Articles de revues : « Deinstitutionalization »

1

Black, Bertram J. « Deinstitutionalization ». Psychiatric Services 43, n^o 10 (octobre 1992) : 1044—a—1044. http://dx.doi.org/10.1176/ps.43.10.1044-a.

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Doyle, Rodger. « Deinstitutionalization ». Scientific American 287, n^o 6 (décembre 2002) : 38. http://dx.doi.org/10.1038/scientificamerican1202-38.

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Fleck, Stephen. « Deinstitutionalization ». Psychiatric Services 39, n^o 4 (avril 1988) : 442. http://dx.doi.org/10.1176/ps.39.4.442.

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Hemphill, Barbara, et Pamela Carr Werner. « Deinstitutionalization ». Occupational Therapy in Mental Health 10, n^o 2 (29 octobre 1990) : 85–99. http://dx.doi.org/10.1300/j004v10n02_06.

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Rinsley, Donald B. « Deinstitutionalization. » American Journal of Orthopsychiatry 58, n^o 2 (avril 1988) : 310. http://dx.doi.org/10.1111/j.1939-0025.1988.tb01593.x.

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Burchard, John D., et William A. Harrington. « Deinstitutionalization : ». Child & ; Family Behavior Therapy 7, n^o 4 (15 mai 1986) : 17–32. http://dx.doi.org/10.1300/j019v07n04_02.

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Elpers, J. R. « "Deinstitutionalization" : Reply. » American Journal of Orthopsychiatry 58, n^o 2 (avril 1988) : 310. http://dx.doi.org/10.1037/h0098629.

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Jones, Jennifer L., et Kami L. Gallus. « Understanding Deinstitutionalization ». Research and Practice for Persons with Severe Disabilities 41, n^o 2 (8 avril 2016) : 116–31. http://dx.doi.org/10.1177/1540796916637050.

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James, J. Frank, Lois Pokorny, desAnges Eckert, Dick Gregory et Glen Wallace. « ?Program ? deinstitutionalization ». Administration and Policy in Mental Health 18, n^o 6 (juillet 1991) : 447–50. http://dx.doi.org/10.1007/bf00707317.

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Nicholson, Brian, et Sundeep Sahay. « Deinstitutionalization in the Context of Software Exports Policymaking in Costa Rica ». Journal of Information Technology 24, n^o 4 (décembre 2009) : 332–42. http://dx.doi.org/10.1057/jit.2009.18.

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This paper addresses deinstitutionalization from a longitudinal perspective. Drawing on the case of software exports policymaking in Costa Rica, it analyses deinstitutionalization, paying particular attention to formation of dissensus, understood as lack of unanimity on the value of an activity that is sufficient to destabilize institutional norms and activities. The role of cultural and political factors in deinstitutionalization or persistence is considered. Based on the empirical data, a framework for understanding political and cultural dynamics in deinstitutionalization is proposed.

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Dunajevas, Eugenijus. « Asmeninių socialinių paslaugų deinstitucionalizacija pokomunistinėje Lietuvoje ». Socialinė teorija, empirija, politika ir praktika 6 (1 janvier 2012) : 45–63. http://dx.doi.org/10.15388/stepp.2012.0.1859.

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Vilniaus universitetas, Universiteto g. 9/1, LT-01513 VilniusTel. (+370 5) 266 76 10El. paštas: eugenijus.dunajevas@gmail.com Vakarų visuomenėse septintajame dešimtmetyje buvo plačiai kalbama apie deinstitucionalizacijos judėjimą. Tas judėjimas sukėlė socialinių ir sveikatos priežiūros paslaugų organizavimo pokyčių. O pokomunistinėse šalyse deinstitucionalizacija buvo susidomėta devintajame praėjusio amžiaus dešimtmetyje. Šiame straipsnyje siekiama įvertinti deinstitucionalizacijos procesą ir jo rezultatus pokomunistinėje Lietuvoje konkrečiai asmeninių socialinių paslaugų srityje.Pagrindiniai žodžiai: deinstitucionalizacija, asmeninės socialinės paslaugos, pokomunistinė Lietuva.The deinstitutionalization of personal social services in post commmmunist LithuaniaEugenijus Dunajevas SummaryThere was the movement of deinstitutionalization in Western societies in the 7th decade of XX century. The process of deinstitutionalization caused the changes in the organization of social and healthcare services. The process of deinstitutionalization started in post-communists countries in the 9th decade of previous century. The aim of the article is to analyse and evaluate the results of deinstitutionalization in the field of personal social services in post-communist Lithuania.Key words: deinstitutionalization, personal social services, post-communist Lithuania.

