Autor(en)

Chu, Franklin D. and Sharland Trotter.:

Verlag / Jahr

New York, Grossmann Publishers. 1974.,

Format / Einband

XXIV, 232 Seiten. Originalleinen mit Umschlag.

Sprache

Englisch

Gewicht

ca. 550 g

ISBN

067044734X

EAN

9780670447343

Bestell-Nr

11564

Bemerkungen

Umschlag leicht berieben, sonst gutes Exemplar. - In 1963, the Community Mental Health Centers Act-billed as a "revolutionary" development in the treatment of the mentally ill-became law. Now, eleven years later, the revolution has fizzled-and The Madness Establishment shows how this massive "bold, new approach" degenerated into a mismanaged, unimaginative, and ineffective bureaucratic boondoggle. Billed at its inception as the herald of a "third psychiatric revolution," the CMHCA was designed to transfer the care of the mentally ill from the huge human warehouses called state hospitals to small centers providing comprehensive, community-related services near the patients' homes. Placed under the auspices of the National Institute of Mental Health, the program foundered right from the beginning as it attempted to establish hegemony over the entire field of public mental health care. Although the program did bring organized care into local communities, it was administered from the far remove of Washington; designed to provide new modes of care and treatment, it remained tied to the self-interest of the psychiatric profession-which was itself wedded to outmoded techniques and a dangerously hide-bound therapeutic ideology; meant to standardize the quality of mental health care in America, it nonetheless perpetuated a two-tiered program of treatment-one for the rich, one for the poor; decentralized in order to provide better and more responsive management, it grew unchecked, unregulated, and unre-vised, monitored only by those in Washington wishing to continue their dominance. Franklin Chu and Sharland Trotter spent two and a half years irr intensive and extensive study of the Community Mental Health Centers program; their conclusions (and their recommendations) show how the gap between creative conception and political, bureaucratic implementation can destroy the best-laid plans. That the plans in this instance were themselves ill-conceived and hastily assembled only adds persuasive power to the authors' extremely persuasive case-that our treatment of the mentally ill is a terrible national tragedy.

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