DEINSTITUCIONALIZATION OR TRANSINSTITUCIONALIZATION:
LESSONS FROM SOME COUNTRIES
Abstract
The brazilian mental health policy project is based on the
policy adopted by other countries in the past. However, these countries
are actually suffering the consequences of several difficulties and
limitations of this community mental health policy, such as: lack of
sufficient and adequate community centers, ideological struggles among
mental health professionals, lack of coordination among the services, lack of preparation of the community to accept the patients, lack of permanent
caring to the patient. The consequences of these difficulties have been the
obstruction of the emmergencies and the psychiatric units of the general
hospitals, overcrowded community centers which do not differ very much
from the psychiatric hospitals, rejection of the patients by the society and
an increase in the number of rehospitalizations. A general discussion of
the brazilian project, based on the lessons from other countries is
proposed.
Downloads
Download data is not yet available.
References
Barnes, G. E., & Toews, J. (1983). Deinstitutionalization of chronic mental patients in
the Canadian context. Canadian Psychology, 24(1), 22-36.
Barnes, G. E., & Toews, J. (1985). Mental Health professionals' knowledge in the field
of caring for chronic mental disorders. Social Scientific Medicine, 27(11),
1229-1233.
Bender, M. P. (1978). Psicologia da Comunidade. Rio de Janeiro: Zahar Editores.
Braun, P., Kochansky, G., Shapiro, R., Greenberg, S., Gudeman, J. E., Johnson, S., &
Shore, M. F. (1981). Overview: Deinstitutionalization of psychiatric patients, a
critical review of outcome studies. American Journal of Psychiatry, 138(G),
736-749.
Carpenter, M. D. (1978). Residential placement for the chronic psychiatric patients: A
review and evaluation of the literature. Schizophrenia Bulletin, 3, 384-398.
Crowcroft, A. (1971). O psicótico: compreensão da loucura. Rio de Janeiro: Zahar
Editores.
Davis, A. E., Diniz, S., & Pasamanick, B. (1972). The prevention of hospitalization in
schizophrenia: five years after an experimental program. American Journal of
Orthopsychiatry, 42, 375-388.
Davis, J. M. (1975). Overview: Maintenance therapy in psychiatry I: Schizophrenia.
American Journal of Psychiatry, 132, 1237-1245.
Dorvil, H. (1987). Les caracteristiques du syndrome de la porte tournante à I'hopital
Louis H. Lafontaine. Santé Mentale au Quebec, X//(1), 79-89.
Fenton, F. R., Tesier, L., & Struening, E. L. (1979). A comparative trial of home and
hospital psychiatric care: One-year follow-up. Archives of General Psychiatry, 36,
1073-1079.
Harnois, G. P. (1987). Challenges to the reintegration of the mentally ill in Quebec,
Canada. International Journal of Mental Health, 15(4), 6-15.
Harding, С M., Brooks, G. W., Ashikaga, Т., Strauss, M. J. S., & Breier, A. (1987).
The Vermont bngitudinal study of persons with severe mental illness, I:
methodology, study sample and overall status 32 years later. American Journal of
Psychiatry, 144(G), 718-726.
Hogarty, G. E., Goldberg, S. C, Schooler, N. R., & Ulrich, R. F. (1974). Drug and
sociotherapy in the aftercare of schizophrenic patients. Archives of General
Psychiatry, 31, 603-618.
Kiesler, С. Ð. (1980). Mental health policy as a field of inquiry for psychology.
American Psychologist, 35(12), 1066-1080.
Kiesler, С A. (1982a). Mental health and alterantive care: Non institutionalization as
potential public policy for mental patients. American Psychologist, 37(A), 349-360.
Kiesler, C. A. (1982b). Public and professional myths about mental hospitalization: An
empirical reassessment of policy-related beliefs. American Psychologist, 37(12),
1323-1339.
Kinoshita, R. T. (1987). Uma experiência pioneira. A reforma psiquiátrica italiana. Em
R. G. Marsiglia, D. A. Dallari, J. F. Costa, F. D. M. Moura Neto, R. T. Kinoshita, &
A. Lancetti (Orgs.). Doença mental e cidadania. São Paulo: Edições Mandacaru.
Lebfevre, Y. (1987). Chercher asile dans la communauté. Santé Mentale au Quebec,
X//(1), 66-78.