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Abucewicz, Monika. « POSSIBILITIES AND BARRIERS IN THE IMPLEMENTATION OF THE SUBSTITUTE CARE SYSTEM IN OPINIONS OF THE LOCAL GOVERNMENT WORKERS – THE FINDINGS OF THE FOCUS GROUP INTERVIEVS ». Polityka Społeczna 25T, n^o 2 (tematyczny) (31 décembre 2023) : 21–29. http://dx.doi.org/10.5604/01.3001.0054.1745.

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The key aim of this article is a presentation of barriers in implementing of processes of deinstitutionalization of the substitute care system, on the basis of opinions of local government officials and representatives of social organizations. The opinions were gathered in the Focus Group Interviews. This research was proceeded within the scope of a project: „The Pilot Study And Implementation Of Mechanisms And Planes Of Deinstitutionalization Of Social Services.” Additionally, obstacles in the deinstitutionalization activities of the communities in the substitute care area were generally put forward – insofar as it was possible, because of a limited framework of this paper. These activities were realized in the framework of local plans of deinstitutionalization of social services. Plans were prepared by local governments, which have been taking part in the project indicated above.This article circumscribes barriers in implementing of deinstitutionalization of the substitute care system, because in opinions of respondents and makers a success of deinstitutionalization depends on their overcoming. Knowledge about these barriers – both on the basis of opinions and experiences gaining in the course of preparing and implementing local plans - can provide assistance for the others local governments in our country for preparing more effective local plans of deinstitutionalization of social services in the area of substitute care system. And in the broader context - for the realization of one of the project aim, namely to working out of the framework, nationwide guidelines in the range of working out and implementing local plans of deinstitutionalization, among others in the area of subsitute care system. The guidelines will have a form of practical textbook including principles of leading local plans of deinstitutionalization, among others good practices in this extent.

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Ulybina, Olga. « Transnational agency and domestic policies : The case of childcare deinstitutionalization in Georgia ». Global Social Policy 20, n^o 3 (9 juin 2020) : 333–51. http://dx.doi.org/10.1177/1468018120926888.

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This article describes a policy adoption case study about deinstitutionalization of childcare in Georgia since independence. It highlights the evolving and non-homogeneous nature of transnational agency in the area of childcare deinstitutionalization, and offers insights into the complex relationship between transnational agency and national policymaking. The analysis draws on national policy documents, reports of United Nations agencies, the European Union, the United States Agency for International Development (USAID) and non-governmental organizations that contributed to the evolution of childcare deinstitutionalization in Georgia. We trace several developments: evolution of Georgian domestic policy versus the changing role of childcare deinstitutionalization in activities of various transnational actors. We find that Georgian childcare was shifting towards deinstitutionalization at the same time as global policy actors were developing their interventions in this policy area, showing how a lower middle-income country can develop its domestic social policies in conditions of an incoherent external environment.

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Mensh, Ivan N. « Transinstitutionalization, not Deinstitutionalization ». Contemporary Psychology : A Journal of Reviews 32, n^o 11 (novembre 1987) : 974. http://dx.doi.org/10.1037/026515.

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Goldney, Robert D. « Deinstitutionalization and Suicide ». Crisis 24, n^o 1 (janvier 2003) : 39–40. http://dx.doi.org/10.1027//0227-5910.24.1.39.

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Bachrach, Leona L. « American deinstitutionalization revisited ». Epidemiologia e Psichiatria Sociale 3, n^o 2 (août 1994) : 95–98. http://dx.doi.org/10.1017/s1121189x00003535.

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Kerson, Toba Schwaber. « Deinstitutionalization Networking Project ». Health & ; Social Work 15, n^o 3 (août 1990) : 244–45. http://dx.doi.org/10.1093/hsw/15.3.244.

