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1 results

  • Chapter 18 - The Evolution of Psychiatric Practice in Britain

  • from Part II - The Cogwheels of Change
  • Edited by George Ikkos, Nick Bouras, King's College London
  • Book:
    Mind, State and Society
    Published online:
    17 June 2021
    Print publication:
    24 June 2021, pp 171-181
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  • Summary

    The era saw the gradual closure of the mental hospitals and the development of care in the community – a process known as ‘deinstitutionalisation’. Community care revealed its own problems: some patients were merely transferred to different kinds of institution; lack of funding; and the unease of some psychiatrists in working outside the hospital. There was the innovative development of multidisciplinary teams; sectorisation; and district general hospitals (DGHs). The Royal College of Psychiatrists was founded in 1971, leading to formal education schemes for trainees and the creation of psychiatric specialties. The psychiatric profession underwent a crisis of confidence as a result of several factors: the increasing privatisation of the health service; the challenge to its authority from both other mental health professionals and the emerging service user movement; and problems with recruitment.