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Neurosis And The Mental Health Services
Cód:
491_9781406729726
NEUROSIS AND THE MENTAL HEALTH SERVICES OXFORD MEDICAL PUBLICATIONS BY C. P. BLACKER FOREWORD DR. BLACKER describes in the first chapter of this book the origin of the survey of psychiatric outpatient facilities of England and Wales. The matter was first raised in March 1942, and work was begun in October of that year. Changes were then in the air, and the time seemed ripe for a general stocktaking of our medical services. It seemed appropriate that the survey should be planned with an ulterior as well as an immediate objective. The immediate purpose of the survejr was to bring about a better coordination and distribution during the war of the countrys psychiatric resources which had been depleted by the demands of the fighting services and the E.M.S. The ulterior purpose it could be made to serve was related to the integration of the countrys health services after the war. At the beginning of Xovember 1942, I discussed his plans with Dr. Blacker, and I encouraged him to take the wider issues into account both in conducting the survey and in writing his report. The essential feature of the completed document is that it submits quantitative proposals for the organization of a mental health service in England and Wales. Scotland was separately surveyed. Three principles are embodied in these proposals. They relate to the future role of the eleven universities containing medical schools, to the incorporation of the mental in the general health service, and to the provision which might be made for a hypothetical population of a million, treated as an administrative unit. These proposals are, as far as Dr. Blacker is aware, in general consonance with the views expressed by those organizations concerned with mental health which have appointed planning committees and have published reports. But Dr. Blacker is in a position to take Ms suggestions a stage further than the others. He has attempted to embody in quantitative terms the generalized propositions of the planning co
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