scholarly journals Who's in the lions' den?

1996 ◽  
Vol 20 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Geoffrey Wolff ◽  
Soumitra Pathare ◽  
Tom Craig ◽  
Julian Left
Keyword(s):  
Mentally Ill ◽  
Local Community ◽  
Community Care ◽  
Psychiatric Treatment ◽  
Psychiatric Hospitals ◽  
Care Policy ◽  
Suburban Communities ◽  
Cost Cutting ◽  
Local Residents

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.

In alliance with a nocturnal landscape: memory and water law in the north Baikal, Siberia

Polar Record ◽  
2014 ◽  
Vol 50 (4) ◽  
pp. 414-420
Author(s):  
Veronika V. Simonova
Keyword(s):  
Lake Baikal ◽  
Coastal Area ◽  
Local Community ◽  
Social Memory ◽  
Emotional Experience ◽  
Water Law ◽  
The North ◽  
Local Residents ◽  
Human Landscape

ABSTRACTThis paper examines the ethnography of nocturnal fishery and relationships with water, relevant for Evenkis occupying the northern coastal area of Lake Baikal, Siberia. The material arises from Evenkis of Kumora village who live near Lake Irkana and from archival sources. Although the nocturnal fishery is declared illegal in official legislation, local residents invoke memories to mark that practice as traditional and important for the local community since it is not merely a subsistence activity but also an emotional experience and long-term relationships with the landscape. This paper argues that local social memory devoted to this practice serves as a kind of fishing tool and a tool for supporting local ideas of how fishing should be governed. The collision between memory and water law is not discussed in terms of antagonism between local groups and authorities but as ignorance between memory-gifted people and the landscape, and memory-disabled official approaches to nocturnal fishing and its histories. Finally, memory-gifted human landscape relationships termed as ‘alliance’ are approached as a powerful conglomerate that ‘consumes’ authorised visions of fishing patterns in their own way.

scholarly journals After the madhouses: the emotional politics of psychiatry and community care in the UK tabloid press 1980–1995

2021 ◽  
pp. medhum-2020-012117
Author(s):  
Leah Sidi
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Community Care ◽  
Term Care ◽  
Hospital Patients ◽  
Emotional Politics ◽  
The Uk ◽  
Gendered Stereotypes ◽  
Tabloid Press

The deinstitutionalisation of mental hospital patients made its way into UK statutory law in 1990 in the form of the NHS and the Community Care Act. The Act ushered in the final stage of asylum closures moving the responsibility for the long-term care of mentally ill individuals out of the NHS and into the hands of local authorities. This article examines the reaction to the passing of the Act in two major tabloid presses, The Sun and The Daily Mirror, in order to reveal how community care changed the emotional terrain of tabloid storytelling on mental health. Reviewing an archive of 15 years of tabloid reporting on mental illness, I argue that the generation of ‘objects of feeling’ in the tabloid media is dependent on the availability of recognisable and stable symbols. Tabloid reporting of mental illness before 1990 reveals the dominance of the image of the asylum in popular understandings of mental illness. Here the asylum is used to generate objects of hatred and disgust for the reader, even as it performs a straightforward othering and distancing function. In these articles, the image of the asylum and its implicit separation of different types of madness into categories also do normative gender work as mental illness is represented along predictable gendered stereotypes. By performing the abolition of asylums, the 1990 Act appears to have triggered a dislodging of these narrative norms in the tabloid press. After 1990, ‘asylum stories’ are replaced with ‘community care stories’ which contain more contradictory and confusing clusters of feeling. These stories rest less heavily on gendered binaries while also demonstrating a near-frantic desire on the part of the mass media for a return of institutional containment. Here, clusters of feeling becoming briefly ‘unstuck’ from their previous organisations, creating a moment of affective flux.

