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For hundreds of years, people diagnosed with mental illness were thought to be hopeless cases, destined to suffer inevitable deterioration. Beginning in the early 1990s, however, providers and policymakers in mental health systems came to promote recovery as their goal. But what does recovery truly mean? For example, to consumers of mental health services, it implies empowerment and greater resources dedicated to healing; to HMOs, it can suggest a means of cost savings when benefits cease upon recovery. This book considers "recovery" from multiple angles. Traditionally, Nora Jacobson notes, recovery was defined as symptom abatement or a return to a normal state of health, but as activists, mental health professionals, and policymakers sought to develop "recovery-oriented" systems, other meanings emerged. Jacobson's analysis describes the complexes of ideas that have defined recovery in various contexts over time. The first meaning, "recovery-as-evidence," involves the theories, statistics, therapies, legislation, and myriad other factors that constituted the first one hundred years of mental health services provision in the United States. "Recovery-as-experience" brought the voices of patients into the conversation, while "recovery-as-ideology" drew on both recovery-as-evidence and recovery-as-experience to rally support for specific approaches and service-delivery models. This in turn became the basis for "recovery-as-policy," which developed as assorted representative bodies, such as commissions and task forces, planned reforms of the mental health system. Finally, "recovery-as-politics" emerged as reformers confronted harsh economic realities and entrenched ideas about evidence,experience, and ideology. Throughout, Jacobson draws on her research in Wisconsin, a state with a long history of innovation in mental health services.

Doubts about the reality of mental illness and the benefits of psychiatric treatment helped foment a revolution in the law's attitude toward mental disorders over the last 25 years. Legal reformers pushed for laws to make it more difficult to hospitalize and treat people with mental illness, and easier to punish them when they committed criminal acts. Advocates of reform promised vast changes in how our society deals with the mentally ill; opponents warily predicted chaos and mass suffering. Now, with the tide of reform ebbing, Paul Appelbaum examines what these changes have wrought. The message emerging from his careful review is a surprising one: less has changed than almost anyone predicted. When the law gets in the way of commonsense beliefs about the need to treat serious mental illness, it is often put aside. Judges, lawyers, mental health professionals, family members, and the general public collaborate in fashioning an extra-legal process to accomplish what they think is fair for persons with mental illness. Appelbaum demonstrates this thesis in analyses of four of the most important reforms in mental health law over the past two decades: involuntary hospitalization, liability of professionals for violent acts committed by their patients, the right to refuse treatment, and the insanity defense. This timely and important work will inform and enlighten the debate about mental health law and its implications and consequences. The book will be essential for psychiatrists and other mental health professionals, lawyers, and all those concerned with our policies toward people with mental illness.

World Mental Health Day - World Mental Health Day (October 10), is a global mental health education, awareness and advocacy project of World Federation for Mental Health, a global mental health organization with members and contacts in more than 150 countries.

Substance Abuse and Mental Health Services Administration - Substance Abuse and Mental Health Services Administration (SAMHSA) is the US Federal agency charged with improving the quality and availability of prevention, treatment, and rehabilitative services in order to reduce illness, death, disability, and cost to society resulting from substance abuse and mental illnesses. The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the United States Department of Health and Human Services.

Psychiatric and mental health nursing - Psychiatric nursing or mental health nursing is the branch of nursing that cares for people of all ages with mental illness or mental distress, such as psychosis, depression or dementia. Nurses in this area of practice will have received specialist training to assist with these problems and consequently there are differences in the way that psychiatric mental health nurses work compared to other branches of nursing.

Center for Mental Health Service - The Center for Mental Health Service (CMHS), as part of the United States Department of Health and Human Services, pursues its mission by helping States improve and increase the quality and range of their treatment, rehabilitation, and support services for people with mental illness, their families, and communities. Further, it encourages a range of programs-such as systems of care-to respond to the increasing number of mental, emotional, and behavioral problems among America's children.

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