The process of deinstitutionalization: an international overview

Fakhoury, Walid K. H.; Priebe, Stefan

doi:10.1097/00001504-200203000-00011

Cited by 123 publications

(92 citation statements)

References 34 publications

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“…There are no similar studies on this subject in Latin American literature. 6,10 The demographic data of the population studied mostly show long hospital stays, high level of illiteracy, poor engagement in occupational/job activities, and situations where familial bonds had been cut off (assessed through the presence of family visitor within the last six months).…”

Section: Discussionmentioning

confidence: 99%

Long-stay patients in a psychiatric hospital in Southern Brazil

Fleck

Wagner

et al. 2007

Rev. Saúde Pública

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Pacientes de longa permanência em um hospital psiquiátrico no sul do Brasil ABSTRACT OBJECTIVE: To describe the demographic profile, social functioning, and quality of life of a population of long-stay care patients in a psychiatric hospital. METHODS:A study was carried out in Porto Alegre, Southern Brazil, in 2002. A total of 584 (96%) long-stay patients were assessed by means of the following instruments: the World Health Organization Quality of Life, the Social Behavior Schedule, the Independent Living Skills Survey, the Brief Psychiatric Rating Scale and another instrument for assessing disability (Questionnaire for Assessing Physical Disability). RESULTS:The average hospital stay was 26 years (SD: 15.8) and 46.6% of inpatients had no physical disability. Patients had their social functioning skills and autonomy largely impaired. Few of them (27.7%) answered the instrument for assessing quality of life, and showed significant impairments in all domains. The Brief Psychiatric Rating Scale evidenced a low prevalence of positive symptoms in this population. CONCLUSIONS:The institutionalized population studied presented significantly impaired social functioning, autonomy, and quality of life. These aspects need to be taken into consideration while planning for their deinstitutionalization. KEYWORDS

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Section: Discussionmentioning

confidence: 99%

Long-stay patients in a psychiatric hospital in Southern Brazil

Fleck

Wagner

et al. 2007

Rev. Saúde Pública

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“…Since the 1950s, mental health reforms across Europe and countries such as the USA, Canada, Australia and New Zealand have resulted in the closure of long-stay psychiatric hospitals and the shift from institutional to community-based mental health care (Fakhoury & Priebe, 2002). The timing of legislation and pace of change has varied considerably both between different countries and within them and great diversity remains in the structure of mental health care services internationally (Goodwin, 1997;Becker & Vazquez-Barquero, 2001).…”

Section: Introductionmentioning

confidence: 99%

Psychiatric wards: places of safety?

Jones¹,

Nolan²,

Bowers³

et al. 2010

Journal of Psychiatric and Mental Health Nursing

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Aim. This paper is a report of a study to explore the experiences of service users on acute inpatient psychiatric wards in England regarding their feelings of safety and security whilst in hospital. PermanentBackground. In recent years the purpose and quality of provision delivered in acute

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“…Similar studies are scarce in the Latin-American medical literature. 5,8 With regard to demographic characteristics of the studied population, it should be highlighted long stay, high illiteracy, poor involvement in occupational/work activities and loss of familial bonds (assessed by means of visits of the patients' families over the previous six months). Records of length of hospital stay were quite similar to those found among inpatients in some British psychiatric hospitals in the TAPS project (Team for the Assessment of Psychiatric Services).…”

Section: Discussionmentioning

confidence: 99%

Autonomy of long-stay psychiatric inpatients

et al. 2006

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Autonomia de pacientes em internação prolongada em hospital psiquiátrico ABSTRACT OBJECTIVE:To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS:A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS:Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS:In-patients studied showed serious impairment of autonomy. While planning these patients' discharge their deficits should be taken into consideration. Assessment of patients' ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion. KEYWORDS

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The process of deinstitutionalization: an international overview

Cited by 123 publications

References 34 publications

Long-stay patients in a psychiatric hospital in Southern Brazil

Long-stay patients in a psychiatric hospital in Southern Brazil

Psychiatric wards: places of safety?

Autonomy of long-stay psychiatric inpatients

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