Grob G N
Institute of Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey 08903-5070.
Psychiatr Q. 1991 Fall;62(3):187-212. doi: 10.1007/BF01955796.
Between the 1940s and the 1970s mental health policy in the United States underwent a fundamental change as the legitimacy of institutional care was undermined by individuals and groups committed to an environmentalist psychodynamic and psychoanalytic psychiatry and to community-oriented programs. The consequences of the policy changes during these decades, however, differed in significant respects from the goals and intentions of those who favored innovation. This paper sketches out the dynamics of policy changes from World War II to the 1970s.
在20世纪40年代至70年代期间，美国的心理健康政策经历了根本性的变化，因为致力于环境主义精神动力学和精神分析精神病学以及社区导向项目的个人和团体削弱了机构护理的合法性。然而，这几十年政策变化的后果在重要方面与支持创新者的目标和意图有所不同。本文概述了从第二次世界大战到20世纪70年代政策变化的动态过程。
