Summary: The practice of caring for individuals in the community, rather than in an institutional environment with resultant effects on the individual, the individual's family, the community, and the health care system.
Publications234 found, 100 shown here
- Deinstitutionalization for long-term mental illness: a 6-year evaluationColetta Hobbs
Department of Psychological Medicine, The University of Sydney, Royal North Shore Hospital, St Leonards, New South Wales 2065, Australia
Aust N Z J Psychiatry 36:60-6. 2002..This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition...
- Mental health for persons with intellectual disability in the post-deinstitutionalization era: experiences from British ColumbiaRobin Friedlander
Clinical Associate Professor, University of British Columbia, Vancouver, Canada
Isr J Psychiatry Relat Sci 43:275-80. 2006..This paper documents the delivery of mental health care in BC for this population and contrasts the dream versus the reality of community living for people with dual diagnosis (mental illness coupled with an intellectual disability)...
- [Deinstitutionalization of long-stay psychiatric patients in upper austria - living situation, social and clinical characteristics more than one year after discharge]Egon Michael Haberfellner
Rehabilitationszentrum für psychosoziale Gesundheit, Pro Mente Oberösterreich
Psychiatr Prax 31:192-7. 2004..In Upper Austria, a total of 409 long-stay patients were discharged to various residential facilities between 1995 and 2000. This paper describes psychopathology and sociodemographic characteristics...
- Do long-term hospitalised patients benefit from discharge into the community?Stefan Priebe
Unit for Social and Community Psychiatry, Barts and the London School of Medicine, West Smithfield, London EC1A 7BE
Soc Psychiatry Psychiatr Epidemiol 37:387-92. 2002..The study investigated whether long-stay patients would benefit from discharge into the community in Berlin, Germany...
- Community integration of elderly mentally ill persons in psychiatric hospitals and two types of residencesMarja F I A Depla
Netherlands Institute of Mental Health and Addiction, PO Box 725, 3500 AS Utrecht, The Netherlands
Psychiatr Serv 54:730-5. 2003b>Deinstitutionalization policy in the Netherlands has given rise to two new living arrangements for elderly long-term psychiatric patients...
- Successful deinstitutionalization of mental health care: increased life expectancy among people with mental disorders in FinlandJeanette Westman
Nordic School of Public Health, Gothenburg, Sweden
Eur J Public Health 22:604-6. 2012To assess impact of deinstitutionalization of mental health care, we studied life expectancy for 341 630 people with hospitalization or early retirement pension for mental disorders in 1981-2003 in Finland...
- Risks for individuals with schizophrenia who are living in the communityJ S Brekke
School of Social Work, University of Southern California, Los Angeles, CA 90089 0411, USA
Psychiatr Serv 52:1358-66. 2001..This study examined the incidence and predictors of police contact, criminal charges, and victimization among noninstitutionalized individuals with schizophrenia living in the community...
- Violent victimization in schizophreniaTeija Honkonen
Section of Neurosciences, Finnish Institute of Occupational Health, Topeliuksenkatu 41aA, 00250 Helsinki, Finland
Soc Psychiatry Psychiatr Epidemiol 39:606-12. 2004..We investigated the 3-year prevalence, and the sociodemographic and clinical correlates of violent victimization in a large and unselected nationwide sample of deinstitutionalized patients with schizophrenia...
- Five-year mortality of Finnish schizophrenia patients in the era of deinstitutionalizationHelena Rantanen
Tampere School of Public Health, University of Tampere, and Department of Psychiatry, Tampere University Hospital, 33014, Tampere, Finland
Soc Psychiatry Psychiatr Epidemiol 44:135-42. 2009..It has been suggested that deinstitutionalization increases suicide mortality but there are also contradictory results...
- Deinstitutionalization revisited: a 5-year follow-up of a randomized clinical trial of hospital-based rehabilitation versus specialized assertive intervention (OPUS) versus standard treatment for patients with first-episode schizophrenia spectrum disorderM Nordentoft
Copenhagen University, Faculty of Health Sciences, Psychiatric Centre Bispebjerg, Bispebjerg Bakke 23, DK 2400 Copenhagen NV, Denmark
Psychol Med 40:1619-26. 2010....
- Some perspectives on deinstitutionalizationH R Lamb
University of Southern California School of Medicine, Los Angeles, CA 90033, USA
Psychiatr Serv 52:1039-45. 2001The authors discuss what can be learned from our experience with deinstitutionalization. The deinstitutionalization of mentally ill persons has three components: the release of these individuals from hospitals into the community, their ..
- Community care and criminal offending in schizophreniaP E Mullen
Victorian Institute of Forensic Mental Health, Australia
Lancet 355:614-7. 2000..This view affects public policy towards and public perceptions of such people. We investigated the association between the introduction of community care and the pattern of offending in patients with schizophrenia in Victoria, Australia...
- Australia's National Mental Health Strategy and deinstitutionalization: some empirical resultsDarrel P Doessel
School of Population Health, The University of Queensland, Brisbane, Australia
Aust N Z J Psychiatry 39:989-94. 2005To determine the role of the National Mental Health Strategy in the deinstitutionalization of patients in psychiatric hospitals in Queensland.
- Criminal offending in schizophrenia over a 25-year period marked by deinstitutionalization and increasing prevalence of comorbid substance use disordersCameron Wallace
Victorian Institute of Forensic Mental Health, Fairfield, and Department of Psychological Medicine, Monash University, Victoria, Australia
Am J Psychiatry 161:716-27. 2004..the pattern of criminal convictions in persons with schizophrenia over a 25-year period marked by both radical deinstitutionalization and increasing rates of substance abuse problems among persons with schizophrenia in the community.
- Deinstitutionalization of psychiatric patients in central EuropeH J Haug
Eur Arch Psychiatry Clin Neurosci 249:115-22. 1999..In Austria the process of deinstitutionalization has been delayed but a general survey of the health care system by the government led to an acceleration ..
