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Long-term Users of Mental Health Services

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Part of the book series: Issues in Mental Health ((IMH))

Abstract

The terms ‘long-term’ and ‘continuing/continued’ clients came into use in the 1980s, replacing the term ‘chronic’. As suggested in Chapter 2, the latter was perceived as negatively judgemental and as predetermining the likelihood of a mental health service user remaining seriously distressed forever.

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References

  1. G. Thornicroft, D. Jones and O. Margolious, ‘New Long Stay Psychiatric Patients and Social Deprivation’, British Journal of Psychiatry, vol. 161 (1992), pp. 621–4.

    Article  Google Scholar 

  2. R. Warner, Recovery from Schizophrenia (London: Routledge, 1985).

    Book  Google Scholar 

  3. J. K. Wing and R. Furlong, ‘A Haven to the Severely Disabled within the Context of Comprehensive Psychiatric Community Service’, British Journal of Psychiatry, vol. 149 (1986), pp. 449–57.

    Article  Google Scholar 

  4. M. Jones, Social Psychiatry (London: Tavistock, 1952).

    Google Scholar 

  5. M. Levander, ‘The Context of Chronic Patients’, Acta Psychiatrica Scandinavica, vol. 77 (1987), p. 26.

    Google Scholar 

  6. J. Lacan, ‘Le stade du mirror comme formateur de la fonction de Je’, in Ecrits (Paris: Editions du Seuil, 1966);

    Google Scholar 

  7. F. Guattari, Molecular Revolution: Psychiatry and Politics (Harmondsworth: Penguin, 1984);

    Google Scholar 

  8. G. Deleuze and F. Guattari, Anti-Aedipus: Capitalism and Schizophrenia (New York: Viking, 1977);

    Google Scholar 

  9. M. Cadoret, L’enfant et l’adolescent, pratique instutionnelle publique: une question d’ethique et de responsibilite, in C. Louzoun (ed.), Sante Mentale: Realites Europeennes (Paris: Eres, 1993), pp. 80–2.

    Google Scholar 

  10. N. Scheper-Huges and A. Lovell, In and Out of Psychiatry: Selections from Franco Basaglia’s Writings (New York: Columbia University Press, 1987);

    Google Scholar 

  11. F. Rotelli, ‘Changing Psychiatric Services in Italy’, in S. Ramon (ed.), Psychiatry in Transition (London: Pluto, 1990), pp. 182–90;

    Google Scholar 

  12. S. Piro, Le Techniche della Liberazione (Rome, Feltrineeli, 1971).

    Google Scholar 

  13. G. De Plato (ed.), ‘Cos’ e la Riabilitazione in Psychiatria? Pordenone’, Medicina Sociale 2 (Edizioni Biblioteca dell’ Immagine, 1993).

    Google Scholar 

  14. B. Saraceno, ‘La riaiblitazione fra modelli e pratiche’, in G. De Plato, ‘Cos’e la Riabilitazione in Psychiodria’, op. cit., pp. 35–48.

    Google Scholar 

  15. C. Brooker (ed.), Community Psychiatric Nursing: A Research Perspective (London: Chapman and Hall, 1990);

    Google Scholar 

  16. M. Savio, ‘Psychiatric Nursing in Italy: An extinguished profession or an emerging professionalism?’, International Journal of Social Psychiatry, vol. 37, no. 4 (1991), pp. 293–9.

    Article  Google Scholar 

  17. P. Tranchina, E. Salvi, M. P. Teodori and S. Rogialli (eds), Portelano della Psichologia: Esperienze, prospettive, convergenze di una professione giovane (Pistoia: Cooperative Centro di Documentazione, 1993).

    Google Scholar 

  18. V. Sinason, The Sense in Stupidity: Psychotherapy and Mental Handicap (London: Free Associations, 1992).

    Google Scholar 

  19. H. Brown and H. Smith (eds), Normalisation: A Reader for the 1990s (London: Routledge, 1992).

    Google Scholar 

  20. S. Shardlow (ed.), Values for Change in Social Work (London: Heinmann, 1989);

    Google Scholar 

  21. W. Lorenz, Social Work in a Changing Europe (London: Routledge, 1993).

    Google Scholar 

  22. S. Ramon, Mental Health Social Workers’ Responses to the 1990 NHS and Community Care Act (Birmingham: BASW, September 1993);

    Google Scholar 

  23. R. Rachman, ‘Health Social Workers’ reactions to the NHS and Community Care Act’, paper presented to the conference ‘International Trends in Health Social Work’, London School of Economics, 4–8 July 1994.

