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The evolution of psychiatric care – a spiral model

Published online by Cambridge University Press:  02 January 2018

Athulo Sumathipala  and
Raveen Hanwella
Athulo Sumathipala*
Affiliation:
Maudsley Hospital, Denmark Hill, London SE5 8AZ
Raveen Hanwella
Affiliation:
Department of Psychiatry, The Warneford Hospital, Headington, Oxford OX3 7SX
*
∗Correspondence
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Abstract

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The present trend towards community care with the continuing closure of the old Victorian institutions has given rise to much argument for and against community care. Incidents of violence by mentally ill patients against members of the public have resulted in some backlash against community care. There are fears of a return to the days of the institution. It is proposed that these changes can be predicted from a model that we have called the ‘spiral model’. An understanding of this model might help to prevent history from repeating itself.

Information

Type
History of Psychiatry
Information
Psychiatric Bulletin , Volume 20 , Issue 9 , September 1996 , pp. 561 - 563
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1996

References

Audit Commission (1986) Making a Reality of Community Care. London: HMSO.Google Scholar
Elpers, J. R. (1987) Are we legislating reinstitutionalisation. American Journal of Orthopsychiatry, 57, 441–446.Google Scholar
Gelder, M., Mayou, R. & Gath, D. (1989) Oxford Texbook of Psychiatry. Oxford: Oxford University Press.Google Scholar
Holloway, F. (1994) Supervision registers: recent government policy and legislation. Psychiatric Bulletin, 18, 593–596.CrossRefGoogle Scholar
House of Commons (1985) Second Report from the Social Services Committee Session 1984/85 on Community Care. London: HMSO.Google Scholar
House of Commons (1990) The National Health Service and Community Care Act London: HMSO.Google Scholar
Jones, K. (1972) A History of the Mental Services. London: Routledge & Kegan Paul.Google Scholar
Robertson, J. A. (1994) Community psychiatry: weasel words? Psychiatric Bulletin, 18, 760–761.Google Scholar
Thornicroft, G. (1994) The NHS and Community Care Act, 1990. Recent government policy and legislation. Psychiatric Bulletin, 18, 13–17.Google Scholar
Thornicroft, G. & Bebbington, P. (1989) Deinstitutionalisation – from hospital closure to services development. British Journal of Psychiatry, 155, 739–753.Google Scholar
Tyrer, P. & Kennedy, P. (1995) Supervision registers: a necessary component of good psychiatric practice. Psychiatric Bulletin, 19, 193–194.Google Scholar
Watson, J. P. (1994) Too few beds. Psychiatric Bulletin, 18, 531.Google Scholar
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