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The Insanity Offense: How America's Failure to Treat the Seriously Mentally Ill Endangers Its Citizens
A leading expert on mental illness outlines the tragic consequences of deinstitutionalization and sounds the call for reform.Beginning in the 1960s in the United States, scores of patients with severe psychiatric disorders were discharged from public mental hospitals. At the same time, activists forced changes in commitment laws that made it impossible to treat half of the patients that left the hospital. The combined effect was profoundly destructive. Today, among homeless persons, at least one-third are severely mentally ill; among the incarcerated, at least one-tenth. Of those individuals living in our communities, many are the victims of violent crime. Other untreated individuals commit crimes, including murder and assault. In The Insanity Offense, E. Fuller Torrey takes full stock of this phenomenon, exploring the causes and consequences as he weaves together narratives of individual tragedies in three states with sobering national data on our failure to treat the mentally ill. In the book's final chapters, Torrey outlines what needs to be done to reverse this ongoing—and accelerating—disaster..
Price: $11.95
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Out of the Shadows: Confronting America's Mental Illness Crisis
E. Fuller Torrey excoriates the way the mentally ill are treated in this country His polemic against the concept of "deinstitutionalization" takes us on a grim tour of the lives led by the mentally ill: untreated, homeless, jobless, and helpless against street violence. Torrey argues that the criteria for involuntary commitment should include the need for treatment..
Price: $14.05
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Psychiatry Takes to the Streets: Outreach and Crisis Intervention for the Mentally Ill
Practical, how-to examples of community-based intervention models focus on the most difficult-to-reach, disaffiliated populations with chronic and serious mental illness Through clinical vignettes, workers in the field identify emerging populations of noninstitutionalized and deinstitutionalized patient groups, suggest appropriate intervention strategies, and chronicle the development and implementation of mobile outreach programs, assertive community treatment, home visitation, and "gatekeeper" geriatric care. Analyzed as well are the elements-- staff composition, style of intervention, and vital service linkages--crucial for therapeutic success. This important and timely volume outlines the challenge of community care in the post-deinstitutionalization era. It provides models of strategic clinical intervention with the most difficult-to-reach populations of seriously and chronically mentally ill. Unique service needs of the homeless mentally ill, young adult chronics, and isolated impaired elderly are discussed in relation to a number of outreach programs in a wide range of community settings. The authors discuss necessary ingredients for therapeutic success in terms of staff composition, style of intervention and service linkages. The volume highlights common elements necessary for successful community treatment of sub-populations of high risk individuals, while at the same time it recognizes the differences inherent in divergent treatment models, patient types and communities. .
Price: $5.53
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New Directions for Mental Health Services, Deinstitutionalization: Promise and Problems, No. 90 (J-B MHS Single Issue Mental Health Services)
Both the scope and effects of deinstitutionalization have been dramatic This volume examines both positive and negative effects of this mass movement of persons with severe mental illness out of the state hospitals and into the community. The chapters address the following issues: the use of community alternatives to state hospitalization; the very large numbers of persons with severe mental illness who have found their way into the criminal justice system, why this has happened, and what to do about it; the community treatment of mentally ill offenders; how to prevent inappropriate entry of mentally ill persons into the criminal justice system; the value of mental health consultation in courtroom settings; the therapeutic use of mental health conservatorship; and finally, psychiatric rehabilitation. Although deinstitutionalization for the most part can result in a much richer life experience in the community, much more needs to be done to make that occur. This is the 90th issue of the Jossey-Bass series New Directions for Mental Health Services..
Price: $21.90
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Madness in the Streets: How Psychiatry and the Law Abandoned the Mentally Ill
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