Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-12-03T19:14:49.716Z Has data issue: false hasContentIssue false
  • English
  • Français

Community Care

Published online by Cambridge University Press:  02 January 2018

T. Turner
T. Turner*
Affiliation:
Community Psychiatry Research Unit, Hackney Hospital, Homerton High Street, London E9 6BE
Get access Rights & Permissions [Opens in a new window]

Extract

Community care has lost its innocence. Critics and evangelists vie for television space and newspaper headlines. The Chief Medical Officer had to beg for clarification of a term that had developed too many meanings and an “ethos of virtue” (Acheson, 1985). How should it be defined? Can a hospital be part of the community? Does it mean care ‘in’ ‘by’ the community? The Department of Health and Social Security (DHSS) definition seems to be “the provision of alternatives to long-term institutional care for the chronically sick or those suffering from long-term handicaps or disabilities” (Hunt, 1985). Lord Trefgarne (1984) put the policy aim, more simply, as “to move out of hospital those people who do not really need to be there”.

Type
Annotation
Information
The British Journal of Psychiatry , Volume 152 , Issue 1 , January 1988 , pp. 1 - 3
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrahamson, D. & Brenner, D. (1982) Do long-stay psychiatric patients want to leave hospital? Health Trends, 14, 9597.Google ScholarPubMed
Acheson, E. D. (1985) That over used word Community. Health Trends, 17, 3.Google Scholar
Audit Commission (1986) Making a Reality of Community Care. London: HMSO.Google Scholar
Barton, R. (1976) Institutional Neurosis (3rd edn). Bristol: John Wright and Sons.CrossRefGoogle Scholar
Bassuk, E. L., Rulin, L. & Lauriat, A. (1984) Is homelessness a mental health problem? American Journal of Psychiatry, 141, 1546–1550.Google Scholar
British Medical Journal (1985) Editorial: community care. British Medical Journal, 290, 806.Google Scholar
Bassuk, E. L., Rulin, L. & Lauriat, A. (1987) Editorial: the economics of mental health services. British Medical Journal, 294, 139–140.Google Scholar
Braun, P., Kochansky, G., Shapiro, R., Greenberg, S., Gudeman, J. E., Johnson, S. & Shore, M. F. (1981) Overview: deinstitutionalisation of psychiatric patients, a critical review of outcome studies. American Journal of Psychiatry, 138, 736–749.Google Scholar
Clare, A. W. (1984) Psychiatric illness in general practice. In Psychiatric Services in the Community (eds J. Reed & G. Lomas). London: Croom Helm.Google Scholar
Clark, D. H., (1984) The development of a psychiatric rehabilitation service. The Lancet, ii, 625–627.CrossRefGoogle Scholar
Clouston, T. S. (1888) Presidential Address. Journal of Mental Science, 34, 325–348.CrossRefGoogle Scholar
Cohen, D. (1987) Is community care the real answer? The Listener, 117, 10.Google Scholar
Department Of Health And Social Security (1975) Better Services for the Mentally III. London: HMSO.Google Scholar
Fadden, G., Bebbington, P. & Kuipers, L. (1987) The burden of care: the impact of functional psychiatric illness on the patient's family. British Journal of Psychiatry, 150, 285–292.CrossRefGoogle ScholarPubMed
Goffman, E. (1961) Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. New York: Anchor Books.Google Scholar
Goldberg, D., Bridges, K., Cooper, W., Hyde, C., Sterling, C. & Wyatt, R. (1985) Douglas House: a new type of hostel ward for chronic psychotic patients. British Journal of Psychiatry, 147, 383–388.Google Scholar
Haslam, M. T. (1986) The long-stay patients and the conmiunity. Bulletin of the Royal College of Psychiatrists, 10, 10.Google Scholar
