HOME > WHO > O'Hagan, Mary >


O'Hagan, Mary 2006 "The Acute Crisis: Towards a Recovery Plan for Acute Mental Health Services in New Zealand," Wellington: Mental Health Commission, 24p.

last update:20150803


People in crisis, or their referrers, are frequently turned away by crisis and acute mental health services. People who are admitted to hospital-based acute services often find them frightening, impersonal and untherapeutic.


Good acute services are underpinned by post-institutional era values. Maintenance has shifted to recovery and segregation to social inclusion. Paternalism is shifting toward self-determination, and the dominance of medical approaches is shifting to more holistic approaches. According to this values base, crisis does not just involve risk to self or others but also an intense subjective challenge and an is opportunity for personal development.


The redesigned acute services must be underpinned by recovery values and more egalitarian cultures.


They〔acute inpatient units 〕tend to be larger than community-based acute services, creating a more institutional ambience, alienation, and less flexibility in meeting the needs of different demographic groups and types of crises. Their location in general hospitals makes them more likely to be exposed to an institutional culture and bureaucratic restrictions. As the evaluations tell us, people in acute inpatient units experience more internalised stigma, disconnection from their communities and loss of living skills than those who use community and home-based services. Institutional services ‘contaminate’ a person’s status and identity through the transition from citizen to patient (Goffman, 1961).
Goffman, Erving 1961 Asylums: Essays on the Social Situation of Mental Patients and Other Inmates, New York: Random, Inc. & Anchor Books
→cf.) http://www.arsvi.com/b1900/6100gi.htm

翻訳:伊東 香純(20150726)

*作成:伊東 香純
UP: 20150803 REV:
O'Hagan, Mary  ◇精神障害/精神医療
TOP HOME (http://www.arsvi.com)