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Caring for People: a critical review of British Government policy for the community care of the mentally ill

  • Frank Holloway (a1)
Extract

The development of ‘community care’ for the elderly, mentally ill, mentally handicapped and physically disabled has been Government policy in Britain since the 1950s. Problems with implementation of this policy led the Audit Commission (1986) to conclude that “the one option that is not tenable is to do nothing about present financial, organisational and staffing arrangements”. Sir Roy Griffiths was commissioned to review “the way funds are used to support community care policy …”. Radical solutions were proposed and subsequently incorporated in the Government White Paper Caring for People (Department of Health, 1989a). However, two very significant measures were not accepted: the ‘ring-fencing’ of community care monies and the creation of a ministerial post within the Department of Health with specific responsibility for community care.

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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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Audit Commission (1986) Making a Reality of Community Care. London: HMSO.
Becker, A. & Schulberg, H. C. (1976) Phasing out state hospitals – a psychiatric dilemma. New England Journal of Medicine, 294, 255261.
Brown, P. (1985) The Transfer of Care: Psychiatric Deinstitutionalisation and its Aftermath. London: Routledge & Kegan Paul.
Challis, D., Chessum, R., Chesterman, J., Luckett, R. & Woods, B. (1988) Community care for the frail elderly. British Journal of Social Work, 18, Supplement, 1342.
Clifford, P. & Craig, T. (1988) Case management systems for the long-term mentally ill. A proposed inter-agency initiative. London: NUPRD.
Curson, D. A., Patel, M., Liddle, P. F. & Barnes, T. R. E. (1988) Psychiatric morbidity of a long-stay hospital population with chronic schizophrenia and implications for future community care. British Medical Journal, 297, 817822.
Davies, B. (1988) Review article: Making a reality of community care. British Journal of Social Work, 18, Supplement, 173187.
Department of Health (1989a) Caring for People. London: HMSO.
Department of Health (1989b) Working for Patients. London: HMSO.
Knapp, M. (1988) Searching for efficiency in long-term care: deinstitutionalisation and privatisation. British Journal of Social Work, 18, Supplement, 151171.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Caring for People: a critical review of British Government policy for the community care of the mentally ill

  • Frank Holloway (a1)
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