Psychiatr Serv 52:1039-1045, August 2001
© 2001 American Psychiatric Association
Some Perspectives on Deinstitutionalization
H. Richard Lamb, M.D. and
Leona L. Bachrach, Ph.D.
The authors discuss what can be learned from our experience with deinstitutionalization. The deinstitutionalization of mentally ill persons has three components: the release of these individuals from hospitals into the community, their diversion from hospital admission, and the development of alternative community services. The greatest problems have been in creating adequate and accessible community resources. Where community services have been available and comprehensive, most persons with severe mental illness have significantly benefited. On the other hand, there have been unintended consequences of deinstitutionalization—a new generation of uninstitutionalized persons who have severe mental illness, who are homeless, or who have been criminalized and who present significant challenges to service systems. Among the lessons learned from deinstitutionalization are that successful deinstitutionalization involves more than simply changing the locus of care; that service planning must be tailored to the needs of each individual; that hospital care must be available for those who need it; that services must be culturally relevant; that severely mentally ill persons must be involved in their service planning; that service systems must not be restricted by preconceived ideology; and that continuity of care must be achieved.
This article has been cited by other articles:
|
|
|
|
 
J. Baillargeon, J. V. Penn, C. R. Thomas, J. R. Temple, G. Baillargeon, and O. J. Murray
Psychiatric Disorders and Suicide in the Nation's Largest State Prison System
J Am Acad Psychiatry Law,
June 1, 2009;
37(2):
188 - 193.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Moreno-Kustner, F. Mayoral, O. Perez, J. M. Garcia-Herrera, J. Algarra, F. Rivas, R. Perez, F. Becerra, and I. Gornemann
The Malaga Schizophrenia Case-Register (Resma): Overview of Methodology and Patient Cohort
International Journal of Social Psychiatry,
January 1, 2009;
55(1):
5 - 15.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Wierdsma, C. Mulder, S. de Vries, and S. Sytema
Reconstructing continuity of care in mental health services: a multilevel conceptual framework
J Health Serv Res Policy,
January 1, 2009;
14(1):
52 - 57.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Baillargeon, I. A. Binswanger, J. V. Penn, B. A. Williams, and O. J. Murray
Psychiatric Disorders and Repeat Incarcerations: The Revolving Prison Door
Am J Psychiatry,
January 1, 2009;
166(1):
103 - 109.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Whitley and F. W. Hickling
Open Papers, Open Minds? Media Representations of Psychiatric De-institutionalization in Jamaica
Transcultural Psychiatry,
December 1, 2007;
44(4):
659 - 671.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. S. Lamberti
Understanding and Preventing Criminal Recidivism Among Adults With Psychotic Disorders
Psychiatr Serv,
June 1, 2007;
58(6):
773 - 781.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Phinney, S. Danziger, H. A. Pollack, and K. Seefeldt
Housing Instability Among Current and Former Welfare Recipients
Am J Public Health,
May 1, 2007;
97(5):
832 - 837.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Moreno, J. Cervilla, J. D. Luna, and F. Torres
Pattern of Care for Schizophrenia Patients in Granada (Spain): A Case Register Study
International Journal of Social Psychiatry,
January 1, 2007;
53(1):
5 - 11.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J.-F. Trudel and A. Lesage
Care of Patients With the Most Severe and Persistent Mental Illness in an Area Without a Psychiatric Hospital
Psychiatr Serv,
December 1, 2006;
57(12):
1765 - 1770.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Ruddell
Jail Interventions for Inmates With Mental Illnesses
Journal of Correctional Health Care,
April 1, 2006;
12(2):
118 - 131.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. A. Teplin, G. M. McClelland, K. M. Abram, and D. A. Weiner
Crime Victimization in Adults With Severe Mental Illness: Comparison With the National Crime Victimization Survey
Arch Gen Psychiatry,
August 1, 2005;
62(8):
911 - 921.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Pasic, J. Russo, and P. Roy-Byrne
High Utilizers of Psychiatric Emergency Services
Psychiatr Serv,
June 1, 2005;
56(6):
678 - 684.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Hubner-Liebermann, H. Spiessl, K. Iwai, and C. Cording
Treatment of Schizophrenia: Implications Derived from an Intercultural Hospital Comparison between Germany and Japan
International Journal of Social Psychiatry,
March 1, 2005;
51(1):
83 - 96.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. Mohan, M. Slade, and T. A. Fahy
Clinical Characteristics of Community Forensic Mental Health Services
Psychiatr Serv,
November 1, 2004;
55(11):
1294 - 1298.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Wallace, P. E. Mullen, and P. Burgess
Criminal Offending in Schizophrenia Over a 25-Year Period Marked by Deinstitutionalization and Increasing Prevalence of Comorbid Substance Use Disorders
Am J Psychiatry,
April 1, 2004;
161(4):
716 - 727.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C.-Y. Lin
Ethical Exploration of the Least Restrictive Alternative
Psychiatr Serv,
June 1, 2003;
54(6):
866 - 870.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. R. Lamb, L. E. Weinberger, and W. J. DeCuir Jr.
The Police and Mental Health
Psychiatr Serv,
October 1, 2002;
53(10):
1266 - 1271.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Saxena, P. K. Maulik, K. O'Connell, and B. Saraceno
Editorial: Mental Health Care in Primary and Community Settings: Results from Who's Project Atlas
International Journal of Social Psychiatry,
June 1, 2002;
48(2):
83 - 85.
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 2001
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
