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Slow decline: The Social Organizatio...

Dieleman Grass, Crystal Lee-Ane.

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Slow decline: The Social Organization of Mental Health Care in a Prison-Hospital.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Slow decline: The Social Organization of Mental Health Care in a Prison-Hospital./
Author:	Dieleman Grass, Crystal Lee-Ane.
Description:	230 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: 2027.
Contained By:	Dissertation Abstracts International72-04B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR69955
ISBN:	9780494699553

Slow decline: The Social Organization of Mental Health Care in a Prison-Hospital.
Dieleman Grass, Crystal Lee-Ane.

Slow decline: The Social Organization of Mental Health Care in a Prison-Hospital. - 230 p.

Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: 2027.

Thesis (Ph.D.)--Queen's University (Canada), 2010.

Within Canada's federal correctional system, prison-hospitals provide both in-patient and ambulatory services to incarcerated male offenders. With at least 12% of incarcerated men being identified at intake as having a mental health disorder, the need for these services is significant (Sampson, Gascon, Glen, Louie & Rosenfeldt, 2007). While some description of the mental health services provided, internal operational reviews, and external health services accreditation surveys of these prison-hospitals are available, there has been very little attention paid to the challenge of trying to balance the dual correctional and mental health mandates of these facilities. Research in comparable facilities and services in the United States describe mental health care as a 'non-system' of care and state that mental health staff receive very little system-wide direction regarding the provision of services (Cruser & Diamond, 1996; Elliot, 1997).

ISBN: 9780494699553Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Slow decline: The Social Organization of Mental Health Care in a Prison-Hospital.
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008 130515s2010 ||||||||||||||||| ||eng d
020 $a 9780494699553
035 $a (UMI)AAINR69955
035 $a AAINR69955
040 $a UMI $c UMI
100 1 $a Dieleman Grass, Crystal Lee-Ane. $3 1681928
245 1 0 $a Slow decline: The Social Organization of Mental Health Care in a Prison-Hospital.
300 $a 230 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: 2027.
502 $a Thesis (Ph.D.)--Queen's University (Canada), 2010.
520 $a Within Canada's federal correctional system, prison-hospitals provide both in-patient and ambulatory services to incarcerated male offenders. With at least 12% of incarcerated men being identified at intake as having a mental health disorder, the need for these services is significant (Sampson, Gascon, Glen, Louie & Rosenfeldt, 2007). While some description of the mental health services provided, internal operational reviews, and external health services accreditation surveys of these prison-hospitals are available, there has been very little attention paid to the challenge of trying to balance the dual correctional and mental health mandates of these facilities. Research in comparable facilities and services in the United States describe mental health care as a 'non-system' of care and state that mental health staff receive very little system-wide direction regarding the provision of services (Cruser & Diamond, 1996; Elliot, 1997).
520 $a This is a study that critically analyses how mental health care has become subordinated to correctional and security priorities in a Canadian prison-hospital. Five key elements identified in the policy implementation literature are used to explicate the everyday experiences of frontline staff as they work to provide mental health services in this correctional environment. The thesis argues that the mental health work of frontline prison staff is subverted by a lack of vision for mental health care within organizational policy structures, allowing the detailed correctional policy structures to become the dominant force in implementation and decision making.
520 $a Using the theory and method of institutional ethnography developed by sociologist Dorothy Smith, the analysis displays how the everyday activities of frontline staff are systematically organized by routine organizational policy structures to advance the correctional mandate of the prison-hospital while mental health care has slowly declined. The study finds that mental health care is socially organized as a 'zero-sum game'. As policy texts have concerted and coordinated the everyday activities of frontline staff in predictable ways, gains for the correctional and security priorities of the prison-hospital have meant significant and repeated losses for mental health care. However, there are 'windows of opportunity' for frontline staff to advance the mental health mandate of the prison-hospital if they work together.
590 $a School code: 0283.
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Sociology, Criminology and Penology. $3 1017569
690 $a 0347
690 $a 0627
710 2 $a Queen's University (Canada). $3 1017786
773 0 $t Dissertation Abstracts International $g 72-04B.
790 $a 0283
791 $a Ph.D.
792 $a 2010
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR69955