IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v38y1992i2p95-106.html
   My bibliography  Save this article

Community-Based Treatment of Psychiatric Disorders in U.S.a. and Norway: Insights for New Service Delivery Systems

Author

Listed:
  • Robert J. Kleiner

    (Department of Sociology, Temple University, Philadelphia, PA 19122, USA)

  • Dale Drews

    (Center for Social Networks and Health, Norway)

Abstract

This article reports on a successful community-based psychiatric treatment program in Philadelphia, Pennsylvania and describes subsequent experiences seeking approval of similar programs in Philadelphia and in Oslo, Norway. Previous studies have shown that the Philadelphia community-based program, which used patient social networks and indigenous community workers assisted by psychologi cal and psychiatric professionals, provided better treatment outcomes than traditional hospital programs and socioenvironmental treatment programs. On the basis of these experiences a new service delivery system was proposed which integrates patient social networks, community workers, and lay community organizations with mental health center professionals. Examination of differences in official responses to the proposal shows the importance of several factors, including the mental health bureaucracy's perception of patient potential, their openness to social psychological therapy, and the power struggles within the bureaucracy and the professional community.

Suggested Citation

  • Robert J. Kleiner & Dale Drews, 1992. "Community-Based Treatment of Psychiatric Disorders in U.S.a. and Norway: Insights for New Service Delivery Systems," International Journal of Social Psychiatry, , vol. 38(2), pages 95-106, June.
    • Handle: RePEc:sae:socpsy:v:38:y:1992:i:2:p:95-106
    DOI: 10.1177/002076409203800203
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/002076409203800203
    Download Restriction: no
    File URL: https://libkey.io/10.1177/002076409203800203?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Goldman, H.H. & Morrissey, J.P., 1985. "The alchemy of mental health policy: Homelessness and the fourth cycle of reform," American Journal of Public Health, American Public Health Association, vol. 75(7), pages 727-731.
    2. T.I. Oei, 1987. "Psychic Coping Behaviour and the Role of Social Support," International Journal of Social Psychiatry, , vol. 33(1), pages 5-12, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Joseph P. Morrissey & Howard H. Goldman, 1986. "Care and Treatment of the Mentally Ill in the United States: Historical Developments and Reforms," The ANNALS of the American Academy of Political and Social Science, , vol. 484(1), pages 12-27, March.
    2. Frank Van Hoof & Jaap Van Weeghel & Hans Kroon, 2000. "Community Care: Exploring the Priorities of Clients, Mental Health Professionals and Community Providers," International Journal of Social Psychiatry, , vol. 46(3), pages 208-219, September.
    3. Joel H. Brown & Jordan E. Horowitz, 1993. "Deviance and Deviants," Evaluation Review, , vol. 17(5), pages 529-555, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:38:y:1992:i:2:p:95-106. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.