- Predictors for attacks on people after deinstitutionalizationJ Aa Nøttestad
Section for Forensic Psychiatry, Brøset, and Department of Psychiatry and Behavioural Medicine, Norwegian University of Science and Technology, Trondheim, Norway
J Intellect Disabil Res 46:493-502. 2002The deinstitutionalization movement is presently spreading in Europe, but studies evaluating the effects of deinstitutionalization on behaviour disturbances among people with intellectual disability (ID) are inconclusive...
- Deinstitutionalization of long-stay patients with schizophrenia: the 2-year social and clinical outcome of a comprehensive intervention program in JapanYonosuke Ryu
Asaka Hospital, Koriyama City, Japan
Aust N Z J Psychiatry 40:462-70. 2006The Sasagawa Project aimed to investigate the effects of deinstitutionalization and evidence-based strategies for the treatment of mental disorders among long-stay patients after their discharge from a mental hospital using a quasi-..
- Reductions in postdischarge suicide after deinstitutionalization and decentralization: a nationwide register study in FinlandSami Pirkola
STAKES Mental Health Group, Lintulahdenkuja 4, FIN 00530 Helsinki, Finland
Psychiatr Serv 58:221-6. 2007..suicides occurring after a psychiatric hospitalization during more than a decade of significant structural changes in mental health services in Finland-that is, deinstitutionalization, downsizing of inpatient care, and decentralization.
- Mental health care and the politics of inclusion: a social systems account of psychiatric deinstitutionalizationEnric J Novella
Centre for Human and Social Sciences CSIC, C Albasanz 26 28, 28037 Madrid, Spain
Theor Med Bioeth 31:411-27. 2010....
- From the asylum to community care: learning from experienceHelen Killaspy
Department of Mental Health Sciences, Hampstead Campus, Royal Free and University College London Medical School, 2nd Floor, Royal Free Hospital, London NW3 2PF, UK
Br Med Bull 79:245-58. 2006..A review of research and policy on community care was carried out...
- [Deinstitutionalization of long-stay psychiatric patients in upper Austria -- utilization of healthcare resources and costs of outpatient care]Egon Michael Haberfellner
Pro Mente Oberösterreich
Psychiatr Prax 33:74-80. 2006..9 months of deinstitutionalization during a follow-up time of (1/2) year and to calculate the costs thus incurred.
- Has deinstitutionalization gone too far?P Munk-Jørgensen
Department of Psychiatric Demography, Institute for Basic Psychiatric Research, Psychiatric Hospital in Aarhus, Risskov, Denmark
Eur Arch Psychiatry Clin Neurosci 249:136-43. 1999..Case Register, the author documents a series of negative indicators that have appeared parallel with the deinstitutionalization process...
- Relationships between the deinstitutionalization of healthcare for patients with mental disorder, substance abuse, and isolated deathIngemar B Thiblin
Department of Forensic Medicine, Karolinska Institute, S 171 77, Stockholm, Sweden
J Forensic Sci 49:354-60. 2004..On the basis of the assumption that such deinstitutionalization is likely to result in increased social isolation, our working hypothesis was that the incidence of ID ..
- Community mental health care in Botswana: approaches and opportunitiesE S Seloilwe
Department Nursing Education, University of Botswana, Gaborone, Botswana
Int Nurs Rev 54:173-8. 2007..The purpose of this article is to provide an insight into the developmental trends in community mental health care in Botswana. Different approaches are discussed and the opportunities that have emanated from them...
- [Psychotropic medicines to patients with mental retardation]Anne Marit Bygdnes
Voksenhabiliteringsteamet, UNN Harstad, 9480 Harstad
Tidsskr Nor Laegeforen 127:1028-30. 2007..Psychotropic drugs are widely used by mentally retarded persons. Our aim was to describe changes in prescription practice and use of such drugs after patients were moved from institutions to community care...
- Is psychiatric reform a strategy for reducing the mental health budget? The case of BrazilSergio Baxter Andreoli
Department of Psychiatry, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brasil
Rev Bras Psiquiatr 29:43-6. 2007..To investigate trends in the provision of mental health services and financing in Brazil...
- [Deinstitutionalization of psychiatric patients in Saxony: the beginning has been accomplished]Peggy Göpfert
Technischen Universität Dresden
Pflege Z 56:277-80. 2003
- Treatment quality as a crucial issue in the process of closing Como Mental HospitalA Mastroeni
Seishin Shinkeigaku Zasshi 105:1168-74. 2003
- The effect of deinstitutionalization on the longitudinal continuity of mental health care in the NetherlandsY J Pijl
Department of Psychiatry, University of Groningen, 30 001, 9700, RB Groningen, The Netherlands
Soc Psychiatry Psychiatr Epidemiol 39:244-8. 2004b>Deinstitutionalization has been accompanied by a decreasing continuity of care in a number of countries. This study evaluates the effects of the Dutch model for deinstitutionalizing mental health care.
- The development of a Leonardo Program for teaching community psychiatryMark Agius
Bedfordshire Centre for Mental Health Research in Association With University of Cambridge, England
Psychiatr Danub 18:193-9. 2006..The results of this program are interpreted in terms of theory of Adult Learning. It was found that the Leonardo EU program was useful in teaching Community Mental Health...
- System flexibility in the rehabilitation process of mentally disabled persons in a hostel that bridges between the hospital and the communityVered Baloush-Kleinman
Tirat Carmel Mental Health Center, 9 Eshkol Street, Tirat Carmel 30200, Israel
Isr J Psychiatry Relat Sci 40:274-82. 2003b>Deinstitutionalization and community mental health services have become the focus of mental health care in the United States, Italy and England, and now in Israel.
- Integrating mental health care into residential homes for the elderly: an analysis of six Dutch programs for older people with severe and persistent mental illnessMarja F I A Depla
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands
J Am Geriatr Soc 51:1275-9. 2003..Whether or not the psychiatric residents should be housed in separate units could not be decided based on this study...
- Conditional hospital release: interpreting the messageSteven P Segal
Psychiatr Serv 57:1810-1. 2006
- Challenges for Israeli Mental Health Law in the next decadeJosef Assaf Toib
Cardozo School of Law, Yeshiva University, New York, NY, USA
Isr J Psychiatry Relat Sci 43:198-206; discussion 206-8. 2006..The U.S. was subject to the same pressures and adopted "deinstitutionalization." Its practice fell far short of its promise, and in turn prompted other innovations to be adopted, ..
