IsisCB Explore

Article ID: CBB956009030

"Community Care": Historical Perspective on Deinstitutionalization (2021)

Scull, Andrew T. (Author)

Perspectives in Biology and Medicine
Volume: 64
Issue: 1
Pages: 70-81
Publication date: 2021

URI: http://muse.jhu.edu/article/785093

DOI: 10.1353/pbm.2021.0006

Outside Links

WorldCat

JSTOR

Neoliberalism Medicine and politics Psychiatric hospitals Rhetorical analysis Mental disorders and diseases Psychiatry Institutionalization 21st century 20th century, late

This article examines the discrepancies between the rhetoric surrounding deinstitutionalization and community care and the reality of the abandonment of the seriously mentally ill to their fate. It discusses how the earlier commitment to the asylum came to be abandoned, analyzes various attempts to explain why the mentally ill were decanted from institutions into a largely unreceptive community, and dissects the shortcomings of these actions. The realities of care in the community and the connections of deinstitutionalization to the collapse of public psychiatry, the epidemic of homelessness, and the place of jails as our primary in-patient response to serious mental illness are explored, as is the curious political coalition that endorsed the end of the asylum. The connections of deinstitutionalization to the rise of neoliberal ideas are documented, and the impact of the changed public policy on the life expectancy of those with serious mental illness is analyzed.

...More

Citation URI

data.isiscb.org/p/isis/citation/CBB956009030

This citation is part of the Isis database.

Citations Indexes

Similar Citations

Article Vicky Long; (2017)
‘Heading up a blind alley’? Scottish psychiatric hospitals in the era of deinstitutionalization (/p/isis/citation/CBB926646284/)

Article Baum, Emily Lauren; Zhuyun Lin; (2022)
Maoism and mental illness: Psychiatric institutionalization during the Chinese Cultural Revolution (/p/isis/citation/CBB101524488/)

Book Annie Bartlett; (2016)
Secure Lives: The Meaning and Importance of Culture in Secure Hospital Care (/p/isis/citation/CBB835568937/)

Article Liselotte Eriksson; Johan Junkka; Glenn Sandström; Lotta Vikström; (2022)
Supply or demand? Institutionalization of the mentally ill in the emerging Swedish welfare state, 1900–59 (/p/isis/citation/CBB007033408/)

Book Sarah Ann Pinto; (2018)
Lunatic Asylums in Colonial Bombay: Shackled Bodies, Unchained Minds (/p/isis/citation/CBB126077328/)

Article Mario Augusto Maieron; (2018)
1978-2018. The Basaglia Law forty years after (/p/isis/citation/CBB956923730/)

Book Alexander Dunst; (2016)
Madness in Cold War America (/p/isis/citation/CBB039375782/)

Article Tyler Durns; (2021)
Do no harm in due process – a historical analysis of social determinates of institutionalization in the USA (/p/isis/citation/CBB164161061/)

Article Marcel Streng; (2020)
«Krass aus der Norm gefallen»? Das Konzept der «schweren Persönlichkeitsstörung» in der Auswahl männlicher Delinquenten für Sozialtherapeutische Anstalten in Nordrhein-Westfalen in den 1970er Jahren (/p/isis/citation/CBB232456863/)

Book Katie Kilroy-Marac; (2019)
An Impossible Inheritance: Postcolonial Psychiatry and the Work of Memory in a West African Clinic (/p/isis/citation/CBB222459534/)

Book Lynne Jones; (2018)
Outside the Asylum: A Memoir of War, Disaster and Humanitarian Psychiatry (/p/isis/citation/CBB369217636/)

Article Jabert, Alexander; (2005)
Formas de administração da loucura na Primeira República: o caso do estado do Espírito Santo (/p/isis/citation/CBB000640220/)

Book Susan Bartlett Foote; (2018)
The Crusade for Forgotten Souls: Reforming Minnesota's Mental Institutions, 1946–1954 (/p/isis/citation/CBB015908075/)

Article Leonardo Musci; (2019)
L’archivio di Franco e Franca Basaglia (/p/isis/citation/CBB359423830/)

Article Annacarla Valeriano; (2019)
Voci dalle cartelle. Alcune linee di ricerca dall’archivio storico del manicomio Sant’Antonio abate di Teramo (/p/isis/citation/CBB521766391/)

Article Ben Harris; (2021)
The Snake Pit: Mixing Marx with Freud in Hollywood (/p/isis/citation/CBB458115058/)

Book Lira; (2021)
Laboratory of Deficiency: Sterilization and confinement in California, 1900–1950s (/p/isis/citation/CBB688400608/)

Chapter Pickstone, John; (2012)
Radicalism, Neoliberalism and Biographical Medicine: Constructions of English Patients and Patient Histories around 1980 and Now (/p/isis/citation/CBB001214252/)

Book Catharine Coleborne; (2015)
Insanity, identity and empire: Immigrants and institutional confinement in Australia and New Zealand, 1873–1910 (/p/isis/citation/CBB231366413/)

Article Hilde Dahl; (2017)
‘Insane criminals’ and the ‘criminally insane’: criminal asylums in Norway, 1895–1940 (/p/isis/citation/CBB231193752/)