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Deinstitutionalisation — from Hospital Closure to Service Development

Published online by Cambridge University Press:  02 January 2018

Graham Thornicroft  and
Paul Bebbington
Graham Thornicroft*
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Paul Bebbington
Affiliation:
MRC Social Psychiatry Unit
*
∗Correspondence
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Abstract

The necessary components of a comprehensive service of local non-institutional forms of care for the seriously mentally ill have been researched separately in pilot trials, but not within integrated programmes for defined populations. Reported outcomes are at least as favourable as for traditional long-term hospital care, but alternative provisions are no less costly. A case manager system may allow co-ordinated formal and informal services to meet the individual needs of chronically ill patients. Poorly integrated programmes will expose discharged patients to disadvantages.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 155 , Issue 6 , December 1989 , pp. 739 - 753
Copyright
Copyright © The Royal College of Psychiatrists, 1989 

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