Yanos Philip T, Knight Edward L, Vayshenker Beth, Gonzales Lauren, DeLuca Joseph S
John Jay College of Criminal Justice.
Health Complementum.
Behav Sci Law. 2017 Jul;35(4):288-302. doi: 10.1002/bsl.2297. Epub 2017 Jul 3.
This article identifies two major traditions that drive the mandate for a community mental health care system-community protection and individual healing. It discusses the historical antecedents of these two traditions and how these traditions relate to different visions of what the "common good" means. It then discusses how they both operate in the current US-based system, creating inherent conflicts and tensions, and gives specific examples from the personal and professional experiences of the authors. The article proposes ways to reduce the tension and discusses what sacrifices and compromises this resolution would entail for the US community mental health system. Copyright © 2017 John Wiley & Sons, Ltd.
本文确定了推动社区精神卫生保健系统使命的两大主要传统——社区保护和个体治愈。它讨论了这两种传统的历史渊源,以及它们如何与“共同利益”含义的不同愿景相关联。然后,它讨论了它们在美国现行系统中是如何运作的,如何产生内在的冲突和紧张关系,并给出了作者个人和专业经历中的具体例子。本文提出了缓解紧张关系的方法,并讨论了这一解决方案将给美国社区精神卫生系统带来哪些牺牲和妥协。版权所有© 2017约翰·威利父子有限公司。