TY - JOUR
T1 - From hospital to community
T2 - Deinstitutionalization in psychiatric services - A critical review
AU - Barak, Y.
AU - Shamir, E.
AU - Trieman, N.
AU - Elizur, A.
PY - 1996
Y1 - 1996
N2 - Changes in the psychiatric services are the hallmark of the last two decades in the UK, USA and Europe. The move towards community-oriented services is the prominent change in service delivery. The numbers of hospital beds are being reduced, and psychiatrists are coming to the realization that they cannot function within a 'purely' medical domain. However, life in the complex community situation has dangers as well as advantages. Suicide, criminality, rehospitalization and homelessness need to be carefully evaluated. At the same time patients' quality of life probably improves. The present critical review addresses the advantages and dangers inherent in the so-called 'deinstitutionalization' movement through the 'least restrictive environment' point of view.
AB - Changes in the psychiatric services are the hallmark of the last two decades in the UK, USA and Europe. The move towards community-oriented services is the prominent change in service delivery. The numbers of hospital beds are being reduced, and psychiatrists are coming to the realization that they cannot function within a 'purely' medical domain. However, life in the complex community situation has dangers as well as advantages. Suicide, criminality, rehospitalization and homelessness need to be carefully evaluated. At the same time patients' quality of life probably improves. The present critical review addresses the advantages and dangers inherent in the so-called 'deinstitutionalization' movement through the 'least restrictive environment' point of view.
KW - Community
KW - Criminality
KW - Deinstitutionalization
KW - Homelessness
KW - Suicide
UR - http://www.scopus.com/inward/record.url?scp=0029759148&partnerID=8YFLogxK
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AN - SCOPUS:0029759148
VL - 2
SP - 179
EP - 187
JO - Primary Care Psychiatry
JF - Primary Care Psychiatry
SN - 1355-2570
IS - 3
ER -
