04469nam 2200649 450 991078939650332120230126211826.00-8135-6310-010.36019/9780813563107(CKB)3710000000089521(EBL)1639057(SSID)ssj0001132534(PQKBManifestationID)11574187(PQKBTitleCode)TC0001132534(PQKBWorkID)11155543(PQKB)10862636(MiAaPQ)EBC1639057(OCoLC)872393182(MdBmJHUP)muse31605(DE-B1597)526344(DE-B1597)9780813563107(Au-PeEL)EBL1639057(CaPaEBR)ebr10840158(CaONFJC)MIL577592(EXLCZ)99371000000008952120140305h20142014 uy 0engurnn#---|u||utxtccrManaging madness in the community the challenge of contemporary mental health care /Kerry Michael DobranskyNew Brunswick, New Jersey :Rutgers University Press,2014.©20141 online resource (190 p.)Critical Issues in Health and MedicineDescription based upon print version of record.0-8135-6309-7 Includes bibliographical references and index.Front matter --Contents --List of Tables --Preface and Acknowledgments --Chapter 1. Introduction --Chapter 2. Logic and Constraint --Chapter 3. Diagnosis, Labeling, and Social Control --Chapter 4. Empowerment Practice, Practical Empowerment --Chapter 5. The Realities of Community Integration --Chapter 6. The Right Person for the Job: Fragmentation in Staffing and Worker-Client Interaction --Chapter 7. Conclusion --Notes --References --Index --About the AuthorWhile mental illness and mental health care are increasingly recognized and accepted in today's society, awareness of the most severely mentally ill-as well as those who care for them-is still dominated by stereotypes. Managing Madness in the Community dispels the myth. Readers will see how treatment options often depend on the social status, race, and gender of both clients and carers; how ideas in the field of mental health care-conflicting priorities and approaches-actually affect what happens on the ground; and how, amid the competing demands of clients and families, government agencies, bureaucrats and advocates, the fragmented American mental health system really works-or doesn't. In the wake of movies like One Flew Over the Cuckoo's Nest and Shutter Island, most people picture the severely or chronically mentally ill being treated in cold, remote, and forbidding facilities. But the reality is very different. Today the majority of deeply troubled mental patients get treatment in nonprofit community organizations. And it is to two such organizations in the Midwest that this study looks for answers. Drawing upon a wealth of unique evidence-fifteen months of ethnographic observations, 91 interviews with clients and workers, and a range of documents-Managing Madness in the Community lays bare the sometimes disturbing nature and effects of our overly complex and disconnected mental health system. Kerry Michael Dobransky examines the practical strategies organizations and their clients use to manage the often-conflicting demands of a host of constituencies, laws, and regulations. Bringing to light the challenges confronting patients and staff of the community-based institutions that bear the brunt of caring for the mentally ill, his book provides a useful broad framework that will help researchers and policymakers understand the key forces influencing the mental health services system today.Critical Issues in Health and MedicineCommunity mental health servicesUnited StatesMentally illCareUnited StatesSocial integrationUnited StatesCommunity mental health servicesMentally illCareSocial integration362.2/20973Dobransky Kerry Michael1976-1577229MiAaPQMiAaPQMiAaPQBOOK9910789396503321Managing madness in the community3855639UNINA