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Families' perspectives on the process of community transitions of individuals with severe intellectual and developmental disabilities.
J Intellect Dev Disabil
March 2024
Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Background: Deinstitutionalisation refers to the transition of individuals with intellectual and developmental disabilities from large institutions to smaller homes in the community. The purpose of this study was to explore how family members of persons with intellectual and developmental disabilities perceived their loved ones' community transition process.
Method: Eight family members of persons with severe or profound intellectual and developmental disabilities formerly residing at the complex care facility of St.
Social care research: international cooperation is vital to prepare for future health shocks.
BMJ
October 2024
Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London, UK.
Psychiatric Experiments with "Community" Under Dictatorship and Authoritarianism: The Case of the Protected Commune Experience, 1980-1989.
Cult Med Psychiatry
December 2024
Wellcome Centre for Cultures and Environments of Health, University of Exeter, Exeter, UK.
In Chile, a long and oppressive military regime (1973-1990) dismantled emergent initiatives for the deinstitutionalisation of psychiatric care, imposing a neoliberal constitution that opened public services to market forces and limited the state's role in health and social care. After being associated with communism and socialism, community-based mental health work was banned, and socialist psychiatrists were silenced through torture or exile. However, some therapeutic initiatives persisted, such as the "Protected Commune" (PC) initiative within the El Peral psychiatric asylum.
View Article and Find Full Text PDFThe advent of deinstitutionalisation and the introduction of community care in the latter part of the twentieth century have revolutionised mental-health service provision across Europe, although implementation, timing and services have varied widely in different countries. This article compares the changing dimensions of mental-health provision in post-independence Ireland with that in England, and will shed light on the current state of mental healthcare in both countries. The article calls for more research into the impact of deinstitutionalisation, such as the challenges faced in the community for those in need of continuing care.
View Article and Find Full Text PDFRehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review.
BMC Psychiatry
October 2023
Department of Community Mental Health & Law, National Center of Neurology and Psychiatry (NCNP), National Institute of Mental Health, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo, 187-8553, Japan.
Article Synopsis
- The study aimed to systematically review the effects of long-term hospitalization on individuals with severe mental illness, focusing on readmission rates as the main outcome.
- It examined studies involving participants aged 18 to 64 who were hospitalized for over a year, evaluating readmission rates and additional factors like employment and social participation through various databases.
- Out of 11,999 studies, only three cohort studies were eligible, revealing a 33-55% readmission rate for schizophrenia patients, with notable variability potentially influenced by follow-up duration and community service levels.
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