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Related Experiment Videos

Nursing homes and chronic mental patients

W R Shadish, R R Bootzin

    Schizophrenia Bulletin
    |January 1, 1981
    PubMed
    Summary

    Nursing homes are crucial but controversial in chronic mental patient care. Re-evaluating deinstitutionalization reveals issues with concepts like social reintegration and overlooked factors such as patient expectations.

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    Area of Science:

    • Gerontology
    • Psychiatry
    • Sociology

    Background:

    • Nursing homes are central to community-based care for individuals with chronic mental illness.
    • The role of nursing homes in this context is both significant and debated.

    Purpose of the Study:

    • To critically examine the role of nursing homes in the care of chronic mental patients.
    • To identify conceptual problems within deinstitutionalization and community care frameworks.
    • To propose improvements for nursing homes within mental health policy.

    Main Methods:

    • Conceptual analysis of key terms related to deinstitutionalization.
    • Examination of overlooked concepts in mental health policy.
    • Review of the functions of custody, asylum, and treatment in societal care settings.

    Main Results:

    • Identified limitations in the concepts of total institution, institutional neurosis, and social reintegration.
    • Highlighted the neglect of societal functions (custody, asylum, treatment) and patient expectations in deinstitutionalization.
    • Revealed challenges in the current community-based care models for chronic mental patients.

    Conclusions:

    • Nursing homes face significant challenges in their role within community mental health care.
    • Deinstitutionalization strategies may require re-evaluation based on practical implementation and patient-centered factors.
    • Recommendations are provided for enhancing the constructive role of nursing homes in mental health policy.

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