DEINSTITUTIONALIZATION, MENTAL health, MEDICAL care, TWENTIETH century, PSYCHIATRIC hospitals
Abstract
The advent of deinstitutionalisation and the introduction of community care in the latter part of the twentieth century have revolutionised mental-health service provision across Europe, although implementation, timing and services have varied widely in different countries. This article compares the changing dimensions of mental-health provision in post-independence Ireland with that in England, and will shed light on the current state of mental healthcare in both countries. The article calls for more research into the impact of deinstitutionalisation, such as the challenges faced in the community for those in need of continuing care. [ABSTRACT FROM AUTHOR]
Electroconvulsive Therapy legislation & jurisprudence, England, History, 20th Century, Humans, Legislation, Medical history, Wales, Electroconvulsive Therapy history, Informed Consent legislation & jurisprudence, Mental Health
Abstract
Consent to treatment was not mentioned in the Mental Health Act 1959, assuming that a detained patient could be treated against his/her will. However, consent was a crucial new feature in the 1983 Act. This paper traces and evaluates the issues, debates, people and organizations in England and Wales who advocated and enabled this important change to come about, using examples from the clinical practice of electroconvulsive therapy.
CHILDREN'S hospitals, CHILD psychiatry, CHILD mental health services, CHILD psychology, MENTAL health
Abstract
The article examines the interwar child psychiatry at Maudsley Hospital in London, England. In this paper, the expansion of the hospital's children's department is explored, in relation to novel behaviourist hypotheses and forging of formal links with local government and charitable bodies. It is noted that this development would structure the theoretical origins of child psychiatry.