- Mentally ill persons in the criminal justice system: some perspectivesH Richard Lamb
Division of Mental Health Policy and Law, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
Psychiatr Q 75:107-26. 2004....
- Conditional release: a less restrictive alternative to hospitalization?Steven P Segal
Mental Health and Social Welfare Research Group, School of Social Welfare, University of California Berkeley, 120 Haviland Hall MC 7400, Berkeley, CA 94720, USA
Psychiatr Serv 57:1600-6. 2006..This study examined conditional release--that is, involuntary outpatient commitment orders upon release from hospitalization--as a least restrictive alternative to psychiatric hospitalization in Victoria, Australia...
- The Sasagawa project: a model for deinstitutionalisation in JapanMasafumi Mizuno
Department of Neuropsychiatry, School of Medicine, Keio University, Shinjuku ku, Japan
Keio J Med 54:95-101. 2005..The Sasagawa Project is the first systematized deinstitutionalization project in Japan that aims to make the transition from hospital to residential living while ensuring both ..
- Behavioral health problems, ex-offender reentry policies, and the "Second Chance Act"Wendy Pogorzelski
Center for Mental Health Services and Criminal Justice Research, Rutgers University, 30 College Ave, New Brunswick, NJ 08901, USA
Am J Public Health 95:1718-24. 2005..Without modification of federal and state policies, the ability of reentry services to foster behavioral health and community reintegration is limited...
- Psychiatry and its institutions in Australia and New Zealand: an overviewCatharine Coleborne
Department of History, The University of Waikato, Hamilton, New Zealand
Int Rev Psychiatry 18:371-80. 2006
- Gender-specific behavioral health and community release patterns among New Jersey prison inmates: implications for treatment and community reentryCynthia L Blitz
Center for Mental Health Services and Criminal Justice Research, Rutgers University, 30 College Ave, New Brunswick, NJ 08901, USA
Am J Public Health 95:1741-6. 2005..We describe behavioral health diagnoses and community release patterns among adult male and female inmates in New Jersey prisons and assess their implications for correctional health care and community reentry...
- Learning from low income countries: mental healthKwame McKenzie
Royal Free and University College Medical School and Barnet, Enfield and Haringey Mental Health NHS Trust, Department of Mental Health Sciences, London NW3 2PF
BMJ 329:1138-40. 2004
- Service use and costs of supporting the most socially disabled patients in a hospital reprovision programme. A two-hospital comparisonPaul McCrone
P024 Centre for the Economics of Mental Health, Health Services Research Dept, Institute of Psychiatry, King s College London, De Crespigny Park, London, SE5 8AF, UK
Soc Psychiatry Psychiatr Epidemiol 41:656-61. 2006..This paper compares service use and costs of difficult-to-place patients from two UK hospitals (Friern and Warley) and identifies predictors of cost. One of these hospitals (Warley) provided a more intensive programme of rehabilitation...
- [Shift of usage of medical psychiatric and psychosocial services in Upper Austria (whole territory of Austria) in the period 1965-2005]Gustav Hofmann
Pro Mente Oberösterreich, Figulystrasse 32, A 4020 Linz, Osterreich
Psychiatr Danub 17:5-18. 2005..In these days of reduced social budgets of the state and social departments of provincial governments it is not easy to keep our standards and meet the increased needs of our clients...
- Greek psychiatric care reform: new perspectives and challenges for community mental health nursingTh Bellali
University of Athens, Faculty of Nursing, Department of Mental Health and Behavioral Sciences, Greece
J Psychiatr Ment Health Nurs 13:33-9. 2006....
- Parents' experiences of collaboration with community healthcare professionalsE S Jakobsen
Diakonhjemmet University College Rogaland, Naerbø, Norway
J Psychiatr Ment Health Nurs 13:498-505. 2006..Further research on parents' experiences of collaboration is necessary. The value of parents as an important source of support can be enhanced by means of increased collaboration...
- Mental illness and community care: a case for researchBill Whitfield
Int J Psychiatr Nurs Res 12:1363. 2006
- State psychiatric hospital census after the 1999 Olmstead Decision: evidence of decelerating deinstitutionalizationMark S Salzer
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, 3rd Floor, Center for Mental Health Policy and Services Research, Philadelphia, PA 19104, USA
Psychiatr Serv 57:1501-4. 2006..This study examined the extent to which state psychiatric hospital census across the United States has changed significantly post-Olmstead...
- Factors in the selection of patients for conditional release from their first psychiatric hospitalizationSteven P Segal
Mental Health and Social Welfare Group, School of Social Welfare, University of California Berkeley, 120 Haviland Hall MC 7400, Berkeley, CA 94720 7400, USA
Psychiatr Serv 57:1614-22. 2006..This study examined a sample of patients in Victoria, Australia, to identify factors in selection for conditional release from an initial hospitalization that occurred within 30 days of entry into the mental health system...
- Effect of conditional release from hospitalization on mortality riskSteven P Segal
Mental Health and Social Welfare Research Group, School of Social Welfare, University of California Berkeley, 120 Haviland Hall MC 7400, Berkeley, CA 94720, USA
Psychiatr Serv 57:1607-13. 2006..It assessed the contribution of conditional release to mortality risk among patients with mental disorders severe enough to require psychiatric hospitalization during a mental health treatment span of 13.5 years in Victoria, Australia...
- Outpatient commitment: a therapeutic jurisprudence analysisBruce J Winick
University of Miami School of Law, 1311 Miller Drive, Room G477, Coral Gables, FL 33146, USA
Psychol Public Policy Law 9:107-44. 2003....
- Conditional hospital release: conveying the wrong message?Robert Bernstein
Psychiatr Serv 57:1553. 2006
- Outcomes for elderly patients with mental illness following relocation from a stand-alone psychiatric hospital to community-based extended care unitsTom Meehan
University of Queensland, Wacol, Australia
Aust N Z J Psychiatry 38:948-52. 2004..To assess the outcomes for a group of elderly patients with mental illness following their discharge from a stand-alone psychiatric facility to seven extended care units (ECUs)...
