Mathew Thomson
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206927
- eISBN:
- 9780191677380
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206927.003.0009
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter examines the formation of the Welfare state in Great Britain from the perspective of mental deficiency policy. It analyses the extent to ...
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This chapter examines the formation of the Welfare state in Great Britain from the perspective of mental deficiency policy. It analyses the extent to which transformation and democratization in this area of policy has occurred and the implications of social citizenship for the definition of and attitudes towards mental deficiency. It suggests that while the Mental Health Act of 1959 has reformulated the problem of mental deficiency, the longer-term problem of providing care for mentally disabled continued to be a considerable dilemma for the Welfare State.Less
This chapter examines the formation of the Welfare state in Great Britain from the perspective of mental deficiency policy. It analyses the extent to which transformation and democratization in this area of policy has occurred and the implications of social citizenship for the definition of and attitudes towards mental deficiency. It suggests that while the Mental Health Act of 1959 has reformulated the problem of mental deficiency, the longer-term problem of providing care for mentally disabled continued to be a considerable dilemma for the Welfare State.
Simona Giordano
- Published in print:
- 2005
- Published Online:
- February 2006
- ISBN:
- 9780199269747
- eISBN:
- 9780191603129
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199269742.003.0012
- Subject:
- Philosophy, Moral Philosophy
This chapter presents UK legislation concerning people with mental disorders. It provides an account of both Statute and Case Law, and It explains issues such as competence and coercive treatment in ...
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This chapter presents UK legislation concerning people with mental disorders. It provides an account of both Statute and Case Law, and It explains issues such as competence and coercive treatment in cases of mental disorders. It then focuses on the particular case of eating disorders, and looks at issues of competence to refuse treatment for eating disorders and legislation relating to force-feeding. The legal account is accompanied by a punctual philosophical and ethical critique of UK jurisdiction. It suggests that the Mental Health Act should be abolished.Less
This chapter presents UK legislation concerning people with mental disorders. It provides an account of both Statute and Case Law, and It explains issues such as competence and coercive treatment in cases of mental disorders. It then focuses on the particular case of eating disorders, and looks at issues of competence to refuse treatment for eating disorders and legislation relating to force-feeding. The legal account is accompanied by a punctual philosophical and ethical critique of UK jurisdiction. It suggests that the Mental Health Act should be abolished.
Darius Whelan
- Published in print:
- 2016
- Published Online:
- May 2016
- ISBN:
- 9780719099465
- eISBN:
- 9781526104410
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719099465.003.0015
- Subject:
- Sociology, Culture
Ireland’s Mental Health Act 2001 requires that all involuntary admissions for mental disorder be reviewed within twenty-one days by a three-person Mental Health Tribunal. This chapter focuses on key ...
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Ireland’s Mental Health Act 2001 requires that all involuntary admissions for mental disorder be reviewed within twenty-one days by a three-person Mental Health Tribunal. This chapter focuses on key written judgments of the High Court and Supreme Court reviewing decisions of Mental Health Tribunal. Despite some statements to the contrary, the general picture which emerges is that the courts have not engaged in robust supervision of mental health tribunals. Instead, the general tenor of the case-law has been to endorse decisions of tribunals to affirm detentions, and to limit access to the courts to the most extreme violations of procedural rights. The chapter argues that this is a disappointing outcome, in light of the supposed rights-based focus of the Mental Health Act 2001.Less
Ireland’s Mental Health Act 2001 requires that all involuntary admissions for mental disorder be reviewed within twenty-one days by a three-person Mental Health Tribunal. This chapter focuses on key written judgments of the High Court and Supreme Court reviewing decisions of Mental Health Tribunal. Despite some statements to the contrary, the general picture which emerges is that the courts have not engaged in robust supervision of mental health tribunals. Instead, the general tenor of the case-law has been to endorse decisions of tribunals to affirm detentions, and to limit access to the courts to the most extreme violations of procedural rights. The chapter argues that this is a disappointing outcome, in light of the supposed rights-based focus of the Mental Health Act 2001.
Mathew Thomson
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206927
- eISBN:
- 9780191677380
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206927.003.0002
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses issues relevant to the parliamentary politics of mental deficiency in Great Britain. The British legislature passed the Mental ...
