After the Asylums: Community Care for People with Mental Illness. By Elaine Murphy. London: Faber and Faber. 1991. 248 pp. £7.99.

1993 ◽  
Vol 163 (1) ◽  
pp. 133-134
Author(s):  
Susan Mitchell
Keyword(s):  
Mental Illness ◽  
Community Care ◽  
People With Mental Illness

scholarly journals Translating Coercion Policy into Inter-Organisational Collaboration–the Implementation of Compulsory Community Care for People with Mental Illness

2016 ◽  
Vol 45 (4) ◽  
pp. 655-671 ◽  
Author(s):  
LIV ZETTERBERG ◽  
URBAN MARKSTRÖM ◽  
STEFAN SJÖSTRÖM
Keyword(s):  
Mental Illness ◽  
Social Services ◽  
Community Care ◽  
Care Plan ◽  
Service Coordination ◽  
Coordinated Care ◽  
People With Mental Illness ◽  
Main Effect ◽  
Patient Groups ◽  
Health Field

AbstractIn 2008, compulsory community care (CCC) for people with severe mental illness was introduced in Sweden. CCC requires co-operation between psychiatric and social services, thus further complicating the longstanding difficulties with service coordination in the mental health field.This article investigates what happens when a new policy is introduced that assumes complex co-operation of two organisations bestowed with high degrees of discretion. The process of institutionalisation will be analysed in terms of how an idea is translated and materialised on local levels. This has been investigated by interviewing key informants within psychiatric and social services at three different locations.The implementation was perceived as relatively successful and occurred without major conflict. The main effect of the new legislation was improvement in the coordination of services, where designing a template form for a coordinated care plan was central. The inter-organisational discussions about service coordination that arose had a spill-over effect on services for other patient groups.In essence, respondents describe CCC as a pedagogical reform to promote the coordination of services, rather than a reform to increase coercive powers over patients. This raises concerns about the legitimacy of the reform.

Homicides by people with mental illness: myth and reality

1999 ◽  
Vol 174 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Pamela J. Taylor ◽  
John Gunn
Keyword(s):  
Mental Illness ◽  
Substance Misuse ◽  
Community Care ◽  
Care Model ◽  
Home Office ◽  
High Profile ◽  
People With Mental Illness ◽  
Annual Decline ◽  
Criminal Statistics

BackgroundTragic and high-profile killings by people with mental illness have been used to suggest that the community care model for mental health services has failed.AimsTo consider whether such homicides have become more frequent as psychiatric services have changed.MethodData were extracted from Home Office-generated criminal statistics for England and Wales between 1957 and 1995 and subjected to trends analysis.ResultsThere was little fluctuation in numbers of people with a mental illness committing criminal homicide over the 38 years studied, and a 3% annual decline in their contribution to the official statistics.ConclusionsThere are many reasons for improving the resources and quality of care for people with a mental disorder, but there is no evidence that it is anything but stigmatising to claim that their living in the community is a dangerous experiment that should be reversed. There appears to be some case for specially focused improvement of services for people with a personality disorder and/or substance misuse.

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