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- W1980774292 abstract "Life-Course and Severe Mental Illness: Implications for Caregiving Within the Family of Later Life* Judith A. Cook**, Bertram J. Cohler, Susan A. Pickett, and Jeff A. Beeler This analysis applies a life-course perspective to the study of family caregiving for persons with severe and persistent mental illness in later life. This involves understanding how family caregiving is impacted by changing socio-historical trends as well as recent discoveries about the course and treatment of serious mental illness. Application of new research on aging and psychiatr-ic disability as well as results from studies of caregiver burden and satisfaction in older families.s can enrich the study of both familial coping and life-course social science. Key Words: family caregiving, life-course social science, mental illness. A staggering number of social and scientific changes have impacted persons with severe mental illness and their families over the past five decades. These changes include the widespread availability of drug treatment with neuroleptics, deinstitutionalization and the closing of state mental hospitals, greater access to societal resources such as public education and legal protections of civil rights, and the rise of selfhelp movements for both families and their affected members. As a result, families and their ill relatives now have opportunities to interact with one another as never before and to transition through the life-course together in the community. Because of this, life-course social science presents a rich theoretical framework with which to view these social changes and their effects on families and family caregiving. At the same time, such study can enrich life-course scholarship by challenging traditionallyheld notions about the existence and power of age norms, the orderly sequencing of life transitions, and the interaction of lifecourse and illness course in family caregiving. This analysis applies a life-course perspective to research on societal trends, discoveries about the course of mental illness, new findings about aging and psychiatric disability, and studies of family burden and satisfaction, in order to better understand the implications of caregiving for a relative with major mental illness in later life. Social and Historical Forces Impacting People with Mental Illness and their Families In the last half of the 20th century, significant improvements in psychotropic medication for schizophrenia, depression, and bipolar mood disorders, along with shifts in financial reimbursement policies for care, enabled many persons to reside outside of hospitals and pursue life goals such as a career or higher education (Brown, 1985). Deinstitutionalization led to the movement, beginning in the 1950's and 1960's, of large cohorts of inpatients from state facilities to a community-based system of mental health care that was underfunded, undermonitored, and largely ineffective (Goldman, Regier, Taube, Redick, & Bass, 1980; Gronfein, 1985a, 1985b). A continuing emphasis on community care has involved periodic modification of this system despite its patchwork quality and vulnerability to political and economic manipulation (Lamb et al.,1993; Mechanic, 1989). Due to a paucity of housing options and lack of residential services designed to establish and maintain independent community living (Blanch, Carling, & Ridgway 1988), many former inpatients returned home to live with families or in board and care facilities. Service system inadequacies forced many families to assume the role of de facto therapist (Thompson & Doll 1982, p. 379) charged with case management-like responsibilities that were demanding and unrelenting (Cook,. Recently, introduction of managed care into the public mental health arena has created additional uncertainty and instability for clients and families by erecting barriers that prevent access to appropriate levels of care (Malloy, 1995). …" @default.
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- W1980774292 date "1997-10-01" @default.
- W1980774292 modified "2023-10-16" @default.
- W1980774292 title "Life-Course and Severe Mental Illness: Implications for Caregiving within the Family of Later Life" @default.
- W1980774292 cites W105138852 @default.
- W1980774292 cites W1271795579 @default.
- W1980774292 cites W138047100 @default.
- W1980774292 cites W1489310010 @default.
- W1980774292 cites W1520357099 @default.
- W1980774292 cites W1551939573 @default.
- W1980774292 cites W1582689699 @default.
- W1980774292 cites W1649724594 @default.
- W1980774292 cites W1704420030 @default.
- W1980774292 cites W1894827038 @default.
- W1980774292 cites W1920548808 @default.
- W1980774292 cites W1963486613 @default.
- W1980774292 cites W1965731296 @default.
- W1980774292 cites W1968602588 @default.
- W1980774292 cites W1970686168 @default.
- W1980774292 cites W1971164305 @default.
- W1980774292 cites W1976563211 @default.
- W1980774292 cites W1978240876 @default.
- W1980774292 cites W1978779127 @default.
- W1980774292 cites W1979950350 @default.
- W1980774292 cites W1985545573 @default.
- W1980774292 cites W1986064703 @default.
- W1980774292 cites W1989367806 @default.
- W1980774292 cites W1990330421 @default.
- W1980774292 cites W1991647280 @default.
- W1980774292 cites W1994597521 @default.
- W1980774292 cites W1994619924 @default.
- W1980774292 cites W1994658843 @default.
- W1980774292 cites W1996828626 @default.
- W1980774292 cites W2000344166 @default.
- W1980774292 cites W2000781497 @default.
- W1980774292 cites W2002882481 @default.
- W1980774292 cites W2007554171 @default.
- W1980774292 cites W2011462395 @default.
- W1980774292 cites W2017748722 @default.
- W1980774292 cites W2018428679 @default.
- W1980774292 cites W2020460981 @default.
- W1980774292 cites W2022092689 @default.
- W1980774292 cites W2022798956 @default.
- W1980774292 cites W2022916024 @default.
- W1980774292 cites W2024476095 @default.
- W1980774292 cites W2024740171 @default.
- W1980774292 cites W2026476671 @default.
- W1980774292 cites W2027970120 @default.
- W1980774292 cites W2028029848 @default.
- W1980774292 cites W2029303977 @default.
- W1980774292 cites W2029520894 @default.
- W1980774292 cites W2029950266 @default.
- W1980774292 cites W2029953293 @default.
- W1980774292 cites W2037109338 @default.
- W1980774292 cites W2037602222 @default.
- W1980774292 cites W2037777452 @default.
- W1980774292 cites W2038955495 @default.
- W1980774292 cites W2046912302 @default.
- W1980774292 cites W2047934427 @default.
- W1980774292 cites W2051361868 @default.
- W1980774292 cites W2052090900 @default.
- W1980774292 cites W2061702771 @default.
- W1980774292 cites W2072249152 @default.
- W1980774292 cites W2073361588 @default.
- W1980774292 cites W2074747364 @default.
- W1980774292 cites W2076639425 @default.
- W1980774292 cites W2076788530 @default.
- W1980774292 cites W2078986990 @default.
- W1980774292 cites W2079962416 @default.
- W1980774292 cites W2081219703 @default.
- W1980774292 cites W2083460416 @default.
- W1980774292 cites W2085754712 @default.
- W1980774292 cites W2085913471 @default.
- W1980774292 cites W2097446512 @default.
- W1980774292 cites W2098293751 @default.
- W1980774292 cites W2100309483 @default.
- W1980774292 cites W2101252173 @default.
- W1980774292 cites W2104300818 @default.
- W1980774292 cites W2108006105 @default.
- W1980774292 cites W2108904328 @default.
- W1980774292 cites W2112953166 @default.
- W1980774292 cites W2113613345 @default.
- W1980774292 cites W2119118489 @default.
- W1980774292 cites W2129753120 @default.
- W1980774292 cites W2130227490 @default.
- W1980774292 cites W2131917351 @default.
- W1980774292 cites W2132558095 @default.
- W1980774292 cites W2133723875 @default.
- W1980774292 cites W2134315905 @default.
- W1980774292 cites W2147345091 @default.
- W1980774292 cites W2148410979 @default.
- W1980774292 cites W2149113709 @default.
- W1980774292 cites W2155850699 @default.