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For hundreds of years, people diagnosed with mental illness were thought to be hopeless cases, destined to suffer inevitable deterioration. Beginning in the early 1990s, however, providers and policymakers in mental health systems came to promote recovery as their goal. But what does recovery truly mean? For example, to consumers of mental health services, it implies empowerment and greater resources dedicated to healing; to HMOs, it can suggest a means of cost savings when benefits cease upon recovery. This book considers "recovery" from multiple angles. Traditionally, Nora Jacobson notes, recovery was defined as symptom abatement or a return to a normal state of health, but as activists, mental health professionals, and policymakers sought to develop "recovery-oriented" systems, other meanings emerged. Jacobson's analysis describes the complexes of ideas that have defined recovery in various contexts over time. The first meaning, "recovery-as-evidence," involves the theories, statistics, therapies, legislation, and myriad other factors that constituted the first one hundred years of mental health services provision in the United States. "Recovery-as-experience" brought the voices of patients into the conversation, while "recovery-as-ideology" drew on both recovery-as-evidence and recovery-as-experience to rally support for specific approaches and service-delivery models. This in turn became the basis for "recovery-as-policy," which developed as assorted representative bodies, such as commissions and task forces, planned reforms of the mental health system. Finally, "recovery-as-politics" emerged as reformers confronted harsh economic realities and entrenched ideas about evidence,experience, and ideology. Throughout, Jacobson draws on her research in Wisconsin, a state with a long history of innovation in mental health services.

The Divided Welfare State is the first comprehensive political analysis of America's distinctive system of public and private social benefits. Everyone knows that the American welfare state is unusual--less expensive and extensive, later to develop and slower to grow, than comparable programs abroad. Yet, U.S. social policy does not stand out solely for its limits. American social spending is actually as high as spending is in many European nations. What is truly distinctive is that so many social welfare duties are handled not by the state, but by the private sector with government support. With sweeping historical reach and a wealth of statistical and cross-national evidence, The Divided Welfare State demonstrates that private social benefits have not merely been shaped by public policy, but have deeply influenced the politics of public social programs--to produce a social policy framework whose political and social effects are strikingly different than often assumed. At a time of fierce new debates about social policy, this book is essential to understanding the roots of America's distinctive model and its future possibilities. Jacob S. Hacker is the Peter Strauss Family Assistant Profesor of Political Science at Yale University. Previously, he was a Junior Fellow of the Harvard Society of Fellows and Fellow at the New America Foundation as well as a Guest Scholar and Research Fellow at the Brookings Institution. He is the author of The Road to Nowhere: The Genesis of President Clinton's Plan for Health Security (Princeton, 1997), which was co-winner of the 1997 Louis Brownlow Book Award of the National Academy of Public Administration. His articles and opinion pieces have appearedin The New Republic, The Nation, the Los Angeles Times, Boston Globe, and Washington Post. A regular media commentator, he has discussed his work widely on C-Span, national public radio and in papers nationwide.

Federal Employees Health Benefit Plan - The Federal Employee Health Benefit Plan is a system of "managed competition" though which employee benefits are provided to full-time permanent civilian employees of the United States Government. It allows insurance companies and employee associations such as labor unions to develop health, dental, and allied plans to be marketed to governmental employees.

Comprehensive health insurance (Maine) - In June of 2003, the Maine, USA Legislature passed a comprehensive health insurance plan, granting low-cost coverage available to all state residents by 2009. Through a semi-private agency, the state will provide coverage to uninsured residents, small businesses and municipalities and the self-employed.

Health and Hospitals Corporation - The New York City Health and Hospitals Corporation operates the public hospitals and clinics in New York City. It was created in 1970 by the New York State Legislature as a public benefit corporation.

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