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Lessons learned from deinstitutionalisation in the US

H R Lamb1

  • 1University of Southern California School of Medicine, USC Department of Psychiatry, Los Angeles 90033.

The British Journal of Psychiatry : the Journal of Mental Science
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

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Deinstitutionalisation in the US has advanced, but challenges remain for severely mentally ill individuals. Effective community care is costly and doesn't reach everyone, leading to issues like homelessness.

Area of Science:

  • Psychiatry
  • Public Health Policy
  • Social Work

Background:

  • Deinstitutionalisation of individuals with severe mental illness is advanced in the US.
  • This policy shift has reduced state hospital beds but created new challenges.
  • The focus has shifted from long-term hospitalization to community-based care.

Purpose of the Study:

  • To evaluate the outcomes and challenges of deinstitutionalisation in the US.
  • To assess the effectiveness of community care for chronically and severely mentally ill persons.
  • To identify the problems associated with the current deinstitutionalisation model.

Main Methods:

  • Review of the current state of deinstitutionalisation in the US.
  • Analysis of the impact on chronically and severely mentally ill populations.

Related Experiment Videos

  • Examination of the successes and failures of community-based mental health programs.

    • Main Results:

    • Deinstitutionalisation has progressed significantly, with fewer state hospital beds.
    • New challenges have emerged, including treatment resistance and substance abuse among the severely mentally ill.
    • Community care, while beneficial for some, is expensive and has not reached all individuals in need.
    • A subset of patients cannot be effectively treated in community settings, contributing to homelessness.

    Conclusions:

    • While deinstitutionalisation offers freedom, it presents significant challenges for managing severe mental illness in the community.
    • Effective community care requires substantial resources and comprehensive strategies.
    • The homeless mentally ill population highlights the shortcomings of current deinstitutionalisation approaches.