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Recent controversies about mental health services suggest the need for a fuller debate about the management of madness and the reduction of mental distress. Mental Health Policy in Britain helps both students and professionals understand this debate. Comprehensive and accessible, it documents the historical evolution of present services and maps the relationship between local and national government and the key constituencies that shape and respond to shifts in policy.
- Sales Rank: #15535931 in Books
- Published on: 2001-05-11
- Original language: English
- Number of items: 1
- Dimensions: 8.50" h x .69" w x 5.50" l, 1.05 pounds
- Binding: Hardcover
- 294 pages
Review
"Excellent . . . clear presentation and thoughtful analysis." --Social Policy
"[A] useful contribution to literature on mental health care, especially for those concerned to develop a critical view of the process of policy formation. It has broad appeal, to clinicians, policy makers, academics and researchers." —Tony O'Brien, University of Auckland
About the Author
Anne Rogers is Professor of the Sociology of Health Care, University of Manchester.
David Pilgrim is a clinical psychiatrist and Visiting Professor in Mental Health and Sociology, University of Liverpool.
Most helpful customer reviews
0 of 0 people found the following review helpful.
Who's mental health policy is it anyway?
By Gyles Glover
This compact and highly readable book seeks to explore just exactly what policy there is about mental health care and mental health problems in present day England. England's mental health services, almost all government run and funded, are engaged in at least three major roles: providing care, controlling deviant behaviour, and rationing the dispensing of public support to sick or disabled individuals. In this complex morass, Rogers and Pilgrim indicate their preference for looking harder at what the key political and professional actors do than at what they say.
The first half of the book maps out the ground. It starts with an overview first of the many groups of individuals involved, their vantage points and their strongly expressed perspectives, and then of the history of mental health care in England. This should be an invaluable introduction for social work, nursing, psychology, sociology or medical students. The book goes on to explore a number of the key themes in the current debate. Many of these are obviously desirable ideas that seem tantalisingly impervious to implementation - mental health promotion, effective interventions in primary care, community based longer term care, getting rid of institutional care. There is a particularly good chapter on the issues involved in assessing the effectiveness of care.
The most interesting aspect of the book is that it is among the first to be able to respond to the fruits of the Labour Government elected in 1997. During the 18 years of the preceding Conservative administration, many commentators wrote as though they believed that this change would solve the problems. The authors show that in the event, the continuities have been more striking than the differences.
At times I felt the book failed to locate the research cited into the experience of service users and their carers in its relevant historical sequence - important at times when powerful advocacy is changing the context fast. It failed to explore the implications of the effects of the radically different training which professionals of different age groups have received. And I guess that reading the book as a white, middle class, non-disabled, male doctor who has worked in the English ministry of Health for many years, I did occasionally find myself wanting to ask the authors `well what the hell did you expect x to do in that situation?' But even with these minor gripes, I would recommend it to students, practitioners and anyone else interested.
Gyles Glover, Professor of Public Mental Health, University of Durham
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