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 1,027 records · Page 57Linked to original sources
PubMed1983

A demonstration of the cost benefits of case management services for discharged mental patients.

The authors report on a demonstration of the cost benefits of case management for hospitalized mental patients discharged from a New York State Community Mental Health Center to community living in a rural catchment area. Case managers promoted social rehabilitation and maximized time spent in the community. Comparison of the treatment group with matched controls on frequency and duration of rehospitalization during the 15 month intervention period shows a benefit conservatively estimated as 2.03 to 2.72, depending on size of case load.

Adult↗
PubMed1990

Community care of the severely mentally ill: is social control a "necessary evil" in policy-making considerations?

Analysis of the crisis in community care for the severely mentally ill (SMI) reveals that it stems not only from organizational and financial problems, but also from the social structure and ideological perspectives embedded in American society. The desire of society for social control and the maintenance of orderly social life is illuminated as a central factor in public policies regarding the SMI. Policy planning, aimed at improving services for the SMI, must take social structural consideration into account and accept the social control component, perhaps as a necessary evil, nevertheless a necessity, in policies regarding the severely mentally ill.

Community Mental Health Services↗
PubMed1985

Meeting community service needs of discharged psychiatric patients.

There is a growing recognition that the chronically mentally ill are a heterogeneous population with a multiplicity and diversity of needs. But inadequate information concerning the extent of the population service needs and the degree to which aftercare services meets these needs has contributed to the minimization of the problem. This article reports on the extent to which aftercare services meets the needs of discharged patients. Most discharged patients had a need for basic maintenance aftercare services such as individual counseling, chemotherapy, and financial assistance. However, there was also a high need for more rehabilitative services such as socialization services, social and vocational rehabilitation, and supportive residential services. Although almost half had their basic service needs met by aftercare services, few had their rehabilitative ones met.

Adolescent↗
PubMed1992

Mobile community treatment in inner city and suburban Sydney.

Intensive and assertive community based treatment was provided to 27 inner city and 45 suburban severely and chronically mentally ill patients in Sydney. The teams use assertive outreach methods to address the needs of these most difficult to treat patients who have only sporadically complied with outpatient treatment and who frequently required hospitalisation. The staff-patient ratio at 1:10 on both teams is much higher than in the conventional mental health centres. Preliminary outcomes indicate that the number of hospital bed days of the suburban patients dropped by 67%, that stability in accommodation for inner city patients increased, and that functioning improved significantly for patients treated by both teams.

Adult↗
PubMedDate not supplied

Psychiatric research: the role of the state.

Psychiatric research is as exciting as any field in health science today. But it will require support from a variety of sources if it is to achieve its potential. Two main points bear emphasizing in any overview of current mental health research. First, of course, is the vitality and significance of the work itself, and second is the multifaceted issue of support. This presentation will review briefly the various component parts on which this country's mental health research establishment is based: funding from the federal government; the crucial role of the individual state; and contributions of various other sections of our society to the overall research effort. This overview will also consider some of the secondary results of research support within the state.

Deinstitutionalization↗
PubMed1990

Patients refused admission to psychiatric hospitals in The Netherlands.

In The Netherlands unforeseen and unwanted effects of the "de jure" policy of the government are outpatient waiting lists and refusal of applications for admission to mental hospitals. A register of applications of six mental hospitals in the northern part of The Netherlands reveals that there are significant differences between admitted and refused patients with regard to juridical status, urgency, catchment area, referral source, age and type of problems.

Adult↗
PubMed1991

Quality of life in alternative residential settings.

Central to policy revisions over the past forty years toward persons with psychiatric disabilities has been a change in where they live. Whereas forty years ago those patients needing assistance were generally housed in large public mental hospitals, today a myriad of alternative community housing settings are offered. A major impetus for this shift in housing, at least as currently articulated in most public forums, has been to improve their quality of life. Here we examine the quality of life experiences of psychiatrically disabled persons living in alternative settings: a state hospital, large residential care facilities, small group homes, and supervised apartments. Our central hypothesis, only partly supported, is that a quality of life gradient exists across these living settings. The results lend support to the value of quality of life assessments and point to the importance of more focused notions about how our various interventions may affect the persons whom we serve.

Adult↗
PubMed1997

"Unbundling" of state hospital services in the community: the Philadelphia State Hospital story.

This paper describes the organizational, financial, and programmatic changes surrounding the closure of Philadelphia State Hospital, and the conceptual model employed for "unbundling" or disaggregating the state hospital's services into community programs run by private non-profit agencies. The current status of the project is discussed as well as the long-term policy and research questions that remain to be answered.

Community Mental Health Services↗