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The Dilemma of Federal Mental Health Policy: Radical Reform or Incremental Change? (Critical Issues in Health and...

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Click here to buy The Dilemma of Federal Mental Health Policy: Radical Reform or Incremental Change? (Critical Issues in Health and... by  Gerald N. Grob and Howard H. Goldman. The Dilemma of Federal Mental Health Policy: Radical Reform or Incremental Change? (Critical Issues in Health and...
by Gerald N. Grob and Howard H. Goldman
Sales Rank: 851531
5.0 out of 5 stars
List Price: $44.95
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on 11-25-2008.
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Features
  • Cover Type: Hard Cover with 226 pages
  • Published by: Rutgers
  • Edition: 1st Edition February 25, 2007
  • Written in: English
  • ISBN 10 Number: 0813539587
  • ISBN 13 Number: 978-0813539584
  • Book Dimensions: 9.1 x 6.2 x 0.9 inches
  • Weighs: 1 pounds

    Product Review
    "This is a wonderfully written and clear description of the evolution of mental health policy in America. Grob and Goldman explain how new treatment opportunities have been created at the same time so many are homeless or inappropriately incarcerated. This book is a must read." - Steven S. Sharfstein, M.D., president, American Psychiatric Association and president and CEP, Sheppart Pratt Health System"

    Product Description
    Severe and persistent mental illnesses are among the most pressing health and social problems in contemporary America. Recent estimates suggest that more than three million people in the U.S. have disabling mental disorders. The direct and indirect costs of their care exceed 180 billion dollars nationwide each year. Effective treatments and services exist, but many such individuals do not have access to these services because of limitations in mental health and social policies. For nearly two centuries Americans have grappled with the question of how to serve individuals with severe disorders. During the second half of the twentieth century, mental health policy advocates reacted against institutional care, claiming that community care and treatment would improve the lives of people with mental disorders. Once the exclusive province of state governments, the federal government moved into this policy arena after World War II. Policies ranged from those focused on mental disorders, to those that focused more broadly on health and social welfare. In this book, Gerald N. Grob and Howard H. Goldman trace how an ever-changing coalition of mental health experts, patients' rights activists, and politicians envisioned this community-based system of psychiatric services. The authors show how policies shifted emphasis from radical reform to incremental change. Many have benefited from this shift, but many are left without the care they require.

    Reader Reviews
    Written by professor of the history of medicine emeritus Gerald N. Grob and professor of psychiatry Howards H. Goldman, The Dilemma of Federal Mental Health Policy: Radical Reform or Incremental Change? explores how American governmental policies concerning the treatment of the mentally ill have changed over the decades since the end of World War II - from being exclusively the domain of state government to increasingly becoming the province of federal government; from focusing on institutions to advocating community care and treatment; and from transformation through radical reform to gradual, incremental change. Chapters celebrate positive benefits but also warn that too many mentally ill individuals today do not have access to the effective treatment services because of limitations in mental and social health policies. "The Clinton health care reform effort was a failed effort at fundamental change in the 1990s. The effort included considerations of mental health and substance abuse in its deliberations and its legislative proposals. The changes, however, were considered to be too radical to be implemented and the initiative went down to defeat. Paradoxically, the initiative was a rhetorical victory for mental health policy." An excellent contribution to medical and political history shelves, highly recommended.


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    Updated on 11-25-2008.
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