Link, B. G., Cullen, F. Т., Frank, J., & Wozmiak, J. F. (1987). The social rejection of
former mental patients: understanding why labels matter. The American Journal of
Understanding Sociology, 92(6), 1461-1500.
Losson, J. P., & Parrate, J. (1988). Desinstitucionalisation au Quebec. Information
Psyquiatrique, 64(10), 1289-1298.
Ministério da Saúde (1987). / Conferência de saúde mental: relatório final. Brasília
(Brasil): Centro de Documentação do Ministério da Saúde.
Mosher, R. L. (1982). Italy's revolutionary mental health law: An assessment.
American Journal of Psychiatry, 139, 199-203.
Reppaport, J. (1977). Community Psychology: Values, research and action. New
York: Holt, Rinehart & Winston.
Richman, A. & Harris, P. (1983). Mental Hospital deinstitutionalization in Canada. A
national perspective with some regional examples. International Journal of Mental
Health, 11 (4), 64-83.
Scheper-Hughes, N. (1988). Has deinstitutionalization failed? Caveats and lessons
from U.S. and Italy. Em Regards anthropologiques en psyquiatrie, 1. Montreal:
Editions du Girame. Pp. 161-177.
Stein, L. I., & Test, M. A. (1980). Alternative to mental hospital treatment conceptual
model, treatment program and clinical evaluation. Archives of General Psychiatry,
37, 392-397.
Shadish, W. R. (1984). Lessons from the implementation of deinstitutionalization.
American Psychologist, 39(7), 725-738.
Test, M. A., & Steint, L. I. (1978). Community treatment of the chronic patient
Research overview. Schizophrenia Bulletin, 4, 3450-3454.
Wallot, H. (1985). La désinstitutionalisation. L'Union Médicale du Canada, 114,
584-590.
Wallot, H. (1988). L'ideologie de la desinstitutinalsation en psiquiatrie. Information
Psyquiatrique, 64, 1281-1286.
Watt, J. A., & El-Guebaly, M. (1981). The chronic mental patient. The position of the
Canadian Psychiatric Association. Canadian Journal of Psychiatry, 26, 494-501.
Woodbury, M. A. (1988). La psyquiatrie aux Etats-Unis, Ã Porto Rico et aux lies
Vierges Americaines. Information Psychiatrique, 64(10), 1247-1255.
Zipple, P. J., & MacDonald, J. (1987). A rehabilitation response to the call for asylum.
Schizophrenia Bulletin, 13(4), 539-545.
the Canadian context. Canadian Psychology, 24(1), 22-36.
Barnes, G. E., & Toews, J. (1985). Mental Health professionals' knowledge in the field
of caring for chronic mental disorders. Social Scientific Medicine, 27(11),
1229-1233.
Bender, M. P. (1978). Psicologia da Comunidade. Rio de Janeiro: Zahar Editores.
Braun, P., Kochansky, G., Shapiro, R., Greenberg, S., Gudeman, J. E., Johnson, S., &
Shore, M. F. (1981). Overview: Deinstitutionalization of psychiatric patients, a
critical review of outcome studies. American Journal of Psychiatry, 138(G),
736-749.
Carpenter, M. D. (1978). Residential placement for the chronic psychiatric patients: A
review and evaluation of the literature. Schizophrenia Bulletin, 3, 384-398.
Crowcroft, A. (1971). O psicótico: compreensão da loucura. Rio de Janeiro: Zahar
Editores.
Davis, A. E., Diniz, S., & Pasamanick, B. (1972). The prevention of hospitalization in
schizophrenia: five years after an experimental program. American Journal of
Orthopsychiatry, 42, 375-388.
Davis, J. M. (1975). Overview: Maintenance therapy in psychiatry I: Schizophrenia.
American Journal of Psychiatry, 132, 1237-1245.
Dorvil, H. (1987). Les caracteristiques du syndrome de la porte tournante à I'hopital
Louis H. Lafontaine. Santé Mentale au Quebec, X//(1), 79-89.
Fenton, F. R., Tesier, L., & Struening, E. L. (1979). A comparative trial of home and
hospital psychiatric care: One-year follow-up. Archives of General Psychiatry, 36,
1073-1079.
Harnois, G. P. (1987). Challenges to the reintegration of the mentally ill in Quebec,
Canada. International Journal of Mental Health, 15(4), 6-15.
