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Rethinking Mental Health in Ireland: Why Not a Trieste-Style Approach?

Mad in America

Key features of the Trieste model include: No Closed Psychiatric Hospitals: Traditional psychiatric hospitals were dismantled, replaced with open-door community mental health centres (CMHCs) operating 24/7. While Irelands Mental Health Act (2001) has undergone review, it still falls short in fully safeguarding rights.

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Jo Watson Interviews Cathy Wield, Author of “Unshackled Mind”

Mad in America

At the end of 2001, I had a temporary reprieve. But within a year of publication, I was back in hospital, relapsed apparently. Cathy: In 2007, I was discharged from the six-month hospital admission for relapse on a cocktail of four different drugs. I thought I had recovered. Jo: Tell me about how it changed.

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More on homelessness and violence as a public health problem.

Real Psychiatry

The study cohort was 1,786,433 Danish residents between the ages of 15-42 living in Denmark at some point during the ten year between January 1, 2001 and December 31, 2021. Association of homelessness and specific violent offences leading to conviction in men (10,623,486 person-years), 2001-2021.

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Mood Tracking: My System for Reducing Psychiatric Hospitalizations

Mad in America

D uring my first psychiatric hospitalization in 1998, I was strapped down, placed in 4-point restraints, and administered a painful catheter—apparently because I had peed on the floor during the course of my psychotic episode. Captivity By my count (with an assist from my mother) I’ve had 12 psychiatric hospitalizations in my life.

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The Great Grey Beast

Mad in America

Between hospitalizations, I bounced between my biological family until I ultimately became a ward of the state at about age twelve. But in March 2001, things went sideways and I heard the growl of the beast, felt its shadow eclipsing me once again. No more hospitalizations, no more being a ward of the state? Wait, what?

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On Psychotherapeutic Literacy

Mad in America

However, more than 20 years later, I stumbled upon that very diagnosis in my patient record, documented during my stay at the nation’s first eating disorders inpatient clinic from the end of 2001 to March of 2002. In 2001, my life was already ensnared by worsening eating disorders, relentless depression, and self-inflicted wounds.

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Don’t Call Me a Therapist

Mad in America

The introduction of the health enterprise model in 2001 gave economists and bureaucrats the mandate to override health professionals’ arguments from a cost/benefit perspective, which effectively transforms health personnel from professional service actors to gatekeepers for resources and rights.