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This chapter discusses issues relevant to the parliamentary politics of mental deficiency in Great Britain. The British legislature passed the Mental Deficiency Act in 1913 and the Mental Health Act in 1959. This legislative void appears to suggest that there was little parliamentary or party-political debate on the mental deficiency issue during the interwar period. However, historians have already demonstrated that there is no political consensus in this segment of medical service. To understand the real nature of political conflict and consensus related to mental deficiency, this chapter examines the influence of gender, religion, and professional and social backgrounds of politicians on their views on mental deficiency.Less
This chapter discusses issues relevant to the parliamentary politics of mental deficiency in Great Britain. The British legislature passed the Mental Deficiency Act in 1913 and the Mental Health Act in 1959. This legislative void appears to suggest that there was little parliamentary or party-political debate on the mental deficiency issue during the interwar period. However, historians have already demonstrated that there is no political consensus in this segment of medical service. To understand the real nature of political conflict and consensus related to mental deficiency, this chapter examines the influence of gender, religion, and professional and social backgrounds of politicians on their views on mental deficiency.
Brendan D. Kelly
- Published in print:
- 2016
- Published Online:
- May 2016
- ISBN:
- 9780719099465
- eISBN:
- 9781526104410
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719099465.003.0014
- Subject:
- Sociology, Culture
This chapter examines the role of country of origin in relation to psychiatric admission status in Ireland. Data presented in this chapter demonstrate that schizophrenia is a particular problem in ...
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This chapter examines the role of country of origin in relation to psychiatric admission status in Ireland. Data presented in this chapter demonstrate that schizophrenia is a particular problem in individuals born outside Ireland and living in Dublin’s inner-city, and that this is associated with involuntary admission under the Mental Health Act 2001. The chapter also shows much lower levels of voluntary admissions. The chapter argues that these differences in patterns of help-seeking should be considered in future planning exercises in Ireland’s mental health services. In particular, increased emphasis on the cultural competence of health care-providers would be a good first step in recognising and addressing the differing health needs and practices of individuals from different ethnic groups and cultural backgrounds.Less
This chapter examines the role of country of origin in relation to psychiatric admission status in Ireland. Data presented in this chapter demonstrate that schizophrenia is a particular problem in individuals born outside Ireland and living in Dublin’s inner-city, and that this is associated with involuntary admission under the Mental Health Act 2001. The chapter also shows much lower levels of voluntary admissions. The chapter argues that these differences in patterns of help-seeking should be considered in future planning exercises in Ireland’s mental health services. In particular, increased emphasis on the cultural competence of health care-providers would be a good first step in recognising and addressing the differing health needs and practices of individuals from different ethnic groups and cultural backgrounds.
Jon Glasby, Helen Lester, and Emily McKie
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861347558
- eISBN:
- 9781447302216
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347558.003.0017
- Subject:
- Social Work, Health and Mental Health
This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed ...
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This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed changes to the 1983 Mental Health Act, and the resulting practical and ethical dilemmas they raise for frontline practitioners in health and social services, service users, and indeed for wider society. The chapter then considers the 2004 Draft Mental Health Bill, which raises significant ethical issues with regard to autonomy, beneficence, and individual liberty. It is argued that the proposed changes to the 1983 Mental Health Act are focused on risk and public safety rather than on the health and welfare of those people whose decision making is impaired by reason of their mental disorder. The 2004 Draft Mental Health Bill is also out of step with other current relevant government policy initiatives in this area, particularly the choice agenda, which risks disadvantaging people with mental health problems relative to other patient groups.Less
This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed changes to the 1983 Mental Health Act, and the resulting practical and ethical dilemmas they raise for frontline practitioners in health and social services, service users, and indeed for wider society. The chapter then considers the 2004 Draft Mental Health Bill, which raises significant ethical issues with regard to autonomy, beneficence, and individual liberty. It is argued that the proposed changes to the 1983 Mental Health Act are focused on risk and public safety rather than on the health and welfare of those people whose decision making is impaired by reason of their mental disorder. The 2004 Draft Mental Health Bill is also out of step with other current relevant government policy initiatives in this area, particularly the choice agenda, which risks disadvantaging people with mental health problems relative to other patient groups.
