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https://www.readbyqxmd.com/read/27770055/-heading-up-a-blind-alley-scottish-psychiatric-hospitals-in-the-era-of-deinstitutionalization
#1
Vicky Long
This article examines Scottish provision of psychiatric care in the 1960s and 1970s. It demonstrates that institutional services did not rapidly disappear across the UK following the Ministry of Health's decision to shut down psychiatric hospitals in 1961, and highlights Scotland's distinctive trajectory. Furthermore, it contends that psychiatric hospitals developed new approaches to assist patients in this era, thereby contributing towards the transformation of post-war psychiatric practice. Connecting a discussion of policy with an analysis of provision, it examines the Department of Health for Scotland's cautious response to the Ministry's embrace of deinstitutionalization, before analysing Glasgow's psychiatric provision in the 1970s...
October 21, 2016: History of Psychiatry
https://www.readbyqxmd.com/read/27717265/community-mental-health-care-worldwide-current-status-and-further-developments
#2
Graham Thornicroft, Tanya Deb, Claire Henderson
This paper aims to give an overview of the key issues facing those who are in a position to influence the planning and provision of mental health systems, and who need to address questions of which staff, services and sectors to invest in, and for which patients. The paper considers in turn: a) definitions of community mental health care; b) a conceptual framework to use when evaluating the need for hospital and community mental health care; c) the potential for wider platforms, outside the health service, for mental health improvement, including schools and the workplace; d) data on how far community mental health services have been developed across different regions of the world; e) the need to develop in more detail models of community mental health services for low- and middle-income countries which are directly based upon evidence for those countries; f) how to incorporate mental health practice within integrated models to identify and treat people with comorbid long-term conditions; g) possible adverse effects of deinstitutionalization...
October 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/27681281/efforts-to-accelerate-deinstitutionalization-of-the-public-health-center-in-a-revised-law-related-to-mental-health-and-welfare-of-the-persons-with-mental-disorders
#3
Yumi Nakahara, Hisao Yanagi, Ichiro Aida, Toshihide Kidokoro, Yoshiki Hompo, Minoru Nakamoto, Eisuke Nakazato
No abstract text is available yet for this article.
2016: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/27663812/social-attitude-towards-mentally-ill-in-comparison-to-experts-opinions
#4
Krzysztof Maria Wilczyński, Elżbieta Mazgaj, Oleg Fedyk, Dominika Wizner, Krzysztof Krysta
BACKGROUND: In modern psychiatry, deinstitutionalization of mentally ill became an essential part of improving state of being of those affected. Integration in community, despite obvious benefits, led to increase in social distance and rejection towards mentally ill. Social stigma affects different life domains of those afflicted, and therefore it is crucial to introduce methods to deal with it. Our objective was to assess and compare psychiatrists' and public attitudes and beliefs about mentally ill people...
September 2016: Psychiatria Danubina
https://www.readbyqxmd.com/read/27638966/mental-and-behavioral-health-environments-critical-considerations-for-facility-design
#5
Mardelle McCuskey Shepley, Angela Watson, Francis Pitts, Anne Garrity, Elizabeth Spelman, Janhawi Kelkar, Andrea Fronsman
OBJECTIVES: The purpose of the study was to identify features in the physical environment that are believed to positively impact staff and patients in psychiatric environments and use these features as the foundation for future research regarding the design of mental and behavioral health facilities. METHODS: Pursuant to a broad literature review that produced an interview script, researchers conducted 19 interviews of psychiatric staff, facility administrators and architects...
September 2016: General Hospital Psychiatry
https://www.readbyqxmd.com/read/27383344/right-to-mental-health-in-prison-system-reflections-on-the-process-of-deinstitutionalization-of-the-hctp
#6
Marden Marques Soares, Paula Michele Martins Gomes Bueno
This study aimed to discuss the close relationship between mental health, the criminal justice system and the prison system, whose specific interfaces are the HCTP (Hospital de Custódia e Tratamento Psiquiátrico, or Judicial Psychiatric Hospital) conflict and the person with mental disorder in conflict with the law. There will be presented extensive discussions on the Penal Execution Law and the Brazilian Psychiatric Reform Law, as well as cross-sector actions taken by the judiciary and the federal government (Brazilian National Health System - SUS and National Social Assistance System - SUAS) to bring the criminal justice system and the prison system to the anti-asylum combat...
