Classics of Community Psychiatry ─ Fifty Years of Public Mental Health Outside the Hospital

The massive depopulation of state mental hospitals in the 1950s (known as "deinstitutionalization") posed special challenges to mental health consumers in need of intensive psychiatric treatment. No longer confined to long-term inpatient psychiatric wards, consumers were thrust into nursing homes, assisted living centers, and onto the streets. Psychiatric treatment was relocated to the community, and the concept of recovery took on a new meaning.

Classics in Community Psychiatry is the first volume to examine the course of the community psychiatry movement over the past fifty years. Starting with deinstitutionalization, the editors chart the progress and setbacks of the movement by presenting carefully selected primary source material from the realms of academia, politics, and even literature. For example, a classic journal article explores the relationship between social class and mental health, while excerpts from government documents describe mental health legislation. A novel demonstrates social attitudes toward the mentally ill, while a report from a federally funded task force discusses homelessness and severe mental illness. Each selection pinpoints a specific issue and moment of time during the history of mental health services over the past five decades, and is accompanied by insightful commentary from the volume's editors. The result is a unique, innovatively conceived book that incorporates many different viewpoints to illustrate the evolution of community psychiatry, as well as the need to devote more resources and planning to mental health services looking ahead. Classic in Community Psychiatry will be a valuable resource for mental health professionals, including psychiatrists, psychologists, social workers, administrators, and policymakers, and for graduate and undergraduate students in community psychology and psychiatry.

Michael Rowe is a medical sociologist at Yale University. His research and writing in the field of community mental health ranges from mental health outreach, to persons who are homeless, to peer specialist services to citizenship and social inclusion for people with psychiatric disorders. He also conducts research and writes in the fields of narrative medicine/medical humanities.
Martha Lawless is currently in the School of Public Health at the University of Connecticu: and was the former Director of Training and Education at the Yale Program for Recovery and Community Health. She has written on recovery-related topics in behavioral health and was evaluation program coordinator for a Samhsa-funded Treatment for Homeless program.
Kenneth Thompson is Medical Director of Recovery Innovations and a social psychiatrist at the University of Pittsburgh and Western Psychiatric Institute whose work, research, and writing have concerned community-based responses to psychiatric disability. He is the former Medical Director of the federal Center for Mental Health Services where he was active, in other areas, in bringing the concept of social inclusion to the community mental health field.
Larry Davidson is a psychologist at Yale University whose research and writing have focused on processes of recovery from mental illness and recovery in mental illness and addictions, and evaluation of innovative recovery-oriented practices including peer-delivered services. He has also been active in policy and program development related to recovery-oriented system transformation at both national and international levels.