    Google Scholar 

  24. B. McCarthy, L. Kuipers, J. Hurry, R. Harper and A. Lesage, ‘Counselling the Relatives of the Long-term Adult mentally Ill’, British Journal of Psychiatry, vol. 154 (1989), pp. 768–75;

    Article  Google Scholar 

  25. A. Hatfield, Family Education in Mental Illness (New York: Guildford, 1990);

    Google Scholar 

  26. S. Deacon, ‘It is Chris’s illness but we all have the scars’, The Independent, 2 January 1992.

    Google Scholar 

  27. D. Jones, ‘Relative Experience of Schizophrenia’, PhD thesis, London School of Economics, 1995.

    Google Scholar 

  28. European User Network, First Conference of Users and Ex-users in Mental Health, Zandvoort, the Netherlands, October 1991; published by the European Desk, Amsterdam.

    Google Scholar 

  29. A. Lavender and F. Holloway (eds), Community Care in Practice, Section A. Introduction (Chichester: Wiley, 1988), pp. 3–50.

    Google Scholar 

  30. J. Yfantopolous, ‘Economic and Legal Aspects of Mental Health Policies in Greece’, International Journal of Social Psychiatry, vol. 40, no. 4 (1994).

    Google Scholar 

  31. V. Svab, ‘Continuing Care Clients in Slovenia’, International Journal of Social Psychiatry, vol. 40, no. 4 (1994).

    Google Scholar 

  32. A. Lavender and F. Holloway (eds), Community Care in Practice, Section A. Introduction (Chichester: Wiley, 1988), pp. 3–50.

    Google Scholar 

  33. L. Ciompi, ‘Aging and Schizophrenic Psychosis’, Acta Psychiatrica Scandinavica, supplement 319, vol. 71 (1985), pp. 93–105.

    Article  Google Scholar 

  34. C. McCourt Perring, ‘The experience and perspectives of patients and care staff on the transition from hospital to community-based care’, in S. Ramon (ed.), Psychiatric Hospitals Closure: Myths and Realities (London: Chapman & Hall, 1992), pp. 122–68.

    Chapter  Google Scholar 

  35. C. Strutti and S. Rauber, ‘Leros and the Greek Mental Health system’, International Journal of Social Psychiatry, vol. 40, no. 4 (1994).

    Google Scholar 

  36. R. G. McCreadie and E. McCannell, ‘The Scottish Survey of New Chronic In-patients: Five-year Follow-up, British Journal of Psychiatry, vol. 155 (1989), pp. 348–51.

    Google Scholar 

  37. J. Reed, Review of Health and Social Services for Mentally Disordered Offenders and others Requiring Similar Services (London: Department of Health, HMSO, 1991);

    Google Scholar 

  38. R. Mezzina, ‘Le travail des services psychiatriques a la prison de Trieste: principles, realites’, in C. Louzoun (ed.) Sante Mentale: Realites Europeannes (Paris: Eres, 1993), pp. 289–300.

    Google Scholar 

  39. C. Revon, ‘La place, le role, la responsiblite de l’avocat ayant en charge de defense d’un malade mentale une juridiction penale’, in C. Louzoun (ed.), Sante Mentale, op. cit., pp. 280–3.

    Google Scholar 

  40. Social Work in Europe, vol. 1, no. 1 (Russell House Publishing), p. 35.

    Google Scholar 

  41. S. Bell, G. Robertson, K. James and A. Grounds, ‘Remands and Psychiatric Assessments in Holloway Prison: i: The Psychotic Population’, British Journal of Psychiatry, vol. 163 (1993), pp. 634–40.

    Article  Google Scholar 

  42. P. Joseph and M. Potter, ‘Diversion from Custody: I: Psychiatric Assessment at the Magistrates’ Court’, British Journal of Psychiatry, vol. 162 (1993), pp. 325–30;

    Article  Google Scholar 

  43. P. Joseph and M. Potter, ‘Diversion from Custody: II: Effect on Hospital and Prison Resources’, British Journal of Psychiatry, vol. 162 (1993), pp. 330–4.

    Article  Google Scholar 

  44. Mental Health Act Commission: The Ashworth Special Hospital Inquiry (London: HMSO, 1992).

    Google Scholar 

  45. ‘A Research Agenda for Women and Special Hospitals’, workshop held at Ashworth Special Hospital, 21 January, 1993.

    Google Scholar 

  46. WISH Monologue, based on the collective experience of women in Ashworth, prepared for the meeting on ‘Women in Special Hospitals: A research agenda’, 21 January 1993, Ashworth.