June 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27143118/penrose-s-law-methodological-challenges-and-call-for-data
#7
REVIEW
Miklós Péter Kalapos
The investigation of the relationship between the sizes of the mental health population and the prison population, outlined in Penrose's Law, has received renewed interest in recent decades. The problems that arise in the course of the deinstitutionalization have repeatedly drawn attention to this issue. This article presents methodological challenges to the examination of Penrose's Law and retrospectively reviews historical data from empirical studies. A critical element of surveys is the sampling method; longitudinal studies seem appropriate here...
September 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/27097984/passageway-a-novel-approach-to-success-of-conditional-release-principles-and-constructs-of-the-model-residential-program-for-the-forensic-mentally-iii-patient
#8
Ilan Melnick
With the advent of psychotropic medications and with the deinstitutionalization of psychiatry starting in 1968, patients were prematurely discharged from forensic state hospitals. Due to lack of resources, psychiatric forensic patients ended up in the correctional system or homeless with the reduction of psychiatric beds in forensic and civil state hospitals. Lacking proper training and medication management, the recidivism rate of this population was close to 10% for rearrest and about 35% for revocation of conditional release (CR; Manguno-Mire et al...
March 2016: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/27094718/long-term-hospitalizations-for-schizophrenia-in-the-czech-republic-1998-2012
#9
Petr Winkler, Karolína Mladá, Dzmitry Krupchanka, Mark Agius, Manaan Kar Ray, Cyril Höschl
Deinstitutionalization has not been pursued in the post-communist Europe until recently. The population of psychiatric patients institutionalized in the regional mental hospitals is, however, largely understudied. The aim of this study is to assess discharges of long-term inpatients with schizophrenia from Czech psychiatric hospitals and to analyse re-hospitalizations within this group. The nationwide register of all-cause inpatient hospitalizations was merged with the nationwide register of all-cause deaths on an individual level basis...
August 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/27028256/from-nonissue-to-healthcare-crisis-a-historical-review-of-aging-and-dying-with-an-intellectual-and-developmental-disability
#10
Jacqueline M McGinley
Individuals with intellectual and developmental disabilities are living unprecedentedly longer lives primarily due to the long-term benefits of the deinstitutionalization movement and widespread improvements in health outcomes. However, the consequences of this protracted aging process are significant, complex, and often poor not only for the individuals and their caregivers but for the mainstream healthcare community. This article will explore, utilizing a constructionist perspective, how these challenges evolved from a nonissue to an impending crisis in less than 25 years...
April 2016: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/26967017/inclusion-for-people-with-developmental-disabilities-measuring-an-elusive-construct
#11
Susan Louise Neely-Barnes, Susan E Elswick
The philosophy of inclusion for people with intellectual and developmental disabilities (IDD) has evolved over the last 50 years. Over time, inclusion research has shifted from a focus on deinstitutionalization to understanding the extent to which individuals with IDD are meaningfully involved in the community and social relationships. Yet, there has been no agreed on way to measure inclusion. Many different measurement and data collection techniques have been used in the literature. This study proposes a brief measure of inclusion that can be used with family members and on survey instruments...
April 2016: Journal of Social Work in Disability & Rehabilitation
https://www.readbyqxmd.com/read/26965744/has-deinstitutionalization-affected-inpatient-suicide-psychiatric-inpatient-suicide-rates-between-1990-and-2013-in-israel
#12
Linda Levi, Nomi Werbeloff, Inna Pugachova, Rinat Yoffe, Matthew Large, Michael Davidson, Mark Weiser
OBJECTIVE: To examine variations in rates of inpatient suicide and clinical risk factors for this phenomenon. METHOD: The National Israeli Psychiatric Hospitalization Case Registry was used to study inpatient suicide. Clinical risk factors for inpatient suicide were examined in a nested case control design. RESULTS: Between 1990 and 2013 there were 326 inpatient suicides, at an average of one inpatient suicide per 1614 admissions. A significant decline in rates of suicide per admission over time (p<0...
