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[Deinstitutionalization and modern history]
T Florentin1, B Castro, N Skurnik
1C.H.S. de Maison-Blanche, Neuilly-sur-Marne.
Annales Medico-Psychologiques
|June 1, 1995
Summary
Deinstitutionalization led to a new mental pathology in homeless, chronically ill individuals. This condition, first seen in North America, is now emerging in France and requires updated mental illness classifications.
Area of Science:
- Psychiatry
- Sociology
- Public Health
Context:
- The historical shift from institutionalization to deinstitutionalization in mental healthcare.
- Socio-economic and political factors influencing mental health policy.
- The emergence of new mental health challenges in deinstitutionalized populations.
Purpose:
- To analyze the consequences of deinstitutionalization on the mental health of chronically ill individuals.
- To identify and describe a novel pathology associated with homelessness and chronic mental illness.
- To examine the recognition and classification of this new mental pathology.
Summary:
- The study traces the ideological and socio-political drivers of deinstitutionalization.
- It analyzes the resulting 'new pathology' observed in homeless, chronically mentally ill populations, first identified in the US and Canada.
- This emerging pathology is now being described in France and necessitates its inclusion in future mental illness classifications.
Impact:
- Highlights the unintended consequences of deinstitutionalization policies.
- Underscores the need for updated diagnostic criteria and classifications for mental illnesses.
- Informs public health strategies for managing vulnerable, chronically mentally ill populations.