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7 Cards in this Set

  • Front
  • Back

Deinstitutionalization: Additional Unforeseen Problems

-Metropolitan homeless shelters became makeshiftalternatives to mental hospitals


-CMHCs understaffed and underfunded, even more soas national priorities shifted in the 1980s


-Many patients not ready for community living

Deinstitutionalization: Additional Unforeseen Problems

-By the 1980s, because many were not prepared forurban life on the streets,


-Homelessness in urban areas increased


-Street crime and the death rate ofdeinstitutionalized homeless increased


-Increase in the number of mentally ill in theprisons

Deinstitutionalization: Controversy

“freeing” previously confined persons or“abandonment” of severely disturbed patients to a very harsh existence?

(Deinstitutionalization)


Perhaps due to inadequate mental health servicesin the community-->

There is some evidence that inpatientpsychiatric hospitalization may be on the rise in both the U.S. and U.K.

Civil Commitment

Q- When can someone be involuntarily committedto a hospital?


A- When they pose a threat to self and/or othersor when they are unable to care for themselves

Civil Commitment (to be committed part 1)

Being mentally ill is NOT grounds forinvoluntary commitment


-To be committed, an individual must be


-Dangerous to themselves or others and/or


-Incapable of providing for their basic physicalneeds and/or


-Unable to make responsible decisions abouthospitalization and


-In need of treatment or care in a hospital

Civil Commitment (to be committed part 2)

-Typically, a petition is filed with thecourt


-Judge appoints 2 examiners to evaluate the“proposed patient”


-Proposed patient gets examined before thecommitment hearing


-If the person is them committed by a judge, thehospital must then report back to the court (e.g., within 60 days ) on whetherthe person needs to be confined longer


- Patient has right to due process, includingrepresentation by legal counsel