    Google Scholar 

  47. G. Del Guidice, ‘The Judicial Psychiatric Hospital: A Difficult Reform?’, in S. Ramon (ed.), Psychiatry in Transition (London: Pluto, 1990), pp. 157–65; R. Mezzina, ‘Le travail des services psychiatriques’, op. cit.

    Google Scholar 

  48. A. Rogers, D. Pilgrim and R. Lacey, Experiencing Psychiatry: Users’ Views of Services (London: Macmillan, 1993).

    Google Scholar 

  49. C. McCourt Perring, The experience and perspectives of patients and care staff, op. cit.

    Google Scholar 

  50. M. Knapp, J. Beecham and P. Cambridge, Community Care: The Challenge (Canterbury: University of Kent, Personal Social Services Research Unit, 1992);

    Google Scholar 

  51. D. Dayson, ‘Long-stay patients discharged to the community: Followed-up at 1, 2 and 5 years’, TAPS (team for the assessment of psychiatric services), 9th Annual Conference, 21 July 1994.

    Google Scholar 

  52. T. Wykes and J. K. Wing, ‘“New” long-stay patients: the nature and size of the problem’, in R. Young (ed.), Residential Needs of Severely Disabled Psychiatric Patients — The Case for Hospital Hostels (London: HMSO, 1991).

    Google Scholar 

  53. P. Mortensen and K. Juel, ‘Mortality and Causes of Death in First Admitted Schizophrenic Patients’, British Journal of Psychiatry, vol. 163 (1993), pp. 183–9.

    Article  Google Scholar 

  54. M. Birchwood, R. Cochrane, F. Macmillan, D. Copestake, J. Kucharska and M. Cariss, ‘The Influence of Ethnicity and Family Structure on Relapse in First-episode Schizophrenia: A Comparison of Asian, Afro-Caribbean and White Patients’, British Journal of Psychiatry, vol. 161 (1992), pp. 783–90.

    Article  Google Scholar 

  55. HMSO Report of the Inquiry into the Care and Treatment of Christopher Clunis (the Ritchie Report) (London: HMSO, 1994); L. Blom-Cooper, H. Hally and E. Murphy, The Falling shadow: One Patient’s Mental Health Care 1978–1993 (London: Duckworth, 1995).

    Google Scholar 

  56. V. Hiday and T. Scheid-Cook, ‘A Follow-up of Chronic Patients Committed to Outpatient Treatment’, Hospital and Community Psychiatry, vol. 40, no. 1 (1989), pp. 52–8;

    Google Scholar 

  57. Department of Health, Legal Powers on the Care of Mentally Ill People in the Community: Report of the Internal Review (London: HMSO, 1993);

    Google Scholar 

  58. Department of Health, Guidance on the Discharge of Mentally Disordered People and their Continuing Care in the Community (London: DoH, HSG (94) 27, 1994).

    Google Scholar 

  59. M. Lawrence, The Anorexic Experience (London: The Women’s Press, 1984);

    Google Scholar 

  60. Secretary of State for Health, The Health of the Nation (London: HMSO, 1991);

    Google Scholar 

  61. G. Thonicroft and G. Strathdee, ‘Mental Health’, British Medical Journal, vol. 303, (17 August 1991), pp. 41–42;

    Article  Google Scholar 

  62. L. R. Pembroke, Self-Harm: Perspectives from Personal Experience (London: Survivors Speak Out, 1994).

    Google Scholar 

  63. Ibid.

    Google Scholar 

  64. R. D. Scott, ‘A family oriented psychiatric service to the London Borough of Barnet’, Health Trends, vol. 12 (1980); pp. 65–8;

    Google Scholar 

  65. S. Onyett, P. Tryer and J. Conolly, ‘The Early Intervention Service: the first 18 months of an inner London demonstration project’, Psychiatric Bulletin, vol. 14 (1990), pp. 276–9.

    Article  Google Scholar 

  66. C. Louzoun (ed.), Sante Mentale: Realites Europennes (Paris: Eres, 1993);

    Google Scholar 

  67. L. Mosher and L. Burti (eds), Community Mental Health: Principles and Practice (New York: Norton, 1989);

    Google Scholar 

  68. S. Morgan, Community Mental Health: Practical approaches to long-term problems (London: Chapman & Hall, 1993).

    Book  Google Scholar 

  69. M. D. Farkas, ‘Care Innovation Projects: Issues in Rehabilitation’, in J. Wolf and J. van Weeghel (eds), Changing Community Psychiatry: Care Innovation for Persons with Long-Term Mental Illness in the Netherlands, (Utrecht: The Netherlands Institute of Mental Health, 1993), pp. 63–88.

