Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
Mitchell's description of the asylums and their methods was
bitterly resented. Who is there today who would not feel that he was
fully justified?
The time has come when we must again look to the future and prepare for
it. The purely custodial care of mental diseases has led to a dread of
asylums on the part of the public. There are unfortunately too many
hospitals that are asylums in everything but name. The establishment
of psychopathic hospitals and psychiatric clinics and the way in which
they have been welcomed by the public is suggestive. The problems of
mental diseases, as far as possible, must be approached from a general
hospital point of view and the psychiatric hospital of the future must
have a modern equipment, an efficient staff and adequate facilities
for the employment of the latest methods. Above all, the institutions
must be such that they will be looked upon by the community not merely
as a place to which the insane may be sent for final disposition, but
as hospitals where the development of mental diseases may be prevented
and where recoveries may be reasonably expected if the patient is given
early treatment. This should be the principal object of the state
hospital of the future. "The concept of its beneficent ministration to
the mind diseased as any physical part of the human body," as Copp[30]
has pointed out, "is just appearing in shadowy outline in public
consciousness. The effacement of this barrier to early treatment is
slowly but steadily progressing. Its pace will be hastened if every
mental hospital continues to become, as speedily as may be, the
real hospital in the broadest sense, with emphasis laid upon its
treatment function and subordination of its control relation within
the reasonable limit of caution. The mental hospital and the general
hospital are essentially alike. Mental factors predominate in the
former, but are potent influences in the latter. The difference is
one of degree only. All the imperative requirements of the one must
be met by the other. They are supplementary agencies in curing and
alleviating disease and must be, eventually, viewed in the same light
and administered in the same spirit on even planes of humaneness and
efficiency."
Public-domain text, read in full here on John Shaqi.
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