Background The 50th anniversary of the inauguration ofthe NHS provided the occasion to review the evolution of mental health services and of psychiatry itself in Britain during that period.
Aims The principal themes to be followed were the decline of a mental hospital system that had existed for over a century, the development of an alternative policy of'community care'the emergence of a numerous and well-trained psychiatric profession, and the interaction between political and legal processes and mental health care.
Method An examination of Ministry of Health and Department of Health and Social Security files in the Public Record Office, interviews with influential figures, examination ofthe secondary literature, and personal experience of events described.
Results The material has been analysed, in the light ofthe expressed aims, and important trends have been described.
The current situation is assessed.
Conclusions The replacement of one system ofcare and treatment in Britain by another has been a process fraught with overwhelming difficulties.
While adhering to the aim of'community care'governments have been reluctant to provide the means for achieving this.
The psychiatric profession is now faced with very large but ill-defined responsibilities.
Mots-clés Pascal : Santé mentale, Royaume Uni, Europe, Historique, Organisation santé, Psychiatrie, Evolution, Milieu hospitalier, Traitement communautaire, Environnement social, Article synthèse, Homme
Mots-clés Pascal anglais : Mental health, United Kingdom, Europe, Case history, Public health organization, Psychiatry, Evolution, Hospital environment, Community treatment, Social environment, Review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0368116
Code Inist : 002B18H05B. Création : 14/12/1999.