Logo image
The death of the asylum? Deinstitutionalization: Policy and practice
Doctoral Thesis   Open access

The death of the asylum? Deinstitutionalization: Policy and practice

Christine Alavi
Doctor of Philosophy (PhD), Murdoch University
1993
pdf
Alavi1993.pdfDownloadView
Whole Thesis Open Access

Abstract

The thesis begins by examining the narratives by which the psychiatric institution was sustained and legitimated from the eighteenth century until the middle of the twentieth century. It outlines and analyses the discourses which have determined how deinstitutionalization of the long-term mentally ill has been implemented. It investigates deinstitutionalization as a response to the critiques of the asylum in the 1960's and 70's, and evaluates its effects on the lives of the long-term mentally disturbed. It argues that policies based on community care, which were ostensibly aimed at ameliorating the worst aspects of institutionalization, have reproduced those negative aspects in the streets and emergency shelters of the inner cities of North America, Australia and Britain. The Australian experience of developing policies of institutionalization and deinstitutionalization is discussed, looking at recent documents at both state and national levels. Alternative approaches to the dissolution or decentralization of the psychiatric institution are examined, with particular reference to Italy and to innovative projects in both North America and Australia. The thesis concludes by addressing the basic issues in the development and implementation of policies for the care of the long-term mentally disturbed in Australia.

Details

Metrics

5 File views/ downloads
63 Record Views
Logo image