Community Care Policy: From Consensus to Conflict

1997 ◽  
pp. 196-220 ◽  
Author(s):  
Alan Walker
Keyword(s):  
1995 ◽  
Vol 24 (1) ◽  
pp. 73-94 ◽  
Author(s):  
Jane Lewis ◽  
Penny Bernstock ◽  
Virginia Bovell

ABSTRACTMany of the difficulties of implementing the new community care policy arise from the fact that local authorities are being asked to make substantial changes on a large number of fronts. However, studies to date have tended to concentrate on only single areas of change. This article aims to provide a wide-ranging discussion of the new policy and its implementation, drawing on empirical research for illustration.The article suggests first that it is important to situate the difficulties local authorities are experiencing in implementing the changes in the context of the unresolved tensions contained within the objectives of the reforms. The problems these issues raise for implementation are then examined in relation to two main areas: care management and assessment, and enabling, drawing on a two-year monitoring project (from mid-1992 to mid-1994) in one shire county, one inner London borough and three outer London boroughs. The article concludes by speculating on what the changes will mean for the future of social service provision.


1996 ◽  
Vol 20 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Geoffrey Wolff ◽  
Soumitra Pathare ◽  
Tom Craig ◽  
Julian Left

Most long-stay patients discharged from psychiatric hospitals under community care policy are being accommodated in suburban communities. The communities' attitudes have a major bearing on the success of this policy. A census of perceptions of psychiatric services was conducted in two areas prior to the opening of long-stay supported houses for the mentally ill. Many respondents (37%) had a negative perception of psychiatric treatment in hospital. Most (82%) had heard of community care policy but few (29%) knew about the imminent opening of supported houses for the long-term mentally HI in their own street. Most respondents (66%) were against the closure of psychiatric hospitals and many saw It as a cost cutting exorcise. The majority agreed with the idea of long-stay patients being discharged into smaller units in the community although a substantial minority (20%) thought it would have a bad effect on the local community. An overwhelming majority of respondents (91%) thought it was important for local residents to be given information about new mental health facilities in their neighbourhood. Respondents were worried that patients would not get adequate support and that they might be dangerous. If community care policy is to succeed, attention needs to be paid to the community's opinions and desire for information about local services.


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