Introduction: The Politics of Resilience and Recovery in Mental Health Care
By Alison Howell, Jijian Voronka. 2012
89 citations recorded by the source corpus.
Recovery and resilience are now two of the central frameworks for organizing mental health care in the Western world. These frameworks posit that mental health “patients” can recover from their illnesses, and that resilience may be developed as a strength in order to avert or prevent so-called mental illness from the outset. The turn to “recovery” and to “resilience” has occurred in a context wherein mental health governance models based centrally on institutionalization had been the subject of much political resistance from those who have been psychiatrized, and also in a context of the retrenchment of state services through neo-liberal restructuring and cost-cutting measures. Large-scale deinstitutionalization in the second half of the 20th Century was met with the development of “Community-based” care as an alternative. Currently, those negotiating mental health services often find themselves subject to a mixture of institutional and community based mental health services, as well as other secondary institutional systems that offer mental health interventions (universities, work places, primary education, etc). Although such shifts apparently respond to the concerns expressed in the political resistance directed at total institutions (see Goffman, 1961), these new models of community care have arisen within a neo-liberal context, wherein social services are increasingly subject to prove their effectiveness through efficiency models that require community agencies to meet targets, ensure flow-through, and collect evidence-based data on their effectiveness. Simultaneously Western states are downloading their social responsibilities to the voluntary sector and to citizens themselves.
Subfields: Clinical Psychology, General Health Professions
View Paper: https://www.semanticscholar.org/paper/5cdf6140272888cf2e42f5cc5124d1c1e42412e5
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- R. Price-Robertson
- Bradley Morgan
- A. Obradovic
Citations in the corpus
- Relational recovery: beyond individualism in the recovery approach (2017, background): “…influential discourse in mental health service delivery neatly dovetailed with neoliberal efforts to shift the care of severe mental ill-health from a collective responsibility to a private, individualised responsibility (Adeponle et al., 2012; Harper & Speed, 2013; Howell & Voronka, 2013).”