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The Biopsychosocial Legacy of Deinstitutionalization
Psychiatric Services, 1993The growth of homelessness as a problem affecting the long-term mentally ill patient population attests to the fact that many individuals fail to be served by mental health agencies in this era of deinstitutionalization (1). Even those who are on agency rolls often receive far less than adequate and sensitive care (2). Thus it is hardly surprising that
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A Conceptual Approach to Deinstitutionalization
Psychiatric Services, 1978Many serious problems in deinstitutionalization result from conceptual oversights or confusion. Understanding deinstitutionalization as a process and a philosophy, as well as a fact, permits planning that will accommodate the variety of patient populations that are the products of the deinstitutionalization movement. The role and possible contributions
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Home Health Care Services Quarterly, 1979
Whether a retarded child can be cared for at home depends primarily on the ability of his or her family to function as primary caretakers. Not surprisingly, then, the rate at which retarded children are deinstitutionalized is being slowed by this country's failure to emphasize programs that are supportive of these children's families.
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Whether a retarded child can be cared for at home depends primarily on the ability of his or her family to function as primary caretakers. Not surprisingly, then, the rate at which retarded children are deinstitutionalized is being slowed by this country's failure to emphasize programs that are supportive of these children's families.
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A proposal for the deinstitutionalization of patients
Health Care Management Review, 1983Outpatient treatment of cancer patients, often medically and psychologically sound, results in great savings for insurers but increased out-of-pocket expenses to patients. If insurers were to reimburse for nonmedical out-of-pocket costs as well as medical, this disincentive to deinstitutionalization would be removed.
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Documenting the Failure of Deinstitutionalization
Psychiatry: Interpersonal and Biological Processes, 2010(2010). Documenting the Failure of Deinstitutionalization. Psychiatry: Vol. 73, No. 2, pp. 122-124.
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Historical origins of deinstitutionalization
New Directions for Mental Health Services, 1983AbstractContrary to popular belief, the foundation for the attack on the legitimacy of mental hospitals was laid in the decades between 1890 and 1940; what occurred in the 1950s and after was a direct outgrowth of earlier developments.
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Deinstitutionalization in Two Cultures
The Milbank Memorial Fund Quarterly. Health and Society, 1979American and British reformers may act as if reducing the number of beds alone reduces human distress or the incidence and prevalence of psychiatric illness. Deinstitutionalization requires a recognition of changed relationships between patients and staff, and between patients and families.
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Deinstitutionalization and public policy
Social Science & Medicine, 1985Deinstitutionalization, originally hailed as a major advance in public policy towards mental illness, has recently become increasingly controversial. This paper reviews the implementation of this policy in the United States, providing a critical examination of some of the central issues and problems that are the focus of current debates.
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The influence of law on deinstitutionalization
New Directions for Mental Health Services, 1983AbstractAlthough seldom examined fully in this context, changes in mental health law—such as the newer standards for civil commitment, the right to treatment, and the doctrine of the least restrictive environment—have accelerated the pace of deinstitutionalization.
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