An extensively updated, comprehensive examination of mental health policy issues in American society.
Rochefort updates his classic comprehensive review of mental health policy issues in American society, beginning with early practices that predate the formal mental health system and ending with current debates about parity insurance coverage for mental illnesses, managed care, and Medicaid reform. At the same time, he provides a perspective on mental health policy analysis that draws on diverse work in the policy sciences, looks to both applied and theoretical concerns, and gives full recognition to the distinctive nature of mental health care problems. This new edition will be of enhanced value to policymakers in the mental health field as well as to students of American social welfare policy and public administration in general.
Foreword by David Mechanic
Preface to the Second Edition
Preface to the First Edition
Introduction
Approaching Mental Health Policy Analysis
Historical Evolution of Mental Health Policy
U.S. Mental Health Care: The First Three Centuries
The Community Mental Health Revolution
Federal Retrenchment, Block Grants, and State Control
Theoretical and Political Perspectives
Mental Health Policymaking Cycles and Their Causes
Political Factors in Mental Health Policymaking and Service Delivery
Contemporary Policy Trends and Issues
The Challenge of Coordination
Mayor Koch, Joyce Brown, and New York City's Homeless Mentally Ill: A Case Study
Canadian Mental Health Services: The View from Nova Scotia
Mental Health Care and National Health Policy Reform
Deinstitutionalization: Practice and Promise
Conclusion
A System in Flux
Bibliography
Author Index
Subject Index
Reviews
A substantial addition to the mental health policy literature. To simply point out its engaging writing style and its thorough, scholarly coverage of the major issues in mental health policy would ignore its more important contributions. Rochefort brings both rigor and creativity to his coverage and synthesis on the major trends in mental health policy, providing a theoretical base, an international perspective, and sufficient detail to make it a key text for graduate and undergraduate students of public policy and human services.—Health Affairs