Harriet P. Lefley
- Published in print:
- 2009
- Published Online:
- September 2009
- ISBN:
- 9780195340495
- eISBN:
- 9780199863792
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195340495.003.0009
- Subject:
- Social Work, Health and Mental Health, Children and Families
Family education (FE) shares uniformities of content with FPE but differs in length, format, target group, and expected outcomes. Ranging from six to twelve weeks, FE is group education targeted to ...
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Family education (FE) shares uniformities of content with FPE but differs in length, format, target group, and expected outcomes. Ranging from six to twelve weeks, FE is group education targeted to families and friends of people with mental illness. Expected outcomes are greater knowledge of illness management and reduced distress and burden of caregivers. Most programs use internal evaluations, but only a few have research findings. FE programs have largely been developed by the National Alliance on Mental Illness (NAMI) and Mental Heath America (MHA). Two NAMI programs, taught by well-trained family members, have been manualized and evaluated in randomized research designs: Journey of Hope (JOH) and Family-to-Family Education Program (FFEP). Together these eight- to twelve-week programs have reached over 100,000 families. The Training and Education Network (TEC), an MHA Southeastern Pennsylvania program, is also manualized with research findings. A sampling of other FE programs is also described, with their manuals and other publications cited in the Appendix.Less
Family education (FE) shares uniformities of content with FPE but differs in length, format, target group, and expected outcomes. Ranging from six to twelve weeks, FE is group education targeted to families and friends of people with mental illness. Expected outcomes are greater knowledge of illness management and reduced distress and burden of caregivers. Most programs use internal evaluations, but only a few have research findings. FE programs have largely been developed by the National Alliance on Mental Illness (NAMI) and Mental Heath America (MHA). Two NAMI programs, taught by well-trained family members, have been manualized and evaluated in randomized research designs: Journey of Hope (JOH) and Family-to-Family Education Program (FFEP). Together these eight- to twelve-week programs have reached over 100,000 families. The Training and Education Network (TEC), an MHA Southeastern Pennsylvania program, is also manualized with research findings. A sampling of other FE programs is also described, with their manuals and other publications cited in the Appendix.
Shekhar Saxena, Jeremy Kane, Noa Krawczyk, and Judith K. Bass
- Published in print:
- 2019
- Published Online:
- June 2019
- ISBN:
- 9780190916602
- eISBN:
- 9780190916640
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780190916602.003.0018
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of ...
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This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of system-level instruments and readily comparable global data to help guide international public mental health policy. The chapter includes selected data on mental health systems around the world and gives an overview of mental health–related activities by leading international agencies such as the World Health Organization (WHO) Department of Mental Health and Substance Abuse, the United Nations Interagency Task Force (UNIATF) on the Prevention and Control of Non-communicable Diseases, the United Nations International Children’s Educational Fund (UNICEF), the United Nations High Commissioner for Refugees (UNHCR), and a range of international research consortia. The presence or absence of mental health policy, the presence of law relevant to mental health, and the presence of mental health care facilities around the world are reviewed.Less
This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of system-level instruments and readily comparable global data to help guide international public mental health policy. The chapter includes selected data on mental health systems around the world and gives an overview of mental health–related activities by leading international agencies such as the World Health Organization (WHO) Department of Mental Health and Substance Abuse, the United Nations Interagency Task Force (UNIATF) on the Prevention and Control of Non-communicable Diseases, the United Nations International Children’s Educational Fund (UNICEF), the United Nations High Commissioner for Refugees (UNHCR), and a range of international research consortia. The presence or absence of mental health policy, the presence of law relevant to mental health, and the presence of mental health care facilities around the world are reviewed.
Derek P. Auchie and Ailsa Carmichael
- Published in print:
- 2009
- Published Online:
- May 2020
- ISBN:
- 9781845860226
- eISBN:
- 9781474406291
- Item type:
- chapter
- Publisher:
- Edinburgh University Press
- DOI:
- 10.3366/edinburgh/9781845860226.003.0002
- Subject:
- Law, Medical Law
The 2003 Act introduces for the first time the Mental Health Tribunal for Scotland. It also creates a new category of party to proceedings: the “named person”. Various other persons are entitled to ...
