Inpatient Psychiatric Rehabilitation: An Alternative to Bringing Back the Asylum
DOI:
https://doi.org/10.61841/feeyxs54Keywords:
Psychiatric rehabilitation, recovery, hospitals,, severe and persistent mental illness, medical ethicsAbstract
Recent recommendations by medical ethicists advocate for the return of asylums to improve long-term psychiatric care for individuals who have treatment refractory psychiatric conditions. Long-term inpatient psychiatric hospital environments are not conducive to learning tenancy and recovery skills necessary for optimal community integration. Psychiatric rehabilitation and alternative community interventions provide greater opportunities for learning practical and recovery- oriented skills. Increasing evidence-based psychiatric rehabilitation interventions in the inpatient setting while adequately funding community-based service options is a better alternative. Returning to the asylum-model of long-term psychiatric treatment will harm advances made in the field of psychiatric rehabilitation and the reduction of stigma.
Downloads
References
Dixon, L.B., Dickerson, F., Bellack, A.S., Bennett, M., Dickerson, D., Goldberg, R.W., Lehman, A., Tenhula, W.N., Calmes, C., Pasillas, R.M., Peer, J., & Kreyenbuhl,
J. (2009). The 2009 Schizophrenia PORT psychosocial treatment recommendations and summary statement. Schizophrenia Bulletin, 36(1), 48-70.
Harding, C.M., Brooks, G.W., Ashikaga, T., Strauss, J.S., & Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness, I: Methodology, study sample, and overall status 32 years later.
American Journal of Psychiatry, 144(6), 718-726.
Irmiter, C., McCarthy, J.F., Barry, K.L., Soliman, S., & Blow, F.C. (2007).
Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: A national longitudinal study. Psychiatric Quarterly, 78(4), 279-286. DOI: 10.1007/s11126-007-9046-y.
National Association of Mental Health Program Directors. (2014). The vital role of state psychiatric hospitals. Alexandria, VA: National Association of Mental Health Program Directors.
Olmstead v. L.C. 527 U.S. 581. (1999). (Supreme Court)
Pratt, C.W., Gill, K.J., Barrett, N.M., & Roberts, M.M. (2014). Psychiatric Rehabilitation (3rd Edition). New York: Academic Press.
Schmutte, T., Dunn, C.L, & Sledge, W.H. (2010). Predicting time to readmission in patients with recent histories of recurrent psychiatric hospitalization: A matched- control survival analysis. Journal of Nervous and Mental Disease, 198(12), 860- 863,.DOI: 10.1097/NMD.0b013e3181fe726b.
Sisti, D.A., Segal, A.G, & Emanuel, E.J. (2015). Improving long-term psychiatric care: Bring back the asylum. Journal of the American Medical Association, 313(3), 243-244. DOI: 10.1001/jama.2014.16088.
van Gestel-Timmermans, J.A., Brouwers, E.P., Bongers, I.L., van Assen, M.A., & van Nieuwenhuizen, C. (2011). Profiles of individually defined recovery of people with major psychiatric problems. International Journal of Social Psychiatry, 58(5), 521-531. DOI: 10.1177/0020764011412710.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
