Psychiatry s Past Can Be Psychiatry s Future #MMPMID33323794
Becker RE
J Nerv Ment Dis 2021[Jan]; 209 (1): 85-87 PMID33323794show ga
In the last half of the 20th century, psychiatry lost many of the conditions needed for unhindered practice. I compiled from searches of the literature the 20th century changes in the arenas of psychiatric practice and the sources of these changes. I determined how these changes are shaping 21st century health and well-being. The neglect of the severely mentally ill, first in Bedlams and now on Boulevards, reflects a wide loss of resources. Psychiatry's patients have lost a past of community-based mental health services, interdisciplinary care teams, preventive consultation with social agencies, and, with reimbursements targeted for 15-minute visits, time adequate with the physician to individualize diagnosis and treatment. With the Covid-19 and other epidemics, economic inequalities, an economic crisis, unrest over police violence, and racism, psychiatry can find in its past the resources to engage 21st century psychiatric and other problems.
|COVID-19/history/therapy[MESH]
|History, 20th Century[MESH]
|History, 21st Century[MESH]
|Humans[MESH]
|Mental Disorders/economics/*therapy[MESH]
|Mental Health Services/economics/*history/trends[MESH]
J+Nerv+Ment+Dis 2021 ; 209 (1): 85-87