    Google Scholar 

  70. M. Piccinelli and G. Wilkinson, ‘Outcome of Depression in Psychiatric Settings: Review Article’, British Journal of Psychiatry, vol. 164 (1994), pp. 297–304.

    Article  Google Scholar 

  71. J. A. Lieberman, ‘Understanding the mechanism of action of atypical antipsychotic drugs: A review of compounds in the use and development, in D. Addington and J. Addington (eds), ‘The Psychopharmacology of Schizophrenia’, The British Journal of Psychiatry, vol. 163, Supplement 22 (December 1993), pp. 7–18.

    Google Scholar 

  72. D. Addington and J. Addington, ‘The Psychopharmacology of Schizophrenia’, op. cit., p. 6.

    Google Scholar 

  73. S. G. Siris, ‘Adjunctive medication in the maintenance treatment of schizophrenia and its conceptual implications’, in D. Addington and J. Addington, ‘The Psychopharmacology of Schizophrenia’, op. cit., pp. 66–78.

    Google Scholar 

  74. P. Breggin, Toxic Psychiatry (New York: Fontana, 1985).

    Google Scholar 

  75. F. Holloway, ‘Prescribing for the long-term mentally ill: a study of treatment practice’, British Journal of Psychiatry, vol. 149 (1988); pp. 75–81;

    Google Scholar 

  76. M. Muijen and T. Silverstone, ‘A comparative hospital survey of psychotropic drugs prescribing’, British Journal of Psychiatry, vol. 150 (1987), pp. 501–4.

    Article  Google Scholar 

  77. T. Cantopher, S. Olivieri, N. Cleave and J. G. Edwards, ‘Chronic Benzodiazepine Dependence: A comparative study of abrupt withdrawal after Popranolol cover vs. gradual withdrawal’, British Journal of Psychiatry, vol. 156 (1990); pp. 406–11;

    Article  Google Scholar 

  78. P. Jenkinson, ‘Gradual withdrawal of major tranquillisers’, paper presented to the diploma course: Innovation in Mental Health Work, February 1994.

    Google Scholar 

  79. J. Masson, Against Therapy (New York: Fontana, 1988).

    Google Scholar 

  80. V. Sinason, The Sense in Stupidity, op. cit.; R. Perlberg, and A. Miller (eds), Gender and Power in Families (London: Routledge, 1992);

    Google Scholar 

  81. P. Janssen, ‘The Evolution of Inpatient Psychoanalytic Therapy in Germany’, Therapeutic Communities, vol. 14, no. 4 (1993), pp. 265–74;

    Google Scholar 

  82. A. Ryle, Cognitive Analytic Therapy (Chichester: Wiley, 1991).

    Google Scholar 

  83. V. Sinason, The Sense in Stupidity, op. cit.; V. Sinason (ed.), Treating Survivors of Satanist Abuse (London: Routledge, 1994)

    Google Scholar 

  84. A. Higgitt and P. Fonagy, ‘Psychotherapy in Borderline and Narcissistic Personality Disorder’, British Journal of Psychiatry, Review Article, vol. 161 (1992), pp. 23–43.

    Article  Google Scholar 

  85. R. Warner, ‘Creative Programming’, in S. Ramon (ed.), Beyond Community Care: Normalisation and Integration Work (London: Macmillan, 1991), pp. 114–36; L. Stein and M. A. Test, (eds), The Training in Community Living Model: A Decade of Experience, New Directions for Mental Health Service 26 (San Francisco: Joseey-Bass).

    Google Scholar 

  86. M. Muijen, I. Marks and J. Connolly, ‘The Daily Living Programme: Preliminary comparison of community vs. hospital-based treatment for the seriously mentally ill facing emergency admission’, British Journal of Psychiatry, vol. 160 (1992); pp. 379–84;

    Article  Google Scholar 

  87. M. Muijen, I. Marks and J. Connolly, ‘Home based care and standard hospital care for patients with severe mental illness: a randomised control trial’, British Medical Journal, vol. 304 (1992), pp. 749–54.

    Article  Google Scholar 

  88. B. McCarthy, ‘The Role of Relatives’, in A. Lavender and F. Holloway (eds) Community Care in Practice (Chichester: Wiley, 1988), pp. 207–30;

    Google Scholar 

  89. I. Falloon, Managing Stress in Families: Cognitive and Behavioural Strategies for Enhancing Coping Skills (London: Routledge, 1993).

