The Politics of Mental Health Care in Nova Scotia: The Case of the Halifax County Hospital, 1940-1976
Notice bibliographique
Résumé
AFTER THE SECOND WORLD WAR, significant changes occurred in the care of the mentally ill in Canada as the government moved toward the adoption of national health insurance. Reforms were encouraged by the introduction in 1948 of federal health grants channelled through the provinces to train mental health professionals, construct new facilities and support research. In return for the injection of federal funds, the mental hospitals controlled by the provinces were required to admit patients free of charge. Subsequently, mental hospitals were excluded from the provisions of the Hospital Insurance and Diagnostic Services Act of 1958, an exclusion that became more serious as the federal health grants were phased out. Some of the provinces – Ontario (in part), Quebec and Nova Scotia – eventually corrected this anomaly. Nova Scotia, which adopted hospital insurance in 1959, extended coverage to its mental hospitals in 1966 and 1967.1 The records of one of those hospitals, the Halifax County Hospital (HCH), the hospital that is the subject of this paper, indicate that the new government financing was implemented in halting, uncertain stages. While the hospital’s management and administration welcomed federally enhanced provincial funding for construction, drugs, staffing and programming, the fate of the patients depended on system-wide improvements that were slow in coming. Ultimately, it was the social-welfare legislation of the late-1950s and mid-1960s (also made possible by federal funding) as much as the health care reforms that determined mental health practice. Each mental hospital in Canada experienced the political and economic changes of the post-war period differently and was influenced not only by federal and provincial policies but also by its location, staff, management and the composition of its patient population. All of these hospitals, however, shared certain key developments. Hospital practice was revolutionized by changes in treatment, especially by the transition to community care and the introduction of effective drug therapy. Prominent among the measures that led to the depopulation of the mental hospitals were the unlocking of doors, encouragement of short-term leave, introduction of new social therapies and rehabilitative programming, establishment of out-patient services, day-care and night programmes, access to sheltered workshops, initiation of support
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,023 | 0,007 |
| Communication savante | 0,008 | 0,001 |
| Science ouverte | 0,002 | 0,004 |
| Intégrité de la recherche | 0,005 | 0,007 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».