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Deinstitutionalization in intellectual disabilities.

Julie Beadle-Brown1, Jim Mansell, Agnes Kozma

  • 1Tizard Centre, University of Kent, Canterbury, UK. j.d.beadle-brown@kent.ac.uk

Current Opinion in Psychiatry
|September 1, 2007
PubMed
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Deinstitutionalization for intellectual disability services yields better community outcomes than institutions. However, successful community integration requires more than just closure, focusing on quality of life, inclusion, and tailored support.

Area of Science:

  • Intellectual Disability Services
  • Community-Based Care
  • Deinstitutionalization

Background:

  • Deinstitutionalization of intellectual disability services is progressing globally at varying rates.
  • The focus has shifted from mere institutional closure to comprehensive community integration.

Purpose of the Study:

  • To review recent literature (primarily from 2006) on deinstitutionalization and intellectual disabilities.
  • To explore the complexities and best practices in transitioning individuals with intellectual disabilities to community settings.

Main Methods:

  • Literature review of academic journals.
  • Analysis of research on deinstitutionalization outcomes.

Main Results:

  • Community care generally leads to better outcomes than institutionalization for individuals with intellectual disabilities.

Related Experiment Videos

  • Simply closing institutions does not guarantee improved quality of life; choice, inclusion, self-identity, and healthcare access are crucial.
  • Individuals with severe intellectual disabilities and complex needs, including challenging behaviors, require specialized community support.
  • Evidence suggests successful community support is achievable even for offenders with intellectual disabilities.

    • Conclusions:

    • Recent research offers valuable lessons for countries initiating deinstitutionalization.
    • Effective community care models are essential for successful and rapid transition from institutional settings.
    • Continued research and implementation are needed to optimize community-based support for all individuals with intellectual disabilities.