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Stepping back from deinstitutionalization? The jury is still out, but new data show some disturbing trends.

Publication: Behavioral Healthcare
Publication Date: 01-APR-09
Format: Online
Delivery: Immediate Online Access
Full Article Title: Stepping back from deinstitutionalization? The jury is still out, but new data show some disturbing trends.(THE MANDERSCHEID REPORT)

Article Excerpt
Important new data I published recently with Joanne Atay and Raquel Crider (both with SAMHSA's Center for Mental Health Services) in Psychiatric Services show that for the first time in 50 years, the resident patient population of state mental hospitals has grown rather than declined. (1) From 1955 to 2003, the number of resident patients decreased dramatically from 559,000 to about 47,000. However, between 2003 and 2005, this number climbed to almost 50,000.

Even more disconcerting, the number of admissions increased dramatically during the same period. Admissions peaked in 1971 at 475,000 and had declined every subsequent year through 2003, when they numbered fewer than 160,000. Yet between 2003 and 2005, they grew to almost 189,000--more than 21% in two years!

Has deinstitutionalization ended? Below I provide some information about why these trends are occurring...

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