Family advocacy and the mental health system: The recent rise of the alliance for the mentally ill

1990 ◽  
Vol 61 (3) ◽  
pp. 205-221 ◽  
Author(s):  
Robert Sommer
1995 ◽  
Vol 23 (1) ◽  
pp. 3-153
Author(s):  
Arthur B. Lafrance

Professor LaFranee served as a circuit judge pro tempore in a number of mental commitment proceedings in Oregon. He then observed several days of proceedings in Maine, for comparison purposes. Here he summarizes many of the Oregon and Maine cases, changing names of respondents, witnesses and attorneys for privacy purposes. This narrative enriches existing literature, which rarely reflects a judge's perspective on mental health. Professor LaFrance's conclusions are important—that a judge is, unfortunately, isolated from other agencies in the mental health system, that resources and personnel are inadequate, that the availability of community resources is important not only in serving the mentally ill but in defining them, and—finally—that existing definitions are overly broad.


Author(s):  
Robert Okin

This chapter describes a collaboration between academics from Berkeley and leaders of the Trieste mental health system and of San Francisco General Hospital, to determine the feasibility of replicating the Trieste model of mental healthcare in San Francisco. The participants ultimately concluded that Basaglia has had no influence on the mental health system in the United States, and determined that the obstacles to replication of the Trieste model were, in whole or in part, insuperable at this time. Among these obstacles are the demographics of the population in San Francisco (e.g. large numbers of poor, disabled people competing for the same small resource base), the pervasiveness of substance abuse among the mentally ill population, the extent of homelessness and criminalization of the mentally ill, the dearth of affordable housing, the predominant use of the medical model, and the fee-for-service financing system which supports this model.


1988 ◽  
Vol 12 (10) ◽  
pp. 434-436 ◽  
Author(s):  
Frederick W. Hickling

Treatment of the mentally ill by the Aboriginal Awaraks of Jamaica and the other Caribbean islands was first described by a Spanish monk in 1540: ‘Lunatics’ who were called ‘mind riven’ were treated in the community with salvent herbs, which were blended with food and left to hang on fruit trees for those who wandered, and by the administration of unguents and lavings while singing. This record indicates that the mentally ill were treated by the indigenous Indians without restraints, and with rudimentary attempts at pharmacology and cultural therapies. But this enlightened but primitive mental health system was destroyed with the advent of the Spanish conquerors who, according to Las Casas, “in about eight to forty years have unjustly put to death about twelve million Indians without distinction of quality, sex or age”.


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