By Paul I. Ahmed, Stanley C. Plog (auth.), Paul I. Ahmed, Stanley C. Plog (eds.)
The Nineteen Seventies represent the last decade of choices approximately country psychological hospi tals! those huge, monolithic, and probably impervious associations are being phased out in a few states and their simple objective for exis tence is being heavily puzzled in just about all others. due to the fact 1970, hospitals have closed in California, Illinois, Kentucky, Massachusetts, Minnesota, ny, Oklahoma, Washington, and Wisconsin. Simi lar closings have happened in numerous provinces of Canada, in nice Britain, and in a few ecu nations. the aim of the e-book is to ascertain the a number of concerns transforming into out of the clinic closings: Why are the kingdom hospitals being closed? what's the impression of closings on sufferers, health facility employees, and the groups the place the hospitals can be found? What has been the effect at the groups receiving those sufferers? What are the traits for the long run, by way of numbers of closings and kinds of hospitals as a way to stay? Is there a task for the country sanatorium within the care of the mentally sick or is it an out of date establishment? The impetus for the closings is varied. the invention and extensive unfold use of the tranquilizing medications within the early Nineteen Fifties allowed extra sufferers to be back to the community-under medication.
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To think otherwise is to do an injustice to the patient as an individual and a disservice to ourselves as professionals. 42 STEPHEN RACHLIN To set up the equation "community-based versus hospital-based" serves only to create a pseudodichotomy. It is patently apparent that both modalities have been, are, and will continue to be essential components of a total service delivery system. The controversy needs to be laid to rest and the rhetoric abandoned. A full and equal partnership between the state hospital and the community agencies is imperative if any meaningful goals are to be achieved.
University Counseling Center, Colgate University, Hamilton, New York 13346. 45 46 PAUL R. DINGMAN been the basis of the initial success. Decline in the quality of care provided was immediately evident. Perhaps the whole plan of care by state hospitals should have been abandoned at that time along with the existing facilities. But it was not. Despite its obvious weaknesses, the plan expanded rapidly and continued to expand for over 100 years. In that period, there were many undesirable developments.
4. Has the patient used pathological behavior in an attempt to cope with his exacerbation (excessive use of alcohol or drugs, malnutrition, exhaustion) to such an extent that treatment is now necessary to correct secondary problems? 5. Has there been a loss of a major source of support, through death or other circumstances not brought about by the patient? In considering this indication for crisis care, hospitalization is the least desirable alternative. 6. Does the patient need to be protected from self-destruction or from hurting others?