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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.
The deinstitutionalization movement started off slowly but gained momentum as it adopted philosophies from the Civil Rights Movement. [1] During the 1960s, deinstitutionalization increased dramatically, and the average length of stay within mental institutions decreased by more than half. [ 1 ]
Deinstitutionalisation, the contraction of traditional institutional settings and especially a decline in the number of beds, is a process that takes several decades.. Deinstitutionalisation comprises three processes: firstly a shift away from dependence on psychiatric hospitals; then 'transinstitutionalisation' or an increase in the number of mental health beds in general hospitals and ...
In the article Assessing the Contribution of the Deinstitutionalization of the Mentally Ill to Growth in the U.S. Incarceration Rate, researchers Steven Raphael and Michael A. Stoll discuss trans institutionalization, or how many patients released from mental hospitals in the mid-twentieth century ended up in jail or prison. Using U.S. census ...
Since the middle of the 20th century, the problem of institutionalization has been one of the motivating factors for the increasing popularity of deinstitutionalization and the growth of community mental health services, [2] [11] since some mental healthcare providers believe that institutional care may create as many problems as it solves.
There were also associated moves away from large psychiatric institutions to community-based services (later to become a full-scale deinstitutionalization), which sometimes empowered service users, although community-based services were often deficient. There has been some discussion within the field about the usefulness of antipsychotic ...
Deinstitutionalization gradually occurred in the West, with isolated psychiatric hospitals being closed down in favor of community mental health services. However, inadequate services and continued social exclusion often led to many being homeless or in prison. [79] A consumer/survivor movement gained momentum.
Indeed, normalization personnel are often affiliated with human rights groups. Normalization is not deinstitutionalization, though institutions have been found to not "pass" in service evaluations and to be the subject of exposes. Normalization was described early as alternative special education by leaders of the deinstitutionalization ...