- Using electronic patient records in mental health care to capture housing and homelessness information of psychiatric consumersRichard G Booth
School of Nursing, The University of Western Ontario, London, Ontario, Canada
Issues Ment Health Nurs 27:1067-77. 2006..With the increased use of EPRs in the Canadian health care system, the research and clinical benefits of this technology have only recently begun to be realized in mental health care...
- Changing demand for mental health services in the emergency department of a public hospitalRoss Kalucy
Department of Psychiatry, Flinders Medical Centre, Bedford Park, South Australia, Australia
Aust N Z J Psychiatry 39:74-80. 2005b>Deinstitutionalization and mainstreaming may have contributed to increased attendance in public emergency departments by people with mental health problems...
- One-year follow-up of persons discharged from a locked intermediate care facilityH Richard Lamb
The Institute of Psychiatry, Law, and Behavioral Sciences at the Keck School of Medicine at the University of Southern California School of Medicine in Los Angeles
Psychiatr Serv 56:198-201. 2005..The purpose of this study was to determine the extent to which persons with severe mental illness can be successfully transferred from an intermediate care facility to lower levels of care...
- Impact of a rehabilitation legislation on the survival in the community of long-term patients discharged from psychiatric hospitals in IsraelAlexander Grinshpoon
Research and Planning, Mental Health Services, Ministry of Health, 2 Ben Tabai St, Jerusalem, 93591, Israel
Soc Psychiatry Psychiatr Epidemiol 41:87-94. 2006....
- ACT and recovery: integrating evidence-based practice and recovery orientation on assertive community treatment teamsMichelle P Salyers
Department of Psychology, Indiana University Purdue University, Indianapolis, IN, USA
Community Ment Health J 43:619-41. 2007..Finally, we provide recommendations on how best to incorporate a recovery orientation into existing ACT teams...
- Caring for people with a mental disability at home: Australian carers' perceptions of service provisionNerina Vecchio
Griffith Business, Griffith University, Gold Coast, Queensland, Australia
Community Ment Health J 44:125-34. 2008..Greater involvement of consumers and their families in health care service planning will provide opportunities to deliver more appropriate services and enhance equities within this sector...
- The closure of a mental hospital in Sweden: characteristics of patients in long-term care facing relocation into the communityK Dencker
Department of Psychiatry and Neurochemistry University of Gothenburg, Sweden
Eur Arch Psychiatry Clin Neurosci 240:325-30. 1991..Thus, all patients needed sheltered living arrangements and care provided by staff with adequate training...
- The costs of accommodation and care. Community provision for former long-stay psychiatric hospital patientsA Hallam
Personal Social Services Research Unit, University of Kent at Canterbury, UK
Eur Arch Psychiatry Clin Neurosci 243:304-10. 1994..The rest of the funding burden is borne by a range of agencies, resulting in pressure on budgets and staff case loads...
- Dead and forgotten--postmortem time before discovery as indicator of social isolation and inadequate mental healthcare in schizophreniaLise Lotte Nilsson
Department of Psychiatry, Lund University, Malmö Hospital, Sweden
Schizophr Res 102:337-9. 2008The psychiatric care of patients with schizophrenia has changed dramatically following the "deinstitutionalization" of mental health care in many Western countries...
- Biological perspectives incarcerated care and quetiapine abuseNorman L Keltner
School of Nursing, University of Alabama, Birmingham, AL, USA
Perspect Psychiatr Care 44:202-6. 2008
- Understanding those who seek frequent psychiatric hospitalizationsPhyllis Montgomery
School of Nursing, Laurentian University, Ramsey Lake Road, Sudbury, Ontario, Canada P3E 2C6
Arch Psychiatr Nurs 16:16-24. 2002In the period after deinstitutionalization, there has been a rise in hospital readmission rates...
- Community services for people with intellectual disabilities and mental health problemsColin P Hemmings
Consultant Psychiatrist in Learning Disabilities, South London and Maudsley NHS Trust, London, UK
Curr Opin Psychiatry 21:459-62. 2008..This review will examine the most recently published studies of community services for people with intellectual disabilities and mental health problems...
- The criminalization of adults with mental illness (Part 1)J Regan
Tennessee Department of Mental Health and Developmental Disabilities, Nashville, USA
Tenn Med 94:432-3. 2001..we have identified the major factors contributing to the criminalization of the mentally ill as being deinstitutionalization (and the related underfunded, under-coordinated recommendations of the Joint Commission on Mental Illness ..
- The future pattern of psychiatric provision in EnglandD Goldberg
Institute of Psychiatry, King's College, De Crespigny Park, Denmark Hill, London, UK
Eur Arch Psychiatry Clin Neurosci 249:123-7. 1999..Future changes to the way in which the National Health Service is funded--with resource being allocated by groups of general practitioners--make it likely that there will be a shift of resources towards primary care services...
- The role of the psychiatric nurse in home carePatrick A Cunningham
Behavioral Health Program, Gentiva Health Services, Farmington, Connecticut 06032, USA
Home Healthc Nurse 25:645-52; quiz 653-4. 2007
- Mental health reform and evolution of general psychiatry in OntarioJohn Robert Swenson
Can J Psychiatry 47:644-51. 2002....
- [In-house apartments: an attempt to handle complex chronic psychiatric disorders]M H C M Laan
De Springplank, Tussen de eiken 109, 7325 HH Apeldoorn
Tijdschr Psychiatr 49:649-53. 2007..The in-house apartments have been evaluated and appear to be an effective way of dealing with some patients with complex chronic psychiatric disorders - specific types of psychiatric disorders and personality problems...
- Mental health services in SloveniaVesna Svab
University Psychiatric Hospital Ljubljana, Slovenija
Int J Soc Psychiatry 48:177-88. 2002..Slovenia is a small Central European country with a population of 2 million. Its mental health system has been influenced by the western de-institutionalization movement and eastern models of care which are predominately institutional...
- Long-term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community. TAPS Project 44Noam Trieman
Chase Farm Hospital, Enfield, UK
Br J Psychiatry 181:428-32. 2002..Whereas the majority of long-stay in-patients have been successfully resettled in the community, there is a group of such patients who are too disturbed or disturbing to be managed in standard community homes...
