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Related Experiment Videos

Deinstitutionalization: the data demythologized.

H H Goldman, N H Adams, C A Taube

    Hospital & Community Psychiatry
    |February 1, 1983
    PubMed
    Summary
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    Deinstitutionalization myths are debunked by new data. Analysis shows outpatient care hasn't replaced inpatient care, public institutions persist, and private resources haven't replaced public funding for mental health services.

    Area of Science:

    • Mental Health Services Research
    • Public Health Policy
    • Health Economics

    Background:

    • Past deinstitutionalization studies often used simplistic approaches, creating
    • myths
    • about the mental health system's transformation.

    Purpose of the Study:

    • To analyze national mental health service data to challenge common deinstitutionalization myths.
    • To present a more accurate understanding of trends in mental health care provision.

    Main Methods:

    • Analysis of data on mental health services.
    • Examination of trends in inpatient, outpatient, public, and private care.
    • Utilizing data from the National Institute of Mental Health's Division of Biometry and Epidemiology.

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    Main Results:

    • Outpatient care has not fully replaced inpatient care.
    • Public institutions, like state mental hospitals, have not been replaced by community-based facilities.
    • Private resources have not supplanted public funding for the care of individuals with mental illness.

    Conclusions:

    • Commonly accepted
    • myths
    • regarding deinstitutionalization are not supported by current data.
    • Future research should focus on the availability, quality, and impact of mental health services on patients and communities.