Mental hospitals were largely replaced by 'Care in the Community', which was a good idea on paper, but hasn't worked out quite so well in practice
I have second hand experience of how 'Care in the Community' never properly took off as intended in the aftermath of closing a good many Mental Health' Hospitals. The story concerns a dear friend from childhood, and when he died in 2010 we had been friends for over 60 years.
I have harped on the story before in the Forum, but long ago.
His experience concerned a large Birmingham Mental Hospital known as
Rubery Hill (or mainly just Rubery) and previously, of course as Rubery Lunatic Asylum . The sprawling edifice was familiar to everyone in Birmingham and after it closed in 1993 -with the ground space worth a fortune to Birmingham Corporation - its buildings were demolished and large scale commercial development took over. Today only its former hospital chapel remains as a
Grade II listed building.
My friend (in early retirement) worked part time in Rubery Hospital canteen. As he did not drive and caught a bus to work, when visiting Brum I often picked him up. To reach the canteen I had to stroll down enormously wide corridors with highly polished floors and met many of the inmates in the canteen environment. This was an experience in itself, but always, always, delightful and I loved the way my friend knew each and everyone of them and gave them respect. He was not a mental nurse but I spoke to a good many of those who were required to be in attendance, and saw the easy rapport in the way they handled and spoke to patients in their charge. It is an experience that has stayed long in my memory.
But I take up now at the point when it was announced the hospital would close (1993) and under the cloak of 'Care in the Community' the inmates went into social care and(by and large) learn to fend for themselves. My friend -who remained in touch with many of the former inmates - was so upset at how things went wrong, learning how their former needs (and medications) were not being met, he joined the Birmingham branch of MIND to try to help overturn the closure decision. But nothing changed and you can read here why
Community Care was perceived as a failure. My friend was never in doubt that it would be.