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October 2021

Limits of deinstitutionalisation - The viewpoint of psychiatric hospitals

Journal/Book: Psychiat Prax. 2000; 27: Rudigerstr 14, D-70469 Stuttgart, Germany. Georg Thieme Verlag. S53-S58.

Abstract: Deinstitutionalisation is a complex process that in the past was often misunderstood solely as a run down or even closure of psychiatric hospitals. Although chronically mentally ill patients were prevented from long term hospitalisation some fundamental mistakes were repeated often: patients were simply discharged without any preparations and outpatient care was badly organised. In some cases this led to therapeutic neglect, social disintegration, homelessness, incarceration or other forms of dramatic loss of quality of life. These findings are internationally confirmed although there are remarkable differences between various health care systems. Especially when primarily determined by purely economic interests deinstitutionalisation constitutes a severe danger for the whole psychiatric system of care and in particular for chronic patients. Intensive research is required to avoid severe disadvantages for the further development of psychiatry.

Note: Article Eikelmann B, Stadt Klinikum Karlsruhe GGmbH, Klinikum Psychiat & Psychotherapie, Kaiserallee 10, D-76133 Karlsruhe, GERMANY


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