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Closing the Asylums - Causes and Consequences of the Deinstitutionalization Movement (Paperback)
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Closing the Asylums - Causes and Consequences of the Deinstitutionalization Movement (Paperback)
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One of the most significant medical and social initiatives of the
twentieth century was the demolition of the traditional state
hospitals that housed most of the mentally ill, and the placement
of the patients out into the community. The causes of this
deinstitutionalization included both idealism and legal pressures,
newly effective medications, the establishment of nursing and group
homes, the woeful inadequacy of the aging giant hospitals, and an
attitudinal change that emphasized environmental and social
factors, not organic ones, as primarily responsible for mental
illness. Though closing the asylums promised more freedom for many,
encouraged community acceptance, and enhanced outpatient
opportunities, there were unintended consequences: increased
homelessness, significant prison incarcerations of the mentally
ill, inadequate community support or governmental funding. This
book is written from the point of view of an academic neurologist
who has served 60 years as an employee or consultant in typical
state mental institutions in North Carolina and Ohio.
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