Abstract
It seems that substantial changes are taking place in the mental illness services. ‘Community care’ has been a rallying cry for several decades. Large mental hospitals decrease in size and some close. Community psychiatric nursing develops as a profession. District General Hospital psychiatric units open in large numbers. Hostels and day centres open in many towns. The professional literature buzzes with terms like ‘empowerment’ and ‘advocacy’. Long-neglected psychiatric patients have suddenly been magicked into service consumers, presumably active participants in service development. It seems that mental illness services are shaken by major changes at every level.
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References
Susan Clayton, ‘Patient Participation: An Underdeveloped Concept’, Journal of the Royal Society of Health (1988).
Anthony M. Graziano, ‘Clinical Innovation and Mental Health Power Structure: A Social Case History’, Paper presented at the meeting of the Eastern (USA) Psychological Association, Washington D.C. (April 1968) p. 2.
Ivan Illich, Medical Nemesis — The Expropriation of Health (Calder & Boyars, 1975).
Ian Kennedy, The Unmasking of Medicine (Allen & Unwin, 1981) p. 108.
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© 1991 David Brandon
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Brandon, D. (1991). Introduction. In: Innovation without Change?. Palgrave, London. https://doi.org/10.1007/978-1-349-21361-0_1
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DOI: https://doi.org/10.1007/978-1-349-21361-0_1
Publisher Name: Palgrave, London
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