From asylum to community :: mental health policy in modern America /
The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public...
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Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
Princeton, New Jersey :
Princeton University Press,
[1991]
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Schriftenreihe: | Princeton legacy library
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Schlagworte: | |
Online-Zugang: | Volltext |
Zusammenfassung: | The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905 |
Beschreibung: | 1 online resource (433 pages) : illustrations |
Bibliographie: | Includes bibliographical references (pages 375-391) and index. |
ISBN: | 9781400862306 1400862302 |
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245 | 1 | 0 | |a From asylum to community : |b mental health policy in modern America / |c Gerald N. Grob. |
264 | 1 | |a Princeton, New Jersey : |b Princeton University Press, |c [1991] | |
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505 | 0 | 0 | |t Frontmatter -- |t Contents -- |t Illustrations -- |t Tables -- |t Preface -- |t Abbreviations Used in Text -- |t Prologue -- |t CHAPTER ONE. The Lessons of War, 1941-1945 -- |t CHAPTER TWO. The Reorganization of Psychiatry -- |t CHAPTER THREE. Origins of Federal Intervention -- |t CHAPTER FOUR. Mental Hospitals under Siege -- |t CHAPTER FIVE. The Mental Health Professions: Conflict and Consensus -- |t CHAPTER SIX. Care and Treatment: Changing Views -- |t CHAPTER SEVEN. Changing State Policy -- |t CHAPTER EIGHT. A National Campaign: The Joint Commission on Mental Illness and Health -- |t CHAPTER NINE. From Advocacy to Policy -- |t CHAPTER TEN. From Institution to Community -- |t CHAPTER ELEVEN. Challenges to Psychiatric Legitimacy -- |t Epilogue -- |t Notes -- |t Selected Sources -- |t Index. |
520 | |a The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905 | ||
546 | |a In English. | ||
650 | 0 | |a Mental health policy |z United States |x History |y 20th century. | |
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650 | 7 | |a POLITICAL SCIENCE |x Public Policy |x Social Security. |2 bisacsh | |
650 | 7 | |a POLITICAL SCIENCE |x Public Policy |x Social Services & Welfare. |2 bisacsh | |
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776 | 0 | 8 | |i Print version: |a Grob, Gerald N. |t From asylum to community : mental health policy in modern America. |d Princeton, New Jersey : Princeton University Press, [1991] |h xv, 406 pages, 8 unnumbered pages of plates ; 25 cm |k Princeton legacy library |z 9780691601618 |w (DLC) 10899089 |
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any_adam_object | |
author | Grob, Gerald N., 1931-2015 |
author_GND | http://id.loc.gov/authorities/names/n79073647 |
author_facet | Grob, Gerald N., 1931-2015 |
author_role | aut |
author_sort | Grob, Gerald N., 1931-2015 |
author_variant | g n g gn gng |
building | Verbundindex |
bvnumber | localFWS |
callnumber-first | R - Medicine |
callnumber-label | RA790 |
callnumber-raw | RA790.6 .G76 1991eb |
callnumber-search | RA790.6 .G76 1991eb |
callnumber-sort | RA 3790.6 G76 41991EB |
callnumber-subject | RA - Public Medicine |
collection | ZDB-4-EBA |
contents | Frontmatter -- Contents -- Illustrations -- Tables -- Preface -- Abbreviations Used in Text -- Prologue -- CHAPTER ONE. The Lessons of War, 1941-1945 -- CHAPTER TWO. The Reorganization of Psychiatry -- CHAPTER THREE. Origins of Federal Intervention -- CHAPTER FOUR. Mental Hospitals under Siege -- CHAPTER FIVE. The Mental Health Professions: Conflict and Consensus -- CHAPTER SIX. Care and Treatment: Changing Views -- CHAPTER SEVEN. Changing State Policy -- CHAPTER EIGHT. A National Campaign: The Joint Commission on Mental Illness and Health -- CHAPTER NINE. From Advocacy to Policy -- CHAPTER TEN. From Institution to Community -- CHAPTER ELEVEN. Challenges to Psychiatric Legitimacy -- Epilogue -- Notes -- Selected Sources -- Index. |
ctrlnum | (OCoLC)889252914 |
dewey-full | 362.2/0973 |