- Mental disorder and perceived threat to the public: people who do not return to community livingLiz Jamieson
Broadmoor Hospital, Crowthorne, Berkshire Institute of Psychiatry, London, UK
Br J Psychiatry 181:399-405. 2002..In the UK, people with mental disorder thought to pose a high risk of harm to others are usually put in a high-security (special) hospital. Little is known about what happens after that...
- [Social exclusion of the mentally ill -- a critical review and outlook of community psychiatry at the beginning of the 21st century]B Eikelmann
Klinik für Psychiatrie und psychotherapeutische Medizin, Stadtisches Klinikum Karlsruhe
Fortschr Neurol Psychiatr 73:664-73. 2005..made by community psychiatry in the past was eminently linked to the ideology and implementation of deinstitutionalization. Defining and dealing with social exclusion means a turning point for social and community psychiatry - a ..
- Understanding and treating women with schizophrenia during pregnancy and postpartum--Motherisk Update 2008Hugo Solari
The Department of Psychiatry, University of Illinois at Chicago, Illinois, USA
Can J Clin Pharmacol 16:e23-32. 2009..Along with the deinstitutionalization of people with severe and persistent mental illness, there has been a concurrent increase in relative ..
- Out-of-home placement of children with intellectual disability: Israeli-born parents vs. new immigrants from the ex-USSRIlana Duvdevany
School of Social Work, Faculty of Welfare and Health Studies, University of Haifa, Israel
Int J Rehabil Res 28:321-30. 2005Although the policy of deinstitutionalization encourages parents to raise a child with development disability at home, professionals are becoming increasingly aware of these parents' care-giving roles...
- Incentives in financing mental health care in AustriaIngrid Zechmeister
Department of Social Policy, Vienna University of Economics and Business Administration, Reithlegasse 16, A 1190 Wien, Austria
J Ment Health Policy Econ 5:121-9. 2002..One of the main challenges in implementing this new policy is the re-allocation of resources...
- Crime victimization in adults with severe mental illness: comparison with the National Crime Victimization SurveyLinda A Teplin
Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, 710 N Lake Shore Drive, Chicago, IL 60611, USA
Arch Gen Psychiatry 62:911-21. 2005Since deinstitutionalization, most persons with severe mental illness (SMI) now live in the community, where they are at great risk for crime victimization.
- [Development of child mental health services in Lithuania: achievements and obstacles]Dainius Puras
VU Socialines pediatrijos ir vaiku psichiatrijos klinika, Vytauo 15, 2004 Vilnius
Medicina (Kaunas) 38:363-9. 2002..The emphasis, following recommendations of WHO and existing international standards, was made on deinstitutionalization and development of family-oriented and community-based services, which have been ignored by previous ..
- The last half-century of psychiatric services as reflected in psychiatric servicesJ L Geller
Department of Psychiatry, University of Massachusetts Medical School, Worcester 01655, USA
Psychiatr Serv 51:41-67. 2000..to describe the movement of patients out of state hospitals, rejecting the widely used term "deinstitutionalization" as inappropriate; one reason is that the term wrongly implies that many settings where patients ended up ..
- [The Italian law on psychiatric hospitals. Toward the model of deinstitutionalization]G Dell'acqua
Centro Studi Salute Mentale Friuli Venezia Giulia, Trieste
Epidemiol Psichiatr Soc 8:105-11. 1999..and quantitative changes are being analyzed based on a possible shared definition of the processes of deinstitutionalization. This theme is generally the object of misunderstandings and cliches...
- The Nevada mental health courtsGeorge B Palermo
University of Nevada School of Medicine and Medical College of Wisconsin, Adjunct Professor of Criminology, Marquette University, Henderson, NV 89044, USA
Int J Law Psychiatry 33:214-9. 2010The deinstitutionalization of the mentally ill which started in the 1960s greatly contributed to the overcrowding of judicial systems throughout the world...
- The police and mental healthH Richard Lamb
Department of Psychiatry, University of Southern California, Los Angeles, CA 90086, USA
Psychiatr Serv 53:1266-71. 2002With deinstitutionalization and the influx into the community of persons with severe mental illness, the police have become frontline professionals who manage these persons when they are in crisis...
- Psychodynamic psychiatry, psychotherapy, and community psychiatryPaul Fine
Creighton University, Omaha, NE 68144, USA
J Am Acad Psychoanal Dyn Psychiatry 39:93-110. 2011..The emphasis at that time was on deinstitutionalization, prevention, least restrictive options for care, and transformation of large public hospitals into ..
- The impact of deinstitutionalization of psychiatric hospitals on psychological distress of the community in CanadaPatricia Sealy
Department of Nursing, University of Western Ontario, London, Ontario, Canada
J Health Soc Policy 21:73-94. 2006There has been a plethora of studies that evaluate the impact of deinstitutionalization of psychiatric services, but they have not examined whether this policy has had an impact on the broader community...
- [Schizophrenic patients' length of stay: clinical factors of variability and consequences]D Capdevielle
Service universitaire de psychiatrie adulte, Hôpital La Colombière, Centre Hospitalier Universitaire, Montpellier Cedex 5, France
Encephale 35:90-6. 2009..The clinical consequences of these changes were not, however, evaluated prior to the implementation of these changes...
- The American Academy of Developmental Medicine and Dentistry: eliminating health disparities for individuals with mental retardation and other developmental disabilitiesSanford J Fenton
Department of Pediatric Dentistry and Community Oral Health, University of Tennessee Health Science Center, College of Dentistry, Memphis 38163, USA
J Dent Educ 67:1337-44. 2003..Factors contributing to these disparities include deinstitutionalization, increased survival of individuals with MR/DD, lack of appropriately trained providers, and inadequate ..
- [Forensic patients in Denmark--2000-2004]Peter Kramp
Justitsministeriet, Retspsykiatrisk Klinik, og Handelshøjskolen i København, Center for Statistik, København
Ugeskr Laeger 167:4469-72. 2005..In Denmark the number of forensic patients increased exponentially from 1980 to 1999, with an annual growth rate of 6.8%. In 2000 some psychiatric orders became time-limited. This study maps out the development from 2000 to 2004...
