50 Years after Deinstitutionalization

Mental Illness in Contemporary Communities

Brea L. Perry

Emerald

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9781785604034

28 July 2016

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9781785604027

28 July 2016

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Throughout the 1960’s and 1970’s, a revolution in mental health policy and practice known as deinstitutionalization occurred in Europe and the US. This movement was catalyzed by criticisms of psychiatric institutions and resulted in the release of thousands of people with serious mental illness from long-term care facilities into the community. It is acknowledged that these reforms held great promise, but have had numerous unintended negative consequences. Moreover, deinstitutionalization has strained the resources and reach of community-based mental health treatment systems, spilling into other institutions such as criminal justice and education. Volume 17 of Advances in Medical Sociology will examine deinstitutionalization’s legacies approximately 50 years after reintegration began, turning a critical lens toward contemporary problems and solutions related to mental illness in countries where reform occurred. This volume will highlight pressing issues around mental health treatment, social and health policy, and the lived experiences of people and families coping with mental illness that were or continue to be significantly influenced by deinstitutionalization reforms.

Introduction: Legacies of Deinstitutionalization Through the Lens of Medical Sociology PART I: TAKING STOCK OF THE PAST AND LOOKING TOWARD THE FUTURE Same Problem, Different Century: Issues in Recreating the Functions of Public Psychiatric Hospitals in Community-Based Settings - William H. Fisher, Jeffrey L. Geller and Dana L. McMannus “Forever Children” and Autonomous Citizens: Comparing the Deinstitutionalizations of Psychiatric Patients and Developmentally Disabled Individuals in the United States - Adrianna Bagnall and Gil Eyal An Institutional Analysis of Public Sector Mental Health in the Post-Deinstitutionalization Era - Teresa L. Scheid PART II: COMMUNITY REINTEGRATION AND THE SOCIAL ENVIRONMENT Social Environment and Mental Illness: The Progress and Paradox of Deinstitutionalization - Russell K. Schutt The Revolving Door: Patient Needs and Network Turnover During Mental Health Treatment - Will R. Mcconnell and Brea L. Perry Understandings of Community Among People Using Publicly Funded Community Mental Health Services - Alisa K. Lincoln and Wallis E. Adams PART III: CONFRONTING STIGMA AND ITS CONSEQUENCES Revisiting the Relationships Among Community Mental Health Services, Stigma, and Well-Being - Kristen Marcussen and Christian Ritter The Self-Stigma of Psychiatric Patients: Implications for Identities, Emotions, and the Life Course - Sarah K. Harkness, Amy Kroska and Bernice A. Pescosolido The “Dignity of the Sick”: Managing Social Stigma by Mental Patients in the Community - Nana Tuntiya PART IV: BIOMEDICALIZATION IN THE ERA OF COMMUNITY MENTAL HEALTH Borderline Personality Disorder and the Biomedical Mismatch - Sandra H. Sulzer, Gracie Jackson and Ashelee Yang Soldier, Elder, Prisoner, Ward: Psychotropics in the Era of Transinstitutionalization - Anthony R. Hatch, Marik Xavier-Brier, Brandon Attell and Eryn Viscarra

Edited by Brea L. Perry, Department of Sociology, Indiana University, Bloomington, IN, USA