The US undertook a massive reform in the delivery of mental health services under the
banner of 'community mental health.'The concept of 'community mental health'implied a dual …

Describes the unevenness of psychiatric service delivery under deinstitutionalization, noting
that no single government agency formulates policy in the US and that planning is usually …

Deinstitutionalization, originally hailed as a major advance in public policy towards mental
illness, has recently become increasingly controversial. This paper reviews the …

Over the last 30 years, California dejure (legislated) mental health policy has been based on
deinstitutionalization and outpatient care through community mental health systems. But by …

Objective From 1978 to 1993, under favorable administrative and political conditions and
protected by a court-ordered consent decree, a comprehensive community-based mental …

The number of inpatients in US public mental hospitals declined from 559,000 in 1955 to
approximately 110,000 at present. Reductions resulted from release or transfer of long-term …

The author argues that most of the mentally ill should be treated in the community, where
they can develop the skills necessary to function in society. The state hospitals should be …

Deinstitutionalization as a public policy promised to be a major departure from previous
psychiatric practice. Decrying traditional" medical paradigms" and the custodial" …

Has deinstitutionalization failed, and if so, is it a failure of mental health policy—or of
something else? Numerous articles1-5 in the news media and professional literature in the …

Unlike other policy developments, which are regular and cumulative or even circular,
reforms in mental health have been characterized by a peak-trough movement. Public …