RESUMO
The influence of social and economic forces on the placement and treatment of the chronically mentally ill is traced historically. This review suggests that minorities and the poor, who have in the past suffered the worst institutional care, will be most at risk in the community during the present era of cutbacks in social services. Deinstitutionalization, in making claims on resources that the larger community is reluctant to grant, seen as jeopardizing needed incremental reforms.
Assuntos
Desinstitucionalização/história , Transtornos Mentais/história , Política Pública , História do Século XIX , História do Século XX , Humanos , Estados UnidosRESUMO
The mental health program we are developing at the Yale School of Public Health has as its basic element a broad introduction to the concepts and principles of public health and mental health administration and is rooted in conern for community well-being. It is our belief that this combination of public health - mental health training will produce administrators for mental health, psychiatric and human resource agencies who will be able to design, implement, manage, and evaluate programs that improve mental health and help communities evaluate and structure the human services they need.
