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Evolution of a Missouri Asylum: Fulton State Hospital, 1851-2006 by Barbara Brazos, Richard L. Lael, Margot Ford McMillen (Paperback, 1999)

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Fulton State Hospital was t only Missouri s first state mental asylum but also the first such institution west of the Mississippi. In tracing its founding and evolution over a century and a half, this book sheds light on both a neglected aspect of the state's history and the development of mental health care in America. It ackwledges the ble aspirations of Fulton State Hospital as well as its failures, throughout much of its existence, to transform those aspirations into realities. This institutional history of the hospital traces the debates surrounding its creation (as the State Lunatic Asylum) in a time when mental illness was barely understood. Although the Fulton hospital was initially conceived as a treatment facility, it quickly transformed into a primarily custodial institution. It existed as a self-sufficient establishment until the mid-twentieth century, dependent on patient labour and even producing its own food. But for the most socially disadvantaged and for the severely delusional, life at Fulton was anything but therapeutic.The book describes t only the lofty goals of professionals dedicated to treating the mentally ill but also an institution once clouded by overcrowding, financial mismanagement, political cronyism, and wrongful confinement. It considers segregation within the hospital, where the first black doctor was hired in 1960 and where racism nevertheless continued to flourish, and it describes how, even after the 1921 Eleemosynary Act, the patronage system continued to plague Fulton for two more decades. The authors reveal changing attitudes toward new treatments in the mid-twentieth century as psychotherapy and drugs became common, and decisions at Fulton regarding patient care are described within the context of progress in Europe and the eastern United States. The book addresses the complexities facing the physician-superintendents who supervised both medical therapies and administrative matters, depicting ongoing tension between hospital finances and state support and showing the difficulties state institutions faced in a low tax/low public service environment.As Fulton State Hospital enters the twenty-first century, clients have become active in the development of institutional policies a far cry from the warehousing of patients a hundred years ago. In tracing these seismic shifts in mental health care, this book offers an eye-opening exploration of how one state has sought to care for its citizens.

Product Identifiers

Publisher
University of Missouri Press
ISBN-10
0826220746
ISBN-13
9780826220745
eBay Product ID (ePID)
222243703

Product Key Features

Author
Margot Ford Mcmillen, Richard L. Lael, Barbara Brazos
Format
Paperback
Language
English
Subject
Medicine: General
Type
Textbook

Dimensions

Weight
525g
Height
229mm
Width
152mm

Additional Product Features

Place of Publication
Missouri
Author Biography
Richard L. Lael is Professor of History at Westminster College in Fulton, Missouri, USA and author of The Yamashita Precedent: War Crimes and Command Responsibility. Barbara Brazos is a Registered Nurse at Mid-Missouri Mental Health Center in Columbia, USA. Margot Ford McMillen is an adjunct instructor in English at Westminster College, whose five other books include Called to Courage: FourWomen in Missouri History.
Date of Publication
30/07/1999
Genre
Medicine: General
Country of Publication
United States

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Evolution of a Missouri Asylum: Fulton State Hospital, 1851-2006 by Barbara Brazos, Richard L. Lael, Margot Ford McMillen (Paperback, 1999)

About this product

Product Information

Product Identifiers

Product Key Features

Dimensions

Additional Product Features

Best Selling in Adult Learning & University

The Weed Forager's Handbook: A Guide to Edible and Medicinal Weeds in Australia by Adam Grubb, Annie Raser-Rowland (2012, Paperback)

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In-Basket Case Studies by Guy Adamson (Paperback, 1986)

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