deinstitutionalisation

Closing care facilities

Deinstitutionalisation is the process of moving people out of large institutions—psychiatric hospitals, residential facilities for the disabled, orphanages—and into community-based care or independent living.

The term emerged in the mid-twentieth century as reformers questioned whether warehousing vulnerable populations served their interests.

Deinstitutionalisation closed many state hospitals but left some former patients without adequate support.

Critics note that without sufficient community resources, deinstitutionalisation can shift problems rather than solve them.

Also spelled deinstitutionalization.

transition

discharge

Release of substance outward

resocialization · reentry · adaptation · aftercare · step-down · follow-up · placement · normalization · mainstreaming

autonomy

self-determination

Control over one's fate

choice · decision-making · person-centered · dignity · consent · self-advocacy · voice · participation · rights · control

community

community-based

Centered on local groups

socialization · neighbourhood · grassroots · outpatient

policy

legislation

Official enactment of statutes

oversight · regulation · decarceration · accessibility · rights-based · accountability · mandates · compliance

reform

closure

Sense of emotional resolution

transformation · overhaul · diversion · alternatives · scandals · exposés · Willowbrook · anti-psychiatry · criticism · warehousing

Opposites
direction of care policy

deinstitutionalisationinstitutionalisation

Establishing as accepted norm

institutionalization · commitment · involuntary commitment · confinement · hospitalization

social control and confinement

deinstitutionalisationincarceration

Confinement in jail

detention · segregation · containment · isolation · seclusion

individual status

deinstitutionalisationadmission

Entry or confession

commitment · sectioning · detention · internment · placement

Family

deinstitutionalization, institutionalisation, institutionalization, deinstitutionalize, institutionalise, institutionalize, institutional, institution, institutions

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