- Computers, criminals, an eccentric billionaire, and APA: a brief autobiographyRaymond D Fowler
La Jolla, CA, USA
J Pers Assess 87:234-48. 2006..continuing education program for psychologists, involvement in a class action suit that resulted in the deinstitutionalization of Alabama's mental hospitals, organizing a team of professionals to reclassify all of the inmates of ..
- [Mental health care in the Family Health Program: consensus and dissent in practices and principles under the psychiatric reform and health reform in Brazil]Mónica Nunes
Instituto De Saude Coletiva, Universidade Federal da Bahia, Salvador, Bahia
Cad Saude Publica 23:2375-84. 2007In many psychiatric reforms based on the principles of deinstitutionalization of psychiatric patients and the consolidation of territorial systems for mental health care, the emphasis is on a mental health care system that includes the ..
- The history, economics, and financing of mental health care. Part 2: The 20th centuryS A Smoyak
Bloustein School of Planning and Public Policy, Institute of Health, Health Care Policy, and Aging Research, Rutgers, State University of New Jersey, New Brunswick, USA
J Psychosoc Nurs Ment Health Serv 38:26-37. 2000..2. Deinstitutionalization was really transinstitutionalization...
- Case management for schizophrenic patients at risk for rehospitalization: a case control studyW Rossler
Central Institute of Mental Health, Mannheim, Germany
Eur Arch Psychiatry Clin Neurosci 246:29-36. 1995In many countries deinstitutionalization of psychiatric patients is accompanied by fragmentation of care, giving responsibility to an array of different services and providers...
- [The Italian deinstitutionalization: pathways and challenges]Ota De Leonardis
Laboratorio de Sociología de la Acción Pública, Universidad de Milano Bicocca, Italia
Vertex 22:31-43. 2011..These strategies appear to support also the building up of local communities as public spaces. These strategies appear to have strong effects in mobilising local communities and in conferring on them the status of public arena...
- [Mental Health courts: therapeutic jurisprudence in action]Annie Jaimes
Centre de Recherche de l Institut universitaire en santé mentale McGill, Canada
Sante Ment Que 34:171-97. 2009In Québec, as elsewhere in North America, psychiatric deinstitutionalization, lack of community mental health resources as well as legislative changes to civil and criminal codes have led to an increased probability that individuals with ..
- Understanding and preventing criminal recidivism among adults with psychotic disordersJ Steven Lamberti
Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, USA
Psychiatr Serv 58:773-81. 2007..Mental health professionals point to deinstitutionalization and our fragmented mental health system as primary causes...
- Research and literature on sex offenders with intellectual and developmental disabilitiesW R Lindsay
NHS Tayside and University of Abertay, Dundee, UK
J Intellect Disabil Res 46:74-85. 2002..criteria, differences in the source of the sample, differences in determination of IQ, the impact of deinstitutionalization, and the effect of changing social and penal policies in the area where studies have been conducted...
- Disparities in access to substance abuse treatment among people with intellectual disabilities and serious mental illnessElspeth M Slayter
School of Social Work, Salem State College, Salem, MA 01970, USA
Health Soc Work 35:49-59. 2010..with intellectual disabilities (ID) have experienced increasing levels of community participation since deinstitutionalization. This freedom has facilitated community inclusion, access to alcohol and drugs, and the potential for ..
- Lifelong course of positive and negative symptoms in chronically institutionalized patients with schizophreniaBranislav Mancevski
Department of Neuroscience, New York State Psychiatric Institute, New York, NY, USA
Psychopathology 40:83-92. 2007Despite widespread policies of deinstitutionalization, a substantial number of patients with schizophrenia require continuous custodial care...
- [Psychiatric patient continuum community care in Taichung Country]Der Yun Hsiung
Department of Nursing, Hung Kuang University, ROC
Hu Li Za Zhi 57:69-78. 2010b>Deinstitutionalization and the implementation of community psychiatry rehabilitation models define the future of psychiatric medical care in Taiwan...
- Pathways to inpatient mental health care among people with schizophrenia spectrum disorders in South AfricaCrick Lund
Department of Psychiatry and Mental Health, University of Cape Town, 46 Sawkins Rd, Rondebosch, Cape Town 7700, South Africa
Psychiatr Serv 61:235-40. 2010..utilization patterns and pathways to specialist mental health services among individuals with schizophrenia spectrum disorders in the Western Cape, South Africa, an area that has undergone deinstitutionalization since the mid-1990s.
- Hospital indicators by Regional Communities, 1980-2004 (Longitudinal analysis of morbidity indicators and hospital staffing in mental health)A Medel
Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Sinesio Delgado, 4 Pabellón 4, 28029 Madrid, Spain
Actas Esp Psiquiatr 37:82-93. 2009..Communities (RC) of indicators related to morbidity and staffing in psychiatric care hospital over a period of time (1980-2004) marked by the initiation and development of deinstitutionalization policies and handover of powers to RC.
- Pain and anxiety control in Down syndromeN Cetrullo
Unit of Dentistry for Disabled Patients, Department of Dentistry, University of Bologna, Bologna, Italy
Minerva Stomatol 53:619-29. 2004..The growing deinstitutionalization of these patients and the growing social opportunities for them are matched by an increasing demand for ..
- The Wisconsin Longitudinal Study: As We AgePamela Herd; Fiscal Year: 2012..In the context of the deinstitutionalization and individualization of retirement, new survey and biomedical data, along with the life-long data of the ..
- ORGANIZATION AND FINANCING OF CARE FOR THE SERIOUSLY MEDavid Mechanic; Fiscal Year: 2003..Researchers also track changing patterns of services under deinstitutionalization, increasing privatization, and managed care penetration...
- PROXY DECISION MAKING IN MENTAL RETARDATIONKathleen Fisher; Fiscal Year: 2006unreadable] DESCRIPTION (provided by applicant): Deinstitutionalization has resulted in a large and growing population of individuals with mental retardation (MR) living in community-based systems...
