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Talk:Deinstitutionalisation

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Saying that they are not in prisons - I would have to disagree. I work in a prison and the numbers estimating populations of people with mental disorders are probably being conservative and may be higher than they really are. I know that comment is original research, but probably no more OR than your blog - which I also took a look at - its interesting. FYI, though, I hate the term medical model and I don't think anyone in the field, clinically or academically, seriously labels their treatment as a "medical model." This recovery model, as you define it, may already be in place for those suffering mild conditions. No matter what your "model", most mental health professionals are trying to get the person to be able to function in life - not just to treat the symptoms. ANyway, I'm not sure if that debate is necessary here at this article though. Maybe something for
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not addressed. There is no mention of "warehousing" or mention of psychiatric successes that led people to concentrate mentally retarded and mentally ill into locations where they could access care and be protected, as opposed to being victimized, homeless, or in prison. There is little mention of the abuses of the system and no mention of the political will it took to stop this process. Though I don't remember specifics, I do remmember that several presidential candidates and presidents have spoke to this issue in stirring terms, regarding the need to change the well-intentioned but misguided trend toward institutionalization and medicalization. This should be a great, informative article.
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homeless or in prison, and neither environment permits effective treatment. Some begin using street drugs. My wife was a nurse in psychiatric hospitals sin Connecticut and Oregon. Few if any of her patients could survive in the outside world, and they wee not mistreated. Now we are faced with an utterly dysfunctional mental health system in which the only long term beds are in prison. A large part of our homeless are mentally ill, and a third of our inmates. Several of my patients have died primarily because they were homeless.
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Subsections. The South America section is lost at the end of the article - by the time you reach it you've forgotten you were reading a list of continents. I'm not sure what the rules or etiquette are here so I'm not making any changes beyond reducing the size of one of the headings which was out of
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I came to this article doing some research for my personal journal. I have a relative in one of the few remaining "institutions." The article needs some work. First, nobody correctly defines institutionalization, or finds the first uses of the term, next key motivations and interested parties are
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If a spelling is used 100% in the major English variation, and 70% in others... the minority spelling should not be used. ENGVAR was made with good intent to stop move wars... but it is not an anchor around our necks that we must willingly let drag us under. The point is, this is NOT an "American
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ALIMAN SEARS SAYS: There's one inaccuracy: The population involved in deinstitutionalization was primarly the mentally ill (SPMI) and only secondarily the developmentally disabled. Thus I amended the article to include the MI aspect. Also, Chupper, pls. realize it's too much of simplification to
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This is kind of everywhere. The proponents of deinstitutionalization say that life is more pleasant for them outside but they end up in prisons often. Essentially they are unpredictable and the number of people who have been stabbed or killed is disheartening. Just the other week an ambulance man,
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Some editing has been done to improve neutrality, by me and others. We need to counterbalance the criticisms more. It's an odd situation, because all the talk you find about the effects deinstitutionalisation tends to be negative, and yet I don't see anyone campaigning to reverse it. Perhaps it's
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Thanks guys for your comments. Once I get some time I'll throw in some cites, and try to get working on this article too. You also bring up a good point Aliman about the simplicity of my previous statement. You're right, there is more to it than that - but that was probably the bottom line.
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Community treatment of patients who would previously have been hospitalized has been a total and abject failure, in part because because state mental hospitals provided the one thing that kept these people from being homeless, a place to stay. Dumped out on the street these patients are either
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I've got a few sources stating that deinstitutionalization has really only moved inmates from state hospitals to prisons. Meaning, they were released, now those diagnosed with mental illness commit crimes, move into prisons, can't follow prison rules due to their mental illness, get moved to
2334:- until such time as "-ize" spellings are made mandatory, there is no valid reason to change what is an acceptable spelling, and as above, MOS:RETAIN is clear that no change should be made without a valid reason (and to be further clear, an editor's personal preference is not a valid reason). 1942:) seems to express opinions and to lack neutrality in places. I think it could and should be revised to fix that problem. I don't know if anyone is watching this page, but I will check back and perhaps offer a revision to fix this problem if no one else does, unless there are objections. 943:
say de-inst. moved folks from state hospitals to prisons. Also, stats clearly show that members of the mentally ill population are more often VICTIMS of crime rather than PERPETRATORS. The "medical model" is moving out, and the "recovery model" is moving in. See my blog:
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I agree wholeheartedly, and I'd like the article to mention the detailed role that the family plays in stabilization of the patients involved, and I have some organizational changes I'd like to propose using sources obtained through University Libraries.
