Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Deinstitutionalization”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,009 records · Page 56Linked to original sources
PubMed1978

Establishing community services for the mentally ill: a summary of lessons learned.

In summary, the development of programs in the community serving the severely and chronically mentally ill is a political-sociological activity requiring a detailed working knowledge of the community to be involved, a clear understanding of objectives and specific agreements related to the program to be developed, adequate and stable funding, appropriate supportive and ancillary resources, significant bureaucratic skill and flexibility, adequate time for appropriate community education and feedback from key community leaders, a certain amount of clairvoyance in anticipating difficulties and unexpected problems, an immense amount of perseverance and, finally--and probably as important as any other single element--timing and luck.

Chronic Disease↗
PubMed1984

Self-survey of family organization.

A self-survey was undertaken among 512 members of the California Alliance for the Mentally Ill (CAMI), a statewide family support organization. The typical CAMI member is the parent of a mentally disabled son or daughter who has been ill for an average of 13 years with multiple hospitalizations and therapists. The employment record of the disabled individuals was poor; more than two-thirds had been involuntarily committed at some time, and half had been in jail. Family members see the most serious unmet need to be social rehabilitation housing with planned programs.

Adaptation, Psychological↗
PubMed1978

Who becomes chronic?

Chronic social disablement is caused by three types of factor: impairment, e.g. slowness in schizophrenia; social disadvantage, e.g. lack of opportunity to develop social or vocational skills; and an underconfidence or unduly low self-esteem which is reactive to impairment and disadvantage. The last of these factors is particularly evident in 'institutionalism', a condition in which the individual comes to acquire a contentment with institutional life and wishes to lead no other. Many long-stay patients in large mental hospitals used to be 'well-institutionalized' but it became recognized that retraining and rehabilitation could lead to successful resettlement outside hospital. For a time these striking successes suggested to some theorists that abolishing the hospitals would abolish disablement as well but it is now quite clear that this is not the case. Chronic impairments still occur and create a continuing need for sheltered environments. The frequency and type of problems still arising are discussed in the light of recent surveys in England. One small group requires highly-staffed accommodation, others need less supervised day and residential settings; all need long-term care. It is emphasized that some people living at home with relatives also have chronic mental disabilities as have a high proportion of the destitute. Such problems are less frequent than formerly but they still require detailed medical and social attention.

Adaptation, Psychological↗
PubMed1978

The emergence of the Bowery as a psychiatric dumping ground.

The drastic reduction of State Hospital population in New York over the past decade has led to a demographic relocation of the mentally ill, rather than any real decline in the rate or severity of mental disorders. Unable to function on their own in society and without adequate supportive facilities available, many discharged patients live in the streets and eventually end up on the Bowery, where they are cared for at The Men's Shelter. Studies have shown that over 50% of the current Bowery population has a history of mental illness and that alcoholism is often a secondary, rather than primary diagnosis. The most frequently encountered diagnostic syndromes are mentioned and commented upon. Possible alternative treatment interventions are suggested.

Age Factors↗
PubMed1978

Small supportive treatment units and the problem of recidivism in indigent chronic schizophrenic patients.

This is a report of a three and a half-year follow up of uprooted chronic schizophrenics, who had become disposition problems at the time of discharge from a state psychiatric hospital. One group of 14 was discharged to themselves, another in small supporting units to share living quarters with fellow patients. The results are encouraging and may throw some light into the problem of recidivism. All patients were diagnosed chronic schizophrenic. They had multiple hospitalizations, came from the same catchment area, and were followed by the same therapist in the same hospital setting. Patients who shared living quarters with other patients did better in terms of post hospitalization adjustment, reduced readmission and subsequent time spent in hospital, employment and self-responsibility compared to patients living alone.

Adult↗
PubMedDate not supplied

Receipt of aftercare services by problem types: psychiatric, psychiatric/substance abuse and substance abuse.

In the present study, a cohort of patients discharged from two state psychiatric hospitals were categorized into three groups: psychiatric, psychiatric/substance abuse and substance abuse. Patterns of service receipt postdischarge and the differential impact of service use on rehospitalizations and community tenure were analyzed. The psychiatric group were more receptive to contacting community mental health aftercare agencies and when they did connect, they received, on the average, greater amounts of service than the other two groups.

Adolescent↗