deinstitutionalisation
Sign in to saveAlso known as deinstitutionalization, dehospitalization
thumb|right|250px|The former St Elizabeth's Hospital in 2006, closed and boarded up. Located in [[Washington D.C., the hospital had been one of the sites of the Rosenhan experiment in the 1970s.]] Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the 1950s and 1960s, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses, group homes, and clinic
Research
319 papers- Deinstitutionalisation, community-based care and coercion: Did France learn from international experiences?L'Encephale · 2023
- Institutionalisation and deinstitutionalisation of children 2: policy and practice recommendations for global, national, and local actors.The Lancet. Child & adolescent health · 2020
- Deinstitutionalisation does not increase imprisonment or homelessness.The British journal of psychiatry : the journal of mental science · 2016
- Effect of deinstitutionalisation on quality of life for adults with intellectual disabilities: a systematic review.BMJ open · 2019
- Effect of deinstitutionalisation for adults with intellectual disabilities on costs: a systematic review.BMJ open · 2019
via PubMed
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Article
30 sectionsContents
- History
- 19th century
- 20th century
- Eugenics and Aktion T4
- Origins of the modern movement
- Reform
- Consequences
- Medication
- Victimisation
- Misconceptions
- Reinstitutionalisation
- Other criticisms
- Worldwide
- Asia
- Hong Kong
- Japan
- Africa
- Australia and Oceania
- New Zealand
- Europe
- Republic of Ireland
- Italy
- United Kingdom
- North America
- United States
- South America
- See also
- References
- Bibliography
- Further reading
thumb|right|250px|The former St Elizabeth's Hospital in 2006, closed and boarded up. Located in [[Washington D.C., the hospital had been one of the sites of the Rosenhan experiment in the 1970s.]] Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the 1950s and 1960s, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses, group homes, and clinics, in regular hospitals, or not at all.
Deinstitutionalisation works in two ways. The first focuses on reducing the population size of mental institutions by releasing patients, shortening stays, and reducing both admissions and readmission rates. The second focuses on reforming psychiatric care to reduce (or avoid encouraging) feelings of dependency, hopelessness and other behaviours that make it hard for patients to adjust to a life outside of care.