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The evolution of psychiatric care – a spiral model

Published online by Cambridge University Press:  02 January 2018

Athulo Sumathipala  and
Raveen Hanwella
Athulo Sumathipala*
Affiliation:
Maudsley Hospital, Denmark Hill, London SE5 8AZ
Raveen Hanwella
Affiliation:
Department of Psychiatry, The Warneford Hospital, Headington, Oxford OX3 7SX
*
∗Correspondence
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Abstract

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The present trend towards community care with the continuing closure of the old Victorian institutions has given rise to much argument for and against community care. Incidents of violence by mentally ill patients against members of the public have resulted in some backlash against community care. There are fears of a return to the days of the institution. It is proposed that these changes can be predicted from a model that we have called the ‘spiral model’. An understanding of this model might help to prevent history from repeating itself.

Type
History of Psychiatry
Information
Psychiatric Bulletin , Volume 20 , Issue 9 , September 1996 , pp. 561 - 563
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1996

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