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Related Experiment Videos

The politics of normalization.

J Trainor, K Boydell

    Canada'S Mental Health
    |February 9, 1986
    PubMed
    Summary

    Normalization theory in mental health fails to support chronically ill patients in accessing generic services. Specialized programs are needed, as current systems are inadequate for long-term mental health care.

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    Area of Science:

    • Mental Health
    • Social Psychiatry
    • Health Services Research

    Background:

    • The normalization principle is a key concept in mental health policy.
    • Limited research exists on the effectiveness of generic services for individuals with psychiatric disabilities.
    • Competition for resources impacts the accessibility of care for the psychiatrically disabled.

    Purpose of the Study:

    • To evaluate the success of normalization in providing generic services to the psychiatrically disabled.
    • To assess the adequacy of current services in four key aftercare areas.
    • To challenge the assumptions of normalization theory for long-term mental health care.

    Main Methods:

    • Examination of four psychiatric aftercare domains: income maintenance, housing, vocational-educational, and social-recreational.
    • Analysis of patient outcomes within generic service systems.
    • Comparison of the efficacy of specialized versus generic support.

    Main Results:

    • Generic services were found to be unsuccessful in supporting chronic patients in three out of four examined areas.
    • Vocational-educational support showed some effort from generic agencies, but the most disabled still required specialized services.
    • Significant gaps exist in the provision of generic aftercare for the long-term mentally ill.

    Conclusions:

    • The theory of normalization is based on flawed assumptions regarding the integration of the psychiatrically disabled into generic services.
    • Alternative, non-normative programs are necessary for effective long-term mental health care.
    • Current service delivery models require re-evaluation to better meet the needs of individuals with severe mental illness.

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