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Psychiatry on a Shoestring: West Africa and the Global Movements of Deinstitutionalization

Bulletin of The History of Medicine, 2022
summary:The rise of psychiatric deinstitutionalization policies in the formerly colonized world is commonly narrated as a novel and decolonial intervention imparted by Euro-American NGOs of the global mental health era of the past two decades.
Nana Osei Quarshie
semanticscholar   +1 more source

"Community Care": Historical Perspective on Deinstitutionalization

Perspectives in biology and medicine, 2021
:This article examines the discrepancies between the rhetoric surrounding deinstitutionalization and community care and the reality of the abandonment of the seriously mentally ill to their fate. It discusses how the earlier commitment to the asylum came
A. Scull
semanticscholar   +1 more source

The Deinstitutionalization of Psychiatric Hospitals in Ghana: An Application of Bronfenbrenner’s Social-Ecological Model

Issues in Mental Health Nursing, 2020
Institutionalization of people living with mental illness has evolved over the years, especially in the 19th and early 20th century. This has created over crowdedness in various psychiatric institutions, specifically in low and-middle-income countries ...
J. Adu, A. Oudshoorn
semanticscholar   +1 more source

Death and deinstitutionalization

American Journal of Psychiatry, 1981
Death 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
openaire   +3 more sources

Deinstitutionalization and the Benevolent Asylum [PDF]

open access: possibleSocial 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
openaire   +2 more sources

The deinstitutionalization of American marriage

, 2004
This article argues that marriage has undergone a process of deinstitutionalization—a weakening of the social norms that define partners’ behavior—over the past few decades.
A. Cherlin
semanticscholar   +1 more source

Deinstitutionalization and other factors in the criminalization of persons with serious mental illness and how it is being addressed

CNS Spectrums, 2019
One of the major concerns in present-day psychiatry is the criminalization of persons with serious mental illness (SMI). This trend began in the late 1960s when deinstitutionalization was implemented throughout the United States.
H. Lamb, L. Weinberger
semanticscholar   +1 more source

In Defense of Deinstitutionalization

The Milbank Memorial Fund Quarterly. Health and Society, 1979
Political 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.
openaire   +3 more sources

Deinstitutionalization at the Crossroads

Psychiatric Services, 1988
Much 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
openaire   +3 more sources

Deinstitutionalization: The Data Demythologized

Psychiatric Services, 1983
Many 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
openaire   +3 more sources

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