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dewey-ones | 362 - Social problems and services to groups |
dewey-raw | 362.2/0973 |
dewey-search | 362.2/0973 |
dewey-sort | 3362.2 3973 |
dewey-tens | 360 - Social problems and services; associations |
discipline | Soziologie |
era | 1900-1999 fast |
era_facet | 1900-1999 |
format | Electronic eBook |
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genre | History fast |
genre_facet | History |
geographic | United States https://id.nlm.nih.gov/mesh/D014481 United States fast https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq USA gnd http://d-nb.info/gnd/4078704-7 |
geographic_facet | United States USA |
id | ZDB-4-EBA-ocn889252914 |
illustrated | Illustrated |
indexdate | 2024-11-27T13:26:10Z |
institution | BVB |
isbn | 9781400862306 1400862302 |
language | English |
oclc_num | 889252914 |
open_access_boolean | |
owner | MAIN DE-863 DE-BY-FWS |
owner_facet | MAIN DE-863 DE-BY-FWS |
physical | 1 online resource (433 pages) : illustrations |
psigel | ZDB-4-EBA |
publishDate | 1991 |
publishDateSearch | 1991 |
publishDateSort | 1991 |
publisher | Princeton University Press, |
record_format | marc |
series2 | Princeton legacy library |
spelling | Grob, Gerald N., 1931-2015, author. https://id.oclc.org/worldcat/entity/E39PBJpJjbDfy6bXV86bwTfKBP http://id.loc.gov/authorities/names/n79073647 From asylum to community : mental health policy in modern America / Gerald N. Grob. Princeton, New Jersey : Princeton University Press, [1991] ©1991 1 online resource (433 pages) : illustrations text txt rdacontent computer c rdamedia online resource cr rdacarrier text file Princeton legacy library Includes bibliographical references (pages 375-391) and index. Print version record. Frontmatter -- Contents -- Illustrations -- Tables -- Preface -- Abbreviations Used in Text -- Prologue -- CHAPTER ONE. The Lessons of War, 1941-1945 -- CHAPTER TWO. The Reorganization of Psychiatry -- CHAPTER THREE. Origins of Federal Intervention -- CHAPTER FOUR. Mental Hospitals under Siege -- CHAPTER FIVE. The Mental Health Professions: Conflict and Consensus -- CHAPTER SIX. Care and Treatment: Changing Views -- CHAPTER SEVEN. Changing State Policy -- CHAPTER EIGHT. A National Campaign: The Joint Commission on Mental Illness and Health -- CHAPTER NINE. From Advocacy to Policy -- CHAPTER TEN. From Institution to Community -- CHAPTER ELEVEN. Challenges to Psychiatric Legitimacy -- Epilogue -- Notes -- Selected Sources -- Index. The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905 In English. Mental health policy United States History 20th century. Mental Health Services history https://id.nlm.nih.gov/mesh/D008605Q000266 Health Policy history https://id.nlm.nih.gov/mesh/D006291Q000266 United States https://id.nlm.nih.gov/mesh/D014481 Santé mentale Politique gouvernementale États-Unis Histoire 20e siècle. PSYCHOLOGY History. bisacsh POLITICAL SCIENCE Public Policy Social Security. bisacsh POLITICAL SCIENCE Public Policy Social Services & Welfare. bisacsh Mental health policy fast United States fast https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq Gesundheitspolitik gnd http://d-nb.info/gnd/4113743-7 Psychiatrische Versorgung gnd http://d-nb.info/gnd/4047677-7 USA gnd http://d-nb.info/gnd/4078704-7 Geestelijke gezondheidszorg. gtt Volksgezondheid. gtt 1900-1999 fast History fast Print version: Grob, Gerald N. From asylum to community : mental health policy in modern America. Princeton, New Jersey : Princeton University Press, [1991] xv, 406 pages, 8 unnumbered pages of plates ; 25 cm Princeton legacy library 9780691601618 (DLC) 10899089 FWS01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=791037 Volltext |
