APRIL+8+MENTALHOSPITALS

APRIL+8+MENTALHOSPITALS - moral treatment in calm and...

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US PUBLIC INPATIENT 1830- 1955 0 100 200 300 400 500 600 1830 1875 1920 1955 residents
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PUBLIC INPATIENT 1955-2006 0 100 200 300 400 500 600 1955 1970 1990 2006 residents
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TRANSFORMATION IN 20th CENTURY Cuckoo’s Nest Public mental hospitals central Long inpatient stays – “chronics” More social control than treatment No patient rights Voluntaries Institutionalism
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NO PLACE ON EARTH FOR ME Sylvia Frumkin Short hospital stays Long stays in community Much less social control More patient rights Hard to enter voluntarily Anti-institutionalism
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TRANSFORMATION Incredibly short period – Cuckoo’s Nest in 1963 (1975); Frumkin in 1978 (1982) What was transformation? Reasons for transformation .
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I . 1800-1850 Arose in US about 1800 Previously family responsibility If no family exiled or jailed Mental hospitals initially humane reform
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ENLIGHTENMENT PHILOSOPHY Remove people from stressful environment Put in country settings – isolated from family and community Provide
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Unformatted text preview: moral treatment in calm and restful environment Mainly middle and upper class clients TRANSFORMATION (1850-1950) Growth of population Became huge bureaucracies No effective treatments Focus on management and control PATIENTS 1850-1955 Poor, immigrant, elderly Long stays, high death rates Chronic conditions schizophrenia, syphilis, alcoholism Institutionalism: apathy, adjustment, dont want to leave SUMMARY AS OF 1955 Large isolated institutions Custodial with little treatment Long stays, few releases, many elderly No alternatives III. DI (1955 - PRESENT) Remove patients from hospital, admit fewer patients, use of community treatment Begins in 1955 reverses 150 year old trend Controversial homelessness, neglect, crime PUBLIC INPATIENT 1955-2006 100 200 300 400 500 600 1955 1970 1990 2006 residents admit...
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This note was uploaded on 11/20/2011 for the course SOCIOLOGY 920:307 taught by Professor Horwitz during the Spring '10 term at Rutgers.

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APRIL+8+MENTALHOSPITALS - moral treatment in calm and...

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