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In 1955, the Joint Commission on Mental Health and Health was authorized to investigate problems related to the mentally ill. President John F. Kennedy had a special interest in the issue of mental health because his sister, Rosemary, had been lobotomized at the age of 23 at the request of her father. [1]
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.
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.
The Mental Health Systems Act of 1980 (MHSA) was legislation signed by American President Jimmy Carter which provided grants to community mental health centers. In 1981 President Ronald Reagan, who had made major efforts during his governorship to reduce funding and enlistment for California mental institutions, pushed a political effort through the Democratically controlled House of ...
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 ...
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.
[2]: 412 [3]: 1 Originally known as the President's Committee on Mental Retardation, it was eventually renamed in 2003 by George W. Bush over concerns regarding negative labelling. [4]: 1627 [5]: 6 It was established through the work of Eunice Kennedy Shriver while serving as the head of the Joseph P. Kennedy Jr. Foundation.
In response to the flaws of deinstitutionalization, a reform movement reframed the context of the chronically mentally ill within the lens of public health and social welfare problems. Policy makers intentionally circumvented state mental hospitals by allocating federal funds directly to local agencies.