An Ethical Analysis of the Policies of British Community and Hospital Care for Mentally Ill People
Journal of Medical Ethics. 1986 Sep; 12(3): 136-142.
Pattison and Armitage contend that too little consideration has been given to the ethical implications of Great Britain's policy of closing down psychiatric hospitals in favor of community care for the chronically mentally ill. The authors review the history of the policy; discuss the potentially positive and negative effects of community care; and outline issues that warrant ethical analysis, including whose interests should be served, whose power will be enhanced by a particular policy option, and the complex nature of freedom and justice in relation to care of the mentally ill. Campbell, in a commentary on their article, agrees that the assumptions of the community care approach need to be challenged on grounds of effectiveness and ethics. (KIE abstract)
Chronically Ill; Community Services; Conflict of Interest; Deinstitutionalized Persons; Ethical Analysis; Ethics; Evaluation; Freedom; Health; Health Care; Health Personnel; Hospitals; Institutionalized Persons; Justice; Mental Health; Mental Institutions; Moral Policy; Nature; Patient Care; Public Policy; Power; Resource Allocation; Review; Risks and Benefits; Social Impact;
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