Hawks, D. (1975) Community care: an analysis of assumptions. British Journal of Psychiatry, 127, 276–285.Google Scholar
Hoult, J. (1986) Community care of the acutely mentally ill. British Journal of Psychiatry, 149, 137–144.Google Scholar
Hunt, L. B. (1985) Implementation of policies for community care - the DHSS contribution. Health Trends, 17, 4–6.Google Scholar
Jones, E. (1954) The early history of psychoanalysis. Journal of Mental Science, 100, 198–210.Google Scholar
Lamb, H. R. (1984) Alternatives to hospitals. In The Chronic Mental Patient: Five Years Later (ed. J. A. Talbott). New York: Grune and Stratton Inc.Google Scholar
Lovestone, S. (1986) The Trieste experience. The Lancet, ii, 1025–1028.Google Scholar
McCarthy, M. (1986) Community care. The Lancet, i, 392.Google Scholar
McCreadie, R. G., Wilson, A. O. A. & Burton, L. B. (1983) The Scottish survey of ‘New Chronic’ in-patients. British Journal of Psychiatry, 143, 564–571.Google Scholar
Reed, J. (1984) The elements of an ideal service: the clinical view. In Psychiatric Services in the Community (eds J. Reed & G. Lomas). London: Croom Helm.Google Scholar
Reed, J. & Lomas, G. (1984) Introduction. In Psychiatric Services in the Community (eds J. Reed & G. Lomas). London: Croom Helm.Google Scholar
Robertson, J. A., Lawrence, R. E. & Cumella, S. (1986) Psychiatric services and the community. Bulletin of the Royal College of Psychiatrists, 10, 152–153.Google Scholar
Skultans, V. (1986) Psychiatric conununity care: a Maharashtrian example. Psychological Medicine, 16, 499–501.Google Scholar
Social Services Committee (1985) Second Report on Community Care with Special Reference to Adult Mentally III and Mentally Handicapped People, Vol. 1. (Chairman: Mrs Renee Short). London: HMSO.Google Scholar
Stein, L. I. & Test, M. A. (1980) Alternative to mental hospital treatment I. Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392–397.Google Scholar
Tardiff, K. (1984) Research on violence. In The Chronic Mental Patient - Five Years Later (ed. J. A. Talbott). New York: Grune and Stratton Inc.Google Scholar
Taylor, P. J. & Gunn, J. (1984) Risk of violence among psychotic men. British Medical Journal, 288, 1945–1949.Google Scholar
Todd, N. A., Bennie, E. H. & Carlisle, J. M. (1976) Some features of ‘New Long-stay’ male schizophrenics. British Journal of Psychiatry, 129, 424–427.Google Scholar
Torrey, E. F. (1986) Continuous treatment teams in the care of the chronic mentally ill. Hospital and Community Psychiatry, 37, 1243–1247.Google Scholar
Trefgarne, , Lord, (1984) Developments in community psychiatry: a central view. In Psychiatric Services in the Community (eds J. Reed & G. Lomas). London: Croom Hehn.Google Scholar
Turner, T. H. (1985) The past of psychiatry: why build asylums? The Lancet, ii, 709–711.Google Scholar
Wallace, M. (1986) A caring community? The plight of Britain's mentally ill. Sunday Times Magazine. 3 May, 25–38.Google Scholar
Watt, D. C. (1986) Mental hospitals and community care: discussion paper. Journal of the Royal Society of Medicine, 79, 538–540.Google Scholar
Weisbrod, B. A., Test, M. A. & Stein, L. I. (1980) Alternative to mental hospital treatment II. Economic benefit - cost analysis. Archives of General Psychiatry, 37, 400–405.Google Scholar
Weller, B. G. A., Weller, M. P. I., Coker, E. & Mahomed, S. (1987) Crisis at Christmas 1986. The Lancet, i, 553–554.Google Scholar
Weller, M. P. I. (1985) Friem Hospital: where have all the patients gone? The Lancet, i 569 571.Google Scholar
Wing, J. K. & Morris, B. (eds) (1981) Handbook of Psychiatric Rehabilitation Practice. Oxford: Oxford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.