Build a Better State Hospital: Deinstitutionalization Has Failed

Gralnick, Alexander

doi:10.1176/ps.36.7.738

Cited by 33 publications

(13 citation statements)

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“…One has to accept the fact that, as Gralnick (1985) noted, caring for the mentally ill may put a lot of strain on their families. Gralnick suggested that if the family does not want to attempt home care or the patient is not satisfied with his or her family, the end result may be a breakdown in family stability and the development of symptoms by the other members of the family.…”

Section: Summary Attitudes Toward Three Types Of Disordersmentioning

confidence: 99%

Attitudes toward mental illness: Recognition, desired social distance, expected burden and negative influence on mental health among Turkish freshmen

Eker

1989

Soc Psychiatry Psychiatr Epidemiol

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Attitudes toward three types of disorders and a normal subject portrayed in vignettes were assessed among university students. The variables assessed were: perception of mental illness in the vignettes; desired social distance; emotional and physical burden expected; and expected negative influence on one's mental health from association with the type of persons portrayed in the vignettes. Analysis revealed that, in terms of variables assessed, the most "negative" ratings were recorded for the paranoid schizophrenic case and the most "positive" recorded for the normal subject. The simple schizophrenia and the anxiety neurosis/depression cases fell between the other two cases. Finally, with a few exceptions, all the variables assessed were significantly correlated with each other.

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Section: Summary Attitudes Toward Three Types Of Disordersmentioning

confidence: 99%

Attitudes toward mental illness: Recognition, desired social distance, expected burden and negative influence on mental health among Turkish freshmen

Eker

1989

Soc Psychiatry Psychiatr Epidemiol

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“…Although there is still controversy about the ultimate wisdom of deinstitutionalization, states generally are continuing to implement this policy (Gralnick, 1985;Okin, 1985;Lamb, 1982;Minkoff, 1987). Hospital censuses continue to decline (New York State Office of Mental Health, 1988), and many state mental health administrations have embarked on major initiatives to develop treatment and rehabilitation capacity in local communities for the severely mentally ill.…”

mentioning

confidence: 99%

Family‐aided assertive community treatment: A comprehensive rehabilitation and intensive case management approach for persons with schizophrenic disorders

McFarlane

Šťastný

Deakins

1992

New Directions for Mental Health Services

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“…Although the act represented major reform in the care of chronically mentally ill persons, the ability of these community programs to maintain patients outside state hospitals is not necessarily conclusive evidence of their clinical superiority. Even though some patients seem to experience an increased sense of well-being, it does not prove that their quality of life while living in the community is better than it would be if they were living in state hospitals (Garlnick, 1985).…”

mentioning

confidence: 92%

“…Many mentally ill rely on soup kitchens for food, emergency shelters for lodging, and subway tunnels to escape from the cold. At least 25% of the homeless are mentally ill (Garlnick, 1985;Okin, 1985;Morrissey & Goldman, 1984); however, studies show that severely ill people can live in the community if given adequate services (Braun, Kochansky, Shapiro, 1981;Polak & Kirby, 1976;Kinard, 1981).…”

mentioning

confidence: 99%