- IMPLICATIONS OF SUBSTANCE ABUSE IN PSYCHIATRIC PATIENTSAnthony Lehman; Fiscal Year: 1991..levels and when large numbers of seriously mentally ill persons live in the community as a result of deinstitutionalization, persons with both substance abuse and mental illness test the skills and limits of service agencies...
- MENTAL HEALTH SERVICES STUDY: CAPITATION PAYMENTSHAROUTUN BABIGIAN; Fiscal Year: 1991The national policy of deinstitutionalization has reduced the census of public mental hospital by 70% during the past 25 years, but has raised considerable professional and public concern about adverse effects on the chronically mentally ..
- EVOLUTION OF MENTAL HEALTH POLICY IN THE U.S. SINCE 1940GERALD GROB; Fiscal Year: 1990..of the severely mentally ill as state mental hospitals lost their central position as a result of the "deinstitutionalization" movement during and after the 1950s (although in many cases "deinstitutionalization" meant a transfer of ..
- TIME USE IN FAMILIES OF RETARDED CHILDREN AND ADULTSWilliam Barnett; Fiscal Year: 1990..measures of family function and stress; resources expended by family assistance needed to support deinstitutionalization; resources expended by families to care for retarded children compared to other children; demands and ..
- CENTER FOR THE STUDY OF ISSUES IN PUBLIC MENTAL HEALTHCarole Siegel; Fiscal Year: 2003..This trend amplifies a consequences for deinstitutionalization: a wider range of institutions and sectors responsible for the care and support of PSMD...
- Sidewalk Asylums: A History of Homelessness and Mental Illness in New York and LADavid Rosner; Fiscal Year: 2009..these interviews: a) that homelessness among the mentally ill was not perceived to result directly from deinstitutionalization;b) that homelessness was not named and recognized by policymakers until the late 1970s;and c) that ..
- MENTAL DISORDERS AMONG DELAWARE NURSING HOME PATIENTSSYLVIA SHERWOOD; Fiscal Year: 1990A combination of the demographic explosion of increasing numbers of elderly in our population and the deinstitutionalization legacy has contributed to a situation of insufficient attention to the mental health needs of nursing home ..
- COMMUNICATIONS RESEARCH WITH RETARDED CHILDRENDONALD BAER; Fiscal Year: 1980..of projects is investigating the generalization of trained language skills to the natural environment, deinstitutionalization, and the prevention of institutionalization...
- SERVICE EFFECTS ON PATIENT OUTCOMESSarah Rosenfield; Fiscal Year: 1990Although the deinstitutionalization of the seriously mentally ill has been widely criticized, the success of some model community programs shows that community care can reduce relapse and improve patients' quality of life...
- THE DEMOGRAPHY OF MENTAL RETARDATION: USA, 1851-1915Richard Jensen; Fiscal Year: 1980..Despite the contemporary interest in deinstitutionalization, there is little baseline data from previous normalization programs...
- MENTAL HEALTH SERVICES USE BY SCHIZOPHRENICSJames Thompson; Fiscal Year: 1992..Specific topics include deinstitutionalization, uninsured schizophrenics, and specific services and clinical treatments provided to schizophrenics...
- Social Network & Media Effects on Mental Illness StigmaBernice Pescosolido; Fiscal Year: 2006..This final stage creates a composite of negative and positive TV images of MI based on information collected in I, II and III to develop and carry out a pre- and post-test experimental design/analysis (N=120). [unreadable] [unreadable]..
- Stigma and Mental Illness in Cross-National PerspectiveBernice Pescosolido; Fiscal Year: 2007..This knowledge can provide the scientific base for public health and treatment system interventions to mitigate the devastating negative effects of stigma on the lives of persons with SMI. ..
- Assessing Change in Mental Illness Stigma Over A DecadeBernice Pescosolido; Fiscal Year: 2006....
- HIV RISK OF MENTAL ILLNESS CLIENTS ACROSS SERVICE SITESEric Wright; Fiscal Year: 2002..abstract_text> ..
- Culturally Responsive Person-Centered Care for PsychosisLarry Davidson; Fiscal Year: 2008..If successful in the state of Connecticut, the project will offer a model that then can be replicated throughout the country to enhance care for this historically underserved population. [unreadable] [unreadable]..
- INCREASING TREATMENT ADHERENCE THROUGH SOCIAL ENGAGEMENTLarry Davidson; Fiscal Year: 2004....
- Mental Health Services /Criminal Justice Research CenterNancy Wolff; Fiscal Year: 2006..abstract_text> ..
- Developmental Psychobiology of Stress in ChildrenMegan Gunnar; Fiscal Year: 2006..abstract_text> ..
- Wage Mandate, Labor Turnover, and NH QualityVincent Mor; Fiscal Year: 2007..5) Use the theoretical model to assess the relative merits of alternative minimum nurse staffing and wage policies in terms of their relative cost and effectiveness. ..
- 5-Year DTI/MRI Follow-Up in SchizophreniaSerge Mitelman; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Impact of Changing Medicaid Policies on NH QualityVincent Mor; Fiscal Year: 2006..abstract_text> ..
- MI Mental Health Prevention Research Training ProgramDaphna Oyserman; Fiscal Year: 2006....
- SAFEHAVEN: Decision Support for Nursing Home Resident Disaster EvacuationsVincent Mor; Fiscal Year: 2010..Using existing nursing home data from multiple sources, this study seeks to understand the consequences of hurricanes and evacuation decisions, providing the first evidence base to inform the creation of evacuation guidelines. ..
- A Randomized Trial of Family to Family EducationLisa Dixon; Fiscal Year: 2008..Nevertheless, the academic/consumer partnership represented by this study is critical to creating a health care system that is both consumer and family driven, and also based on scientific evidence. ..
- Police, Procedural Justice & Persons with Mental IllnessAmy Watson; Fiscal Year: 2007..This in turn may increase law enforcements' ability to effectively respond to persons with mental illness, reduce officer injuries, and improve public safety. [unreadable] [unreadable]..
