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Deinstitutionalization in the USA

  • Leonard Fagin (a1)
Extract

The task of summarizing the experience of public mental hospitals in the USA is perhaps impossible and unrewarding as far as UK-based psychiatry is concerned. The complex governmental and insurance intrastructure, the heterogeneity of approaches and the disappointing rhetorical stance one observes in learned journals make it difficult to translate American practice to our own. This task is even more difficult when one only has written communications to fall back on, and readers will have to take this into account in this brief article.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Feldman, S. (1980) Public mental hospitals—The American experience. Paper presented at the Mind Annual conference on 21 October 1980.
2 Goldman, H. H., Adams, N. H. & Taube, C. (1983) Hospital and Community Psychiatry, 34, 129.
3 Returning the Mentally Disabled to the Community (1977) Summary of a report. US General Account Office—January 1977.
4 Lamb, R. H. (1979) The new asylums in the community. Archives of General Psychiatry, 36, 129134.
5 Schulberg, H. C., Becker, A. & McGrath, M. (1976) Planning the closedown of mental hospitals. Community Mental Health Journal, 12(1), 176181.
6 Lamb, R. H. (1977) The State Hospital: Facility of last resort. American Journal of Psychiatry, 134, 10, 11511152.
7 Braun, P., Kochansky, G., Shapiro, R., Greenberg, S., Gudeman, J., Johnson, S. & Shore, M. (1981) Overview—Deinstitutionalisation of psychiatric patients: A critical review of outcome studies. American Journal of Psychiatry, 136, 736749.
8 Linn, M. W., Caffey, M. Jnr., Klett, C. J. et al (1977) Hospital vs. community (foster) care for psychiatric patients. Archives of General Psychiatry, 34, 7883.
9 Weinman, B. Kleiner, R. J. (1978) The impact of community living and community member intervention on the adjustment of the chronic psychotic patient. In Alternatives to Mental Hospital Treatment (ed. Stein, L. I.). New York: Plenum Press.
10 Kram, L. (1973) Closing an institution: Its effect on patients and staff. Hospital and Community Psychiatry,26, 1 April.
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BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
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Deinstitutionalization in the USA

  • Leonard Fagin (a1)
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