Policy Press
This inter-disciplinary study considers the past, present and future of mental health services and community care. From the origins of provision as we know it in the 1960s, it sets out the political, economic and bureaucratic factors behind recent crises and considers what the founding principles of community care tell us about the way forward.

This critical interdisciplinary study charts the modern history of mental health services, reflects upon the evolution of care in communities, and considers the most effective policies and practices for the future.

Starting with the development of community care in the 1960s, Cummins explores the political, economic, and bureaucratic factors behind the changes and crises in mental health social care, returning to those roots to identify progressive principles that can pave a sustainable pathway forward.

This is a groundbreaking contribution to debates about the role, values, and future of community care, and is vital reading for students, teachers, and researchers in the field of social work and mental health.

“Cummins carefully unpicks the threads underpinning the development of community care and its consequences. This will be of value to those interested in learning from past failures to improve mental health services in the future.” Kathryn Karban, University of Bradford

Ian Cummins is a Senior Lecturer in the School of Health and Society at the University of Salford.

Introduction

Community care: a brief overview

The asylum and the community

Inquiries

Deinstitutionalisation and the penal state

Reform or revolution? Mental health legislation and the development of community care

International perspectives

Neoliberalism, advanced marginality and mental health

Conclusion