HISTORY OF MENTAL INSTITUTIONS

1
COMMUNITY TREATMENT
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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

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BENEFITS OF PACT

• KEEPS PEOPLE OUT OF HOSPITAL
• COORDINATES SERVICES
• RAISES QUALITY OF LIFE

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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

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CONSUMER MOVEMENT

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

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CONSUMER MOVEMENT

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

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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

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CUCKOOS NEST

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

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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?

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MENTAL HOSPITALS

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

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DEINSTITUTIONALIZATION

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

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REASONS FOR DI

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

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ECONOMIC

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

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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.

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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