LEADER 04469nam 2200649 450 001 9910828075903321 005 20230126211826.0 010 $a0-8135-6310-0 024 7 $a10.36019/9780813563107 035 $a(CKB)3710000000089521 035 $a(EBL)1639057 035 $a(SSID)ssj0001132534 035 $a(PQKBManifestationID)11574187 035 $a(PQKBTitleCode)TC0001132534 035 $a(PQKBWorkID)11155543 035 $a(PQKB)10862636 035 $a(MiAaPQ)EBC1639057 035 $a(OCoLC)872393182 035 $a(MdBmJHUP)muse31605 035 $a(DE-B1597)526344 035 $a(DE-B1597)9780813563107 035 $a(Au-PeEL)EBL1639057 035 $a(CaPaEBR)ebr10840158 035 $a(CaONFJC)MIL577592 035 $a(EXLCZ)993710000000089521 100 $a20140305h20142014 uy 0 101 0 $aeng 135 $aurnn#---|u||u 181 $ctxt 182 $cc 183 $acr 200 10$aManaging madness in the community $ethe challenge of contemporary mental health care /$fKerry Michael Dobransky 210 1$aNew Brunswick, New Jersey :$cRutgers University Press,$d2014. 210 4$dİ2014 215 $a1 online resource (190 p.) 225 0 $aCritical Issues in Health and Medicine 300 $aDescription based upon print version of record. 311 0 $a0-8135-6309-7 320 $aIncludes bibliographical references and index. 327 $tFront matter --$tContents --$tList of Tables --$tPreface and Acknowledgments --$tChapter 1. Introduction --$tChapter 2. Logic and Constraint --$tChapter 3. Diagnosis, Labeling, and Social Control --$tChapter 4. Empowerment Practice, Practical Empowerment --$tChapter 5. The Realities of Community Integration --$tChapter 6. The Right Person for the Job: Fragmentation in Staffing and Worker-Client Interaction --$tChapter 7. Conclusion --$tNotes --$tReferences --$tIndex --$tAbout the Author 330 $aWhile mental illness and mental health care are increasingly recognized and accepted in today's society, awareness of the most severely mentally ill-as well as those who care for them-is still dominated by stereotypes. Managing Madness in the Community dispels the myth. Readers will see how treatment options often depend on the social status, race, and gender of both clients and carers; how ideas in the field of mental health care-conflicting priorities and approaches-actually affect what happens on the ground; and how, amid the competing demands of clients and families, government agencies, bureaucrats and advocates, the fragmented American mental health system really works-or doesn't. In the wake of movies like One Flew Over the Cuckoo's Nest and Shutter Island, most people picture the severely or chronically mentally ill being treated in cold, remote, and forbidding facilities. But the reality is very different. Today the majority of deeply troubled mental patients get treatment in nonprofit community organizations. And it is to two such organizations in the Midwest that this study looks for answers. Drawing upon a wealth of unique evidence-fifteen months of ethnographic observations, 91 interviews with clients and workers, and a range of documents-Managing Madness in the Community lays bare the sometimes disturbing nature and effects of our overly complex and disconnected mental health system. Kerry Michael Dobransky examines the practical strategies organizations and their clients use to manage the often-conflicting demands of a host of constituencies, laws, and regulations. Bringing to light the challenges confronting patients and staff of the community-based institutions that bear the brunt of caring for the mentally ill, his book provides a useful broad framework that will help researchers and policymakers understand the key forces influencing the mental health services system today. 410 0$aCritical Issues in Health and Medicine 606 $aCommunity mental health services$zUnited States 606 $aMentally ill$xCare$zUnited States 606 $aSocial integration$zUnited States 615 0$aCommunity mental health services 615 0$aMentally ill$xCare 615 0$aSocial integration 676 $a362.2/20973 700 $aDobransky$b Kerry Michael$f1976-$01686696 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910828075903321 996 $aManaging madness in the community$94059663 997 $aUNINA