Mental health care and the politics of inclusion: A social systems account of psychiatric deinstitutionalization

  title={Mental health care and the politics of inclusion: A social systems account of psychiatric deinstitutionalization},
  author={Enric J. Novella},
  journal={Theoretical Medicine and Bioethics},
  • Enric J. Novella
  • Published 2010
  • Sociology, Medicine
  • Theoretical Medicine and Bioethics
This paper provides an interpretation, based on the social systems theory of German sociologist Niklas Luhmann, of the recent paradigmatic shift of mental health care from an asylum-based model to a community-oriented network of services. The observed shift is described as the development of psychiatry as a function system of modern society and whose operative goal has moved from the medical and social management of a lower and marginalized group to the specialized medical and psychological… Expand
34 Citations
Meeting Boundaries: Exploring the Faces of Social Inclusion beyond Mental Health Systems
  • 2
  • Highly Influenced
  • PDF
Concepts of social inclusion, exclusion and mental health: a review of the international literature.
  • 59
Institutionalization of deinstitutionalization: a cross-national analysis of mental health system reform
  • 58
  • PDF
Changes in the Provision of Institutionalized Mental Health Care in Post-Communist Countries
  • 45
  • PDF
The PII Solution to Mental Healthcare Delivery: Prevention, Intervention, and Integration
  • M. A. King
  • Psychology, Medicine
  • Journal of healthcare management / American College of Healthcare Executives
  • 2017
Psychiatrische Epidemiologie und Versorgung in strukturschwachen Regionen


Mental Health Care in the Aftermath of Deinstitutionalization: A Retrospective and Prospective View
  • 51
The transfer of care. Psychiatric deinstitutionalization and its aftermath
  • 37
Theoretical accounts on deinstitutionalization and the reform of mental health services: a critical review
  • 31
  • PDF
Social stress and mental disease from the eighteenth century to the present: some origins of social psychiatry.
  • G. Rosen
  • Medicine
  • The Milbank Memorial Fund quarterly
  • 1959
  • 34
  • PDF
In the Name of Mental Health: The Social Functions of Psychiatry.
  • 3
From Asylum to Community: Mental Health Policy in Modern America
  • 57
Social Psychiatry in Germany in the Twentieth Century: Ideas and Models
  • 27
  • PDF
Reform of mental health care in Europe. Progress and change in the last decade.
  • B. Grove
  • Medicine
  • The British journal of psychiatry : the journal of mental science
  • 1994
  • 23
  • PDF
A century of psychiatry
  • 46