    Google Scholar 

  90. D. Howe, The Consumer View of Family Therapy (Aldershot: Gower, 1989).

    Google Scholar 

  91. S. Onyett, Case Management in Mental Health (London: Chapman Hall, 1992).

    Google Scholar 

  92. J. Wolf, and J. van Weeghel (eds), Changing Community Psychiatry: Care Innovation for Persons with Long-term Mental Illness in the Netherlands (Utrecht: The Netherlands Institute of Mental Health, 1993).

    Google Scholar 

  93. J. K. Wing (ed.), The Evaluation of Comprehensive Community Psychiatric Services (Oxford: Oxford University Press, 1972).

    Google Scholar 

  94. L. Doyal and I. Gough, A Theory of Human Needs (London: Macmillan, 1993);

    Google Scholar 

  95. C. A. Rapp and R. Wintersteen, ‘The Strengths Model of Case Management: results from twelve demonstrations’, Psychosocial Rehabilitation Journal, vol. 13, no. 1 (1989), pp. 23–32.

    Article  Google Scholar 

  96. J. Wolf and J. van Weeghel, Changing Community Psychiatry, op. cit., see also reference 46.

    Google Scholar 

  97. D. Brandon and N. Towe, Free to Choose (London: Good Impressions, 1989);

    Google Scholar 

  98. D. Brandon, ‘Skills for Service Brokerage’, in S. Ramon (ed.), Care Management: Implications for Training (Sheffield: Association of Teachers in Social Work Education, 1992), pp. 60–5.

    Google Scholar 

  99. A. Hatfield, ‘The National Alliance for the Mentally Ill: The Meaning of a Movement’, International Journal of Mental Health, vol. 4 (1987), pp. 79–93.

    Google Scholar 

  100. P. Arksey, ‘The Support of the National Schizophrenia Fellowship to Relatives’, paper presented at the conference ‘Opening the Dialogue’, London School of Economics, January 1992.

    Google Scholar 

  101. See D. Baudin (ed.), A Guide to Mental Health Care in the Netherlands (Utrecht: The Netherlands Institute of Mental Health, 1988), pp. 55–6.

    Google Scholar 

  102. L. Soglia, ‘L’esperienza di Associazione di familiari, degenti e operator’, in G. De Plato (ed.), ‘Cos’e la Riabilitazione in Psychiatria? Pordenone’, Medicina Sociale (Edizioni Biblioteca dell’ Imagine), vol. 2 (1993), pp. 183–8.

    Google Scholar 

  103. J. Chamberlin, On Our Own (London: Mind Publications, 1989).

    Google Scholar 

  104. D. Baudin, A Guide to Mental Health Care, chapter 3: ‘Clients and Organisations’; M. O’Hagan, Stopovers on my way home from Mars: A journey into the psychiatric survivors movement in the USA, Britain and the Netherlands (London: Survivors Speak Out, 1993).

    Google Scholar 

  105. E. Van Horn, ‘Changes? What Changes? The view of the European Patients’ Movement’, International Journal of Psychiatry, vol. 38, no. 1 (1992), pp. 30–5.

    Article  Google Scholar 

  106. European User Network First European Conference of Users and Ex-users in Mental Health, Zandvoort, The Netherlands, October 1991, published by the European Desk, Amsterdam; European Regional Council, World Mental Health Federation: The Mental Health Observer/L’observateur en Sante Mentale, vol. 6 (Brussels, European Regional Council, Autumn 1994).

    Google Scholar 

  107. The Prato self-help group can be contacted at AISME (Associazione Italiana Salute Mentale), Sede legale Via Livi, Prato Cap 50047, Italy.

    Google Scholar 

  108. J. Wallcraft and S. Bell (eds) Survivors Speak Out News Sheet (London: SSO) August, 1994.

    Google Scholar 

  109. V. Lindow, Self-help Alternatives to Mental Health Services (London: Mind Publications, 1994).

    Google Scholar 

  110. V. Lindow, ‘Survivor, Activist, or Witch’, Asylum Magazine for Democratic Psychiatry, (Sheffield), vol. 7, no. 4 (1993), pp. 5–7.

    Google Scholar 

  111. E. van Hoorn, ‘Changes? What changes?’, op. cit.

    Google Scholar 

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© 1996 Shulamit Ramon

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Ramon, S. (1996). Long-term Users of Mental Health Services. In: Mental Health in Europe. Issues in Mental Health. Palgrave, London. https://doi.org/10.1007/978-1-349-24811-7_6

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