Psychiatry's Past Can Be Psychiatry's Future.
J Nerv Ment Dis
; 209(1): 85-87, 2021 01.
Article
in English
| MEDLINE | ID: covidwho-1066474
ABSTRACT
In the last half of the 20th century, psychiatry lost many of the conditions needed for unhindered practice. I compiled from searches of the literature the 20th century changes in the arenas of psychiatric practice and the sources of these changes. I determined how these changes are shaping 21st century health and well-being. The neglect of the severely mentally ill, first in Bedlams and now on Boulevards, reflects a wide loss of resources. Psychiatry's patients have lost a past of community-based mental health services, interdisciplinary care teams, preventive consultation with social agencies, and, with reimbursements targeted for 15-minute visits, time adequate with the physician to individualize diagnosis and treatment. With the Covid-19 and other epidemics, economic inequalities, an economic crisis, unrest over police violence, and racism, psychiatry can find in its past the resources to engage 21st century psychiatric and other problems.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Psychiatry
/
Mental Disorders
/
Mental Health Services
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
J Nerv Ment Dis
Year:
2021
Document Type:
Article
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