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A special population the elderly deinstitutionalized chronically mentally ill patient

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Summary

Deinstitutionalization began with some noble sentiments: to treat and care for the mentally ill in settings that were closer to their homes, families, and neighborhoods; to treat people in more therapeutic and less restrictive settings; and to provide the array of services and settings in the community rather than in far distant institutions. However, few of these intentions have been realized. It is up to us to point out the discrimination, the inequity, indeed the insanity of our current practices and non-system.

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References

  • American Psychiatric Association.Task force on the 1981 White House conference on aging, no. 2. Washington, D.C.: A.P.A. 1981.

    Google Scholar 

  • American Psychiatric Association.Task force on community residential services. Washington, D.C.: A.P.A. 1982

    Google Scholar 

  • Bachrach, L.L.Deinstitutionalization: An analytical review and sociological perspective Rockville, Md.: National Institute of Mental Health, 1976.

    Google Scholar 

  • Bachrach L.L. Overview: Model programs for chronic mental patients.American Journal of Psychiatry 1980,137 1023–1031.

    Google Scholar 

  • Barter, J.T. Successful community programming for the chronic mental patient: Principles and practices. In Talbott, J.A. (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978.

    Google Scholar 

  • Bassuk, E.L., & Gerson, S. Deinstitutionalization and mental health services.Scientific American, February 1978.

  • Carpenter, M.D. Residential placement for the chronic psychiatric patient: A review and evaluation of the literature.Schizophrenia Bulletin 1978,4 384–398.

    Google Scholar 

  • Cohen, W.S. Quoted inAmerican Medical News, August 1/8, 1980, p. 4.

  • Faden, F.B., & Goldman, H.H. Appropriateness of placement of patients in state and county mental hospitals.Mental health statistical note, no.152. Rockville, Md.: National Institute of Mental Health, 1979.

    Google Scholar 

  • Fenton, F.R., Tessier, L., & Struening, E.L. A comparative trial of home and hospital psychiatric care: One-year follow-up.Archives of General Psychiatry 1979,36 1073–1079.

    Google Scholar 

  • Flaherty, M., Flaherty, B., & Parker, G. A comparative study of long-stay psychiatric patients discharged to board houses and satellite houses.Austrailia-New Zealand Journal of Psychiatry 1977,11 193–195.

    Google Scholar 

  • Gaitz, C., & Wilson, N. Bakcground and overview of channeling. Unpublished manuscript, 1981.

  • Glasscote, R. What programs work and what programs don't work to meet the needs of chronic mental patients. In Talbott, J.A. (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978.

    Google Scholar 

  • Glenn, T.D. Exploring responsibility for chronic mental patients in the community. In Talbott, J.A. (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978.

    Google Scholar 

  • Goldman, H.H., Gattozzi, A.A., & Taube, C.A. Defining and counting the chronically mentally ill.Hospital and Community Psychiatry 1981,32 21–27.

    Google Scholar 

  • Group for the Advancement of Psychiatry.The chronic mental patient in the community. New York, 1978.

  • Intagliata, J., Wilder, B., & Cooley, F. Cost comparison of institutional and community-based alternatives for mentally retarded persons.Mental Retardation 1979,17 154–156.

    Google Scholar 

  • Jones, P., & Jones, K.The measurement of community placement services and its associated costs. Waltham, Mass.: Florence Heller School, Brandeis University. 1976.

    Google Scholar 

  • Kramer, M.Psychiatric services and the changing institutional scene. Rockville, Md.: National Institute of Mental Health, 1975.

    Google Scholar 

  • Kramer, M. The rising pandemic of mental disorders and associated chronic disease and disabilities. InEpidemiological Research as a Basis for the Organization of Extramural Psychiatry. Acta Psychiat. Scand. Supplement 1980. 285,62 382–397.

    Google Scholar 

  • Lamb, H.R., & Goertzel, V. Demise of the state hospital: A premature obituary?Archives of General Psychiatry 1972,26 489–495.

    Google Scholar 

  • Lamb, H.R., & Associates.Community survival for long-term patients.San Francisco:Jossey-Bass, 1976.

    Google Scholar 

  • Lamb, H.R. The new asylums in the community.Archives of General Psychiatry 1979,36 129–134.

    Google Scholar 

  • Lamb, H.R. Structure: The neglected ingredient of community treatment.Archives of General Psychiatry 1980,37 1224–1228.

    Google Scholar 

  • Linn, M.W., Caffey, E.M., Klett, C.J., Hogarty, G.E., & Lamb, H.R. Day treatment and psychotropic drugs in the aftercare of schizophrenic patients.Archives of General Psychiatry 1979,36 1055–1072.

    Google Scholar 

  • Lourie, N.V. Case management. In Talbott, J.A. (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978.

