Pure Madness: How Fear Drives the Mental Health System

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Loading comments Please try again, the name must be unique. Cancel Post. Up to that point the focus of concern had been on the welfare of patients discharged into the community as the huge Victorian mental asylums closed. Many were living impoverished lives in dingy bedsits and seaside boarding houses, forgotten and ignored. Stories exposing their plight had shamed politicians and the public and fuelled doubts about the hospital closure programme. After the Zito killing, the nature of the debate about mental illness changed. Risk avoidance and public safety became the new watchwords.

The switch of emphasis had an enormous impact on the care of people with mental health problems. Concern about the welfare of the many was replaced by fear of the risk posed by the few. There are an estimated , people in England with severe enduring mental illness, most of whom have a diagnosis of schizophrenia or manic depression, but less than 1 per cent of them 4, people in England are judged to need intensive care because they pose a risk to.

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