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The functions of asylum.

J K Wing1

  • 1Research Unit, Royal College of Psychiatrists, London.

The British Journal of Psychiatry : the Journal of Mental Science
|December 1, 1990
PubMed
Summary
This summary is machine-generated.

The traditional functions of large psychiatric hospitals as places of refuge and recuperation are often overlooked. Preserving this asylum tradition is crucial for effective community care in mental health services.

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Area of Science:

  • Psychiatry
  • Mental Health Services
  • Healthcare Policy

Background:

  • Large psychiatric hospitals historically served as asylums, providing refuge and recuperation.
  • The evolving structure of mental health services has diminished the role of large hospitals.
  • The essential functions of asylum have been historically undervalued and are at risk of being forgotten.

Observation:

  • The perception of large psychiatric hospitals as purely protective institutions is inaccurate.
  • The dual role of asylum as both refuge and recuperation has been a consistent function.
  • The shift towards community care necessitates a re-evaluation of historical psychiatric care models.

Findings:

  • The functions of asylum encompass both refuge and recuperation, not merely protection.

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  • The tradition of asylum, practiced in the best large hospitals, offers valuable lessons.
  • Ignoring these traditional functions risks repeating past mistakes in community care.

    • Implications:

    • Community care may face criticism if the principles of asylum are not adapted and integrated.
    • Acknowledging and prioritizing the asylum tradition is vital for modern psychiatric curricula.
    • Service planning must give high priority to incorporating the modified asylum tradition into contemporary mental health frameworks.