The aftermaths of deinstitutionalization: problmes and solutions

Area of Science:

• Healthcare Management
• Community Psychiatry
• Social Work

Background:

• Increasing deinstitutionalization of individuals with intellectual disabilities from mental hospitals.
• Challenges in providing fragmented and uncoordinated community-based services.
• Identified needs for comprehensive support systems for community living.

Purpose of the Study:

• To highlight essential services required for successful community integration of deinstitutionalized patients.
• To emphasize the importance of coordinated care and accountability in community mental health services.

Main Methods:

• Review of research and practical experiences in community care for mentally handicapped individuals.
• Analysis of demonstration projects showcasing successful community maintenance.
• Identification of critical service components and organizational structures.

Main Results:

• Patients with intellectual disabilities can be successfully maintained in community settings.
• Fragmented and limited services pose significant barriers to community living.
• Demonstrated success in various community settings with appropriate support.

Conclusions:

• Coordinated services are crucial for the successful community placement of mentally handicapped patients.
• Establishing fixed responsibility for each individual's care is essential for continuity and effectiveness.
• Integrated support systems enhance the ability of individuals with intellectual disabilities to thrive in the community.