scholarly journals Developing case management for the long-term mentally ill

1993 ◽  
Vol 17 (7) ◽  
pp. 409-411 ◽  
Author(s):  
Richard Ford ◽  
Alan Beadsmoore ◽  
Paul Norton ◽  
Anna Cooke ◽  
Julie Repper
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Community Care ◽  
Chronically Ill ◽  
Integrated Services ◽  
Psychiatric Services ◽  
Health Policies ◽  
Mental Health Policies ◽  
Bed Numbers

Mental health policies and the focus of psychiatric services have shifted over the last three decades from hospital to community care. Greater care in the community and reduced psychiatric bed numbers have contributed to the discharge or non-admission of many patients with severe and persistent disorders who formerly would have been cared for in hospital. Increasing numbers of the chronically ill in the community will necessitate the development of systems to provide continuous and integrated services for such people.

Community perceptions of four protected areas in the Northern portion of the Cerrado hotspot, Brazil

2009 ◽  
Vol 36 (2) ◽  
pp. 129-138 ◽  
Author(s):  
MARIANA NAPOLITANO E FERREIRA ◽  
NATÁLIA COSTA FREIRE
Keyword(s):  
Protected Areas ◽  
Local Community ◽  
Human Impacts ◽  
Conservation Strategies ◽  
Community Perceptions ◽  
Buffer Zones ◽  
Perceptions And Attitudes ◽  
Northern Portion ◽  
Local Residents

SUMMARYEstablishing effective networks of protected areas (PAs) is one of the major goals of conservation strategies worldwide. However, the success of PAs in promoting biodiversity conservation depends on their integration to local and regional contexts, reducing and mitigating human impacts originating from buffer zones. Community perceptions affect interactions between residents and PAs, and thereby conservation effectiveness. Research at Tocantins state (northern Brazilian Cerrado), aimed to analyse local community perceptions of four PAs, discussing how different factors may influence these. Perceptions were assessed through standardized interviews applied to PA employees and 275 local inhabitants. There was modest community participation in PA establishment and management. Residents were aware of the PAs’ existence, but were unfamiliar with their goals. Length of residency and occupation of inhabitants influenced their PA perceptions, shaping different people-park relations in each of the four studied PAs. Involvement of local residents in PA planning and management represents a central strategy to strengthen local support for PAs over the long term. In those areas that still have settlements inside their boundaries, community relocation should follow a careful participatory process to avoid significant changes in local perceptions and attitudes towards these PAs, crucial for conserving Brazilian biodiversity.

scholarly journals Collaboration for Community-Based Cultural Sustainability in Island Tourism Development: A Case in Korea

2021 ◽  
Vol 13 (13) ◽  
pp. 7306
Author(s):  
Xiubai Li ◽  
Jinok Susanna Kim ◽  
Timothy J. Lee
Keyword(s):  
Local Community ◽  
Tourism Development ◽  
Strong Relationship ◽  
Community Based ◽  
Cultural Sustainability ◽  
Sustainable Tourism Development ◽  
The Face ◽  
Local Residents ◽  
Cultural Components

Constructive collaboration with host communities while maintaining their traditional culture is crucial when planning tourism ventures, particularly if ensuring sustainability is considered important. This paper investigates the cultural sustainability of Jeju Island in South Korea and whether collaboration with community-based tourism ensures this sustainability through in-depth interviews with local residents. The first part of the interview focuses on cultural components to assess the current situation of cultural sustainability on the island, and the second part is related to that collaboration. The findings of the interviews indicate that: (i) there are certain negative indications of cultural sustainability in that Jeju people holding informal power became vulnerable in the face of tourism demand; (ii) several barriers exist in the facilitation of community-based tourism collaboration notwithstanding the beneficial trends, and (iii) there is a strong relationship between collaboration and cultural sustainability. It is also noted that the collaboration itself does not coincide with the actualization of cultural sustainability so long as current power disparities exist. The study delivers significant implications to the tourism policymakers and practitioners on how sustainable tourism development should be planned and operated to secure a long-term benefit especially focused on how the local community should be involved in the overall development process.

