Schizophrenics in the New Custodial Community: Five Years after the Experiment

Schizophrenics in the New Custodial Community: Five Years after the Experiment

Schizophrenics in the New Custodial Community: Five Years after the Experiment

Schizophrenics in the New Custodial Community: Five Years after the Experiment

Excerpt

In this preface we believe it may be of value to locate our work, and interpret its relevance with respect to the broader social and psychiatric organizational issues of our times. In so doing we shall offer our views about the current status of community mental health centers, the state mental hospitals, and the effectiveness of these delivery systems for the care of schizophrenics. The foci we believe to be most relevant for effective care will be presented, especially when they may be lacking or poorly conceived within our present system.

The Current Status of Community Mental Health

"No one is interested in community mental health any more"; such a comment was made recently at a mental health conference. Although more extreme in tone than sentiments expressed by most people, this view mirrors a growing disenchantment with the dream born in the mid-1950s and nurtured by the Federal Mental Health Act. The spirit of the last decade with unbridled optimism in regard to the new millennium in mental health was made possible by the obvious success of the medications for patients, reports of successes with milieu therapy in the hospital, and with an impetus in the form of federal funds for the building and later staffing of the regional mental health centers. Practitioners believed that a new era had . . .

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