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The 2003 Act introduces for the first time the Mental Health Tribunal for Scotland. It also creates a new category of party to proceedings: the “named person”. Various other persons are entitled to receive intimation of and be given the opportunity to participate in proceedings. The Mental Health Officer and the Responsible Medical Officer each has a raft of statutory responsibilities in terms of the Act. Here we consider those who may be parties to proceedings, and the role of each in proceedings before the Tribunal, by reference both to the Act and to the Rules.Less
The 2003 Act introduces for the first time the Mental Health Tribunal for Scotland. It also creates a new category of party to proceedings: the “named person”. Various other persons are entitled to receive intimation of and be given the opportunity to participate in proceedings. The Mental Health Officer and the Responsible Medical Officer each has a raft of statutory responsibilities in terms of the Act. Here we consider those who may be parties to proceedings, and the role of each in proceedings before the Tribunal, by reference both to the Act and to the Rules.
Peter Bartlett
- Published in print:
- 2000
- Published Online:
- March 2012
- ISBN:
- 9780198299189
- eISBN:
- 9780191685644
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198299189.003.0031
- Subject:
- Law, Philosophy of Law, Medical Law
There has been much debate on Mental Health Act reforms with little discussion of broader principles. Although everyone agrees that there are problems and have a view on how those problems ought to ...
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There has been much debate on Mental Health Act reforms with little discussion of broader principles. Although everyone agrees that there are problems and have a view on how those problems ought to be solved, the longer view of how the current situation relates to the historical picture seems to have been lost in the immediacy of the present presumed crisis. This chapter provides a start at some of that broader debates. It focuses on matters of civil regulation, since people found to be insane in a criminal context raise rather different issues. At issue are the broader pictures: how did we get to our current legal and political position regarding mental health, and in particular how novel are the problems we face; and what sort of a Mental Health Act do we want? On the latter point, the premise is that consistently with the developing law and politics of human rights, legislation should not inappropriately discriminate on the basis of mental disability.Less
There has been much debate on Mental Health Act reforms with little discussion of broader principles. Although everyone agrees that there are problems and have a view on how those problems ought to be solved, the longer view of how the current situation relates to the historical picture seems to have been lost in the immediacy of the present presumed crisis. This chapter provides a start at some of that broader debates. It focuses on matters of civil regulation, since people found to be insane in a criminal context raise rather different issues. At issue are the broader pictures: how did we get to our current legal and political position regarding mental health, and in particular how novel are the problems we face; and what sort of a Mental Health Act do we want? On the latter point, the premise is that consistently with the developing law and politics of human rights, legislation should not inappropriately discriminate on the basis of mental disability.
Vicky Long
- Published in print:
- 2014
- Published Online:
- May 2015
- ISBN:
- 9780719085819
- eISBN:
- 9781781706404
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719085819.003.0006
- Subject:
- History, History of Science, Technology, and Medicine
This chapter explores the interactions of voluntary, professional and state provision in the field of mental health throughout the period 1870 to 1970, focusing on the Mental After Care Association: ...
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This chapter explores the interactions of voluntary, professional and state provision in the field of mental health throughout the period 1870 to 1970, focusing on the Mental After Care Association: the only voluntary group in this sector whose history spans the entire period under study. This long, unbroken chronology offers an unrivalled opportunity to explore how it affected, and was in turn affected by, other agents in the field of mental health, illuminating the interconnections between state provision, healthcare professionals, patients/service users, the public and voluntarism. The chapter explores how the Association represented mental illness when trying to solicit public support, and demonstrates how professional groups worked through the Association to advance their objectives. The strategies adopted by the Association in different eras are contextualising by drawing a comparison to the path taken by the National Association for Mental Health.Less
This chapter explores the interactions of voluntary, professional and state provision in the field of mental health throughout the period 1870 to 1970, focusing on the Mental After Care Association: the only voluntary group in this sector whose history spans the entire period under study. This long, unbroken chronology offers an unrivalled opportunity to explore how it affected, and was in turn affected by, other agents in the field of mental health, illuminating the interconnections between state provision, healthcare professionals, patients/service users, the public and voluntarism. The chapter explores how the Association represented mental illness when trying to solicit public support, and demonstrates how professional groups worked through the Association to advance their objectives. The strategies adopted by the Association in different eras are contextualising by drawing a comparison to the path taken by the National Association for Mental Health.
