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Death and deinstitutionalization
American Journal of Psychiatry, 1981Death rates during a period of rapid deinstitutionalization of a state mental hospital population showed consistent reductions that were statistically significant in the elderly patient population 65 years and older. These reductions were most marked for deaths due to pneumonia; there was a moderate decrease in cardiac deaths, and essentially no change
T J Craig, S P Lin
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Deinstitutionalization and the Benevolent Asylum [PDF]
Social Service Review, 1977 The current movement toward deinstitutionalization derives substantial support from learning theory. We now have ample evidence, accumulated over several decades of painstaking research, that models and reinforcements yield behavior. Thus, if the goal is a person competent in the community then the models and rewards must resemble those of the ...
Martin Wolins, Yochanan Wozner
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Deinstitutionalization at the Crossroads
Psychiatric Services, 1988Much has gone wrong with deinstitutionalization. To get back on course, the author says, we should acknowledge that while deinstitutionalization was a positive step, it has gone too far--that some of the long-term mentally ill now in the community need highly structured residential care. The long-term mentally ill should be made the highest priority in
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In Defense of Deinstitutionalization
The Milbank Memorial Fund Quarterly. Health and Society, 1979Political and economic decisions contributing to deinstitutionalization had widespread support from psychiatrists, social reformers, and civil libertarians. The fortuitous advent of Medicaid and SSI abetted movement out of institutions, but these federal programs impede efforts to reform remaining state hospitals--yet progress has been achieved.
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Mortality in the era of deinstitutionalization
American Journal of Psychiatry, 1983The authors examined the 3 1/2-year mortality rate of 1,033 psychiatric patients who had received inpatient treatment during a 1-year period, using standardized mortality ratios to identify heightened risk. Deaths due to accidents or suicides and pneumonia occurred more frequently than expected. Deaths due to cancer occurred primarily among alcoholics;
Ann B. Goodman +3 more
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Deinstitutionalization and Suicide
Crisis, 2003Copyright © 2003 Hogrefe and Huber ; Robert D ...
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Deinstitutionalization: The Data Demythologized
Psychiatric Services, 1983Many past studies of data on deinstitutionalization have used an overly simplistic and often misleading approach, which has led to a number of "myths" of deinstitutionalization. The authors present data on the changing mental health service system collected by the Division of Biometry and Epidemiology of the National Institute of Mental Health, and ...
Carl A. Taube +2 more
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An overview of deinstitutionalization
New Directions for Mental Health Services, 1983AbstractWe are now beginning to realize that treating the most severely impaired of our mentally ill citizens involves the thoughtful conceptualization of complex public policy problems.
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Deinstitutionalization in Context
The Milbank Memorial Fund Quarterly. Health and Society, 1979Unlike other policy developments, which are regular and cumulative or even circular, reforms in mental health have been characterized by a peak-trough movement. Public responses continue to be very different from professional responses to achieving the practical limits of mental health.
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