Suchergebnisse

Three major cycles of reform in public mental health care in the US -- the moral treatment, mental hygiene, & community mental health movements -- are described as a basis for assessing the shifting boundaries between the mental health, social welfare, & criminal justice systems. Historical forces that led to the transinstitutionalization of the mentally ill from almshouses to the state mental hospitals in the nineteenth & twentieth centuries have now been reversed in the aftermath of recent deinstitutionalization policies. Evidence suggests that the mentally ill are also being caught up in the criminal justice system, a circumstance reminiscent of pre-asylum conditions in the early nineteenth century. These trends shape the current mental health service delivery system & the agenda for policy-relevant research on issues involving the legal & mental health fields. HA