Has the attempt to reduce psychiatric inpatient treatment been successful in Finland?

2001 ◽  
Vol 16 (4) ◽  
pp. 215-221 ◽  
Author(s):  
R. Kaltiala-Heino ◽  
P. Laippala ◽  
M. Joukamaa
Keyword(s):  
Inpatient Treatment ◽  
Psychotic Disorders ◽  
Community Care ◽  
Psychiatric Treatment ◽  
Psychiatric Inpatient ◽  
Psychiatric Hospitals ◽  
Psychiatric Inpatient Treatment ◽  
National Hospital Discharge Register ◽  
Number Of Treatment ◽  
Primary Care Institutions

SummaryThe deinstitutionalisation process in Finland’s psychiatric healthcare did not start until the late 1980s. Our aim is to evaluate how the use of psychiatric inpatient treatment was associated with deinstitutionalisation given the changes in the modality of treatment ideology (years 1987–1991) as well as being due to economic pressures (years 1991–1995). Special emphasis is given on the inpatient treatment of schizophrenia and other psychotic disorders.Data was retrieved using the national hospital discharge register of all treatment periods in psychiatric hospitals and treatment periods due to psychiatric disorders in other hospitals. Three years (1987, 1991, and 1995) were compared. Four healthcare districts in northern Finland were studied. Resource use was measured by number of treatment periods and inpatient days in relation to population. Psychiatric inpatient treatment was reduced in 1987–1991, when resources in community care increased. During the period of economic pressures (1991–1995), when community care resources no longer increased, inpatient treatment started to rise again. Over the whole period, psychiatric treatment in primary care institutions increased.Reduction of psychiatric beds results in increasing inpatient treatment in non-specialist institutions, especially when community care fails to serve the patients. In the future it is important to evaluate whether the quality of care remains in the standard of specialised services when treatment shifts away from the specialist level.

Community Care for the Mentally Ill in England and Wales: Myths, Assumptions and Reality

1989 ◽  
Vol 18 (1) ◽  
pp. 27-52 ◽  
Author(s):  
Simon Goodwin
Keyword(s):  
Mentally Ill ◽  
Community Care ◽  
Accurate Assessment ◽  
Care Policy ◽  
England And Wales

ABSTRACTIt is widely recognised that there are many problems with the community care policy for the mentally ill which has been in operation in England and Wales since the late 1950s. However, many existing accounts of the development of the policy rest upon a variety of erroneous assumptions about how it has evolved, and which in turn affect our understanding of how it might be changed. Some of these assumptions are examined, and it is argued that frequently they fail to acknowledge how both the rhetoric and the reality of the policy have developed. Taking this critique into account, a more accurate assessment of how to understand community care for the mentally ill is offered.

The Scottish Survey of Psychiatric Rehabilitation and Support Services

1985 ◽  
Vol 147 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Robin G. McCreadie ◽  
James W. Affleck ◽  
Andrew D. T. Robinson
Keyword(s):  
Mentally Ill ◽  
Support Services ◽  
Urban Areas ◽  
Psychiatric Rehabilitation ◽  
Psychiatric Hospitals ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Psychiatric Units ◽  
Simple Count

Rehabilitation and support services in psychiatric hospitals and general hospital psychiatric units serving two-thirds of the population of Scotland were reviewed. Although there are wide between-hospital differences, especially between rural and urban areas, the National Health Service in Scotland is making considerable efforts to provide staffing, accommodation, occupational activities, and support services for the long term mentally ill. Services provided by local authorities, with the exception of group homes, are seriously deficient. The total number of services provided by an individual hospital correlated highly with an assessment of its adequacy in providing such services in relation to other hospitals. A simple count of services may therefore be used to assess adequacy. There was also a correlation between the range of a hospital's services and numbers of misplaced new chronic in-patients.

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