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dc.contributor.authorChow, WS
dc.contributor.authorPriebe, S
dc.date.accessioned2013-09-10T15:00:32Z
dc.date.issued2013
dc.date.issued2013
dc.date.issued2013-06-18
dc.date.issued2013-06-18
dc.date.issued2013-06-18
dc.date.issued2013-06-18
dc.date.issued2013-06-18
dc.identifier.urihttp://qmro.qmul.ac.uk/jspui/handle/123456789/4321
dc.descriptionThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.description.abstractBACKGROUND: Since Goffman's seminal work on psychiatric institutions, deinstitutionalization has become a leading term in the psychiatric debate. It described the process of closure or downsizing of large psychiatric hospitals and the establishment of alternative services in the community. Yet, there is a lack of clarity on what exactly the concept of institutionalization means in present-day psychiatry. This review aims to identify the meaning of psychiatric institutionalization since the early 1960s to present-day. METHOD: A conceptual review of institutionalization in psychiatry was conducted. Thematic analysis was used to synthesize the findings. RESULTS: Four main themes were identified in conceptualizing institutionalization: bricks and mortar of care institutions; policy and legal frameworks regulating care; clinical responsibility and paternalism in clinician-patient relationships; and patients' adaptive behavior to institutionalized care. CONCLUSIONS: The concept of institutionalization in psychiatry reflects four distinct themes. All themes have some relevance for the contemporary debate on how psychiatric care should develop and on the role of institutional care in psychiatry.
dc.format.extent169 - ?
dc.languageeng
dc.relation.ispartofBMC Psychiatry
dc.rights© 2013 Chow and Priebe; licensee BioMed Central Ltd.
dc.subjectCommitment of Mentally Ill
dc.subjectDeinstitutionalization
dc.subjectHospitals, Psychiatric
dc.subjectHumans
dc.subjectMental Disorders
dc.subjectMentally Ill Persons
dc.titleUnderstanding psychiatric institutionalization: a conceptual review.
dc.typeJournal Article
dc.identifier.doi10.1186/1471-244X-13-169
dc.relation.isPartOfBMC Psychiatry
dc.relation.isPartOfBMC Psychiatry
dc.relation.isPartOfBMC Psychiatry
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/23773398
pubs.organisational-group/Queen Mary University of London
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Wolfson Institute of Preventive Medicine
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Wolfson Institute of Preventive Medicine/Psychiatry
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Wolfson Institute of Preventive Medicine/Wolfson Institute - Research Students
pubs.organisational-group/Queen Mary University of London/Faculty Reporting - Research Students
pubs.organisational-group/Queen Mary University of London/Faculty Reporting - Research Students/Faculty of Medicine & Dentistry PGRs
pubs.publication-statusPublished online
pubs.volume13


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