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I think this article needs some realistic comments from people who actually work with patients with long term mental illness. The idea that the mentally ill are getting adequate treatment as outpatients, at least in the US, is a fantasy. Dan Woodard MD
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which states: "An article should not be edited or renamed simply to switch from one variety of English to another." Supporters of a move would need to provide compelling evidence that this move should be an exception. They might also make use of
929:. Chupper, you have an interesting comment. If you can cite your sources, please add to the article. I think so-called de-institutionalization was doomed to failure, as it has confused buildings with institutions. The policy was built on a 2278:
per other editors, ize and ise use interchangeably in British English but only ize are used in American and Canadian English. The description change be change as follows (Deinstutionalisation (also known as Deinstitutionalization).
2439:: "When more than one variant spelling exists within a national variety of English, the most commonly used current variant should usually be preferred..." Incidentally, there was a relevant (but inconclusive) discussion 135: 924:
The article doesn't look OK to me. Perhaps we should say something about de-institutionalization in general, not just how the principle has been applied to the dissolution of lunatic asylums. See for example,
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The article regarding Ireland mentions the high levels of institutionalisation in Ireland and also mentions the high levels of unmarried individuals in state facilities. Should this article mention the role of
2374:(along with the ngrams link above) might just be an indication that people are wrong about the common spelling in British English and are basing their votes on a flawed presumption or outdated information. -- 1128:
I actually happen to like Thomas Szasz, but I don't think the paragraph with his criticism belongs in the intro of the article. It would be more appropriate integrated into the United States section. --
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in-prison psych wards or mental health treatment areas. Considering 15% of prisoners in the U.S. have been diagnosed with a mental illness, it seems like an important thing to mention for this article.
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to change the title if the current spelling is just provably not common within the claimed English variation. Correcting this error is a valid and obvious reason to support this. --
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Perhaps there are too many levels of headings here? Could "worldwide" be eliminated or "United States" be hived off into a new article or section. Currently we have: Worldwide -: -->
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2394:". That doesn't negate ENGVAR. Were it not so, we might as well give up ENGVAR and prefer the American spelling for everything, as the US has the most anglophones. 1880: 1876: 1862: 1752: 1748: 1734: 1632: 1628: 1614: 1514: 1510: 1496: 1368: 1364: 1350: 1246: 1242: 1228: 44: 2548: 306: 184: 2558: 411: 316: 2583: 578: 421: 2603: 1082:
I can go through the article changing it, but which should I use, US or UK? Without responses I will default to the article title (UK) in a few weeks. --
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per nomination and Netoholic. The American spelling does indeed appear to be the one most-frequently used throughout the English-speaking world. —
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https://web.archive.org/web/20120229092044/http://www.cmha.ca/data/1/rec_docs/1166_alternatives%20to%20acute%20psychiatric%20hospitalization.pdf
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This article switches from US to UK spelling all throughout it. The title is deinstitutionalisation, the lead says deinstitutionalization.
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father of children, was stabbed to death in a Sydney McDonald by an unpredictable. Makes your blood boil. Wrong priorities.
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Subsequent comments should be made on the appropriate discussion page. No further edits should be made to this discussion.
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Those weren't state facilities or psychiatric hospitals though, although i'm sure there was some movement between them.
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http://njddc.org/ResourcesforPolicyMakers/copy/NCSL%202000%20Deinstitutionalization%20Report%20to%20Legislators.pdf
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ize spelling actually archaic British spelling. The spellings also the only spelling use in Canadian English.
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or the change reduces ambiguity), there is no valid reason for changing from one acceptable option to another.
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Encycopaedia Brittanica has an American publisher. But never mind, Fowler and the O. E. D. also prefer "
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spelling" ... it is the most common English spelling. That should be all that matters. --
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As opponents have stated, the current title is a valid ENGVAR variation and
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Article looks OK, probably could use some flow improvements. Also:
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is wrong... the Z spelling is predominant in British English per
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Paranoid schizophrenia is not a personality disorder.
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