Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review
BackgroundFor more than 60 years, psychiatric services has gradually gone from an asylum model to a community model. This change has led to the emergence of a deinstitutionalization movement. This movement seems to have left behind long-term hospitalized aging individuals with severe and disabling m...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.813338/full |
| _version_ | 1818775225926418432 |
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| author | Samira Salime Samira Salime Christophe Clesse Christophe Clesse Christophe Clesse Alexis Jeffredo Martine Batt |
| author_facet | Samira Salime Samira Salime Christophe Clesse Christophe Clesse Christophe Clesse Alexis Jeffredo Martine Batt |
| author_sort | Samira Salime |
| collection | DOAJ |
| description | BackgroundFor more than 60 years, psychiatric services has gradually gone from an asylum model to a community model. This change has led to the emergence of a deinstitutionalization movement. This movement seems to have left behind long-term hospitalized aging individuals with severe and disabling mental disorders. The objective of this article is to conduct a review on the challenges and issues associated with the process of deinstitutionalization among hospitalized aging individuals with severe and disabling mental disorders.MethodsUsing PRISMA statement, the research methodology was carried out in English and French in 16 databases with a combination of 3 lists of keywords. The selection process was then followed by a thematic analysis which aimed at categorizing by theme and classifying the writings selected.ResultsA total of 83 articles published between 1978 and 2019 were selected and organized into six categories: (a) a forgotten population in research and health policies, (b) an economic presentation of the deinstitutionalization process, (c) an improvement in quality of life and global functioning for deinstitutionalized patients (d) from stigmatization to the rejection of elderly psychiatric inpatients from deinstutionalization process, (e) a difficult community-based care offer and a difficult epistemological identification, (f) from the lack of community services to the phenomenon of transinstitutionalization. The current state of scientific research, institutional policies and clinical practices associated with the deinstitutionalization process of SVPTSIH are then commented.ConclusionsRecommendations are proposed to researchers and professionals concerned with the support of long-term hospitalized aging individuals with severe and disabling mental disorders. |
| first_indexed | 2024-12-18T10:53:40Z |
| format | Article |
| id | doaj.art-821d2377dd604a5ebd3b75484f1a269c |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-18T10:53:40Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-821d2377dd604a5ebd3b75484f1a269c2022-12-21T21:10:23ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-03-011310.3389/fpsyt.2022.813338813338Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A ReviewSamira Salime0Samira Salime1Christophe Clesse2Christophe Clesse3Christophe Clesse4Alexis Jeffredo5Martine Batt6INTERPSY Laboratory, University of Lorraine, Nancy, FranceHope 54 Association, Nancy, FranceINTERPSY Laboratory, University of Lorraine, Nancy, FranceCenter for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine Dentistry, Queen Mary University of London, London, United KingdomPsychiatric Hospital of Jury-les-Metz, Metz, FranceINTERPSY Laboratory, University of Lorraine, Nancy, FranceINTERPSY Laboratory, University of Lorraine, Nancy, FranceBackgroundFor more than 60 years, psychiatric services has gradually gone from an asylum model to a community model. This change has led to the emergence of a deinstitutionalization movement. This movement seems to have left behind long-term hospitalized aging individuals with severe and disabling mental disorders. The objective of this article is to conduct a review on the challenges and issues associated with the process of deinstitutionalization among hospitalized aging individuals with severe and disabling mental disorders.MethodsUsing PRISMA statement, the research methodology was carried out in English and French in 16 databases with a combination of 3 lists of keywords. The selection process was then followed by a thematic analysis which aimed at categorizing by theme and classifying the writings selected.ResultsA total of 83 articles published between 1978 and 2019 were selected and organized into six categories: (a) a forgotten population in research and health policies, (b) an economic presentation of the deinstitutionalization process, (c) an improvement in quality of life and global functioning for deinstitutionalized patients (d) from stigmatization to the rejection of elderly psychiatric inpatients from deinstutionalization process, (e) a difficult community-based care offer and a difficult epistemological identification, (f) from the lack of community services to the phenomenon of transinstitutionalization. The current state of scientific research, institutional policies and clinical practices associated with the deinstitutionalization process of SVPTSIH are then commented.ConclusionsRecommendations are proposed to researchers and professionals concerned with the support of long-term hospitalized aging individuals with severe and disabling mental disorders.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.813338/fulldeinstitutionalizationsevere mental disorderagingelderlytransinstitutionalizationpsychiatry |
| spellingShingle | Samira Salime Samira Salime Christophe Clesse Christophe Clesse Christophe Clesse Alexis Jeffredo Martine Batt Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review Frontiers in Psychiatry deinstitutionalization severe mental disorder aging elderly transinstitutionalization psychiatry |
| title | Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review |
| title_full | Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review |
| title_fullStr | Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review |
| title_full_unstemmed | Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review |
| title_short | Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review |
| title_sort | process of deinstitutionalization of aging individuals with severe and disabling mental disorders a review |
| topic | deinstitutionalization severe mental disorder aging elderly transinstitutionalization psychiatry |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.813338/full |
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