Mental Health Care In Modern England

Opened in 1814 as a pioneer county pauper institution, the Norfolk Lunatic Asylum, later St Andrew's Hospital, provided psychiatric care until 1998. It's history covers two centuries of different approaches to mental health care, reorganisations & disturbing events during times of national emergency.

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The authors explore theoretical developments and policy and practice initiatives in the complex and changing area of mental health services. They examine the tensions, dilemmas and opportunities now operating, including those relating to gender and ethnicity and places the involvement of users/survivors centre stage. Identifying and discussing the tensions between different professional models, varying ‘social’ perspectives and political imperatives, the book explores how these tensions are manifested in practice. Key topics include: the emphasis on risk as opposed to citizenship and entitlement social exclusion and inclusion professional and user perspectives the ‘territories’ of health and social care and their respective roles and relationships. An important theme running throughout is the critical appraisal of perspectives concerning gender, ethnicity and sexuality, drawing out wider issues of power and inequality. This book makes ideas and theoretical policy material accessible and applicable, and is a key text for students and practitioners in mental health, social work and social care.

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Approaches regarding safeguarding and mental health in childhood have been in constant flux. Framed within a critical realist ontology, this book provides insight into causal factors (individual, material, institutional) and social structures that impact on the continued legacy of the ‘deserving/undeserving' paradigm. Drawing on historical data from children taken into care by the Waifs and Strays Society (1881–1918) and contemporary data from interviews with young care leavers and safeguarding practitioners/professionals, this book shows how at present and in the past, certain children and families miss(ed) out on support and interventions due to complex needs, financial cuts and ever-changing thresholds. It is the group of children referred to as ‘victims’, a term used for the most disadvantaged children who have spent time in care, have complex mental health needs and have had the most damaging pre-care family experiences, who are the focus of this book. This book shows that in an attempt to provide services where there are ever increasing thresholds for access and cuts to resources, a resurgence of the ‘deserving/undeserving’ paradigm reflects a contemporary justification regarding who is 'entitled' to help and who is not. This book will be of interest to all scholars and students of social work, social policy, childhood studies, sociology and education policy.

In Mental Health and Canadian Society leading researchers challenge generalisations about the mentally ill and the history of mental health in Canada. Considering the period from colonialism to the present, they examine such issues as the rise of the insanity plea, the Victorian asylum as a tourist attraction, the treatment of First Nations people in western mental hospitals, and post-World War II psychiatric research into LSD.

This open access book demonstrates that, while occupation has been used to treat the mentally disordered since the early nineteenth century, approaches to its use have varied across different countries and in different time periods. Comparing how occupation was used in French and English mental institutions between 1918 and 1939, one hundred years after the heyday of moral therapy, the book is an essential read for those researching the history of mental health and medicine more generally. It provides an overview of the legislation, management structures and financial conditions that affected mental institutions in France and England, and contributed to their differing responses to the new theories of occupational therapy emerging from the USA and Germany during the interwar period.

The advent of socialized medicine in Great Britain after World War II brought the government into the doctor-patient relationship as an official third party. This development encouraged experimentation on a national scale with many therapeutic techniques which resulted in innovative approaches to the care and management of mental patients. This book is a survey, through the eyes of an experienced American psychiatrist-educator- administrator, of community mental health services in England. It is based on a study which he made during a three-month visit to the Tavistock Institute, London, in 1969, and a subsequent visit in 1971. Dr. Norman Rosenzweig describes the background and context of mental health services, the service elements, and the ways in which they differ from those familiar to most Americans, pointing up the overall contrast between British and American systems of mental health care and social organization. In addition to his specific and candid descriptions of programs and hospitals that he observed, he offers an in-depth study of the community mental health and related services available to Camden Borough, London. For the American health care professional, this book provides an understanding of a system of mental health care significantly different from his own. For his British counterpart, it offers some insights as to how British programs appear to a sophisticated American observer, and brings into focus a critical perspective of problems confronted, and yet to be resolved.