|
KMID : 0607419980030010003
|
|
Mental Health Services
1998 Volume.3 No. 1 p.3 ~ p.19
|
|
|
Community Mental Helath Movement in the USA : The Current Problems and Coping Strategies
|
|
|
|
|
Abstract
|
|
|
|
Community mental health movement in the United States during the 1960’s and 1970’s has produced dramatic changes in the pattern of mental health care and the structure of the mental health system. It served as a momentum to replace the state hospital-based system by community-based mental health services system. Despite of good intention, the deinstitutuonalization has created unwanted effects such as transinstitutionalization, revolving door rehospitalization, and deinstitutionalization syndrome. community mental health centers were expected to be core mental health service agency that provide comprehensive services and continuity of care in the community but those expectations were so unrealistic. Community mental health centers failed to provide comprehensive services needed by the severely psychiatrically disabled because of many reasons such as gatekeeping, simple planned services, ineffective interagency communication and linkages staffs’ lack of special skills and experiences for effect work with chronic psychotics, and bureaucratism. Community mental health system in the United States has experienced significant development in the care of the seriously mentally ill but also is facing several serious problems in regard of catchment areas, treatment strategies, interdisciplinary relationship, case management, homeless mentally ill, housing, and mental health bureaucratism. In Korea, the community mental health system has just begun to take root and the developmental state of them is rudimentary. We should try to establish more humanistic and efficient Korean community mental health system under the lesson from those of United States.
|
|
|
KEYWORD
|
|
|
Community mental health, Community psychiatry, Deinstitutionalization, Community mental health center
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|