Better But Not Well

Author: Richard G. Frank
Publisher: JHU Press
ISBN: 0801889103
Format: PDF, ePub
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The past half-century has been marked by major changes in the treatment of mental illness: important advances in understanding mental illnesses, increases in spending on mental health care and support of people with mental illnesses, and the availability of new medications that are easier for the patient to tolerate. Although these changes have made things better for those who have mental illness, they are not quite enough. In Better But Not Well, Richard G. Frank and Sherry A. Glied examine the well-being of people with mental illness in the United States over the past fifty years, addressing issues such as economics, treatment, standards of living, rights, and stigma. Marshaling a range of new empirical evidence, they first argue that people with mental illness—severe and persistent disorders as well as less serious mental health conditions—are faring better today than in the past. Improvements have come about for unheralded and unexpected reasons. Rather than being a result of more effective mental health treatments, progress has come from the growth of private health insurance and of mainstream social programs—such as Medicaid, Supplemental Security Income, housing vouchers, and food stamps—and the development of new treatments that are easier for patients to tolerate and for physicians to manage. The authors remind us that, despite the progress that has been made, this disadvantaged group remains worse off than most others in society. The "mainstreaming" of persons with mental illness has left a policy void, where governmental institutions responsible for meeting the needs of mental health patients lack resources and programmatic authority. To fill this void, Frank and Glied suggest that institutional resources be applied systematically and routinely to examine and address how federal and state programs affect the well-being of people with mental illness. -- Kathleen Brown RN, MSN, PhD

Better But Not Well

Author: Richard G. Frank
Publisher: JHU Press
ISBN: 9780801884429
Format: PDF, ePub, Docs
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Frank and Glied explore the changes in the treatment, living standards, rights and stigma of people with mental illness over the past fifty years and assess the factors that generated these changes. They argue that stressing only the deficiencies of the present -- without an understanding of how these relate to the past -- can lead to a replay of prior unproductive efforts to improve the situation. They contend that by carefully analyzing the forces that have guided the past transformation of mental health care, America will be better equipped to steer public policy in a direction that results in further gains for a most disadvantaged segment of Americans.

Better But Not Well

Author: Richard G. Frank
Publisher: JHU Press
ISBN: 9780801884436
Format: PDF, ePub, Mobi
Download Now
Frank and Glied explore the changes in the treatment, living standards, rights and stigma of people with mental illness over the past fifty years and assess the factors that generated these changes. They argue that stressing only the deficiencies of the present -- without an understanding of how these relate to the past -- can lead to a replay of prior unproductive efforts to improve the situation. They contend that by carefully analyzing the forces that have guided the past transformation of mental health care, America will be better equipped to steer public policy in a direction that results in further gains for a most disadvantaged segment of Americans.

American Psychosis

Author: E. Fuller Torrey
Publisher: Oxford University Press
ISBN: 0199988714
Format: PDF, Mobi
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E. Fuller Torrey's book provides an insider's perspective on the birth of the federal mental health program.

Chronic Condition

Author: Sherry Glied
Publisher: Harvard University Press
ISBN: 9780674128934
Format: PDF
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An analysis of the causes of the current health care crisis in the US and the shortfalls of reform proposals. The book aims to offer a framework for reform that should minimize government interference and provide means for financing care for the less affluent.

From Asylum to Community

Author: Gerald N. Grob
Publisher: Princeton University Press
ISBN: 1400862302
Format: PDF, Kindle
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The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

The Oxford Handbook of Health Economics

Author: Sherry Glied
Publisher: OUP Oxford
ISBN: 0191667161
Format: PDF, ePub, Mobi
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The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline. Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.

Understanding Disability

Author: Paul T. Jaeger
Publisher: Greenwood Publishing Group
ISBN: 9780275982263
Format: PDF
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Although 54 million Americans have a disability, few discussions of the issue address its various compenents in a holistic manner. The authors, both of whom have experienced disability, tackle complex issues facing the disabled, including access, diversity, and civil rights, in a human-centered manner.