Extra-Institutional Care, or Madness Uncontained

  • Catharine ColeborneEmail author
Part of the Mental Health in Historical Perspective book series (MHHP)


This chapter examines the histories of community care, extra-institutional care and the world of post-institutional care for users of mental health services, their families and the agencies themselves. It refers to peer-to-peer approaches, and consumer-led actions in the final decades of the twentieth century in different places. The chapter examines the move to extra-institutional solutions as early as before the nineteenth century, and also describes community efforts to ameliorate the effects of power and control produced by institutional regimes. This chapter shows that while policies and practices across places differ, experiences of post-institutional care have common elements that allow us to narrate madness as a shared problem with historical dimensions beyond geography.


Community psychiatry Aftercare Extra-institutional care Family Peer-to-peer Western world Mad movement Mental health advocacy 

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Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.School of Humanities and Social ScienceUniversity of NewcastleCallaghanAustralia

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