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Community care--same problems, different epithet?

N Glover1

  • 1Faculty of Law, University of Manchester.

Journal of Medical Ethics
|November 4, 1998
PubMed
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Community care is often perceived negatively and as a recent failure. This paper argues community care is not new and its challenges stem from unstable environments, not lack of control.

Area of Science:

  • Healthcare delivery
  • Social services
  • Mental health services

Background:

  • Community care is often viewed negatively and as a recent innovation.
  • Media coverage has been mixed, contributing to a perception of failure.
  • This perceived failure is often attributed to a lack of patient control and novelty.

Purpose of the Study:

  • To challenge the prevailing negative perception of community care.
  • To re-evaluate the historical context and inherent challenges of community care.
  • To identify the true causes behind the perceived failures of community care.

Main Methods:

  • Historical analysis of community care models.
  • Critical review of media coverage and public perception.
  • Comparative analysis of factors contributing to care success or failure.
Keywords:
Health Care and Public HealthLegal ApproachMental Health (Patients in the Community) Act 1995Mental Health TherapiesProfessional Patient Relationship

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Main Results:

  • Community care is not a novel concept but has historical roots.
  • The primary issue is not a lack of control over patients.
  • The absence of secure and stable community environments is the core problem.

Conclusions:

  • The negative image of community care is based on flawed assumptions.
  • Reforming community care requires addressing environmental stability, not just control mechanisms.
  • A stable community environment is crucial for the success of community-based care.