The Impact of Deinstitutionalization on California's State Hospital Population

DeRisi, William J.; Vega, William A.

doi:10.1176/ps.34.2.140

Cited by 15 publications

(15 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most provinces began a process of transinstitutionalization with decreased days of care in PHs and increased 1985-1986 and 1994-1995. The clients who are easiest to place in the community are discharged first. Many of the remaining clients have more acute needs or are more resistant to treatment and need specialized services in the community to be discharged (26)(27)(28). Days of care for psychiatric illness peaked in 1994-1995, but the deinstitutionalization process from PHs and psychiatric units in GHs began in earnest between 1994-1995 and 1998-1999.…”

Section: Discussionmentioning

confidence: 99%

Forty Years of Deinstitutionalization of Psychiatric Services in Canada: An Empirical Assessment

Sealy¹,

Whitehead

2004

Can J Psychiatry

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Forty Years of Deinstitutionalization of Psychiatric Services in Canada: An Empirical Assessment

Sealy¹,

Whitehead

2004

Can J Psychiatry

View full text Add to dashboard Cite

show abstract

“…Although other racial groups (e.g., Asian and American Indian) are consistently underrepresented, it is a well-documented and long-standing epidemiological phenomenon that Blacks in comparison with Whites are overrepresented in public mental institutions and underrepresented in private inpatient and outpatient facilities in proportion to their numbers in the general population (DeRisi & Vega, 1983; Faris & Dunham, 1939; Hollingshead & Redlich, 1958; Kramer, 1977; Malzberg, 1956; NASMHPD, 1986; Owens, 1980; Paul, 1987; Paul et al, 1987; Pugh & MacMahon, 1962; Redick et al, 1986; See & Miller, 1973). Men and those in the 18- to 64-year age group are predominant among public inpatient admissions/readmissions for both Blacks and Whites.…”

Section: Overrepresentation Of Blacksmentioning

confidence: 99%

Involuntary commitments to public mental institutions: Issues involving the overrepresentation of Blacks and assessment of relevant functioning.

Lindsey¹,

Paul²

1989

Psychological Bulletin

View full text Add to dashboard Cite

This article contributes to the debate in the mental health and legal systems concerning involuntary commitments to mental hospitals. The focus is on issues involving the overrepresentation of Black people among adults committed to U.S. public mental institutions and issues involving the assessment of relevant behavioral functioning in particular. Empirical findings, legal principles and procedures, and methodological limitations are reviewed to identify problems in current practice and relevant evidence bearing on those problems. Special emphasis is placed on the possible explanations for the overrepresentation of Blacks and on dependable assessments of relevant functioning that are needed to justify the state's coercive power to involuntarily confine people, regardless of race. The article concludes with a summary and recommendations for research and practice.

show abstract

“…Recent nonstatutory developments have reduced the rate of involuntary commitments in several states. Construction of new community care facilities has encouraged deinstitutionalization (DeRisi & Vega, 1983; Goldman et al, 1983), and reduced rates of involuntary admissions (HRS, 1983; Zander, 1976). Emphasis on community care for the mentally ill has eliminated the need for long-term commitment in many cases (Kiesler, 1982), although community care for the acutely disturbed may result in a higher incidence of rehospitalization (Taube & Cannon, 1972).…”

Section: Evaluation Of Commitment Reformmentioning

confidence: 99%

The effects of statutory change on the civil commitment of the mentally ill.

Peters¹,

Miller²,

Schmidt³

et al. 1987

Law and Human Behavior

View full text Add to dashboard Cite

Several states have revised their civil commitment statutes in recent years. A majority of the recent revisions reflect judicial directives to provide more explicit commitment criteria, but in some instances, criteria have been broadened in reaction to the difficulty of getting some individuals hospitalized under strict criteria. Such statutory changes have impacted considerably on both process and outcome of the civil commitment system. Adoption of explicit commitment criteria has resulted most visibly in substantial reduction of hospital admissions and census. The present study examines the impact of explicit changes in commitment criteria in Florida following the 1982 enactment of amendments to the Baker Act. A total of 80 commitment hearings are reviewed before and after the law took effect to determine procedural effects of the law on degree of defense counsel advocacy, client dispositions, and on the court’s adherence to more explicit criteria. State hospital admissions, discharge, and census information is examined in order to identify the larger impact of 1982 statutory changes on the commitment system. Evidence from hearings and state data suggests that changes in the Florida law impacted significantly on both process and outcome of the civil commitment system. Clients referred to commitment hearings are more dangerous, and may represent a new “hard-core” group remaining after more explicit eligibility criteria are applied by local intake, and emergency detention facilities. State hospital admissions and census in Florida declined significantly following enactment of the 1982 law, consistent with findings from other states enacting similar statutory reforms, Implications for deinstitutionalization policy and administration are discussed.

show abstract

The Impact of Deinstitutionalization on California's State Hospital Population

Cited by 15 publications

References 10 publications

Forty Years of Deinstitutionalization of Psychiatric Services in Canada: An Empirical Assessment

Forty Years of Deinstitutionalization of Psychiatric Services in Canada: An Empirical Assessment

Involuntary commitments to public mental institutions: Issues involving the overrepresentation of Blacks and assessment of relevant functioning.

The effects of statutory change on the civil commitment of the mentally ill.

Contact Info

Product

Resources

About