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A suggested push model for interpreting the dilemmas of institutional care, community care and family care of mental-health consumersDepartment of Applied Social Studies, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, sskyip{at}polyu.edu.hk English This article suggests a push model for analyzing dilemmas between institutional care, community care and family care of mental-health consumers. In the USA community care is overloaded by inappropriate de-institutionalization. In Hong Kong, family caregivers are severely burdened by poor community care and highly institutionalized services. French Cet article suggéré un modèle dit de poussée dans l'analyse des dilemmas qui surgissent entre les soins d'ordre institutionnel, communautaire et familiaux auprès des clientèles en santé mentale. Aux États-Unis, les organismes communautaires sont surchargés dus à des pratiques de désinstitutionnalisation inappropriées. Á Hong Kong, les soignants familiaux se sentient écrasés par un lourd fardeau en raison de la pauvreté des soins. Spanish Se sugiere un modelo (`push model') para analizar los dilemmas entre el cuidado institucional, el cuidado familiar, y el cuidado comunitario de pacientes de salud mental. En los EE.UU el cuidado comunitario está sobrecargadas debido a los escasos cuidados comunitarios y a una alta institucionalización.
Key Words: family care-giving • mental-health consumers • psychiatric rehabilitation
International Social Work, Vol. 49, No. 6,
805-817 (2006) |
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