EVALUATIONS
• 01:920:307:02
• HORWITZ, SOC. OF MENTAL ILLNESS
• GOOD = RIGHT; BAD = LEFT
• ON BACK - MOVIE SUGGESTIONS AND ANYTHING ELSE
CONTEXT
• DECLINE OF MENTAL HOSPITALS - NO NEED FOR INCOME, JOBS, BENEFITS
• ALL SERVICES IN ONE PLACE -
HOUSING, MEALS, THERAPY, MEDICAL CARE, SOCIAL CONTROL, SOCIAL INTERACTION
• HOW CREATE “HOSPITAL IN THE COMMUNITY?”
OUTPATIENT THERAPY
• ONLY ALTERNATIVE MODEL• ONLY THERAPY - NO OTHER
SERVICES• LIMITED SOCIAL CONTROL• INADEQUATE FOR SERIOUSLY
MENTALLY ILL• NEED FOR NEW KIND OF
PROFESSIONAL FOR S.M.I.
NEW PROGRAMS FOR SMI
• EFFECTIVE MODELS ARE AVAILABLE
• GOAL TO IMPROVE QUALITY OF LIFE AND EMPOWERMENT NOT JUST MANAGE SYMPTOMS
• COORDINATE SERVICES
• PACT
PACT
• TEAM CONCEPT
• GO OUT INTO THE COMMUNITY
• 24/7 AVAILABILITY
• PROVIDE SERVICES AND MEDICATION
PROBLEMS W/PACT
• PATERNALISM?
• ATTITUDE TOWARD MEDICATION?
• WHAT DO ALL DAY?
• FEW PROGRAMS, E.G. JOB TRAINING
FAMILIES
• MORAL RESPONSIBILITY FOR ADULT SMI CHILDREN
• FRUMKINS?
• OFTEN BLAMED FOR ILLNESS OR FOR RELAPSES
• BEARERS OF BURDEN
CONSUMER MOVEMENT
• AROSE IN 1970’S - “ANTI-PSYCHIATRY” (KAUFMANN)
• ANTI-DISEASE
• ANTI-SOCIAL CONTROL
• ANTI-MEDICATION
CONSUMER MOVEMENT
• COMBAT STIGMA
• ALL SERVICES VOLUNTARY
• CONSUMER RUN SERVICES
• SOME TRY TO COMBINE CONSUMER-RUN WITH PROFESSIONALS
REVIEW
• 60% MULTIPLE CHOICE
• 40% TWO GENERAL ESSAYS FROM THREE CHOICES
• ESSAY QUESTIONS BROAD - ANSWERS PARTICULAR
• 1/3 OF GRADE BUT ALSO TREND
• NOT CUMULATIVE
CUCKOO’S NEST
• HOW ILLUSTRATES MENTAL HOSPITALS BEFORE DI
• SOCIAL CONTROL
• MEDICAL MODEL
• TYPES OF PATIENTS
IS THERE NO PLACE ON EARTH FOR ME?
• HOW ILLUSTRATES DI - SINCE 1970’S
• PROBLEMS OF DI SYSTEM
• LACK OF INTEGRATION
• HOW EXERT SOCIAL CONTROL?
• SITUATION OF FAMILIES
• WHAT WOULD BE EFFECTIVE WITH SOMEONE W/SYLVIA’S PROBLEMS?
MENTAL HOSPITALS
• HISTORY OF MENTAL HOSPITALS
• WHEN AROSE
• TYPE OF TREATMENT
• TYPES OF PATIENTS
• CHARACTERISTICS OF INSTITUTIONS
• CHANGES OVER TIME - 1850-1955
DEINSTITUTIONALIZATION
• CHANGES IN RESIDENTS AND ADMISSIONS - 1950’S - 2000
• CHANGES IN TYPES OF PATIENTS
• CHANGES IN COMMITMENT
• MEDICAL AND LEGAL MODELS
• CHANGES IN HOSPITALS
REASONS FOR DI
• DRUGS
• IDEOLOGY – CMHC, PRO-FEDERAL, ANTI-STATE
• LEGAL - COMMITMENT, IN HOSPITAL, RELEASE
• ECONOMIC
COMMUNITY TREATMENT
• MAJOR ASPECTS OF PACT AND COMMUNITY TREATMENT
• HOW DIFFERENT FROM TRADITIONAL INPATIENT AND OUTPATIENT
• STRONG AND WEAK ASPECTS
KAUFMANN
• MENTAL HEALTH CONSUMER MOVEMENT
• WHEN AROSE
• MAJOR IDEOLOGY
• ATTITUDES TOWARD M.H. PROFS.
HIDAY
• RATES OF M.I. IN PRISONERS AND GENERAL POPULATION
• VIOLENCE AND MENTALLY ILL
• USE OF INSANITY DEFENSE