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COMMUNITY TREATMENT

COMMUNITY TREATMENT. EVALUATIONS. 01:920:307:01 HORWITZ, SOC. OF MENTAL ILLNESS GOOD = RIGHT; BAD = LEFT ON BACK - MOVIE SUGGESTIONS AND ANYTHING ELSE. COMM. TREATMENT CONTEXT . DECLINE OF MENTAL HOSPITALS - NO NEED FOR HOUSING, INCOME, JOBS, BENEFITS, etc. ALL SERVICES IN ONE PLACE

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COMMUNITY TREATMENT

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  1. COMMUNITY TREATMENT

  2. EVALUATIONS • 01:920:307:01 • HORWITZ, SOC. OF MENTAL ILLNESS • GOOD = RIGHT; BAD = LEFT • ON BACK - MOVIE SUGGESTIONS AND ANYTHING ELSE

  3. COMM. TREATMENT CONTEXT • DECLINE OF MENTAL HOSPITALS - NO NEED FOR HOUSING, INCOME, JOBS, BENEFITS, etc. • ALL SERVICES IN ONE PLACE • CREATE HOSPITAL IN COMMUNITY

  4. OUTPATIENT THERAPY • WAS ONLY ALTERNATIVE MODEL • ONLY THERAPY - NO OTHER SERVICES • LIMITED SOCIAL CONTROL • NEED FOR NEW KIND OF PROFESSIONAL FOR S.M.I.

  5. NEW PROGRAMS FOR SMI • EFFECTIVE MODELS ARE AVAILABLE • GOAL TO IMPROVE QUALITY OF LIFE AND EMPOWERMENT NOT JUST MANAGE SYMPTOMS • PACT

  6. PACT • TEAM CONCEPT • GO OUT INTO THE COMMUNITY • 24/7 AVAILABILITY • PROVIDE SERVICES AND MEDICATION

  7. BENEFITS OF PACT • KEEPS PEOPLE OUT OF HOSPITAL • COORDINATES SERVICES • RAISES QUALITY OF LIFE

  8. PROBLEMS W/PACT • PATERNALISM? • ATTITUDE TOWARD MEDICATION? • WHAT DO ALL DAY? • FEW PROGRAMS, E.G. JOB TRAINING

  9. FAMILIES • MORAL RESPONSIBILITY FOR ADULT SMI CHILDREN • FRUMKINS? • OFTEN BLAMED FOR ILLNESS OR FOR RELAPSES • BEARERS OF BURDEN

  10. CONSUMER MOVEMENT • AROSE IN 1970’S - “ANTI-PSYCHIATRY” (KAUFMANN) • COMBAT STIGMA • ALL SERVICES VOLUNTARY • CONSUMER RUN SERVICES

  11. REVIEW

  12. REVIEW • 40 MULTIPLE CHOICE QUESTIONS • 1/3 OF GRADE BUT ALSO TREND • NOT CUMULATIVE

  13. CUCKOO’S NEST • HOW ILLUSTRATES MENTAL HOSPITALS BEFORE DI • SOCIAL CONTROL • MEDICAL MODEL • TYPES OF PATIENTS • MAJOR MESSAGE

  14. IS THERE NO PLACE ON EARTH FOR ME? • HOW ILLUSTRATES DI - SINCE 1970’S • PROBLEMS OF DI SYSTEM • LACK OF COORDINATION • HOW EXERT SOCIAL CONTROL? • SITUATION OF FAMILIES • WHAT WOULD BE EFFECTIVE WITH SOMEONE W/SYLVIA’S PROBLEMS?

  15. MENTAL HOSPITALS • HISTORY OF MENTAL HOSPITALS • WHEN AROSE • TYPE OF TREATMENT • TYPES OF PATIENTS • CHARACTERISTICS OF INSTITUTIONS • CHANGES OVER TIME - 1800-1955

  16. DEINSTITUTIONALIZATION • CHANGES IN RESIDENTS AND ADMISSIONS - 1950’S - 2000 • CHANGES IN TYPES OF PATIENTS • CHANGES IN COMMITMENT • MEDICAL AND LEGAL MODELS • CHANGES IN HOSPITALS

  17. REASONS FOR DI • DRUGS • PHILOSOPHY – CMHC, PRO-FEDERAL, ANTI-STATE • LEGAL - COMMITMENT, IN HOSPITAL, RELEASE • ECONOMIC

  18. ECONOMIC • FROM STATE TO FEDERAL FUNDING • MEDICAID, MEDICARE • SSI

  19. COMMUNITY TREATMENT • MAJOR ASPECTS OF PACT AND COMMUNITY TREATMENT • HOW DIFFERENT FROM TRADITIONAL INPATIENT AND OUTPATIENT • STRONG AND WEAK ASPECTS

  20. KAUFMANN • MENTAL HEALTH CONSUMER MOVEMENT • WHEN AROSE • MAJOR IDEOLOGY • ATTITUDES TOWARD M.H. PROFS.

  21. PICKETT, COOK • PSYCHIATRIC REHABILITATION • WHAT ARE IMPORTANT OUTCOMES?

  22. HIDAY • RATES OF M.I. IN PRISONERS AND GENERAL POPULATION • VIOLENCE AND MENTALLY ILL • USE OF INSANITY DEFENSE

  23. GUEST SPEAKERS • BEST WAY TO TREAT SMI • CURRENT PHILOSOPHY OF COMMUNITY TREATMENT • ROLE OF CONSUMERS

  24. HOSPITAL WITHOUT WALLS • TYPE OF TREATMENT PROVIDED • BENEFITS OF PROGRAM AND QUESTIONS IT RAISES • PROBLEMS IT ADDRESSES

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