deinstitutionalization

To determine the role of the National Mental Health Strategy in the deinstitutionalization of patients in psychiatric hospitals in Queensland.

..This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition...

b>Deinstitutionalization policy in the Netherlands has given rise to two new living arrangements for elderly long-term psychiatric patients...

..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...

..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)...

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..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.

..9 months of deinstitutionalization during a follow-up time of (1/2) year and to calculate the costs thus incurred.

..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 ..

..It has been suggested that deinstitutionalization increases suicide mortality but there are also contradictory results...

..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 ..

..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...

The 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 ..

..Case Register, the author documents a series of negative indicators that have appeared parallel with the deinstitutionalization process...

OBJECTIVES: The 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 ..

..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)...

..This study examined whether transition from hospital to hostel improves patients' quality of life (QOL)...

The psychiatric care of patients with schizophrenia has changed dramatically following the "deinstitutionalization" of mental health care in many Western countries...

b>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.

..We analyzed whether a method for identifying latent trajectories--latent class growth analysis (LCGA)--was useful for understanding outcomes for individuals subject to an intervention...

b>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.

..Without modification of federal and state policies, the ability of reentry services to foster behavioral health and community reintegration is limited...

..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...

..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 ..

..This review will examine the most recently published studies of community services for people with intellectual disabilities and mental health problems...

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..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...

b>Deinstitutionalization and mainstreaming may have contributed to increased attendance in public emergency departments by people with mental health problems...

..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...

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..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...

..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...

..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...

..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...

..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, ..

..Finally, we provide recommendations on how best to incorporate a recovery orientation into existing ACT teams...

..To investigate trends in the provision of mental health services and financing in Brazil...

..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...

..This study examined the extent to which state psychiatric hospital census across the United States has changed significantly post-Olmstead...

..Whilst various issues of mental health care in London overlap with those in other European capitals, there also are some specific problems and features...

..CONCLUSION: The Rehabilitation Law 2000 has a beneficial effect on the opportunities of long-stay psychiatric patients to resettle in the community without increasing risk of death...

..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 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...

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..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...

..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...

..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...

..Whether or not the psychiatric residents should be housed in separate units could not be decided based on this study...

In the period after deinstitutionalization, there has been a rise in hospital readmission rates...

..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 ..

..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...

..CONCLUSIONS: Along with training general psychiatrists better, we must also develop recruitment and payment incentives, which would allow general psychiatrists who are based in the community and general hospitals to work within an IMHS...

..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...

..Atypical antipsychotics might reduce this number. We found no justification for a new tier of long-term medium secure units...

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..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...

..Thus, all patients needed sheltered living arrangements and care provided by staff with adequate training...

..The rest of the funding burden is borne by a range of agencies, resulting in pressure on budgets and staff case loads...

..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 ..

..Along with the deinstitutionalization of people with severe and persistent mental illness, there has been a concurrent increase in relative ..

Although 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...

..One of the main challenges in implementing this new policy is the re-allocation of resources...

Since deinstitutionalization, most persons with severe mental illness (SMI) now live in the community, where they are at great risk for crime victimization.

..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 ..

..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 ..

..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 deinstitutionalization of the mentally ill which started in the 1960s greatly contributed to the overcrowding of judicial systems throughout the world...

With 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...

..The emphasis at that time was on deinstitutionalization, prevention, least restrictive options for care, and transformation of large public hospitals into ..

There 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...

..Factors contributing to these disparities include deinstitutionalization, increased survival of individuals with MR/DD, lack of appropriately trained providers, and inadequate ..

..The clinical consequences of these changes were not, however, evaluated prior to the implementation of these changes...

..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...

..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 ..

..2. Deinstitutionalization was really transinstitutionalization...

In 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 ..

In 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 ..

..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 professionals point to deinstitutionalization and our fragmented mental health system as primary causes...

In many countries deinstitutionalization of psychiatric patients is accompanied by fragmentation of care, giving responsibility to an array of different services and providers...

..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...

b>Deinstitutionalization and the implementation of community psychiatry rehabilitation models define the future of psychiatric medical care in Taiwan...

Despite widespread policies of deinstitutionalization, a substantial number of patients with schizophrenia require continuous custodial care...

..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 ..

..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.

..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.

..The growing deinstitutionalization of these patients and the growing social opportunities for them are matched by an increasing demand for ..

..The aim of the study was to investigate rape victimization in relation to anomie, stress and postwar transition-related weaknesses in B&H in the period 1996-2005; and perform a personal analysis of rape victims...

This article introduces the trends in deinstitutionalization, the limitations of previous research, and the design and research questions of the Central State Hospital (CSH) closing studies...

The deinstitutionalization of the mentally ill and their shift into the community lead the police to play an important role in the management of acute psychiatric states...

..This study aimed at the supply of information about trends in the numbers of elderly clients, the services they used and the volume and pattern of service utilisation...

..considered under the rubric of "disabilities" live in our communities, many as a result of deinstitutionalization and mainstreaming...

..In the context of the deinstitutionalization and individualization of retirement, new survey and biomedical data, along with the life-long data of the ..

..In the context of the deinstitutionalization and individualization of retirement, new survey and biomedical data, along with the life-long data of the ..

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..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. ..

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..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. ..

..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). ..

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..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. ..

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..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. ..

..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. ..