Article ID: CBB968247845

Happenstance and regulatory culture: the evolution of innovative community mental health services in Oxfordshire in the late twentieth century (2023)

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Neil Armstrong (Author)
Peter Agulnik (Author)


History of Psychiatry
Volume: 34
Issue: 1
Pages: 64-77
Publication date: 2023
Language: English


This paper uses co-produced historical material to explore the evolution of two innovative mental healthcare institutions that emerged in Oxfordshire in the 1960s. We highlight how the trajectories of both institutions were driven by chance events occurring within social environments, rather than emerging out of evidence or policy initiatives. Both institutions found a role for spontaneity and an openness to chance in the way they worked. We argue that this kind of institutional history would be unlikely today; the paper develops and uses the concept of regulatory culture to explain why. We suggest that the role of regulatory culture has been neglected in the history of psychiatry.

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Article John Hall; Neil Armstrong; Peter Agulnik; Craig Fees; David Kennard; Jonathan Leach; David Millard (2023) The processes and context of innovation in mental healthcare: Oxfordshire as a case study. History of Psychiatry (pp. 3-16). unapi

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Authors & Contributors
Hall, John
Jonathan Leach
Craig Fees
Neil Armstrong
Peter Agulnik
David Kennard
Journals
History of Psychiatry
Gesnerus
História, Ciências, Saúde---Manguinhos
History of Psychology
Journal of American Culture
Perspectives in Biology and Medicine
Publishers
Grand Central Publishing
Oxford University Press
Penguin
Weidenfeld & Nicolson
Concepts
Psychiatric hospitals
Psychiatry
Therapeutic practice; therapy; treatment
Mental disorders and diseases
Institutionalization
Patients
People
David Millard
Rosenhan, David
Time Periods
20th century, late
21st century
19th century
Places
Oxford (England)
United States
England
Brazil
Great Britain
Israel
Institutions
National Health Service (Great Britain)
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