Recovery From Schizophrenia: Psychiatry And Political Economy

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TREATMENT 265• Social policy innovations, such as raising the minimum wage and guaranteedjobs programs, could increase the employment and integration of people withschizophrenia.
Chapter 12Desegregating schizophreniaIt is easy to tell horror stories, and there are plenty in this book. It is harder tocome up with ways to alleviate the plight of the mentally ill in the Western world.How can we help people with schizophrenia re-enter today’s society and achievea genuine degree of social integration? In this chapter we will look at practicalanswers to this question.COMMUNITY SUPPORT SYSTEMSThe treatment programs of the Mental Health Center of Boulder County,Colorado will frequently be used as examples. They illustrate what is possiblegiven the usual level of community mental health funding 1 and a commitment toproviding decent care for the most seriously ill patients. The center has beensuccessful in keeping nearly everyone in Boulder County with serious mentalillness out of inadequate living situations such as homeless shelters, nursing homesand jail and establishing them in independent domestic settings in thecommunity. A summary of the location of mental health center clients withpsychotic illness in early 2002 is given in Table 12.1. The mental health center inBoulder, like a number of others across the United States, was designated a modelcommunity support system for severely disturbed patients by the US NationalInstitute of Mental Health in the 1970s and has continued to add new programssince then.The services and programs that may be offered by a community support systemrange from individual counseling through psychosocial rehabilitation andvocational services to family support and public education. Services may beoffered to patients in hospital, group homes, independent living or wherever theclient can be found, whether it be in jail or a shelter for the homeless. Thefunctions of such a system may be succinctly expressed by the followingcommandments. The treatment agency shall:• adopt total responsibility for the severely disabled client’s welfare, includinghelping the person acquire such material resources as food, shelter, clothingand medical care;
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Recovery from SchizophreniaRecovery
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First edition published 1985by Rout
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ContentsAcknowledgments viIntroduct
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devotion to excellence in creating
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ixA NOTE ON THEORYThe materialist t
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Part IBackground
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WHAT IS SCHIZOPHRENIA? 3WHAT IS SCH
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WHAT IS SCHIZOPHRENIA? 5syphilis, n
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WHAT IS SCHIZOPHRENIA? 7Table 1.1-c
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WHAT IS SCHIZOPHRENIA? 9complete sy
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WHAT IS SCHIZOPHRENIA? 11patients w
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WHAT IS SCHIZOPHRENIA? 13publicatio
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WHAT IS SCHIZOPHRENIA? 15Figure 1.1
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WHAT IS SCHIZOPHRENIA? 17intrusiven
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WHAT IS SCHIZOPHRENIA? 19Figure 1.3
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WHAT IS SCHIZOPHRENIA? 21Brain stru
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WHAT IS SCHIZOPHRENIA? 23system. Th
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WHAT IS SCHIZOPHRENIA? 25One thing
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WHAT IS SCHIZOPHRENIA? 27of worth,
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Chapter 2Health, illness and the ec
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HEALTH, ILLNESS AND THE ECONOMY 31a
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HEALTH, ILLNESS AND THE ECONOMY 33i
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HEALTH, ILLNESS AND THE ECONOMY 35B
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HEALTH, ILLNESS AND THE ECONOMY 37s
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HEALTH, ILLNESS AND THE ECONOMY 39d
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HEALTH, ILLNESS AND THE ECONOMY 41F
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HEALTH, ILLNESS AND THE ECONOMY 43o
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HEALTH, ILLNESS AND THE ECONOMY 45T
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HEALTH, ILLNESS AND THE ECONOMY 47b
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HEALTH, ILLNESS AND THE ECONOMY 49F
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HEALTH, ILLNESS AND THE ECONOMY 51A
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Part IIThe political economy of sch
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RECOVERY FROM SCHIZOPHRENIA 55impro
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RECOVERY FROM SCHIZOPHRENIA 57categ
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RECOVERY FROM SCHIZOPHRENIA 59Table
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Table 3.1 -continuedRECOVERY FROM S
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RECOVERY FROM SCHIZOPHRENIA 73Figur
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Table 3.3 Recovery rates in the USA
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RECOVERY FROM SCHIZOPHRENIA 77the l
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THE POLITICAL ECONOMY OF SCHIZOPHRE
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MADNESS AND THE INDUSTRIAL REVOLUTI
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25 patients, and on the more distur
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Chapter 6Labor, poverty and schizop
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THE PERSON WITH SCHIZOPHRENIA IN WE
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Chapter 9The incidence of schizophr
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Page 226 and 227: THE POLITICAL ECONOMY OF SCHIZOPHRE
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Page 230 and 231: Part IIITreatment
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Page 258 and 259: TREATMENT 247indicated, unemploymen
Page 260 and 261: TREATMENT 249success, for the lodge
Page 262 and 263: TREATMENT 251vocational programming
Page 264 and 265: TREATMENT 253the job is permanent.
