Literature DB >> 2188776

Community care of the seriously mentally ill: continuing problems and current issues.

U Aviram1.   

Abstract

The crisis in community care for the seriously mentally ill (SMI) stems from organizational and financial difficulties as well as from deeply embedded structural factors. The analysis shows a preference for medicalizing and individualizing the problems of SMI rather than viewing them as structural social welfare issues. The author discusses problems of deinstitutionalization, homelessness, service provisions, financing, accounting and reporting, employment, bureaucratic skimming and burden to families and points out the ambivalent ideology and the inherent contradictions within the mental health service system. Finally, the centrality of social control and the maintenance of orderly social life in public policy and program development is illuminated.

Mesh:

Year:  1990        PMID: 2188776     DOI: 10.1007/bf00752677

Source DB:  PubMed          Journal:  Community Ment Health J        ISSN: 0010-3853


  30 in total

1.  Case management services for the chronically mentally ill.

Authors:  C A Rapp; R Chamberlain
Journal:  Soc Work       Date:  1985 Sep-Oct

2.  Private foundations in health affairs. A case study of the development of a national initiative for the chronically mentally ill.

Authors:  L H Aiken; S A Somers; M F Shore
Journal:  Am Psychol       Date:  1986-11

3.  A proposal for future funding of chronic and episodic mental illness.

Authors:  J A Talbott; S S Sharfstein
Journal:  Hosp Community Psychiatry       Date:  1986-11

Review 4.  Improving the care of patients with chronic mental illness.

Authors:  D Mechanic; L H Aiken
Journal:  N Engl J Med       Date:  1987-12-24       Impact factor: 91.245

5.  Predicting the vocational capacity of the chronically mentally ill. Research and policy implications.

Authors:  W A Anthony; M A Jansen
Journal:  Am Psychol       Date:  1984-05

6.  Deinstitutionalization and the homeless mentally ill.

Authors:  H R Lamb
Journal:  Hosp Community Psychiatry       Date:  1984-09

7.  Deinstitutionalization and mental health services.

Authors:  E L Bassuk; S Gerson
Journal:  Sci Am       Date:  1978-02       Impact factor: 2.142

8.  Improving the quality of community care for the chronically mentally disabled: the role of case management.

Authors:  J Intagliata
Journal:  Schizophr Bull       Date:  1982       Impact factor: 9.306

9.  Deinstitutionalization: the data demythologized.

Authors:  H H Goldman; N H Adams; C A Taube
Journal:  Hosp Community Psychiatry       Date:  1983-02

10.  Therapist-case managers: more than brokers of services.

Authors:  H R Lamb
Journal:  Hosp Community Psychiatry       Date:  1980-11
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  14 in total

1.  The legend and lessons of Geel, Belgium: a 1500-year-old legend, a 21st-century model.

Authors:  Jackie L Goldstein; Marc M L Godemont
Journal:  Community Ment Health J       Date:  2003-10

2.  Holding on to success: a case study in mental health care reform.

Authors:  T L Scheid; A Mayer
Journal:  J Ment Health Adm       Date:  1995

3.  Clinical encounters with outpatient coercion at the CMHC: questions of implementation and efficacy.

Authors:  J L Geller
Journal:  Community Ment Health J       Date:  1992-04

Review 4.  The cost of fragmented mental health financing: is it worth it?

Authors:  D L Cutler; D Bigelow; B McFarland
Journal:  Community Ment Health J       Date:  1992-04

5.  Increasing the effectiveness of frontline workers through a model mental health training program.

Authors:  S Weisberg
Journal:  Community Ment Health J       Date:  1996-08

Review 6.  Health care reform and rural mental health: severe mental illness.

Authors:  C F Kane; J M Ennis
Journal:  Community Ment Health J       Date:  1996-10

7.  Mental health case management and technical efficiency.

Authors:  L H Tyler; Y A Ozcan; S E Wogen
Journal:  J Med Syst       Date:  1995-10       Impact factor: 4.460

Review 8.  Critical issues in reforming rural mental health service delivery.

Authors:  M B Blank; J C Fox; D S Hargrove; J T Turner
Journal:  Community Ment Health J       Date:  1995-12

9.  Discharge-ready patients who remain hospitalized: a re-emerging problem for mental health services.

Authors:  U Aviram; S Minsky; S A Smoyak; G D Gubman-Riesser
Journal:  Psychiatr Q       Date:  1995

10.  From conversion to coercion: the police role in medication compliance.

Authors:  A J Meehan
Journal:  Psychiatr Q       Date:  1995
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