spellingShingle | Grob, Gerald N., 1931-2015 From asylum to community : mental health policy in modern America / Frontmatter -- Contents -- Illustrations -- Tables -- Preface -- Abbreviations Used in Text -- Prologue -- CHAPTER ONE. The Lessons of War, 1941-1945 -- CHAPTER TWO. The Reorganization of Psychiatry -- CHAPTER THREE. Origins of Federal Intervention -- CHAPTER FOUR. Mental Hospitals under Siege -- CHAPTER FIVE. The Mental Health Professions: Conflict and Consensus -- CHAPTER SIX. Care and Treatment: Changing Views -- CHAPTER SEVEN. Changing State Policy -- CHAPTER EIGHT. A National Campaign: The Joint Commission on Mental Illness and Health -- CHAPTER NINE. From Advocacy to Policy -- CHAPTER TEN. From Institution to Community -- CHAPTER ELEVEN. Challenges to Psychiatric Legitimacy -- Epilogue -- Notes -- Selected Sources -- Index. Mental health policy United States History 20th century. Mental Health Services history https://id.nlm.nih.gov/mesh/D008605Q000266 Health Policy history https://id.nlm.nih.gov/mesh/D006291Q000266 Santé mentale Politique gouvernementale États-Unis Histoire 20e siècle. PSYCHOLOGY History. bisacsh POLITICAL SCIENCE Public Policy Social Security. bisacsh POLITICAL SCIENCE Public Policy Social Services & Welfare. bisacsh Mental health policy fast Gesundheitspolitik gnd http://d-nb.info/gnd/4113743-7 Psychiatrische Versorgung gnd http://d-nb.info/gnd/4047677-7 Geestelijke gezondheidszorg. gtt Volksgezondheid. gtt |
subject_GND | https://id.nlm.nih.gov/mesh/D008605Q000266 https://id.nlm.nih.gov/mesh/D006291Q000266 https://id.nlm.nih.gov/mesh/D014481 http://d-nb.info/gnd/4113743-7 http://d-nb.info/gnd/4047677-7 http://d-nb.info/gnd/4078704-7 |
title | From asylum to community : mental health policy in modern America / |
title_alt | Frontmatter -- Contents -- Illustrations -- Tables -- Preface -- Abbreviations Used in Text -- Prologue -- CHAPTER ONE. The Lessons of War, 1941-1945 -- CHAPTER TWO. The Reorganization of Psychiatry -- CHAPTER THREE. Origins of Federal Intervention -- CHAPTER FOUR. Mental Hospitals under Siege -- CHAPTER FIVE. The Mental Health Professions: Conflict and Consensus -- CHAPTER SIX. Care and Treatment: Changing Views -- CHAPTER SEVEN. Changing State Policy -- CHAPTER EIGHT. A National Campaign: The Joint Commission on Mental Illness and Health -- CHAPTER NINE. From Advocacy to Policy -- CHAPTER TEN. From Institution to Community -- CHAPTER ELEVEN. Challenges to Psychiatric Legitimacy -- Epilogue -- Notes -- Selected Sources -- Index. |
title_auth | From asylum to community : mental health policy in modern America / |
title_exact_search | From asylum to community : mental health policy in modern America / |
title_full | From asylum to community : mental health policy in modern America / Gerald N. Grob. |
title_fullStr | From asylum to community : mental health policy in modern America / Gerald N. Grob. |
title_full_unstemmed | From asylum to community : mental health policy in modern America / Gerald N. Grob. |
title_short | From asylum to community : |
title_sort | from asylum to community mental health policy in modern america |
title_sub | mental health policy in modern America / |
topic | Mental health policy United States History 20th century. Mental Health Services history https://id.nlm.nih.gov/mesh/D008605Q000266 Health Policy history https://id.nlm.nih.gov/mesh/D006291Q000266 Santé mentale Politique gouvernementale États-Unis Histoire 20e siècle. PSYCHOLOGY History. bisacsh POLITICAL SCIENCE Public Policy Social Security. bisacsh POLITICAL SCIENCE Public Policy Social Services & Welfare. bisacsh Mental health policy fast Gesundheitspolitik gnd http://d-nb.info/gnd/4113743-7 Psychiatrische Versorgung gnd http://d-nb.info/gnd/4047677-7 Geestelijke gezondheidszorg. gtt Volksgezondheid. gtt |
topic_facet | Mental health policy United States History 20th century. Mental Health Services history Health Policy history United States Santé mentale Politique gouvernementale États-Unis Histoire 20e siècle. PSYCHOLOGY History. POLITICAL SCIENCE Public Policy Social Security. POLITICAL SCIENCE Public Policy Social Services & Welfare. Mental health policy Gesundheitspolitik Psychiatrische Versorgung USA Geestelijke gezondheidszorg. Volksgezondheid. History |
url | https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=791037 |
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