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Deinstitutionalisation

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Deinstitutionalisation (ordeinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the 1950s and 1960s, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses, group homes, and clinics, in regular hospitals, or not at all. Deinstitutionalisation works in two ways.

Community mental health serviceCommunity mental health serviceCommunity mental health services, also known as community mental health teams in the United Kingdom, support or treat people with mental disorders (mental illness or mental health difficulties) in a domiciliary setting, instead of a psychiatric hospital (asylum). The array of community mental health services vary depending on the country in which the services are provided.Psychiatric hospitalPsychiatric hospitalA psychiatric hospital, also known as a mental health hospital, a behavioral health hospital, or an asylum is a specialized medical facility that focuses on the treatment of severe mental disorders. These institutions cater to patients with conditions such as schizophrenia, bipolar disorder, major depressive disorder, and eating disorders, among others. OverviewPsychiatric hospitals vary considerably in size and classification.Involuntary commitmentInvoluntary commitmentInvoluntary commitment, civil commitment, or involuntary hospitalization/hospitalisation, or informally in Great Britain sectioning, being sectioned, commitment, or being committed, is a legal process through which an individual who is deemed by a qualified person to have symptoms of severe mental disorder is detained in a psychiatric hospital (inpatient) where they can be treated involuntarily.Total institutionTotal institutionA total institution or residential institution is a facility of work and residence in which a number of similarly situated people, cut off from the wider community for a considerable time, together lead an enclosed, formally administered, and regimented round of life. Total institutions are hybrids of social organization and residential community.Mental disorderMental disorderMedical conditionA mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context.Giorgio AntonucciGiorgio AntonucciGiorgio Antonucci (24 February 1933 – 18 November 2017) was an Italianphysician, known for his questioning of the bases of psychiatry. BiographyAntonucci was born, on 24 February 1933, in Lucca, Tuscany.Halfway houseHalfway houseA halfway house is a type of prison or institute intended to teach (or reteach) the necessary skills for people to re-integrate into society and better support and care for themselves. Halfway houses are typically either state sponsored for those with criminal backgrounds, or privately run for those with substance abuse issues. As well as serving as a residence, halfway houses can provide social, medical, psychiatric, educational, and other similar services.Psychiatric medicationPsychiatric medicationA psychiatric or psychotropic medication is a psychoactive drug taken to exert an effect on the chemical makeup of the brain and nervous system. Thus, these medications are used to treat mental illnesses. These medications are typically made of syntheticchemical compounds and are usually prescribed in psychiatric settings, potentially involuntarily during commitment.Group homeGroup homeA group home, congregate living facility, care home (the latter especially in British English and Australian English), adult family home, etc., is a structured and supervised residence model that provides assisted living as well as medical care for those with complex health needs.Developmental disabilityDevelopmental disabilityDevelopmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living". Developmental disabilities can be detected early on and persist throughout an individual's lifespan.PsychosisPsychosisAbnormal condition of the mindFor other uses, see Psychosis (other).Medical conditionIn psychopathology, psychosis ( ) is the inability to distinguish what is or is not real. Examples of psychotic symptoms are delusions, hallucinations, and disorganized or incoherent thoughts or speech. Psychosis is a description of a person's state or symptoms, rather than a specific mental illness, and it is not related to the personalityconstruct of psychopathy.American and British English spelling differencesAmerican and British English spelling differencesBritish and American spellings around the world: British analyse/crystallise (crystallize in Oxford spelling)/centre/defence/labour/programme (except for computer program) dominant; English is an official or majority language American analyze/crystallize (less commonly crystalize)/center (except for some place names, e.g. Centre County)/defense/labor (except for some names, e.g. Living Colour)/program dominant; English is an official or majority language Canadian analyze/crystallize/centre/defence/labour/program dominant; English is one of two official languages along with French Australian analyse/crystallise/centre/defence/labour (except for Labor Party)/program dominant; English is an official or majority language English is not an official or majority language; British spelling is dominant English is not an official or majority language; American spelling is dominant English is not an official or majority language; inconsistent use of American and British spellingDespite the various English dialects spoken from country to country and within different regions of the same country, there are only slight regional variations in English orthography, the two most notable variations being British and American spelling.

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