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OverviewThe distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives.Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of ""community care,"" Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. Full Product DetailsAuthor: Gerald N. GrobPublisher: Princeton University Press Imprint: Princeton University Press Volume: 1217 Dimensions: Width: 15.20cm , Height: 2.40cm , Length: 22.90cm Weight: 0.765kg ISBN: 9780691631264ISBN 10: 0691631263 Pages: 434 Publication Date: 19 April 2016 Audience: College/higher education , Professional and scholarly , Tertiary & Higher Education , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: Manufactured on demand  We will order this item for you from a manufactured on demand supplier. Language: English Table of Contents*FrontMatter, pg. i*Contents, pg. vii*Illustrations, pg. ix*Tables, pg. xi*Preface, pg. xiii*Abbreviations Used in Text, pg. xvii*Prologue, pg. 1*CHAPTER ONE. The Lessons of War, 1941-1945, pg. 5*CHAPTER TWO. The Reorganization of Psychiatry, pg. 24*CHAPTER THREE. Origins of Federal Intervention, pg. 44*CHAPTER FOUR. Mental Hospitals under Siege, pg. 70*CHAPTER FIVE. The Mental Health Professions: Conflict and Consensus, pg. 93*CHAPTER SIX. Care and Treatment: Changing Views, pg. 124*CHAPTER SEVEN. Changing State Policy, pg. 157*CHAPTER EIGHT. A National Campaign: The Joint Commission on Mental Illness and Health, pg. 181*CHAPTER NINE. From Advocacy to Policy, pg. 209*CHAPTER TEN. From Institution to Community, pg. 239*CHAPTER ELEVEN. Challenges to Psychiatric Legitimacy, pg. 273*Epilogue, pg. 302*Notes, pg. 305*Selected Sources, pg. 375*Index, pg. 393ReviewsOne of Choice's Outstanding Academic Titles for 1992 Grob's extensively researched book is the most comprehensive study to date of the evolution of public policy toward the mentally ill during a crucial time of change. --Bulletin of the History of Medicine Author InformationTab Content 6Author Website:Countries AvailableAll regions |
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