Kenneth McLaughlin
- Published in print:
- 2008
- Published Online:
- March 2012
- ISBN:
- 9781847420459
- eISBN:
- 9781447303572
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781847420459.003.0005
- Subject:
- Social Work, Social Policy
This chapter is about statutory mental health social work, particularly in relation to the contemporary concern with risk management and risk minimisation. Social work here is seen as having a ...
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This chapter is about statutory mental health social work, particularly in relation to the contemporary concern with risk management and risk minimisation. Social work here is seen as having a primary role in the assessment of risk. By discussing the wider societal preoccupation with risk avoidance, its incorporation into social policy and social work can be highlighted, providing a clear example of where social work practice cannot be divorced from wider societal trends. A new Mental Health Act that amends the 1983 Act has been influenced, to a large extent, by high-profile tragedies where psychiatric patients have killed themselves or others. By discussing the actual threat posed by such people, it can be shown that the fear outweighs the reality of danger, and the dangers to civil liberties inherent in the proposed changes can be highlighted. This chapter also focuses on the increase in coercive measures by social workers under the Mental Health Act of 1983.Less
This chapter is about statutory mental health social work, particularly in relation to the contemporary concern with risk management and risk minimisation. Social work here is seen as having a primary role in the assessment of risk. By discussing the wider societal preoccupation with risk avoidance, its incorporation into social policy and social work can be highlighted, providing a clear example of where social work practice cannot be divorced from wider societal trends. A new Mental Health Act that amends the 1983 Act has been influenced, to a large extent, by high-profile tragedies where psychiatric patients have killed themselves or others. By discussing the actual threat posed by such people, it can be shown that the fear outweighs the reality of danger, and the dangers to civil liberties inherent in the proposed changes can be highlighted. This chapter also focuses on the increase in coercive measures by social workers under the Mental Health Act of 1983.
Graham Noyce
- Published in print:
- 2012
- Published Online:
- May 2013
- ISBN:
- 9781447300205
- eISBN:
- 9781447307778
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447300205.003.0004
- Subject:
- Social Work, Crime and Justice
The idea of dual diagnosis is investigated and what care pathways are available to offenders who have been identified as dually diagnosed clients (DDCs) under the Mental Health Act 1983. The problems ...
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The idea of dual diagnosis is investigated and what care pathways are available to offenders who have been identified as dually diagnosed clients (DDCs) under the Mental Health Act 1983. The problems of working with conditions that have no statutory definition and in care pathways that are defined by exclusion criteria are discussed. The centrality of risk and its impact on the care pathway available to this group is also examined in this framework. Risk thresholds determine changes in dual diagnosis terminology, which can be used to enable hospital treatment via legal mechanisms; a process that is also influenced by the media and MAPPA.Less
The idea of dual diagnosis is investigated and what care pathways are available to offenders who have been identified as dually diagnosed clients (DDCs) under the Mental Health Act 1983. The problems of working with conditions that have no statutory definition and in care pathways that are defined by exclusion criteria are discussed. The centrality of risk and its impact on the care pathway available to this group is also examined in this framework. Risk thresholds determine changes in dual diagnosis terminology, which can be used to enable hospital treatment via legal mechanisms; a process that is also influenced by the media and MAPPA.
Ruth G. McRoy, Jerry P. Flanzer, and Joan Levy Zlotnik
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195399646
- eISBN:
- 9780199932757
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195399646.003.0002
- Subject:
- Social Work, Research and Evaluation
Chapter Two provides an historical overview of national social work research capacity – building efforts, especially in the context of the roles of national social work organizations and the National ...
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Chapter Two provides an historical overview of national social work research capacity – building efforts, especially in the context of the roles of national social work organizations and the National Institutes of Health (NIH). It provides a brief history of the development of social work research, the widening funding base for social work research and the impact of university research culture on the social work field, particularly as universities have turned their attention to community development and needs. The authors describe the significant impact of the Task Force on Social Work Research, the significant roles of social work professional organizations, and the development of doctoral education programs towards meeting the need for an increasing social work knowledge base to address the demand for evidence based practice.Less
Chapter Two provides an historical overview of national social work research capacity – building efforts, especially in the context of the roles of national social work organizations and the National Institutes of Health (NIH). It provides a brief history of the development of social work research, the widening funding base for social work research and the impact of university research culture on the social work field, particularly as universities have turned their attention to community development and needs. The authors describe the significant impact of the Task Force on Social Work Research, the significant roles of social work professional organizations, and the development of doctoral education programs towards meeting the need for an increasing social work knowledge base to address the demand for evidence based practice.
