EVALUATIONS

• 01:920:307:02

• HORWITZ, SOC. OF MENTAL ILLNESS

• GOOD = RIGHT; BAD = LEFT

• ON BACK - MOVIE SUGGESTIONS AND ANYTHING ELSE

CONTEXT

• DECLINE OF MENTAL HOSPITALS - NO NEED FOR INCOME, JOBS, BENEFITS

• ALL SERVICES IN ONE PLACE -

HOUSING, MEALS, THERAPY, MEDICAL CARE, SOCIAL CONTROL, SOCIAL INTERACTION

• HOW CREATE “HOSPITAL IN THE COMMUNITY?”

OUTPATIENT THERAPY

• ONLY ALTERNATIVE MODEL• ONLY THERAPY - NO OTHER

SERVICES• LIMITED SOCIAL CONTROL• INADEQUATE FOR SERIOUSLY

MENTALLY ILL• NEED FOR NEW KIND OF

PROFESSIONAL FOR S.M.I.

NEW PROGRAMS FOR SMI

• EFFECTIVE MODELS ARE AVAILABLE

• GOAL TO IMPROVE QUALITY OF LIFE AND EMPOWERMENT NOT JUST MANAGE SYMPTOMS

• COORDINATE SERVICES

• PACT

PACT

• TEAM CONCEPT

• GO OUT INTO THE COMMUNITY

• 24/7 AVAILABILITY

• PROVIDE SERVICES AND MEDICATION

BENEFITS OF PACT

• KEEPS PEOPLE OUT OF HOSPITAL

• COORDINATES SERVICES

• RAISES QUALITY OF LIFE

PROBLEMS W/PACT

• PATERNALISM?

• ATTITUDE TOWARD MEDICATION?

• WHAT DO ALL DAY?

• FEW PROGRAMS, E.G. JOB TRAINING

FAMILIES

• MORAL RESPONSIBILITY FOR ADULT SMI CHILDREN

• FRUMKINS?

• OFTEN BLAMED FOR ILLNESS OR FOR RELAPSES

• BEARERS OF BURDEN

CONSUMER MOVEMENT

• AROSE IN 1970’S - “ANTI-PSYCHIATRY” (KAUFMANN)

• ANTI-DISEASE

• ANTI-SOCIAL CONTROL

• ANTI-MEDICATION

CONSUMER MOVEMENT

• COMBAT STIGMA

• ALL SERVICES VOLUNTARY

• CONSUMER RUN SERVICES

• SOME TRY TO COMBINE CONSUMER-RUN WITH PROFESSIONALS

REVIEW

• 60% MULTIPLE CHOICE

• 40% TWO GENERAL ESSAYS FROM THREE CHOICES

• ESSAY QUESTIONS BROAD - ANSWERS PARTICULAR

• 1/3 OF GRADE BUT ALSO TREND

• NOT CUMULATIVE

CUCKOO’S NEST

• HOW ILLUSTRATES MENTAL HOSPITALS BEFORE DI

• SOCIAL CONTROL

• MEDICAL MODEL

• TYPES OF PATIENTS

IS THERE NO PLACE ON EARTH FOR ME?

• HOW ILLUSTRATES DI - SINCE 1970’S

• PROBLEMS OF DI SYSTEM

• LACK OF INTEGRATION

• HOW EXERT SOCIAL CONTROL?

• SITUATION OF FAMILIES

• WHAT WOULD BE EFFECTIVE WITH SOMEONE W/SYLVIA’S PROBLEMS?

MENTAL HOSPITALS

• HISTORY OF MENTAL HOSPITALS

• WHEN AROSE

• TYPE OF TREATMENT

• TYPES OF PATIENTS

• CHARACTERISTICS OF INSTITUTIONS

• CHANGES OVER TIME - 1850-1955

DEINSTITUTIONALIZATION

• CHANGES IN RESIDENTS AND ADMISSIONS - 1950’S - 2000

• CHANGES IN TYPES OF PATIENTS

• CHANGES IN COMMITMENT

• MEDICAL AND LEGAL MODELS

• CHANGES IN HOSPITALS

REASONS FOR DI

• DRUGS

• IDEOLOGY – CMHC, PRO-FEDERAL, ANTI-STATE

• LEGAL - COMMITMENT, IN HOSPITAL, RELEASE

• ECONOMIC

ECONOMIC

• FROM STATE TO FEDERAL FUNDING

• MEDICAID, MEDICARE

• SSI

COMMUNITY TREATMENT

• MAJOR ASPECTS OF PACT AND COMMUNITY TREATMENT

• HOW DIFFERENT FROM TRADITIONAL INPATIENT AND OUTPATIENT

• STRONG AND WEAK ASPECTS

KAUFMANN

• MENTAL HEALTH CONSUMER MOVEMENT

• WHEN AROSE

• MAJOR IDEOLOGY

• ATTITUDES TOWARD M.H. PROFS.

PICKETT, COOK

• PSYCHIATRIC REHABILITATION

• WHAT ARE IMPORTANT OUTCOMES?

HIDAY

• RATES OF M.I. IN PRISONERS AND GENERAL POPULATION

• VIOLENCE AND MENTALLY ILL

• USE OF INSANITY DEFENSE

GUEST SPEAKER

• HOW POLICE SHOULD HANDLE MENTALLY ILL