Page 266 and 267: TREATMENT 255Social enterprises in
Page 268 and 269: TREATMENT 257pharmacy technicians a
Page 270 and 271: TREATMENT 259The situation seems to
Page 272 and 273: TREATMENT 261Though these results a
Page 274 and 275: TREATMENT 263• raise the minimum
Page 278 and 279: TREATMENT 267Table 12.1 Living situ
Page 280 and 281: TREATMENT 269A JAIL DIVERSION PROGR
Page 282 and 283: TREATMENT 271the office work and th
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Page 286 and 287: TREATMENT 275studies may be the res
Page 288 and 289: TREATMENT 277established for some o
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Page 292 and 293: TREATMENT 281interest loans and gra
Page 294 and 295: TREATMENT 283individual’s goals s
Page 296 and 297: TREATMENT 285Cognitive therapy, it
Page 298 and 299: TREATMENT 287Table 12.2 Facts about
Page 300 and 301: TREATMENT 289consumers and professi
Page 302 and 303: TREATMENT 291definitively not part
Page 304 and 305: FIGHTING STIGMAAlthough the mentall
Page 306 and 307: TREATMENT 295The National Alliance
Page 308 and 309: TREATMENT 297other medical disorder
Page 310 and 311: TREATMENT 299when a psychiatrist an
Page 312 and 313: NotesINTRODUCTION1 Harris, M., Cult
Page 314 and 315: NOTES 30333 Heston, L.L., “Psychi
Page 316 and 317: NOTES 30557 Sham, P.C., O’Callagh
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Page 320 and 321: NOTES 30929 Srole, L., Langner, R.S
Page 322 and 323: NOTES 311unemployment cause the dea
Page 324 and 325: NOTES 313107 Warr, P., “Studies o
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138 Dear, M., Clark, G. and Clark,
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NOTES 3178 Epstein, L.J., Morgan, R
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NOTES 31943 Quirk, A. and Lelliott,
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NOTES 32349 Walton, “Pauper lunat
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105 Bockoven, J.S., Moral Treatment
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NOTES 32729 For positive evaluation
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66 Barker, D., “Moscow mayor has
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NOTES 33133 World Health Organizati
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NOTES 33380 Eliade, M., Shamanism:
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NOTES 335homelessness a mental heal
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NOTES 337Academic Press, 1978; Faul
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NOTES 339Washington, DC: House of R
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NOTES 34194 Read, J. and Baker, S.,
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132 Robinson, J.R and Shaver, P.R.,
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NOTES 345“Schizophrenia is not di
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NOTES 34748 Bagley, C., “The soci
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NOTES 34979 ni Nuallain, M., O’Ha
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NOTES 3514 Kapur, S. and Seeman, P.
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NOTES 35327 Pasamanick, B., Scarpet
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NOTES 355Archives of General Psychi
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NOTES 357“Prognostic factors in r
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NOTES 359Chandler, D., Meisel, J.,
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30, 1978; Moffit, R., “The econom
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NOTES 36312 Stein, L.I. and Test, M
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NOTES 36547 Personal communication,
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NOTES 367European Psychiatry, 15:26
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BibliographySTUDIES OF THE OUTCOME
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BIBLIOGRAPHY 371Horowitz, W.A. and
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BIBLIOGRAPHY 373Salokangas, R.K.R.,
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AUTHOR INDEX 375Dunham, Warren 31Du
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AUTHOR INDEX 377Urquhart, M.C. 129n
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SUBJECT INDEX 379atypical 20;compan
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SUBJECT INDEX 381CESP see Carer Edu
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SUBJECT INDEX 383disability pension
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SUBJECT INDEX 385diagnosis of 148;d
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SUBJECT INDEX 387Isle of Wight 33is
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SUBJECT INDEX 389Middlesex, Hanwell
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SUBJECT INDEX 391PACE see Personal
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SUBJECT INDEX 393economic condition
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SUBJECT INDEX 395self-employment 15
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SUBJECT INDEX 397symbolic thinking
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SUBJECT INDEX 399volition disturban
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