SOCI 385 Chapter Notes - Chapter 3: Community Mental Health Act, Psychosis, Deinstitutionalisation
Document Summary
In 1955, 560 000 patients were cared for in state psychiatric facilities; today there are fewer than one-tenth that number: As a result, few high-quality, accessible long-term care options are available for a significant segment of the approximately 10 million us residents with serious mental illness. These persons frequently have refractory schizophrenia and bipolar dis- order in the 1940s and 1950s marked the first phase of deinstitutionalization, as long-stay chronically ill patients were discharged. outpatient therapy and drug treatment were less expensive than inpatient care. In an effort to reverse the long-term hospitalization of mentally ill patients in inadequate facilities, the community mental health centers act and the advent of. Medicaid created an environment that allowed states to close or limit the size of so-called institutions for mental diseases. As state hospitals were closed, patients with chronic psychiatric diseases were moved to nursing homes or to general hospitals where they received episodic psychiatric treatment at significantly higher costs.
