Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Beyond deinstitutionalization: a new ideology for the postinstitutional era.

K Minkoff1

  • 1Choate-Symmes Health Services, Inc., Woburn, Massachusetts 01801.

Hospital & Community Psychiatry
|September 1, 1987
PubMed
Summary

Deinstitutionalization

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Discussion of "substance use reduction in the context of outpatient psychiatric treatment".

Community mental health journal·2011
Same author

Program components of a comprehensive integrated care system for seriously mentally ill patients with substance disorders.

New directions for mental health services·2001
Same author

Developing standards of care for individuals with co-occurring psychiatric and substance use disorders.

Psychiatric services (Washington, D.C.)·2001
Same author

Implementing dual diagnosis services for clients with severe mental illness.

Psychiatric services (Washington, D.C.)·2001
Same author

Innovations in integrated dual diagnosis treatment in public managed care: the Choate dual diagnosis case rate program.

Journal of psychoactive drugs·1999
Same author

Substance abuse versus substance dependence.

Psychiatric services (Washington, D.C.)·1997

Area of Science:

  • Psychiatry
  • Mental Health Services Research

Background:

  • The success of deinstitutionalization has paradoxically led to the emergence of young adult chronic patients.
  • The ideology of deinstitutionalization did not anticipate the challenges patients face in adapting to community living and accessing treatment.
  • A perception exists that deinstitutionalization has failed due to the difficulties encountered by individuals with chronic mental illness.

Purpose of the Study:

  • To propose a new postinstitutional ideology to address the challenges faced by individuals with chronic mental illness.
  • To guide the development of effective treatment strategies that promote patient adaptation regardless of care setting.

Main Methods:

  • Conceptual analysis of the outcomes of deinstitutionalization.
  • Presentation of key principles for a new postinstitutional framework.

Main Results:

  • Deinstitutionalization, while granting freedom, has left many individuals struggling without adequate support.
  • Patients often resist the 'chronic mental patient' identity and are reluctant to engage with available treatment programs.
  • A new ideology is needed to help patients adapt to their illness in any treatment setting.

Conclusions:

  • A shift towards a postinstitutional ideology is crucial for improving care for individuals with chronic mental illness.
  • This new approach aims to foster hope and enhance clinical expertise in managing long-term mental health conditions.
  • Focusing on patient adaptation, irrespective of the treatment environment, is key to successful outcomes.

Related Experiment Videos