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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 ...
This continuing process of deinstitutionalization without adequate alternative resources led the mentally ill into homelessness, jails, and self-medication through the use of drugs or alcohol. [ 5 ] [ page needed ] In 1975 Congress passed an Act requiring community mental health centers to provide aftercare services to all patients in the hopes ...
Only half of the proposed centers were ever built; none was fully funded, and the act didn't provide money to operate them long-term. Some states closed expensive state hospitals, but never spent money to establish community-based care. Deinstitutionalization accelerated after the adoption of Medicaid in 1965. During the Reagan administration ...
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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.
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