TY - BOOK AU - Paulson,George W. TI - Closing the asylums: causes and consequences of the deinstitutionalization movement SN - 9780786470983 AV - RA790.6 .P486 2012 U1 - 362.2/10973 23 PY - 2012/// CY - Jefferson, N.C. PB - McFarland & Co. KW - Mentally ill KW - Deinstitutionalization KW - United States KW - History KW - 19th century KW - 20th century KW - Psychiatric hospital care N1 - Includes bibliographical references (p. 205-208) and index; Hilltop asylum in Columbus, Ohio -- Did DI result from attitudinal change, and did it reflect new wisdom? -- Building obsolescence and deinstitutionalization -- Did deinstitutionalization reflect the arrival of successful medications, or was medication only a new chemical straitjacket? -- Role of new disciplines in mental hospitals -- Urbanization: loss of a rural location -- Advances in public health and public attitudes -- The increase in social and community resources and their effect on enhancing freedom for the patients -- Legal initiatives as a major factor in change -- Elimination from the hospitals of the physically handicapped -- Summary: with consequences of deinstitutionalization N2 - "Though closing the asylums promised more freedom for many, encouraged community acceptance, and enhanced outpatient opportunities, there were unintended consequences. This book is written from the point of view of an academic neurologist who has served 60 years as an employee or consultant in typical state mental institutions in North Carolina and Ohio"--Provided by publisher ER -