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When schizophrenia comes marching home.

S Rachlin

    The Psychiatric Quarterly
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Deinstitutionalization of mentally ill patients may harm them due to insufficient community resources. Preventing institutionalization through improved hospital care is a more viable goal.

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    Area of Science:

    • Psychiatry
    • Public Health
    • Social Work

    Background:

    • Deinstitutionalization of chronically mentally ill individuals is increasingly questioned.
    • Inadequate community-based services (domiciliary, treatment, rehabilitation) pose significant challenges.
    • Societal responses to deviant behavior complicate reintegration efforts.

    Purpose of the Study:

    • To evaluate the effectiveness and patient outcomes of deinstitutionalization.
    • To identify the primary challenges hindering successful community-based care for the mentally ill.
    • To propose alternative strategies for managing chronic mental illness.

    Main Methods:

    • Literature review on deinstitutionalization policies and outcomes.
    • Analysis of community resource availability and accessibility.

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  • Assessment of the severity of mental illnesses and their impact on patient recovery.

    • Main Results:

    • Deinstitutionalization may not benefit all chronically mentally ill patients.
    • Lack of robust community support systems is a major barrier.
    • The inherent severity of certain mental illnesses complicates simple 'home' solutions.

    Conclusions:

    • Preventing institutionalization is more achievable than reversing it.
    • Improving the quality of care within mental hospitals is crucial.
    • A comprehensive approach recognizing the role of hospitals and community support is necessary.