    Google Scholar 

  • Malamud, T. Personal communication.

  • Mayeda, T., & Wai, F.The cost of long-term developmental disability care. DHEW, Washington, D.C.: Office of the Assistant Secretary for Planning and Evaluation, 1976.

    Google Scholar 

  • Minkoff, K. A map of chronic mental patients. In Talbott, J.A. (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978.

    Google Scholar 

  • Murphy, J., & Datel, W. A cost-benefit analysis of community versus institutional living.Hospital and Community Psychiatry 1976,27 165–170.

    Google Scholar 

  • Oriol, W.E.Housing the elderly deinstitutionalized mental hospital in the community. Washington, D.C.: The International Center for Social Gerontology, 1980.

    Google Scholar 

  • Paul, G.L. The implementation of effective treatment programs for chronic mental patients: Obstacles and recommendations. In Talbott, J.A. (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978.

    Google Scholar 

  • Pepper, B., Kirshner, M.C. & Ryglewicz, H. The young adult chronic patient: Overview of a population.Hospital and Community Psychiatry, July 1981.

  • Piesecki, J.R., Pittinger, J.E., & Rutman, I.D.Determining the costs of community residential services for the psychosocially disabled. DHEW Pub. No. (ADM) 77–504. Washington, D.C.: U.S. Government Printing Office, 1978.

    Google Scholar 

  • President's Commission on Mental Health.Report to the President. Washington, D.C.: U.S. Government Printing Office, 1978.

    Google Scholar 

  • Redick, R. W. Patterns in use of nursing homes by the aged mentally ill.Mental health statistical note, no. 107. Rockville, Md.: National Institute of Mental Health, 1974.

    Google Scholar 

  • Shadoian, R. Making board and care homes therapeutic. In Lamb, H.R. & Associates, (Eds.),Community survival for long-term patients. San Francisco: Jossey-Bass, 1976.

    Google Scholar 

  • Sharfstein, S., & Nafziger, J.C. Community care: Costs and benefits for a chronic patient.Hospital and Community Psychiatry 1976,27 170–173.

    Google Scholar 

  • Stein, L.I., & Test, M.A. Alternatives to mental hospital treatment: I. Conceptual model, treatment program, and clinical evaluation.Archives of General Psychiatry 1980,37 392–397.

    Google Scholar 

  • Stein, L., & Test, M.A. (Eds.),Alternatives to mental hospital treatment. New York: Plenum, 1978.

    Google Scholar 

  • Test, M.A., & Stein, L.I. Community treatment of the chronic patient: Research overview.Schizophrenia Bulletin 1978,4 350–364.

    Google Scholar 

  • Talbott, J.A.The death of the asylum: A critical study of state hospital management, services and care. New York: Grune & Stratton, 1978a.

    Google Scholar 

  • Talbott, J.A. (Ed.),The chronic mental patient; Problems, solutions and recommendations for a public policy. Washington, D.C.: American Psychiatric Association, 1978b.

    Google Scholar 

  • Talbott, J.A. Care of the chronically mentally ill: Still a national disgrace.American Journal of Psychiatry 1979a,136 688–689.

    Google Scholar 

  • Talbott, J.A. Deinstitutionalization: Avoiding the disasters of the past.Hospital and Community Psychiatry 1979b,30 621–624.

    Google Scholar 

  • Talbott, J.A.The chronic mentally ill: Treatment, programs, systems. New York: Human Sciences Press, 1981a.

    Google Scholar 

  • Talbott, J.A. The chronic mentally ill. InAmerican handbook of psychiatry, Vol. 3. New York: Basic Books, 1981b.

    Google Scholar 

  • U.S. Congress.The mental health systems act, P.L. No. 96–393. Washington, D.C., 1980.

  • U.S. Department of Health and Human Service, Public Health Service.Toward a national plan for the chronically mentally ill. Report to the Secretary by the Department of Health and Human Services Steering Committee on the Chronically Mentally Ill, DHHS Pub. No. (ADM) 81-1077. Washington, D.C.: U.S. Government Printing Office, 1981.

    Google Scholar 

  • U.S. General Accounting Office.Returning the mentally disabled to the community: Government needs to do more. Washington, D.C.: U.S. General Services Administration, 1977.

    Google Scholar 

  • Weisbrod, B.A., Test, M.A., & Stein, L.I. Alternative to mental hospital treatment: III. Economic benefit-cost analysis.Archives of General Psychiatry 1980,37 400–405.

    Google Scholar 

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  1. John A. Talbott
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Talbott, J.A. A special population the elderly deinstitutionalized chronically mentally ill patient. Psych Quart 55, 90–105 (1983). https://doi.org/10.1007/BF01064845

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