Durkheim: social support, emotional security, intimacy = good for mental health, social integration – ties to community Crisis Model : separation/divorce Selection Model : which came first? People with poor mental health are less likely to sustain/enter marriages or does the marriage come first?
***EXAM 3 20:50 laws and policies effect the values ex: equality and marriage values have changed about policies that effect the mentally ill first area of social policies that were developed = specialized treatment facilities separating criminals from mentally ill, notion about mental illness was that these are people who with the right kind of moral caretaking would be cured moral treatment =first philosophy for treatment – mental institutions goal was to remove people from stressful environments, put them in country setting, provide calm treatment, restful environment and that would help them People who went to these facilities = middle class and above Around this time we had a tremendous growth in the population, increase of jobs through industrialization, people became less tolerant of deviant behavior (mental illness was seen as a deviant behavior) More regiment and more control Economy = the larger they got, the more costly they were, much more costly to care for people with mental illness Professionalism = the professions who were caring, have to promote themselves and that they are valuable In these hospitals, the people who were running them were psychiatrists (medical field) to draw more attention “protect their turf” they were saying people need more services, more $$$$ etc. Therefore these facilities kept growing and growing – extremely large and buearacratic 1830 – less then 100,000 inpatient to 1955 – 500,000 institutions lower socio-economic status, immigrants, elderly there for long stays, high death rates, were serving people with chronic conditions (schizophrenia, alcoholism) developed a personality characteristic of “institutionalized” ***** p. 408********* regulated and ordered by a disciplinary system …. – 409
***EXAM 3 20:50 institutionalized personality – adapting to the environment – personality “helpless” Institutional to deinstitutionalization What changed? In big warehouses – more control then treatment Civil rights movement had to do with it Normalization principle – people have the right to be treated as normal as possible as much as possible, that should be our goal People have the right to be treated in the least restrictive environment States were running out of $$$, couldn’t keep putting their resources into these warehouses for the mentally ill Federal government then gave money to provide mental health services for people in the community Going to be set up as catchman areas, area that covered so many counties
- Spring '11