From retreat to health centre: legislation, commercial opportunity and the repositioning of a Victorian private psychiatric hospital
From retreat to health centre: legislation, commercial opportunity and the repositioning of a Victorian private psychiatric hospital
This paper examines the interplay of commercial imperatives and health care legislation in the survival of a privately owned psychiatric hospital in Guelph, Ontario, Canada. Using documentary and archival evidence, we show how the Homewood Retreat (later Sanitarium, and eventually Health Centre) was able to respond to and anticipate legislative developments through the agency of successive medical superintendents and the structural positioning of the institution as an inextricably integrated element in local and provincial mental health provision. Our case study is used to draw out wider lessons concerning agency, legislative context and treatment modality in the determination of organizational histories. We conclude by noting the important role of the private sector in ensuring the continued provision of an asylum form of mental health care.
asylum, private sector, mental health policy, Canada
2193-2200
Joseph, A.E.
e623b5dc-0097-467e-870e-989d81cc336c
Moon, G.
68cffc4d-72c1-41e9-b1fa-1570c5f3a0b4
December 2002
Joseph, A.E.
e623b5dc-0097-467e-870e-989d81cc336c
Moon, G.
68cffc4d-72c1-41e9-b1fa-1570c5f3a0b4
Joseph, A.E. and Moon, G.
(2002)
From retreat to health centre: legislation, commercial opportunity and the repositioning of a Victorian private psychiatric hospital.
Social Science & Medicine, 55 (12), .
(doi:10.1016/S0277-9536(01)00364-1).
Abstract
This paper examines the interplay of commercial imperatives and health care legislation in the survival of a privately owned psychiatric hospital in Guelph, Ontario, Canada. Using documentary and archival evidence, we show how the Homewood Retreat (later Sanitarium, and eventually Health Centre) was able to respond to and anticipate legislative developments through the agency of successive medical superintendents and the structural positioning of the institution as an inextricably integrated element in local and provincial mental health provision. Our case study is used to draw out wider lessons concerning agency, legislative context and treatment modality in the determination of organizational histories. We conclude by noting the important role of the private sector in ensuring the continued provision of an asylum form of mental health care.
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Published date: December 2002
Keywords:
asylum, private sector, mental health policy, Canada
Organisations:
Economy Culture & Space, PHEW – C (Care)
Identifiers
Local EPrints ID: 55389
URI: http://eprints.soton.ac.uk/id/eprint/55389
ISSN: 0277-9536
PURE UUID: 6b68359d-6eef-4107-a0f4-1e334a3756e7
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Date deposited: 31 Jul 2008
Last modified: 16 Mar 2024 03:53
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Author:
A.E. Joseph
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