SOCI 136F Chapter Notes - Chapter 10: Skf, Deinstitutionalisation, Psychoactive Drug
Document Summary
William gronfein, psychotropic drugs and the origins of deinstitutionalization . From 1955 to 1977, patient population decreased from 560,000 to 160,000. Deinstitutionalization has 2 goals: to depopulate the state hospitals and other institutions that care for mentally ill, to substitute these hospitals with community-based institutions to provide care. Hospital population quadrupled between 1903 and 1955. Why did deinstitutionalization happen when it did: intraprofessional rivalry, ideological change, expansion of welfare state, and fiscal crisis, author looks at impact of introduction of psychotropic drugs. Policy deinstitutionalization- the laws, programs, and policies that aim to reduce population: these aspects are independent, drugs could have affected one without the other, operational occurred before policy. 2 phases of deinstitutionalization: 1950s-1965- first was small and uneven, driven by increase in discharges along with increased admissions, 1965-70s/present- second was sharper and more consistent decline, driven by increase in discharges and decrease in admissions.
