Deinstitutionalisation and ‘Home Turn’ Policies: Promoting or Hampering Social Inclusion?

Hall, Christopher; Raitakari, Suvi; Juhila, Kirsi

doi:10.17645/si.v9i3.4300

Cited by 8 publications

(2 citation statements)

References 64 publications

(159 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings are consistent with other reviews. In their review article on deinstitutionalization and the "home turn" from the 1990s, Hall et al, (2021) pose questions about the outcomes of the transition of care and the extent of social inclusion achieved. They argue that advancing the process of psychiatric deinstitutionalization and providing services and support to patients in their homes and demands significant financial investments and human resources.…”

Section: Discussionmentioning

confidence: 99%

Moving psychiatric deinstitutionalisation forward: A scoping review of barriers and facilitators

Irarrázaval

Montenegro

Moller

et al. 2023

Preprint

View full text Add to dashboard Cite

Psychiatric deinstitutionalisation (PDI) processes aim to transform long-term psychiatric care by closing or reducing psychiatric hospitals, reallocating beds, and establishing comprehensive community-based services for individuals with severe and persistent mental health difficulties. This scoping review explores the extensive literature on PDI, spanning decades, regions, socio-political contexts, and disciplines, to identify barriers and facilitators of PDI implementation, providing researchers and policymakers with a categorization of these factors. To identify barriers and facilitators, three electronic databases (Medline, CINAHL, and Sociological Abstracts) were searched, yielding 2250 references. After screening and reviewing, 52 studies were included in the final analysis. Thematic synthesis was utilized to categorize the identified factors, responding to the review question. The analysis revealed that barriers to PDI include inadequate planning, funding, and leadership, limited knowledge, competing interests, insufficient community-based alternatives, and resistance from the workforce, community, and family/caregivers. In contrast, facilitators encompass careful planning, financing and coordination, available research and evidence, strong and sustained advocacy, comprehensive community services, and a well-trained workforce engaged in the process. Exogenous factors, such as conflict and humanitarian disasters, can also play a role in PDI processes. Implementing PDI requires a multifaceted strategy, strong leadership, diverse stakeholder participation, and long-term political and financial support. Understanding local needs and forces is crucial, and studying PDI necessitates methodological flexibility and sensitivity to contextual variation. At the same time, based on the development of the review itself, we identify four limitations in the literature, concerning "time", "location", "focus", and "voice". We call for a renewed research and advocacy agenda around this neglected aspect of contemporary global mental health policy is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Moving psychiatric deinstitutionalisation forward: A scoping review of barriers and facilitators

Irarrázaval

Montenegro

Moller

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…De laatste decennia worden gekenmerkt door een trend tot zorgvermaatschappelijking waar zorggebruikers met geestelijke gezondheidsproblematiek naar de maatschappij georiënteerd worden (Hall, Raitakari & Juhila, 2021). Daarnaast vindt er in de samenleving een dubbele beweging plaats waarbij deviant gedrag minder getolereerd wordt (Verbeke, Vanheule, Cauwe, Truijens & Froyen, 2019) maar tegelijk de aandacht voor zelfbeschikkingsrecht en autonomie toeneemt (Hudson, 2019).…”

Section: N L E I D I N Gunclassified

<p class="MsoNormal" style="line-height: 115%;"><strong>VAN DE BOEKENREDACTIE</strong></p>

Kwekkeboom

2023

JSI

View full text Add to dashboard Cite

In 2015 werd in Nederland een aantal wetten ingevoerd (of gewijzigd), die samen grote invloed hebben gehad op de verantwoordelijkheid van de gemeenten voor die inwoners die op een of meer levensterreinen ondersteuning nodig hebben. In een brief van de toenmalige minister van Binnenlandse Zaken en Koninkrijksrelaties, de heer Plasterk, werden de wetswijzigingen aangeduid als ‘decentralisaties’ en werden de beleidsterreinen waarop de wetten betrekking hebben samen aangeduid als ‘het sociale domein’ (Kamerstukken II, 2013). Op dit sociale domein is een veelheid aan professionals werkzaam, die meestal een mbo- of hbo-opleiding sociaal werk, met alle variaties daarbinnen, hebben genoten. Over de doorwerking van de veranderingen binnen het sociale domein op zowel de burgers die ondersteuning nodig hebben als op de sociaal werkers die die ondersteuning moeten geven, verschenen kort na elkaar twee publicaties, die interessante aspecten laten oplichten. In deze boekenrubriek bespreek ik de consequenties van de transformatie voor de sociaal werker aan de hand van deze twee uitgaven en het recente Beroepsprofiel van de Sociaal Werker (Beroepsvereniging van professionals in sociaal werk, 2022).

show abstract

“Not just a new house”: The complexities of undoing institutional practices and identities in transitions to community living

Howard,

Johnston,

Tseris

et al. 2024

Aust J Social Issues

View full text Add to dashboard Cite

While scholarship regarding the promises and challenges of deinstitutionalisation is expansive, less is known about deinstitutionalisation within the context of contemporary neoliberal disability policy frameworks. This article reports on a study exploring recent transitions from institutional to community living within the context of the highly contested National Disability Insurance Scheme (NDIS) in Australia. The perspectives of family members and staff within disability services reveal diverse understandings of the transition. Thematic analysis identified multiple complexities, including hope simultaneously experienced alongside grief and loss, and the non‐linear processes involved in taking on new roles and identities. The study demonstrates that deinstitutionalisation is not constituted merely by a physical re‐location and that undoing institutional practices requires ongoing attention and resources. Significant concerns raised by participants relating to the impacts of privatisation, fragmented services and a casualised workforce disrupt simplistic thinking about the inevitability of social inclusion through deinstitutionalisation, particularly within neoliberal policy settings.

show abstract

Deinstitutionalisation and ‘Home Turn’ Policies: Promoting or Hampering Social Inclusion?

Cited by 8 publications

References 64 publications

Moving psychiatric deinstitutionalisation forward: A scoping review of barriers and facilitators

Moving psychiatric deinstitutionalisation forward: A scoping review of barriers and facilitators

<p class="MsoNormal" style="line-height: 115%;"><strong>VAN DE BOEKENREDACTIE</strong></p>

“Not just a new house”: The complexities of undoing institutional practices and identities in transitions to community living

Contact Info

Product

Resources

About