Anita Everett, Su Yeon Lee-Tauler, and Tanner Bommersbach
- Published in print:
- 2019
- Published Online:
- June 2019
- ISBN:
- 9780190916602
- eISBN:
- 9780190916640
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780190916602.003.0016
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter reviews the history and current status of community behavioral health organizations (CBHOs) in the United States. The vast majority of individuals receiving behavioral health care today ...
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This chapter reviews the history and current status of community behavioral health organizations (CBHOs) in the United States. The vast majority of individuals receiving behavioral health care today are served by outpatient community settings, with only a small proportion receiving care in inpatient facilities. This chapter provides an understanding of the vital role CBHOs play in providing both therapeutic and rehabilitative services to some of the nation’s most vulnerable citizens. It outlines the origins of CBHOs within the publicly funded health care system in the United States, provides examples of available programs and services, and delineates the range of challenges faced by contemporary CBHOs as they strive to meet the needs of people with serious mental illnesses.Less
This chapter reviews the history and current status of community behavioral health organizations (CBHOs) in the United States. The vast majority of individuals receiving behavioral health care today are served by outpatient community settings, with only a small proportion receiving care in inpatient facilities. This chapter provides an understanding of the vital role CBHOs play in providing both therapeutic and rehabilitative services to some of the nation’s most vulnerable citizens. It outlines the origins of CBHOs within the publicly funded health care system in the United States, provides examples of available programs and services, and delineates the range of challenges faced by contemporary CBHOs as they strive to meet the needs of people with serious mental illnesses.
Anne E. Parsons
- Published in print:
- 2018
- Published Online:
- May 2019
- ISBN:
- 9781469640631
- eISBN:
- 9781469640655
- Item type:
- chapter
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469640631.003.0002
- Subject:
- History, American History: 20th Century
This chapter explores how in the 1940s, mental hospitals comprised land, buildings, and workforces used by the states to feed and house hundreds of thousands of people. Conscientious objectors who ...
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This chapter explores how in the 1940s, mental hospitals comprised land, buildings, and workforces used by the states to feed and house hundreds of thousands of people. Conscientious objectors who did service work at mental hospitals in lieu of military conscription founded the National Mental Health Foundation. They also collaborated with journalists to craft exposés about concentration camp–like conditions in hospitals. The author and former patient Mary Jane Ward published her book The Snake Pit, in which she argued against the loss of freedom that people with mental illness experienced. Policy makers responded to this anti-institutionalism by implementing mental health reforms that made hospitals larger and more therapeutic, and kept involuntary commitments intact. These initiatives made up the early stages of deinstitutionalization.Less
This chapter explores how in the 1940s, mental hospitals comprised land, buildings, and workforces used by the states to feed and house hundreds of thousands of people. Conscientious objectors who did service work at mental hospitals in lieu of military conscription founded the National Mental Health Foundation. They also collaborated with journalists to craft exposés about concentration camp–like conditions in hospitals. The author and former patient Mary Jane Ward published her book The Snake Pit, in which she argued against the loss of freedom that people with mental illness experienced. Policy makers responded to this anti-institutionalism by implementing mental health reforms that made hospitals larger and more therapeutic, and kept involuntary commitments intact. These initiatives made up the early stages of deinstitutionalization.
Colin Palfrey
- Published in print:
- 2018
- Published Online:
- January 2019
- ISBN:
- 9781447341239
- eISBN:
- 9781447341277
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447341239.003.0006
- Subject:
- Public Health and Epidemiology, Public Health
This chapter examines health promotion campaigns and policies designed to raise the profile of mental health, and more specifically to help those suffering from mental illness. It begins with an ...
