Nolan P, Hopper B
Department of Nursing, Medical School, University of Birmingham, UK.
J Psychiatr Ment Health Nurs. 1997 Oct;4(5):333-8. doi: 10.1046/j.1365-2850.1997.00070.x.
From the post-War period to the 1960s, immense changes took place in the philosophy, organization and delivery of mental health care in the UK. These changes were driven by the financial burden that Bevan's National Health Service imposed on the British Government, by the dynamism and vision of psychiatrists and mental health nurses returning from the War, and by a new social and cultural consciousness, which put minority groups such as the mentally ill onto the political agenda. This paper seeks to explore some of these complex interactions and to show how the closure of mental hospitals was the inevitable outcome of movements both inside psychiatry and far beyond it. An awareness of the historical context of mental health care can assist planners and providers to avoid the many pitfalls that have been made by our predecessors.
从战后时期到20世纪60年代,英国的精神卫生保健理念、组织形式和服务提供发生了巨大变化。这些变化是由贝文的国民医疗服务体系给英国政府带来的财政负担、战后归来的精神科医生和精神科护士的活力与远见,以及一种新的社会文化意识所推动的,这种意识将精神病患者等弱势群体提上了政治议程。本文旨在探讨其中一些复杂的相互作用,并说明精神病院的关闭是精神病学内部及外部诸多运动的必然结果。了解精神卫生保健的历史背景有助于规划者和服务提供者避免我们的前辈所犯的诸多错误。