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Community-based care for the severe ...

Rosenheck, Stephen.

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Community-based care for the severe mentally ill in Sweden and the United States.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Community-based care for the severe mentally ill in Sweden and the United States./
作者:	Rosenheck, Stephen.
面頁冊數:	150 p.
附註:	Source: Dissertation Abstracts International, Volume: 68-11, Section: A, page: 4865.
Contained By:	Dissertation Abstracts International68-11A.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3284489
ISBN:	9780549315421

Community-based care for the severe mentally ill in Sweden and the United States.
Rosenheck, Stephen.

Community-based care for the severe mentally ill in Sweden and the United States. - 150 p.

Source: Dissertation Abstracts International, Volume: 68-11, Section: A, page: 4865.

Thesis (Ph.D.)--City University of New York, 2007.

This dissertation compares the development of community-based care for the severe mentally ill in Sweden and the United States in the years between 1960 and 1995. The dissertation approaches this cross-national comparison from the perspective of Esping-Andersen's The Three Worlds of Welfare Capitalism (1990).

ISBN: 9780549315421Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Community-based care for the severe mentally ill in Sweden and the United States.
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500 $a Source: Dissertation Abstracts International, Volume: 68-11, Section: A, page: 4865.
500 $a Adviser: Mimi Abramovitz.
502 $a Thesis (Ph.D.)--City University of New York, 2007.
520 $a This dissertation compares the development of community-based care for the severe mentally ill in Sweden and the United States in the years between 1960 and 1995. The dissertation approaches this cross-national comparison from the perspective of Esping-Andersen's The Three Worlds of Welfare Capitalism (1990).
520 $a Only one prior study, Goodwin's Comparative Mental Health Policy (1997), has sought to apply Esping-Andersen's welfare state typology to the mental health sector. Goodwin argued that during deinsitutionalization there was a widespread cross-national pattern of neglect in the development of community-based care for the severe mentally ill, but that the nature and extent of the neglect varied from country to country in correspondence with Esping-Andersen's three welfare state types.
520 $a This dissertation shows that the element in Goodwin's argument concerned with variation according to welfare state type was incorrect. It finds that in Sweden and the United States there existed a parallel sequence of neglect and corrective legislation that deviates from Esping-Andersen's typology in two major ways. There was far more neglect in Sweden than the typology would predict, and far more corrective legislation in the United States, as well.
520 $a To explain these deviations the dissertation introduces a conceptual distinction between sector-transcendent and sector-specific causes of welfare state development. It argues that the deviations it describes were caused by the sector-specific historical legacy in mental health of the custodial asylum.
520 $a All advanced industrial democracies, regardless of welfare state type, shared this historical legacy in common. In all these nations asylums were operated by government, rather than the free market; and by government at a relatively high level of jurisdiction, a fact which defined the severe mentally ill as not a local government concern.
520 $a During deinstitutionalization, this legacy left unwillingness and unreadiness to assume responsibility for the severe mentally ill by local government, even in Sweden. At the same time, it gave state government a strong incentive to enact legislation to correct local government neglect, even in the United States.
520 $a The dissertation concludes that efforts to apply Esping-Andersen's typology to an individual sector of welfare state activity must recognize that sector-specific causal factors play an important role.
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