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This chapter examines health promotion campaigns and policies designed to raise the profile of mental health, and more specifically to help those suffering from mental illness. It begins with an overview of mental illnesses such as schizophrenia, depression, anxiety, obsessive compulsive disorder, post-traumatic stress disorder, eating disorders, and personality disorders. It then considers the NHS policy on mental health; the mental health promotion strategies in the UK, including the Scottish Health Survey of 2016, the All Wales Mental Health Promotion Network, and the Mental Health Foundation report in Northern Ireland; the implications of the coexistence of physical and mental illness for policy makers and practitioners; and mental health charities such as Anxiety UK, Centre for Mental Health, Rethink Mental Illness, SANE and Time to Change. The chapter also discusses various mental health promotion strategies throughout the UK, locations for mental health promotion, and economic evaluations of mental health promotion.Less
This chapter examines health promotion campaigns and policies designed to raise the profile of mental health, and more specifically to help those suffering from mental illness. It begins with an overview of mental illnesses such as schizophrenia, depression, anxiety, obsessive compulsive disorder, post-traumatic stress disorder, eating disorders, and personality disorders. It then considers the NHS policy on mental health; the mental health promotion strategies in the UK, including the Scottish Health Survey of 2016, the All Wales Mental Health Promotion Network, and the Mental Health Foundation report in Northern Ireland; the implications of the coexistence of physical and mental illness for policy makers and practitioners; and mental health charities such as Anxiety UK, Centre for Mental Health, Rethink Mental Illness, SANE and Time to Change. The chapter also discusses various mental health promotion strategies throughout the UK, locations for mental health promotion, and economic evaluations of mental health promotion.
Timothy A. Kelly
- Published in print:
- 2009
- Published Online:
- March 2016
- ISBN:
- 9780814748121
- eISBN:
- 9780814749104
- Item type:
- chapter
- Publisher:
- NYU Press
- DOI:
- 10.18574/nyu/9780814748121.003.0002
- Subject:
- Psychology, Social Psychology
This chapter discusses the importance of clinical outcome data in improving the quality of care for those struggling with serious mental illness so that they can have a life of recovery in their home ...
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This chapter discusses the importance of clinical outcome data in improving the quality of care for those struggling with serious mental illness so that they can have a life of recovery in their home community. It first provides an overview of clinical outcome data and clinical outcome research before emphasizing the importance of outcome-oriented and evidence-based practice in the field of mental health, along with the reasons why providers are reluctant to use outcome measures. It then evaluates Virginia's outcome-oriented pilot project called the Performance Outcomes Measurement System, the Substance Abuse and Mental Health Services Administration's national outcome measures for mental health services, and the New Freedom Commission on Mental Health's identification of major problems in the mental health service system and potential solutions. It concludes by presenting recommendations aimed at transforming America's mental health service system.Less
This chapter discusses the importance of clinical outcome data in improving the quality of care for those struggling with serious mental illness so that they can have a life of recovery in their home community. It first provides an overview of clinical outcome data and clinical outcome research before emphasizing the importance of outcome-oriented and evidence-based practice in the field of mental health, along with the reasons why providers are reluctant to use outcome measures. It then evaluates Virginia's outcome-oriented pilot project called the Performance Outcomes Measurement System, the Substance Abuse and Mental Health Services Administration's national outcome measures for mental health services, and the New Freedom Commission on Mental Health's identification of major problems in the mental health service system and potential solutions. It concludes by presenting recommendations aimed at transforming America's mental health service system.
Paula Murphy and Tim Exworthy
- Published in print:
- 2014
- Published Online:
- November 2020
- ISBN:
- 9780199665662
- eISBN:
- 9780191918322
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780199665662.003.0017
- Subject:
- Clinical Medicine and Allied Health, Psychiatry
Mental health law is concerned with the legislation governing the management and treatment of people with a mental disorder. It includes the detention and treatment ...
