By Philip Bean, Patricia Mounser
Very much has been written in regards to the decarceration flow which contains the move of psychological sufferers from the psychological sanatorium to the neighborhood. right here the authors examine the influence of that approach because it impacts sufferers and employees alike as soon as the sufferers depart the medical institution. The ebook bargains with a couple of concerns raised by means of decarceration, now not the least in regards to the sorts of care to be skilled via the sufferers and the chance of providing sorts of rehabilitation.
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Additional resources for Discharged from Mental Hospitals
Example text
This is shown for example by the 80 per cent of the 24 705 discharges patients who left hospitals in London in 1981 who had been admitted at least once before (GLC Health Panel, 1984). Of course, this demonstrates the national pattern of in-patient flows; local variations exist which also have to be considered especially since statistics at the national level are subject to a variety of elements which can make them far from valid. Data available from Nottingham will be given in a later chapter and will provide a means of showing the differences between local and national data.
However, the words that are used in a rehabilitative context often become confused; for example, words like 'diagnosis', 'need' and 'therapy'. There is often a failure to recognise the differences between these and others like 'treatment' and 'training', and also 'reform' and 'rehabilitation'. In fact, rehabilitation and reform have become interchangeable. Francis Allen warned of 'the delusive simplicity and ambiguity of the notion of reform' (Allen, 1959), whilst Roger Hood made a useful distinction between 'training' and 'treatment': Training means a conscious effort to influence attitudes of others, whilst 'treatment' seems to imply a method of dealing with the problems of the individual (Hood, 1966).
Section 117 of the Mental Health Act 1983 requires health authorities and local authorities, in conjunction with voluntary agencies, to provide aftercare for certain categories of detained patients. The Code of Getting Out of Mental Hospitals 35 Practice goes on to talk of planning for aftercare, presumably again concentrating on detained patients, but perhaps not exclusively so. It says this: When a decision has been taken to discharge or grant leave to a patient, it is the responsibility of the RMO to ensure that a discussion takes place to establish a care-plan to organise the management of the patient's continuing health and social care needs.