Nursing Homes and Chronic Mental Patients | Zendy

William R. Shadish | Zendy; Richard R. Bootzin | Zendy

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Nursing Homes and Chronic Mental Patients

Author(s) -

William R. Shadish,

Richard R. Bootzin

Publication year - 1981

Publication title -

schizophrenia bulletin

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.823

H-Index - 190

eISSN - 1745-1707

pISSN - 0586-7614

DOI - 10.1093/schbul/7.3.488

Subject(s) - constructive , neurosis , institution , mental health , nursing , nursing homes , psychology , medicine , psychiatry , sociology , social science , process (computing) , computer science , operating system

Nursing homes play an important and controversial role in the community-based care of chronic mental patients. Confronting the reality of this role can help us recognize problems in the rationales for deinstitutionalization and community care. Problems with three concepts that were central to deinstitutionalization are examined--the total institution, institutional neurosis, and social reintegration. Furthermore, two concepts are presented that were overlooked in the haste to initiate deinstitutionalization--custody, asylum, and treatment functions in society; and the role of patient expectations. Finally, suggestions are made about how nursing homes can play a more constructive role in mental health policy.

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