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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 ps ...
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Franco Basaglia
Franco Basaglia (; 11 March 1924 29 August 1980) was an Italian psychiatrist, neurologist, professor who proposed the dismantling of psychiatric hospitals, pioneer of the modern concept of mental health, Italian psychiatry reformer, figurehead and founder of '' Democratic Psychiatry'' architect, and principal proponent of Law 180 which abolished mental hospitals in Italy. He is considered to be the most influential Italian psychiatrist of the 20th century. Biography Franco Basaglia was born on 11 March 1924 in Venice. After obtaining his medical degree from University of Padova in 1949, he trained in the local school of psychiatry, where he acquainted himself with the philosophical ideas of Karl Jaspers, Ludwig Binswanger and Eugène Minkowski, developed an interest in the study of phenomenological philosophers such as Edmund Husserl, Martin Heidegger, Maurice Merleau-Ponty, and Jean-Paul Sartre, and analyzed the work of sociological and historical critics of psychiatric i ...
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Community Mental Health Service
Center for Mental Health Services''(CMHS), also known as community mental health teams (CMHT) in the United Kingdom, support or treat people with mental disorders (mental illness or mental health difficulties) in a domiciliary setting, instead of a psychiatric hospital (asylum). The array of community mental health services vary depending on the country in which the services are provided. It refers to a system of care in which the patient's community, not a specific facility such as a hospital, is the primary provider of care for people with a mental illness. The goal of community mental health services often includes much more than simply providing outpatient psychiatric treatment. Community services include supported housing with full or partial supervision (including halfway houses), psychiatric wards of general hospitals (including partial hospitalization), local primary care medical services, day centers or clubhouses, community mental health centers, and self-help group ...
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Psychiatric Reform In Italy
Psychiatric reform in Italy is the reform of psychiatry which started in Italy after the passing of Basaglia Law in 1978 and terminated with the very end of the Italian state mental hospital system in 1998. Among European countries, Italy was the first to publicly declare its repugnance for a mental health care system which led to social exclusion and segregation. The psychiatric reform was also a consequence of a public debate sparked by Giorgio Coda's case and stories collected and analyzed in Alberto Papuzzi's book ''Portami su quello che canta''. Aims The reform was directed towards the gradual dismantling of the psychiatric hospitals and required a comprehensive, integrated and responsible community mental health service. The object of community care is to reverse the long-accepted practice of isolating the mental ill in large institutions, to promote their integration in the community offering them a milieu which is socially stimulating, while avoiding subjecting them to too ...
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Lunatic Asylum
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 ...
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Psychiatric Hospital
Psychiatric hospitals, also known as mental health hospitals, behavioral health hospitals, are hospitals or wards specializing in the treatment of severe mental disorders, such as schizophrenia, bipolar disorder, eating disorders, dissociative identity disorder, major depressive disorder and many others. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialize only in short-term or outpatient therapy for low-risk patients. Others may specialize in the temporary or permanent containment of patients who need routine assistance, treatment, or a specialized and controlled environment due to a psychiatric disorder. Patients often choose voluntary commitment, but those whom psychiatrists believe to pose significant danger to themselves or others may be subject to involuntary commitment and involuntary treatment. Psychiatric hospitals may also be called psychiatric wards/units (or "psych" wards/units) when they are a subunit of a regular hospital. ...
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Halfway House
A halfway house is an institute for people with criminal backgrounds or substance use disorder problems to learn (or relearn) the necessary skills to re-integrate into society and better support and care for themselves. As well as serving as a residence, halfway houses provide social, medical, psychiatric, educational, and other similar services. They are termed "halfway houses" due to their being halfway between completely independent living and in-patient or carceral facilities, where residents are highly restricted in their behavior and freedoms. The term has been used in the United States since at least the Temperance Movement of the 1840s. Types Halfway houses in the US generally fall into one of two models. In one model, upon admission, a patient is classified as to the type of disability, ability to reintegrate into society, and expected time frame for doing so. They may be placed into an open bay same-sex dormitory similar to that found in military basic training, with ...
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Involuntary Commitment
Involuntary commitment, civil commitment, or involuntary hospitalization/hospitalisation is a legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is detained in a psychiatric hospital (inpatient) where they can be treated involuntarily. This treatment may involve the administration of psychoactive drugs, including involuntary administration. In many jurisdictions, people diagnosed with mental health disorders can also be forced to undergo treatment while in the community; this is sometimes referred to as outpatient commitment and shares legal processes with commitment. Criteria for civil commitment are established by laws which vary between nations. Commitment proceedings often follow a period of emergency hospitalization, during which an individual with acute psychiatric symptoms is confined for a relatively short duration (e.g. 72 hours) in a treatment facility for evaluation and stabilization by mental health ...
