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Journal ArticleDOI

Community Life for the Mentally Ill: An Alternative to Institution Care.

About: This article is published in Journal of Health and Social Behavior.The article was published on 1970-03-01. It has received 88 citations till now.
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Journal ArticleDOI
TL;DR: Four principles of classification for effective rehabilitation are reviewed: risk, need, responsivity, and professional override.
Abstract: Four principles of classification for effective rehabilitation are reviewed: risk, need, responsivity, and professional override. Many examples of Case x Treatment interactions are presented to ill...

1,737 citations

Journal ArticleDOI
TL;DR: The thesis of this paper is that the most important and interesting aspects of community life are by their very nature paradoxical; and that the task as researchers, scholars, and professionals should be to “unpack” and influence contemporary resolutions of paradox.
Abstract: The thesis of this paper is that the most important and interesting aspects of community life are by their very nature paradoxical; and that our task as researchers, scholars, and professionals should be to “unpack” and influence contemporary resolutions of paradox. Within this general theme I will argue that in order to do so we will need to be more a social movement than a profession, regain our sense of urgency, and avoid the tendency to become “one-sided.” I will suggest that the paradoxical issue which demands our attention in the foreseeable future is a conflict between “rights” and “needs” models for viewing people in trouble.

1,538 citations

Journal ArticleDOI
TL;DR: The authors argue that social psychological research on ethnic minority and other group stereotypes should be considered when implementing strategies to diminish the impact of stigma on persons with severe mental illness.
Abstract: Advocacy, government, and public-service groups rely on a variety of strategies to diminish the impact of stigma on persons with severe mental illness. These strategies include protest, education, and promoting contact between the general public and persons with these disorders. The authors argue that social psychological research on ethnic minority and other group stereotypes should be considered when implementing these strategies. Such research indicates that (a) attempts to suppress stereotypes through protest can result in a rebound effect; (b) education programs may be limited because many stereotypes are resilient to change; and (c) contact is enhanced by a variety of factors, including equal status, cooperative interaction, and institutional support. Future directions for research and practice to reduce stigma toward persons with severe mental illness are discussed.

1,059 citations

Journal ArticleDOI
TL;DR: This article developed a model of stereotype that frames stigma as a cognitive structure and identified three targets: persons who hide their mental health experience from the public and suffer a private shame; persons who have been publicly labeled as mentally ill and suffer societal scorn; and society itself, which suffers fears and misinformation based on stigma and myth.

487 citations

Journal ArticleDOI
TL;DR: This year, the National Institute of Mental Health launched a modest but potentially significant pilot program titled the Community Support Program (CSP), designed to improve services for one particularly vulnerable population—adult psychiatric patients whose disabilities are severe and persistent but for whom long-term skilled or semiskilled nursing care is inappropriate.
Abstract: This year, the National Institute of Mental Health (NIMH) launched a modest but potentially significant pilot program titled the Community Support Program (CSP). CSP is designed to improve services for one particularly vulnerable population—adult psychiatric patients whose disabilities are severe and persistent but for whom long-term skilled or semiskilled nursing care is inappropriate. Specifically, CSP involves contracts (not grants) between NIMH and State mental health agencies, many of whom will subcontract with local agencies for demonstration projects. To date, 19 States have been awarded CSP contracts amounting to a total of approximately $3.5 million for the first year's activities. Although the program is so new that little has been published about it, interpretations are beginning to appear in the press and the professional literature. The New York Times (February 7, 1978), for example, while emphasizing the need for Federal leadership to improve services to chronic patients, referred to the CSP initiative in an editorial as "belatedly pulled together" and "meager." Professional literature has viewed it more positively. A recent article in the Scientific American (Bassuk and Gerson 1978, p. 53), for example, highlighted the importance of the program in "the acknowledgment of the specific needs of the chronic severely disabled person," and "the willingness of the Federal government to accept more responsibility for the mentally ill." The APA Monitor (Herbert 1977, p. 4)

356 citations