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Miller, Alan D. « Deinstitutionalization in retrospect ». Psychiatric Quarterly 57, n^o 3-4 (septembre 1985) : 160–72. http://dx.doi.org/10.1007/bf01277609.

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Genienė, Rasa, Eglė Šumskienė, Violeta Gevorgianienė et Jurga Mataitytė-Diržienė. « The Deinstitutionalization of Persons with Psychosocial Disabilities from the Perspective of Ecological Systems Theory ». Socialinė teorija, empirija, politika ir praktika 22 (21 mai 2021) : 28–43. http://dx.doi.org/10.15388/stepp.2021.27.

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The deinstitutionalization of social care in Lithuania started in 2012 after the adoption of the strategic guidelines by the Ministry of Social Security and Labour. The goal of this reform was to improve the care conditions and introduce new community-based services for persons with disabilities. Almost ten years of the reform resulted in only five percent of persons with disabilities who moved to community settings, mainly group-living homes. The slow-motion of the reform, as well as the tensions in the communities, suggests the need for a thorough analysis of the process of deinstitutionalization and its improvement. Bronfenbrenner’s ecological theory is applied as a conceptual and methodological tool for understanding the roles of deinstitutionalization agents at different levels, including the Ministry of Social Security and Labour, municipalities, non-governmental organizations, social care institutions, and local communities. All of these agents are involved and diversely interact among themselves during the transformation process of the social care system. The ecological theory provides the necessary integrated approach to the analysis of the process of deinstitutionalization of the social care system at the micro-, meso-, exo-, and macro levels. Deinstitutionalization and the trajectories of its participants reveal resilient connections with different fields of the ecological system and show that different system components not only represent different systems but become microsystems themselves that affect all elements in the ecological system. The complexity of environmental systems constitutes the basis of ecological systems theory. It serves as a lens to guide the analysis of the transformation of a particular person’s life in the context of deinstitutionalization. Herewith, it is an appropriate tool for understanding the impact of deinstitutionalization on specific local communities.

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Doessel, Darrel P., Roman W. Scheurer, David C. Chant et Harvey A. Whiteford. « Australia's National Mental Health Strategy and Deinstitutionalization : Some Empirical Results ». Australian & ; New Zealand Journal of Psychiatry 39, n^o 11-12 (novembre 2005) : 989–94. http://dx.doi.org/10.1080/j.1440-1614.2005.01702.x.

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Objective: To determine the role of the National Mental Health Strategy in the deinstitutionalization of patients in psychiatric hospitals in Queensland. Method: Regression analysis (using themaximumlikelihood method) has been applied to relevant time-series datasets on public psychiatric institutions in Queensland. In particular, data on both patients and admissions per 10 000 population are analysed in detail from 1953–54 to the present, although data are presented from 1883–84. Results: These Queensland data indicate that deinstitutionalization was a continuing process from the 1950s to the present. However, it is clear that the experience varied from period to period. For example, the fastest change (in both patients and admissions) took place in the period 1953–54 to 1973–74, followed by the period 1974–75 to 1984–85. Conclusions: In large part, the two policies associated with deinstitutionalization, namely a discharge policy (‘opening the back door’) and an admission policy (‘closing the front door’) had been implemented before the advent of the National Mental Health Strategy in January 1993. Deinstitutionalization was most rapid in the 30-year period to the early 1980s: the process continued in the 1990s, but at amuch slower rate. Deinstitutionalization was, in large part, over before the Strategy was developed and implemented.

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Kim, Nam Sook. « An Analysis of the Local Government Ordinances for the Supporting Deinstitutionalization of the Disabled Focusing on Pusan ». Taegu Science University Defense Security Institute 6, n^o 3 (30 juin 2022) : 11–23. http://dx.doi.org/10.37181/jscs.2022.6.3.011.

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The purpose of this study is to identify the status of appropriate community supporting systems through analysis of local government ordinances after deinstitutionalization of the disabled in the facility. To achieve this, Pusan government ordinance analysis was conducted. Since there is no deinstitutionalization support law, the existing ordinances related to deinstitutionalization of local governments are the basis. This is because macro-practice has a great influence on mezzo- and micro-practice. In this study, ordinances related to housing, lifelong education, communication support and human rights were analyzed as in the local independent living. Content analysis was used as the research method. As a framework for analysis, the composition of ordinances, rights and accountability, validity of the target scope, type and degree of benefits, financial responsibility, and securing of delivery system were used. In order to make a more active and persuasive argument, a comparative analysis was conducted with the ordinances related to deinstitutionalization in Seoul. Conclusions and recommendations are presented based on the analysis results.

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Muusse, Christien, Hans Kroon, Cornelis L. Mulder et Jeannette Pols. « Working on and with Relationships : Relational Work and Spatial Understandings of Good Care in Community Mental Healthcare in Trieste ». Culture, Medicine, and Psychiatry 44, n^o 4 (3 avril 2020) : 544–64. http://dx.doi.org/10.1007/s11013-020-09672-8.

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Abstract Deinstitutionalization is often described as an organizational shift of moving care from the psychiatric hospital towards the community. This paper analyses deinstitutionalization as a daily care practice by adopting an empirical ethics approach instead. Deinstitutionalization of mental healthcare is seen as an important way of improving the quality of lives of people suffering from severe mental illness. But how is this done in practice and which different goods are strived for by those involved? We examine these questions by giving an ethnographic description of community mental health care in Trieste, a city that underwent a radical process of deinstitutionalization in the 1970s. We show that paying attention to the spatial metaphors used in daily care direct us to different notions of good care in which relationships are central. Addressing the question of how daily care practices of mental healthcare outside the hospital may be constituted and the importance of spatial metaphors used may inform other practices that want to shape community mental health care.

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Lee, James R., et Margaret E. Goodwin. « Deinstitutionalization : A new scenario ». Journal of mental health administration 14, n^o 1 (mars 1987) : 40–45. http://dx.doi.org/10.1007/bf02828431.

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Grof, P., et E. Kingstone. « Deinstitutionalization : The Italian Experience ». Canadian Journal of Psychiatry 38, n^o 3 (avril 1993) : 185–86. http://dx.doi.org/10.1177/070674379303800306.

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GOTTFREDSON, DENISE C., et WILLIAM H. BARTON. « DEINSTITUTIONALIZATION OF JUVENILE OFFENDERS* ». Criminology 31, n^o 4 (novembre 1993) : 591–611. http://dx.doi.org/10.1111/j.1745-9125.1993.tb01143.x.

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Mol, Arthur P. J. « Environmental Deinstitutionalization in Russia ». Journal of Environmental Policy & ; Planning 11, n^o 3 (septembre 2009) : 223–41. http://dx.doi.org/10.1080/15239080903033812.

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Holloway, F. « Deinstitutionalization in the USA ». Psychiatric Bulletin 9, n^o 10 (1 octobre 1985) : 204–5. http://dx.doi.org/10.1192/pb.9.10.204-b.

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Fagin, L. « Deinstitutionalization in the USA ». Psychiatric Bulletin 9, n^o 6 (1 juin 1985) : 112–14. http://dx.doi.org/10.1192/pb.9.6.112.

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Schmetzer, Alan D. « Deinstitutionalization and Dual Diagnosis ». Journal of Dual Diagnosis 3, n^o 2 (22 mars 2007) : 95–101. http://dx.doi.org/10.1300/j374v03n02_11.

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Beadle-Brown, Julie, Jim Mansell et Agnes Kozma. « Deinstitutionalization in intellectual disabilities ». Current Opinion in Psychiatry 20, n^o 5 (septembre 2007) : 437–42. http://dx.doi.org/10.1097/yco.0b013e32827b14ab.

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Lamb, H. Richard. « Deinstitutionalization at the Crossroads ». Psychiatric Services 39, n^o 9 (septembre 1988) : 941–45. http://dx.doi.org/10.1176/ps.39.9.941.

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Marcos, Luis R. « Who Profits From Deinstitutionalization ? » Psychiatric Services 40, n^o 12 (décembre 1989) : 1221. http://dx.doi.org/10.1176/ps.40.12.1221.

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Rothbard, Aileen B., et Eri Kuno. « The Success of Deinstitutionalization ». International Journal of Law and Psychiatry 23, n^o 3-4 (mai 2000) : 329–44. http://dx.doi.org/10.1016/s0160-2527(00)00042-x.

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LERMAN, PAUL. « Deinstitutionalization and Welfare Policies ». ANNALS of the American Academy of Political and Social Science 479, n^o 1 (mai 1985) : 132–55. http://dx.doi.org/10.1177/0002716285479001009.

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Before America began creating a federally based welfare state in the 1930s, most publicly funded responses to social problems had an institutional bias. The ways in which the welfare programs initiated 50 years ago have helped to influence institutional trends, and are likely to continue doing so in the future, constitute the major focus of this analysis. Four special problem groups are assessed from a historical perspective: (1) the dependent aged and the movement from local almshouses and state insane asylums to nursing homes; (2) the mentally ill and the movement from state hospitals to a variety of local medical and nonmedical residences; (3) the developmentally disabled—formerly the mentally retarded—and the movement from state schools to private community residential facilities; and (4) the dependent/neglected and delinquent youth and the movement away from orphan asylums and training schools to group homes, treatment centers, adolescent psychiatric units, halfway houses, and outdoor camps. Recent trends and projections, as well as present and future policy issues, are assessed.

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Lamb, H. Richard, et Leona L. Bachrach. « Some Perspectives on Deinstitutionalization ». Psychiatric Services 52, n^o 8 (août 2001) : 1039–45. http://dx.doi.org/10.1176/appi.ps.52.8.1039.

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Grob, Gerald N. « The paradox of deinstitutionalization ». Society 32, n^o 5 (juillet 1995) : 51–59. http://dx.doi.org/10.1007/bf02693338.

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Yoon, Jangho, et Tim A. Bruckner. « Does Deinstitutionalization Increase Suicide ? » Health Services Research 44, n^o 4 (août 2009) : 1385–405. http://dx.doi.org/10.1111/j.1475-6773.2009.00986.x.

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Oliver, Christine. « The Antecedents of Deinstitutionalization ». Organization Studies 13, n^o 4 (octobre 1992) : 563–88. http://dx.doi.org/10.1177/017084069201300403.

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Deinstitutionalization refers here to the erosion or discontinuity of an institution alized organizational activity or practice. This paper identifies a set of organiza tional and environmental factors that are hypothesized to determine the likelihood that institutionalized organizational behaviours will be vulnerable to erosion or rejection over time. Contrary to the emphasis in institutional theory on the cultural persistence and endurance of institutionalized organizational behaviours, it is suggested that, under a variety of conditions, these behaviours will be highly susceptible to dissipation, rejection or replacement.

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Fagin, Leonard. « Deinstitutionalization in the USA ». Bulletin of the Royal College of Psychiatrists 9, n^o 6 (juin 1985) : 112–14. http://dx.doi.org/10.1192/s0140078900021945.

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The task of summarizing the experience of public mental hospitals in the USA is perhaps impossible and unrewarding as far as UK-based psychiatry is concerned. The complex governmental and insurance intrastructure, the heterogeneity of approaches and the disappointing rhetorical stance one observes in learned journals make it difficult to translate American practice to our own. This task is even more difficult when one only has written communications to fall back on, and readers will have to take this into account in this brief article.

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Holloway, Frank. « Deinstitutionalization in the USA ». Bulletin of the Royal College of Psychiatrists 9, n^o 10 (octobre 1985) : 204–5. http://dx.doi.org/10.1192/s0140078900022896.

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Bachrach, Leona L. « Deinstitutionalization : A Semantic Analysis ». Journal of Social Issues 45, n^o 3 (octobre 1989) : 161–71. http://dx.doi.org/10.1111/j.1540-4560.1989.tb01562.x.

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Scull, Andrew. « Deinstitutionalization and public policy ». Social Science & ; Medicine 20, n^o 5 (janvier 1985) : 545–52. http://dx.doi.org/10.1016/0277-9536(85)90371-5.

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Vidal, C., et L. Melo Vidal. « Deinstitutionalization and Psychosocial Rehabilitation ». European Psychiatry 41, S1 (avril 2017) : s792. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1521.

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IntroductionBarbacena is a Brazilian city with 140,000 inhabitants, which was known as the “city of madmen” because of the excessive number of patients in psychiatric hospitals. In 2000 it began a deinstitutionalization process, and the patients were transferred to assisted residential services.ObjectiveDescribe the process of deinstitutionalization and social rehabilitation of psychiatric patients.MethodologyThe following characteristics were studied: sex, age, medication use, psychiatric diagnosis and the development of social skills.ResultsIn each therapeutic residence (RT) lives eight patients, supervised by upper and mid-level professionals. Since the implementation of RTs about 400 patients leave the psychiatric hospitals. Most had mental retardation (51.0%), followed by schizophrenia (31.0%). More than half (58.5%) were men. The age ranged from 29 to 97 years, with a average of 64.8 ± 12.4. A decrease in the average dose of neuroleptics was seen after deinstitutionalization. Direct observation of patients in the RT, and the reporting of caregivers has shown that patients have developed wide range of social performance, such as dating, started at professional courses, attending exercise classes, travelling and learn how to use money.ConclusionIn despite of difficulties in the psychiatric reform process, the community-based treatment and psychosocial rehabilitation approach are the principal models of psychiatric care presently, and the residential services play an important role in this process. The authors emphasize the importance of community support, professional staff and rehabilitation programs as a condition for good outcomes.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Lamb, H. Richard. « Does Deinstitutionalization Cause Criminalization ? » JAMA Psychiatry 72, n^o 2 (1 février 2015) : 105. http://dx.doi.org/10.1001/jamapsychiatry.2014.2444.

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Costa Silva, Lays. « PSYCHIATRIC DEINSTITUTIONALIZATION IN BRAZIL ». Health and Society 4, n^o 03 (4 juin 2024) : 76–81. http://dx.doi.org/10.51249/hs.v4i03.2071.

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The Brazilian Psychiatric Reform is a movement that seeks to transform the mental health care model, promoting the deinstitutionalization and social inclusion of people with mental disorders. In this context, Therapeutic Residences represent an alternative to psychiatric institutionalization, offering residential support for individuals who face these disorders and need family or community support, aiming for their social reintegration. This experience report seeks, therefore, to share the experience of a team from the Family Health Strategy in the city of Rio de Janeiro-RJ after one year of monitoring residents of a Therapeutic Residence.

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Petrochko, Zhanna, et Olena Denysiuk. « Understanding the nature and features of the deinstitutionalization process by the future social workers and social educators ». Professional Education : Methodology, Theory and Technologies, n^o 11 (25 juin 2020) : 194–213. http://dx.doi.org/10.31470/2415-3729-2020-11-194-213.

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The article is devoted to the problem of the readiness of future social workers and social educators for the process of de-institutionalization. The purpose of the article is to describe the separate accents of the deinstitutionalization implementation in Ukraine at the present stage and to reveal the level of students’ understanding of the essence and features of this process. To reveal the essence of the problem of deinstitutionalization, the following theoretical methods are used in the study: analysis, synthesis, systematization, comparison, as well as empirical methods such as questionnaires, conversations, graphical data visualization methods. The essence of deinstitutionalization is revealed as a process of reform, which envisages a transition from an institutional care system to a system providing the upbringing of children in the family or in the close to it conditions. The basis vectors of deinstitutionalization are identified on the way of implementation the National strategy of reforming the institutions of institutional care and education of children in modern conditions. The issues linked to understanding by students (future social workers and social educators) the nature and features of reforming boarding institutions are identified and characterized. It is found that a large number of students do not understand the directions, components and strategic results of deinstitutionalization as an innovation in social work; they have no vision of the negative impact of boarding school on child development. It is also found that students do not sufficiently understand what the best interests of the child are. It is stated that the problem of students' unpreparedness to deinstitutionalization increases the weaknesses and risks of the reform process of boarding school in general. This causes a considerable resistance to change, slowing down the process, its misunderstanding. Based on the mentioned problems, we highlighted the tasks of training students of "Social work" specialty as subjects of deinstitutionalisation process.

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Logan, Charles H., et Sharla P. Rausch. « Why Deinstitutionalizing Status Offenders is Pointless ». Crime & ; Delinquency 31, n^o 4 (octobre 1985) : 501–17. http://dx.doi.org/10.1177/0011128785031004003.

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A program to remove status offenders from secure facilities is evaluated in terms of both immediate objectives and underlying philosophy. We find only mixed success, at best, in achievement of immediate goals, while a critical examination of philosophical assumptions behind the national deinstitutionalization movement reveals inherent confusions and contradictions that make pointless any program that attempts deinstitutionalization without decriminalization and divestiture.

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Šumskienė, Eglė. « Disability Hate Crime : The Overlooked Consequence of the Deinstitutionalization of Care ». Socialinė teorija, empirija, politika ir praktika 15, n^o 15 (27 juillet 2017) : 70. http://dx.doi.org/10.15388/stepp.2017.15.10810.

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Both disability hate crime and institutional violence are major violations of the rights of persons with intellectual disabilities. This article aims to discuss both forms of violence in the context of deinstitutionalization of care in the countries of Eastern and Central Europe1 and the prevailing high rates of discriminatory attitudes in this region.This paper follows a contextualized approach toward discrimination and invokes predominant attitudes in the societies of the region as one particular aspect of the general context. This approach helps to estimate the potential threats for residents of social care institutions to experience hate crime in the community.Residential care institutions are criticized for high rates of institutional violence; nevertheless, the transfer of residents to community care may expose them to hate crimes in the community. This aspect of deinstitutionalization neither appears on the public and political agenda, nor is it being analyzed by academia in the region. This paper draws attention to important consequences of deinstitutionalization, which possibly have been overlooked by the promoters of deinstitutionalization as well as by the disability policy makers in the region. This composes the originality and practical value of the paper.

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Taylor Salisbury, T., H. Killaspy et M. King. « The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe : A cross-sectional study ». European Psychiatry 42 (mai 2017) : 95–102. http://dx.doi.org/10.1016/j.eurpsy.2016.11.011.

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AbstractBackgroundThe process of deinstitutionalization (community-based care) has been shown to be associated with better quality of life for those with longer-term mental health problems compared to long stay hospitals. This project aimed to investigate the relationship between national progress towards deinstitutionalization and (1) quality of longer-term mental health care (2) service users’ ratings of that care in nine European countries.MethodsQuality of care was assessed in 193 longer-term hospital- and community-based facilities in Bulgaria, Germany, Greece, Italy, the Netherlands, Poland, Portugal, Spain and the UK. Data on users’ ratings of care were collected from 1579 users of these services. Country level variables were compiled from publicly available data. Multilevel models were fit to assess associations with quality of care and service user experiences of care.ResultsSignificant positive associations were found between deinstitutionalization and (1) five of seven quality of care domains; and (2) service user autonomy. A 10% increase in expenditure was associated with projected clinically important improvements in quality of care.ConclusionsGreater deinstitutionalization of mental health mental health services is associated with higher quality of care and better service user autonomy.

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Vrabková, Iveta, Ivana Vaňková et Kristýna Moškořová. « Gaps in the Dynamics and Performance of the Psychiatric Care Deinstitutionalization ». INQUIRY : The Journal of Health Care Organization, Provision, and Financing 60 (janvier 2023) : 004695802311707. http://dx.doi.org/10.1177/00469580231170727.

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This study objective to verify the existence of gaps in the dynamics and performance of fulfillment of the deinstitutionalization of psychiatric care in the Czech Republic (CZ) and the Slovak Republic (SR) in the period between 2010 and 2020. The introduction of this the study is a search for expert knowledge in the field of deinstitutionalization of psychiatric care. The study uses the method of multi-criteria comparison of TOPSIS variants and a cluster analysis. The results 22 variants range from (ci 0.6716-0.2571) and confirm that there are large differences between CZ and SR in performance gaps (fulfillment) of deinstitutionalization goals. The SR variants are clearly better than the CZ variants, although during the years studied, the CZ variants are improving, and the size of the gap compared to the SR variants is decreasing. In the first year of the evaluated period (2010), the performance gap was 56% and in the last year (2020), the performance gap was only 31%. The conclusion of the study confirms that the measures associated with the deinstitutionalization of psychiatric care are linked to the time they were introduced and the overall implementation period of the reform.

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