life''. Goffman's other major works include '' Asylums'' (1961), ''Stigma'' (1963), ''Interaction Ritual'' (1967), ''Frame Analysis'' (1974), and ''Forms of Talk'' (1981). His major areas of study included the sociology of everyday life, social interaction, the social construction of self, social organization ( framing) of experience, and particular eleme ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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Total Institution
A total institution or residential institution is a residential facility where a great number of similarly situated people, cut off from the wider community for a considerable time, together lead an enclosed, formally administered, and regimented round of life. Privacy and civil liberties are limited or non-existent 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 lect ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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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 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 for the DoD and th ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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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 ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
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SAGE Publishing
Sage Publishing, formerly SAGE Publications, is an American Independent business, independent Academic publishing, academic publishing company, founded in 1965 in New York City by Sara Miller McCune and now based in the Newbury Park, California, Newbury Park neighborhood of Thousand Oaks, California. Sage Publishing has offices located across North America, Europe, and the Asia Pacific region. In North America, Sage Publishing has offices in Los Angeles, Washington DC, and Toronto. The European operations are headquartered in London, London, United Kingdom. In the Asia Pacific region, Sage Publishing has established offices in Melbourne, Australia, India and Singapore. 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 ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |