Skip to main content
×
×
Home

It may be ‘Community’ but is it Comprehensive: A Wrong Question?

  • G. E. Langley (a1)
Extract

The debate on the place of community psychiatry is conducted as if it were a matter of choosing between service in the community on one hand and hospitals on the other. When expressed as a dichotomy the question, as illustrated by Scull's Dilemma (Jones, 1982), may be unanswerable. Instead, should we not ask what range of co-ordinated services are required to provide a comprehensive service for the mentally disturbed in a geographically-defined community? The key word then becomes comprehensive with community, in the sense of extra-hospital, important but subordinate. The hospital is then seen as part of the service; it is of the community, not alien to it. Other service components need not be anti-hospital, but hospital staff will need to avoid institutionalism and live down prejudice. The debate about what we can afford, although relevant, is separate.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      It may be ‘Community’ but is it Comprehensive: A Wrong Question?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      It may be ‘Community’ but is it Comprehensive: A Wrong Question?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      It may be ‘Community’ but is it Comprehensive: A Wrong Question?
      Available formats
      ×
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
Hide All
Jones, K. (1982) Scull's Dilemma. British Journal of Psychiatry, 141, 221–6.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 8 *
Loading metrics...

Abstract views

Total abstract views: 9 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 22nd June 2018. This data will be updated every 24 hours.

It may be ‘Community’ but is it Comprehensive: A Wrong Question?

  • G. E. Langley (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *