This paper presents a discussion of the historical development of deinstitutionalization in the United States, including the political, ideological, and social origins of that policy.
The outcomes of deinstitutionalization are considered, including the impact of the policy on the quality of life of people with severe mental disorders.
The authors also provide a brief review of the literature on the efficacy and cost-effectiveness of hospitalization versus outpatient (community) care.
Recent developments in the use of involuntary hospitalization are discussed, along with a number of important trends in the delivery and financing of services for persons with severe mental disorders.
Mots-clés Pascal : Hôpital psychiatrique, Désinstitutionnalisation, Etats Unis, Amérique du Nord, Amérique, Trouble psychiatrique, Hospitalisation, Ambulatoire, Homme, Impact social, Organisation santé, Santé mentale, Système santé, Article synthèse
Mots-clés Pascal anglais : Psychiatric hospital, Desinstitutionalization, United States, North America, America, Mental disorder, Hospitalization, Ambulatory, Human, Social impact, Public health organization, Mental health, Health system, Review
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0240450
Code Inist : 002B18H05B. Création : 11/06/1997.