Community care of the seriously mentally ill: Continuing problems and current issues

Uri Aviram*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

The crisis in community care for the seriously mentally ill (SMI) stems from organizational and financial difficulties as well as from deeply embedded structural factors. The analysis shows a preference for medicalizing and individualizing the problems of SMI rather than viewing them as structural social welfare issues. The author discusses problems of deinstitutionalization, homelessness, service provisions, financing, accounting and reporting, employment, bureaucratic skimming and burden to families and points out the ambivalent ideology and the inherent contradictions within the mental health service system. Finally, the centrality of social control and the maintenance of orderly social life in public, policy and program development is illuminated.

Original languageEnglish
Pages (from-to)69-88
Number of pages20
JournalCommunity Mental Health Journal
Volume26
Issue number1
DOIs
StatePublished - Feb 1990
Externally publishedYes

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