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What can psychotherapy contribute to community psychiatry, and vice versa?-The North Devon experience

  • Jeremy Holmes (a1)
Extract

This paper is based on experiences over the past three years in North Devon (population 140, 000), a predominantly rural district that until 1986 based most of its psychiatric facilities in a large mental hospital in Exeter, nearly 40 miles away. When Exeter went ‘Italian’, services were devolved to local districts, and North Devon was given the responsibility for providing comprehensive psychiatric care based on a DGH unit, a Day Centre, two hostels and a small multidisciplinary team. No formal psychotherapy services were included in this plan. This is a familiar enough pattern, one that can be found throughout Europe and North America. I shall try to chart the movement from the heady days of decarceration to current uncertainties about community care, a state which might be called post-deinstitutionalism.

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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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Bennett, D. H. (1978) Community psychiatry. British Journal of Psychiatry, 132, 209220.
Beutler, L. E., Crago, M. & Arizmendi, T. G. (1986) Process and outcome in psychotherapy. In Handbook of Psychotherapy and Behaviour Change (eds. Garfield, S. L. and Bergin, A. E.). Chichester: Wiley.
Bick, E. (1988) The experience of the skin in early object relations. In Melanie Klein Today Volume I. London: Routledge.
Chasseguet-Smirgel, J. (1985) Creativity and Perversion. London: Free Association Books.
Holmes, J. & Lindley, R. (1989) The Values of Psychotherapy. Oxford: Oxford University Press.
Langs, R. (1986) A Primer of Psychotherapy. New York: Croom Helm.
Malan, D. (1973) A Study of Brief Psychotherapy. London: Tavistock.
Mannheim, K. (1936) ideology and Utopia (trans. Wirth, L. and Shils, E.). London: Routledge.
Margison, F., Grant, S. & Powell, A. (1989) Psychotherapy services in the NHS. Document prepared for the Royal College of Psychiatrists Psychotherapy Specialist Section.
Mollon, P. (1989) Anxiety, supervision and a space for thinking: some narcissistic perils for clinical psychologists learning psychotherapy. British Journal of Medical Psychology, 62, 113122.
Paul, G. L. (1967) Outcome research in psychotherapy. Journal of Consulting Psychology, 31, 109118.
Williams, P. & Clare, A. (1981) Changing patterns of psychiatric care. British Medical Journal, 282, 375377.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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What can psychotherapy contribute to community psychiatry, and vice versa?-The North Devon experience

  • Jeremy Holmes (a1)
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