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Related Experiment Videos

Who becomes chronic?

J K Wing

    The Psychiatric Quarterly
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Chronic social disablement stems from impairment, social disadvantage, and low self-esteem. Despite rehabilitation successes, long-term care and sheltered environments remain crucial for individuals with chronic mental disabilities.

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    Area of Science:

    • Psychiatry
    • Social Science
    • Rehabilitation Medicine

    Background:

    • Chronic social disablement results from impairment, social disadvantage, and reactive low self-esteem.
    • Institutionalism, a state of contentment with institutional life, was prevalent in long-stay mental hospital patients.
    • Past rehabilitation successes led to the misconception that abolishing hospitals would eliminate disablement.

    Purpose of the Study:

    • To analyze the continuing need for care and sheltered environments for individuals with chronic mental disabilities.
    • To discuss the frequency and types of disablement issues based on recent English surveys.
    • To highlight the medical and social attention required for chronic mental disabilities in various settings.

    Main Methods:

    • Review of recent surveys in England focusing on chronic mental disability.

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  • Analysis of factors contributing to social disablement.
  • Assessment of care needs for different patient groups.

    • Main Results:

    • Chronic impairments persist, necessitating sheltered environments.
    • Specific groups require varying levels of staffing and supervision for accommodation.
    • Chronic mental disabilities are also present in individuals living at home and the destitute.

    Conclusions:

    • Abolishing mental hospitals does not eliminate the need for managing chronic disablement.
    • Long-term care, including highly-staffed accommodation and less supervised settings, is essential.
    • Chronic mental disabilities require ongoing medical and social attention, regardless of living situation.