May 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/26921216/integrated-care-in-german-mental-health-services-as-benefit-for-relatives-a-qualitative-study
#13
Jan Valentini, Daniel Ruppert, Julia Magez, Constance Stegbauer, Anke Bramesfeld, Katja Goetz
BACKGROUND: As mental health services undergo the process of deinstitutionalization, this is resulting in a higher burden of care for relatives. Evidence suggests that interventions for carers have a beneficial impact on their psychological health. A reduction of responsibility for relatives is linked with a significantly improved outcome for the severely mentally ill. The aim of the study was to explore the relatives' experiences with severely mentally ill patients in different integrated care service providers...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/26878953/early-psychosis-in-asia-insights-from-japan
#14
Masafumi Mizuno, Takahiro Nemoto, Naohisa Tsujino, Tomoyuki Funatogawa, Kiyoaki Takeshi
The largest task for psychiatry in Japan today is the deinstitutionalization of patients with psychiatric disorders. In Japan, all citizens are covered by a national health plan, and about 70% of the total cost is covered by the national health insurance scheme. At present, however, there is still no category for early intervention in the national health reimbursement schedule. Recent research has shown that the mean duration of untreated psychosis (DUP) at seven university hospitals in Japan was 17.6 months...
March 2012: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/26788628/homeless-in-america-out-of-bedlam-the-truth-about-deinstitutionalization-madness-in-the-streets-how-psychiatry-abandoned-the-mentally-ill
#15
Roger Peele
No abstract text is available yet for this article.
January 1992: American Journal of Psychiatry
https://www.readbyqxmd.com/read/26748617/changes-in-the-utilization-of-psychiatric-hospital-facilities-in-denmark-by-patients-diagnosed-with-schizophrenia-from-1970-through-2012-the-advent-of-revolving-door-patients
#16
R M Jeppesen, T Christensen, C H Vestergaard
OBJECTIVE: The Danish psychiatric system has gone through several structural changes in the last four decades. The deinstitutionalization of the mental healthcare system was implemented in Denmark in the late 1970s with the intention of increasing out-patient treatment. One of the aims in the reorganization was to treat the patient in the local environment rather than during long-term hospitalization. This study focuses on the changes in the utilization of hospital facilities. METHOD: Using register data from secondary healthcare treatment of patients diagnosed with schizophrenia in Denmark 1970-2012, we analysed the development in the use of hospital facilities...
May 2016: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/26714353/intellectual-disability-a-critical-concept-analysis
#17
REVIEW
Pierre Pariseau-Legault, Dave Holmes
Over the last number of years, the emergence of new scientific and social constructions of intellectual disability has contributed to many terminological, conceptual, and structural changes. As a result, the expression "mental retardation" has gradually been abandoned in favor of "intellectual disability" for classification and diagnosis. In addition to helping redefine intellectual disability, the implementation of new deinstitutionalized mechanisms of governmentality required the adoption of different clinical models...
2015: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/26649928/impact-of-the-patient-protection-and-affordable-care-act-on-emergency-psychiatry
#18
Glenn W Currier
Emergency psychiatry (EP) is an integral component of comprehensive hospital-based emergency care. EP developed and grew into a medical subspecialty in response to deinstitutionalization and other large-scale forces, resulting in large numbers of psychiatric patients presenting to emergency departments. The Affordable Care Act (ACA) of 2010 contains several features and provisions that are likely to impact the practice of EP. This article reviews and examines the impact of the ACA on psychiatric emergency care to date and anticipated in the near future...
December 2015: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/26559210/-fifty-years-of-public-service-for-quebec-community-psychiatry-services-part-i
#19
Alain Lesage
This essay comprises 2 parts. It aims to recognize the public service of psychiatrists of the Département de psychiatrie de l'Université de Montréal who served at the provincial level of the Ministry of Health and Social Services for deinstitutionalisation of policies and organisation of services, at the service of people with severe mental disorders. First with Dr. Camille Laurin post-face of the 1962 book Les fous crient au secours! (Mentally ill patients cry for help); then the insight on the latest phase of differentiated specialised clinics by Dr...
2015: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/26559205/-madness-is-conforming-to-one-s-own-norms-and-no-others-psychiatry-in-post-war-quebec
#20
Isabelle Perreault
In the early 1950s, both the publication of the first Diagnostic and Statistical Manual (DSM-I) and the advent of psychopharmacology - particularly the development of chlorpromazine (Thorazine - RP4650) - set the stage for models of psychiatric thought, research and practice that remain dominant today. It was during this pivotal period, in 1955, that the Département de psychiatrie de l'Université de Montréal was founded by a cohort of young researchers newly arrived from well-known universities in France and the northeastern United States...
2015: Santé Mentale Au Québec
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