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Mental health law is concerned with the legislation governing the management and treatment of people with a mental disorder. It includes the detention and treatment of patients and covers consent to treatment, mental capacity, deprivation of liberty, human rights, and ethical issues. The law is necessary to safeguard the interests of the patients and also to protect the public from potentially serious harm from a mentally disordered offender. It is crucial that mental health practitioners understand the relevant legislation to ensure that they are practising within the realms of the law and also so that they can offer help and advice to patients and carers if required to do so. Mental health legislation is constantly evolving and there are always challenges and changes to existing legislation, so practitioners need to keep up to date with new statutory legislation and case law. An example of this is the Mental Health Act (MHA) 1983, which was amended by the MHA 2007, and amended again by the Health and Social Care Act 2012. In addition, the Mental Capacity Act 2005 was a new statute which came into force in 2007, alongside Deprivation of Liberty Safeguards. There are Codes of Practice for the MHA, the Mental Capacity Act, and the Deprivation of Liberty Safeguards. These provide supplementary guidance on good practice. Mental health practitioners need to take account of the Codes of Practice in their work. Mental health law can be a complex and challenging area, even for the most knowledgeable and experienced practitioners. Most organizations will have an MHA administrator and/or a legal advisor who can provide advice and guidance in matters of uncertainty.
Less
Mental health law is concerned with the legislation governing the management and treatment of people with a mental disorder. It includes the detention and treatment of patients and covers consent to treatment, mental capacity, deprivation of liberty, human rights, and ethical issues. The law is necessary to safeguard the interests of the patients and also to protect the public from potentially serious harm from a mentally disordered offender. It is crucial that mental health practitioners understand the relevant legislation to ensure that they are practising within the realms of the law and also so that they can offer help and advice to patients and carers if required to do so. Mental health legislation is constantly evolving and there are always challenges and changes to existing legislation, so practitioners need to keep up to date with new statutory legislation and case law. An example of this is the Mental Health Act (MHA) 1983, which was amended by the MHA 2007, and amended again by the Health and Social Care Act 2012. In addition, the Mental Capacity Act 2005 was a new statute which came into force in 2007, alongside Deprivation of Liberty Safeguards. There are Codes of Practice for the MHA, the Mental Capacity Act, and the Deprivation of Liberty Safeguards. These provide supplementary guidance on good practice. Mental health practitioners need to take account of the Codes of Practice in their work. Mental health law can be a complex and challenging area, even for the most knowledgeable and experienced practitioners. Most organizations will have an MHA administrator and/or a legal advisor who can provide advice and guidance in matters of uncertainty.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0003
- Subject:
- Sociology, Gerontology and Ageing
Positive mental health is a prerequisite for a good quality of life across the whole lifespan. It is an overarching concept, which intersects with a number of related concepts, psychological ...
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Positive mental health is a prerequisite for a good quality of life across the whole lifespan. It is an overarching concept, which intersects with a number of related concepts, psychological wellbeing, successful ageing and quality of life. Good mental health is increasingly understood as a combination of an individual’s personality, environment and lifecourse; it is also dynamic. Older people consider it to be characterised by: a sense of wellbeing, capacity to make and sustain relationships, ability to meet the challenges which later life brings, and ability to contribute both economically and socially. Mental health is viewed as equally important as physical health. Research identifies the core dimensions of mental health, and its sister concepts, as: resilience, remaining active and involved, having a purpose or role, being able to engage in social relationships, independence, keeping fit, having an adequate income, autonomy and self-efficacy. Survey evidence consistently shows that more than 85 per cent of older people have ‘good’ quality of life. One of the challenges of assessing and measuring quality of life, and related constructs, is capturing the intersection between the subjective and the objective. The promotion of mental health is increasingly recognised as a legitimate goal of social policy.Less
Positive mental health is a prerequisite for a good quality of life across the whole lifespan. It is an overarching concept, which intersects with a number of related concepts, psychological wellbeing, successful ageing and quality of life. Good mental health is increasingly understood as a combination of an individual’s personality, environment and lifecourse; it is also dynamic. Older people consider it to be characterised by: a sense of wellbeing, capacity to make and sustain relationships, ability to meet the challenges which later life brings, and ability to contribute both economically and socially. Mental health is viewed as equally important as physical health. Research identifies the core dimensions of mental health, and its sister concepts, as: resilience, remaining active and involved, having a purpose or role, being able to engage in social relationships, independence, keeping fit, having an adequate income, autonomy and self-efficacy. Survey evidence consistently shows that more than 85 per cent of older people have ‘good’ quality of life. One of the challenges of assessing and measuring quality of life, and related constructs, is capturing the intersection between the subjective and the objective. The promotion of mental health is increasingly recognised as a legitimate goal of social policy.