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Journal Of The Royal Society Of Medicine
The ''Journal of the Royal Society of Medicine'' is a peer-reviewed medical journal. It is the flagship journal of the Royal Society of Medicine with full editorial independence. Its continuous publication history dates back to 1809. Since July 2005 the editor-in-chief is Kamran Abbasi, who succeeded Robin Fox who was editor for almost 10 years. History The journal was established in 1806 as the ''Medico-Chirurgical Transactions'' published by the Royal Medical and Chirurgical Society of London. It was renamed to ''Proceedings of the Royal Society of Medicine'' in 1907, following the merger that led to the formation of the Royal Society of Medicine and with volume numbering restarting at 1, before obtaining its current name in 1978. Abstracting and indexing The journal is abstracted and indexed in MEDLINE/PubMed, Science Citation Index, EMBASE, CAB International, and Elsevier Biobase. According to the ''Journal Citation Reports'', the journal has a 2021 impact factor of 18.000. ...
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Social Role
A role (also rôle or social role) is a set of connected behaviors, rights, obligations, beliefs, and norms as conceptualized by people in a social situation. It is an expected or free or continuously changing behavior and may have a given individual social status or social position. It is vital to both functionalist and interactionist understandings of society. Social role theory posits the following about social behavior: # The division of labour in society takes the form of the interaction among heterogeneous specialized positions, we call roles. # Social roles included appropriate and permitted forms of behavior and actions that recur in a group, guided by social norms, which are commonly known and hence determine the expectations for appropriate behavior in these roles, which further explains the place of a person in the society. # Roles are occupied by individuals, who are called actors. #When individuals approve of a social role (i.e., they consider the role legitimate ...
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Institutionalization
In sociology, institutionalisation (or institutionalization) is the process of embedding some conception (for example a belief, norm, social role, particular value or mode of behavior) within an organization, social system, or society as a whole. The term may also be used to refer to committing a particular individual or group to an institution, such as a mental or welfare institution. The term may also be used in a political sense to apply to the creation or organization of governmental institutions or particular bodies responsible for overseeing or implementing policy, for example in welfare or development. During the period of the industrial revolution in Europe many countries went through a period of "institutionalization", which saw a large expansion and development of the role of government within society, particularly into areas seen previously as the private sphere. Institutionalization is also seen as an important part of the process of modernization Modernization the ...
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Center Building At Saint Elizabeths, August 23, 2006
Center or centre may refer to: Mathematics *Center (geometry), the middle of an object * Center (algebra), used in various contexts ** Center (group theory) ** Center (ring theory) * Graph center, the set of all vertices of minimum eccentricity Places United States * Centre, Alabama * Center, Colorado * Center, Georgia * Center, Indiana * Center, Jay County, Indiana * Center, Warrick County, Indiana * Center, Kentucky * Center, Missouri * Center, Nebraska * Center, North Dakota * Centre County, Pennsylvania * Center, Portland, Oregon * Center, Texas * Center, Washington * Center, Outagamie County, Wisconsin * Center, Rock County, Wisconsin **Center (community), Wisconsin *Center Township (other) *Centre Township (other) *Centre Avenue (other) *Center Hill (other) Other countries * Centre region, Hainaut, Belgium * Centre Region, Burkina Faso * Centre Region (Cameroon) * Centre-Val de Loire, formerly Centre, France * Centre (de ...
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Thomas Szasz
Thomas Stephen Szasz ( ; hu, Szász Tamás István ; 15 April 1920 – 8 September 2012) was a Hungarian-American academic and psychiatrist. He served for most of his career as professor of psychiatry at the State University of New York Upstate Medical University in Syracuse, New York. A distinguished lifetime fellow of the American Psychiatric Association and a life member of the American Psychoanalytic Association, he was best known as a social critic of the moral and scientific foundations of psychiatry, as what he saw as the social control aims of medicine in modern society, as well as scientism. His books ''The Myth of Mental Illness'' (1961) and ''The Manufacture of Madness'' (1970) set out some of the arguments most associated with him. Szasz argued throughout his career that mental illness is a metaphor for human problems in living, and that mental illnesses are not "illnesses" in the sense that physical illnesses are, and that except for a few identifiable brain diseases ...
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