Deinstitutionalization and community based psychiatry--some aspects from literature

The dramatic changes in the transformation of psychiatry can be summarized in a few words; deinstitutionalization, community psychiatry, team-work, sectorization, continuity of care and comprehensiveness. A model for planning, implementation and evaluation of community health facilities is presented. Risks and benefits with the community approach is discussed as well as the economy. Saving from the closing down of the mental hospital should be adequate to fund community services for the long stay population. But other wise community mental health oriented services should not be considered a way of saving money.