The Eclipse of the State Mental Hospital: Policy, Stigma, and Organization

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State hospitals still account for the majority of the state dollars spent on mental health care across the nation. Why do state hospitals persist and expand despite public scandal and professional disapproval? What role does the state mental hospital play in the current system of care for the seriously mentally ill? What role should it play, and at what cost? Dowdall explores recent efforts, successful and unsuccessful, to meet the increasingly elaborate standards imposed from without on the contemporary state ...
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Overview

State hospitals still account for the majority of the state dollars spent on mental health care across the nation. Why do state hospitals persist and expand despite public scandal and professional disapproval? What role does the state mental hospital play in the current system of care for the seriously mentally ill? What role should it play, and at what cost? Dowdall explores recent efforts, successful and unsuccessful, to meet the increasingly elaborate standards imposed from without on the contemporary state mental hospital, and the impact of these efforts on the quality of care provided to its patients.
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Editorial Reviews

Booknews
With backgrounds in both sociology and public health, Dowdall offers a broad study of the Buffalo State Hospital from its founding in 1880 to the present. He addresses such questions as why the state government spent so much on the lavish building, how the public perception of the institution changed from pride to scorn, whether it is unique among such institutions, whether patients were cured or merely kept, and whether the name changes--asylum to hospital to psychiatric center--have any significance. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

Table of Contents

List of Figures
List of Tables
Acknowledgments
Preface
Ch. 1 State Mental Hospitals as the Organizational Pivot of Policy 1
Ch. 2 The Natural History of an Organizational Form: The State Mental Hospital 26
Ch. 3 "A Most Noble Charity": The Birth of a State Asylum 50
Ch. 4 Organizational Development: How the State Asylum Became the State Hospital 73
Ch. 5 The State Hospital: Reform as Inertia 92
Ch. 6 "Trying Times of Transition": From State Hospital to Psychiatric Center 114
Ch. 7 The Contemporary State Psychiatric Center: Up to Standards? 162
Ch. 8 Public Policy and the Seriously Mentally Ill: The Future of the State Mental Hospital 181
Appendix A: Data Sources and Methods 211
Appendix B: Standards for State Mental Hospitals 219
Bibliography 239
Index 255
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