ABSTRACT

Originally published in 1985, at a time when the previous 2 decades had witnessed dramatic changes in the US mental health system. These included the decline of the state mental hospital, the birth of the community mental health center and the expansion of psychiatric services in general hospitals. The inevitable results of the changes were the creation of a huge nursing home population of the chronically mentally ill, and the multiplication of urban ‘street people’. Mental health care is uncoordinated and underfunded. The historical roots of these problems are examined in this book which is designed both as a professional reference volume and as a text for students in the sociology of mental health and illness. The contributors are drawn from diverse fields, including sociology, psychiatry, psychology, epidemiology and social history.

chapter |10 pages

Introduction

part I|88 pages

Historical and conceptual concerns

part II|114 pages

The changing mental health system

part III|72 pages

Providers and treatments

chapter |3 pages

Introduction

chapter Chapter 11|17 pages

Medical dominance

Psychoactive drugs and mental health policy * †

part IV|123 pages

Alternatives to traditional mental health services

chapter |5 pages

Introduction

chapter Chapter 14|12 pages

Self-help and mental health *

chapter Chapter 15|15 pages

Inside the Mental Patients' Association *