- Testing a Systems Level Intervention to Improve Police Response to Persons with MAmy Watson; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Influences on Adherence to ARVs in UgandaNorma Ware; Fiscal Year: 2007..Practical intervention strategies will be derived as the basis for intervention design and testing, which follow as next steps from this research. [unreadable] [unreadable] [unreadable]..
- NeuroBehavioral Correlates of Early DeprivationMegan Gunnar; Fiscal Year: 2008..unreadable] [unreadable]..
- Coping, Community Functioning and Severe Mental IllnessPhilip Yanos; Fiscal Year: 2007..This data will be analyzed using multilevel modeling approaches and will provide a crucial adjunct to the retrospective data from the first study. [unreadable] [unreadable]..
- Impact/HIV Intervention/Adolescent Males Leaving JailNicholas Freudenberg; Fiscal Year: 2005..This sub-study will also be used to tailor the intervention tested in this proposal for adolescent females. ..
- Early Experience, Stress Neurobiology & Prevention SciMegan Gunnar; Fiscal Year: 2005....
- Do Practice Guidelines Reduce Smoking in SchizophreniaLisa Dixon; Fiscal Year: 2004..It also accommodates subjects with missing data, and non-independence of measures within-class (physician or clinic) or intra-class correlation can be estimated and controlled. ..
- Social Course of Adherence to HAART in Active Drug UsersNorma Ware; Fiscal Year: 2003..These categories will serve as the basis for formulating and assessing the feasibility of patient focused, clinician-focused, and other strategies for supporting adherence to HAART among active users of illegal drugs. ..
- ADJUSTMENT OF INTERNATIONALLY ADOPTED CHILDRENMegan Gunnar; Fiscal Year: 2002..This work will add significantly to our understanding of the health and behavioral sequelae of early adversity and th potential impact of early adversity on stress-sensitive limbic-hypothalamic processes. ..
- PATHWAYS FOR YOUTH-- SCHOOL-TO-JOBS, A PREVENTION MODELDaphna Oyserman; Fiscal Year: 2002..have established collaboration with the community sites with the Fast Track team, with the Detroit Initiative here at the University of Michigan, as well as with Project Aim, a CDC funded prevention effort in Alabama (Leslie Clark, PI) ..
- MEDICAL DECISION MAKING ABILITIES IN DEMENTIAJennifer Moye; Fiscal Year: 2002....
- BIOSOCIAL FACTORS AND REHABILITATION SERVICE OUTCOMESJohn Brekke; Fiscal Year: 2002....
- TEN YEAR FOLLOW-UP OF DUAL DIAGNOSIS TREATMENTRobert Drake; Fiscal Year: 2002..g., gastritis). The results will be of interest to policy makers in many states that are replicating the model of integrated dual-diagnosis services that has been used in New Hampshire since 1988. ..
- EFFECTIVENESS OF INVOLUNTARY OUTPATIENT COMMITMENTMarvin Swartz; Fiscal Year: 2002..abstract_text> ..
- ASSERTIVE COMMUNITY TREATMENT FOR THE DUALLY DIAGNOSEDRobert Drake; Fiscal Year: 2004..Finally, we will take maximal advantage of conducting the rural and urban studies in conjunction with one another. ..
- ANTIPSYCHOTIC DRUGS: SCIENCE, PRACTICE, AND CULTUREJoel Braslow; Fiscal Year: 2004..It also has close institutional and research affiliations with the Rand Corporation. ..
- Psychobiological studies of stress in young childrenMegan Gunnar; Fiscal Year: 2005..We argue that normative developmental research complements and provides basic data necessary for research and theory on developmental psychopathology. ..
- Modeling CJ Involvemment Among PMIWilliam Fisher; Fiscal Year: 2005....
- MORBIDITY IN SCHIZOPHRENIA--A FOCUS ON DIABETESLisa Dixon; Fiscal Year: 2001..This proposal thus focuses on diabetes and schizophrenia, although our underlying assumption is that our findings will contribute to our understanding of management and outcomes of other medical illnesses in persons with schizophrenia. ..
- Social Integration for Psychiatrically Disabled AdultsNorma Ware; Fiscal Year: 2005..abstract_text> ..
- PREDICTING PSYSOCIAL REHABILITATION SERVICE OUTCOMEJohn Brekke; Fiscal Year: 2005..They will have six psychosocial assessments (baseline, 6, 12, 18, 20 and 24 months), and three psychobiological assessments (baseline, 12, and 24 months). ..
- ASSESSING CONSUMER-OPERATED SERVICESCarol Mowbray; Fiscal Year: 2003..The R24 will enable us to develop relationships with consumer groups and consumer researchers around the country, colleagues in psychiatry and other related areas at UM, and other national sites undertaking MH services research. ..
- CENTER ON POVERTY, RISK AND MENTAL HEALTHCarol Mowbray; Fiscal Year: 2004..Continued support will institutionalize 1 ZMH1 3 1 R24 MH51363-06 May, 2000 DANZIGER, SHELDON H our capacity to provide national leadership and help reduce the public health burden of mental disorder. ..
- State Policies and Hospitalizations from Nursing HomesVincent Mor; Fiscal Year: 2004..These theoretical insights will help shape the policy implications emerging from the study. ..
- DO GOOD NURSING HOMES ACHIEVE GOOD OUTCOMES?Vincent Mor; Fiscal Year: 2003..This latter exploratory data analysis step is crucial to derive from the theoretical results insights about how to intervene in a nursing home to improve the chance of achieving positive outcomes. ..
- Mental Health & Criminal Justice Post-doctoral TrainingNancy Wolff; Fiscal Year: 2008..unreadable] [unreadable]..
- Transdisciplinary Research on Urban Health Collaborative (RMI)Nicholas Freudenberg; Fiscal Year: 2008..This application will provide support for the institutionalization of these efforts at the University that educates more researchers and professionals involved in urban health than any university in the nation. [unreadable] [unreadable]..
- Psychiatric barriers to outpatient care in released HIV-infected offendersJacques Baillargeon; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Internet Peer Support for Breast CancerMark Salzer; Fiscal Year: 2005..The products from this effort will serve as a basis for planning future behavioral and cancer control intervention research project grant applications (R01) based on the information. ..