Harding, С M., Brooks, G. W., Ashikaga, Т., Strauss, M. J. S., & Breier, A. (1987).
The Vermont bngitudinal study of persons with severe mental illness, I:
methodology, study sample and overall status 32 years later. American Journal of
Psychiatry, 144(G), 718-726.
Hogarty, G. E., Goldberg, S. C, Schooler, N. R., & Ulrich, R. F. (1974). Drug and
sociotherapy in the aftercare of schizophrenic patients. Archives of General
Psychiatry, 31, 603-618.
Kiesler, С. Ð. (1980). Mental health policy as a field of inquiry for psychology.
American Psychologist, 35(12), 1066-1080.
Kiesler, С A. (1982a). Mental health and alterantive care: Non institutionalization as
potential public policy for mental patients. American Psychologist, 37(A), 349-360.
Kiesler, C. A. (1982b). Public and professional myths about mental hospitalization: An
empirical reassessment of policy-related beliefs. American Psychologist, 37(12),
1323-1339.
Kinoshita, R. T. (1987). Uma experiência pioneira. A reforma psiquiátrica italiana. Em
R. G. Marsiglia, D. A. Dallari, J. F. Costa, F. D. M. Moura Neto, R. T. Kinoshita, &
A. Lancetti (Orgs.). Doença mental e cidadania. São Paulo: Edições Mandacaru.
Lebfevre, Y. (1987). Chercher asile dans la communauté. Santé Mentale au Quebec,
X//(1), 66-78.
Link, B. G., Cullen, F. Т., Frank, J., & Wozmiak, J. F. (1987). The social rejection of
former mental patients: understanding why labels matter. The American Journal of
Understanding Sociology, 92(6), 1461-1500.
Losson, J. P., & Parrate, J. (1988). Desinstitucionalisation au Quebec. Information
Psyquiatrique, 64(10), 1289-1298.
Ministério da Saúde (1987). / Conferência de saúde mental: relatório final. Brasília
(Brasil): Centro de Documentação do Ministério da Saúde.
Mosher, R. L. (1982). Italy's revolutionary mental health law: An assessment.
American Journal of Psychiatry, 139, 199-203.
Reppaport, J. (1977). Community Psychology: Values, research and action. New
York: Holt, Rinehart & Winston.
Richman, A. & Harris, P. (1983). Mental Hospital deinstitutionalization in Canada. A
national perspective with some regional examples. International Journal of Mental
Health, 11 (4), 64-83.
Scheper-Hughes, N. (1988). Has deinstitutionalization failed? Caveats and lessons
from U.S. and Italy. Em Regards anthropologiques en psyquiatrie, 1. Montreal:
Editions du Girame. Pp. 161-177.
Stein, L. I., & Test, M. A. (1980). Alternative to mental hospital treatment conceptual
model, treatment program and clinical evaluation. Archives of General Psychiatry,
37, 392-397.
Shadish, W. R. (1984). Lessons from the implementation of deinstitutionalization.
American Psychologist, 39(7), 725-738.
Test, M. A., & Steint, L. I. (1978). Community treatment of the chronic patient
Research overview. Schizophrenia Bulletin, 4, 3450-3454.
Wallot, H. (1985). La désinstitutionalisation. L'Union Médicale du Canada, 114,
584-590.
Wallot, H. (1988). L'ideologie de la desinstitutinalsation en psiquiatrie. Information
Psyquiatrique, 64, 1281-1286.
Watt, J. A., & El-Guebaly, M. (1981). The chronic mental patient. The position of the
Canadian Psychiatric Association. Canadian Journal of Psychiatry, 26, 494-501.
Woodbury, M. A. (1988). La psyquiatrie aux Etats-Unis, Ã Porto Rico et aux lies
Vierges Americaines. Information Psychiatrique, 64(10), 1247-1255.
Zipple, P. J., & MacDonald, J. (1987). A rehabilitation response to the call for asylum.
Schizophrenia Bulletin, 13(4), 539-545.
Downloads
Published
2012-08-15
How to Cite
Bandeira, M. (2012). DEINSTITUCIONALIZATION OR TRANSINSTITUCIONALIZATION:: LESSONS FROM SOME COUNTRIES. Psicologia: Teoria E Pesquisa, 6(2), 171–182. Retrieved from https://periodicos.unb.br/index.php/revistaptp/article/view/17092
Issue
Section
Artigos
