Innovation in mental health care: Bertram Mandelbrote, the Phoenix Unit and the therapeutic community approach

Author:

Millard David1,Agulnik Peter2,Armstrong Neil3,Fees Craig4,Hall John5,Kennard David6,Leach Jonathan7

Affiliation:

1. Formerly Green College Oxford, UK

2. Retired psychiatrist and psychotherapist, Oxford, UK

3. Harris Manchester College, Oxford University, UK

4. University of Birmingham, UK

5. Oxford Brookes University, UK

6. Retired clinical psychologist and group analyst, York, UK

7. Open University, UK

Abstract

Bertram Mandelbrote was Physician Superintendent and Consultant Psychiatrist at Littlemore Hospital in Oxford from 1959 to 1988. A humane pragmatist rather than theoretician, Mandelbrote was known for his facilitating style of leadership and working across organisational boundaries. He created the Phoenix Unit, an innovative admission unit run on therapeutic community lines which became a hub for community outreach. Material drawn from oral histories and witness seminars reflects the remarkably unstructured style of working on the Phoenix Unit and the enduring influence of Mandelbrote and fellow consultant Benn Pomryn’s styles of leadership. Practices initiated at Littlemore led to a number of innovative services in Oxfordshire. These innovations place Mandelbrote as a pioneer in social psychiatry and the therapeutic community approach.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Reference55 articles.

1. Physician Superintendent’s Report to the Management Committee of the Littlemore Group of Hospitals (1958–1961), HMC 2 A1/2/9.

2. Haigh R (1995) Written extract from a presentation delivered at the ATC Windsor Conference; ref: PHOENIX/3.

3. Mandelbrote B (1995) Oral history interview with Craig Fees, 24 May, Mulberry Bush TC Voices/138.

4. Mandelbrote B (1996) Oral history interview with Craig Fees, 30 April, Mulberry Bush TC Voices/168.

5. Oxford Therapeutic Communities Witness Seminar (at Littlemore), 25 April 2013, Ref: CF0923-0924.

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