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2.
Psychiatric
deinstitutionalisation
Some key-words and topics for
deepest innovative ideas ,
exchanges about alternatives
practices, propose absolutes
priorities :
The ‘Institution’ :
in general way each individual,
needs of institution, but only
as long as the institution does
not become suffocating the
dignity, identity and well-being
of the individual person. (Ex.
family institution, school
institution, etc.)
Decent Institution
is each kind of Institution
that not humiliate , but take
care and promotes the
development, autonomy, growth up
and empowerment of each person
to whom makes the service The
benchmarks of each correct
deinstitutionalization is the
enhancement of the person and
the promotion of human dignity
and identity
The first
deinstitutionalisation is in
mentality: it’s a process that
transforms the aptitudes &
relationship not only between
“users – professionals -
families”, but involving in
this process of rebuilding all
concerned people, from policy
makers & administrators to
workers in social and health
field, in order to invest
together in community for
health/mental health services,
really efficient and of
equality access for all.
To invest in
sustainability, in quality, in
proximity, in flexibility;
co-working for create bridge
between inside institution and
outside in community, broking
close mentalities and barriers .
3. Community based cure and
care: some questions
-
what really we means -
today - with : “Community”
?…
and ‘Social care’
?
-
what kind of relation we
realise between : inside
(health, mental health
institution and outside (in
community: health & mental
health services, housing first?
shelters?)
-
what we means for
sustainable cure (treatment)
and care (take in charge)
in
community?
-
About ‘independent
life’ : evidently this concept
is in opposition with depended
institutionalised life’. But exists real risk
slipping from independence to
loneliness .
“Nobody is a island”, but “inter–dependent” especially when
people are working for inclusive
participation and responsibility
of each people in citizen life.
Which
are the programs, projects and
practical initiatives that aim to
eliminate or at least to reduce the
gap between the rights granted in
international declarations (health –
housing – labour) and the barriers
preventing people in situation of
great precariousness accessing these
rights in practice.
How
to improve equal
and for all access to basic services
especially in times of austerity and
cuts ?
How
promote and facilitate access of
homeless to health/mental health
services and of social & health
service providers to homeless people
when they are living on the streets
?
How to ensure
the fundamental rights of undocumented migrants: how their specific vulnerabilities
& marginalisation impact on their
mental health situation and their
access to services ?
Deinstitutionalisation
bibliography : please point us
documents, articles, studies,
presentations of experiences
that specifically address this
issue; your comments and
proposals concerning this
field are welcome !
Thank
Learning From History:
Deinstitutionalization of People
with Mental Illness As Precursor
to Long- Term Care Reform
Deinstitutionalization and
reinstitutionalization: major
changes in the provision of
mental healthcare Walid Fakhoury
Stefan Priebe
Some Perspectives on
Deinstitutionalization H.
Richard Lamb, M.D. Leona L.
Bachrach, Ph.D.
“Violent
deinstitutionalization and
economic crisis in Greece”
Theodoros Megaloeconomou, CHMC,
Athens, Greece
LONG-TERM
MENTAL HEALTH CARE FOR PEOPLE
WITH SEVERE MENTAL DISORDERS by
J.M. Caldas de Almeida and Helen
Killaspy
Inside
an abandoned psychiatric
hospital: Building 25 at
Creedmoor Psychiatric Center in
Queens, New York
L’approccio psico-sociale e
comunitario al mondo della
graveemarginazione Europea
2014-20
Deinstitutionalisation and
Community Living: Outcomes and
costs - a report of a European
Study.
Homelessness
and Mental Illness: A Story of
Failure Robert E. Drake
Out
of the wards and onto the
streets? Deinstitutionalization
and homelessness in Britain : Ph
Timms - Th Craig
Homelessness and Mental Health,
FEANTSA
ACCESS TO
SERVICES BY PEOPLE WITH SEVERE
MENTAL HEALTH PROBLEMS WHO ARE
HOMELESS
SOCIAL EUROPE :
Social Europe
- Aiming for inclusive growth:
Annual
report of the Social Protection
Committee on the social
situation in the EU (2014)
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