Author:
Winkler Petr,Barrett Barbara,McCrone Paul,Csémy Ladislav,Janousková Miroslava,Höschl Cyril
Abstract
BackgroundReports linking the deinstitutionalisation of psychiatric care with
homelessness and imprisonment have been published widely.AimsTo identify cohort studies that followed up or traced back long-term
psychiatric hospital residents who had been discharged as a consequence
of deinstitutionalisation.MethodA broad search strategy was used and 9435 titles and abstracts were
screened, 416 full articles reviewed and 171 articles from cohort studies
of deinstitutionalised patients were examined in detail.ResultsTwenty-three studies of unique populations assessed homelessness and
imprisonment among patients discharged from long-term care. Homelessness
and imprisonment occurred sporadically; in the majority of studies no
single case of homelessness or imprisonment was reported.ConclusionsOur results contradict the findings of ecological studies which indicated
a strong correlation between the decreasing number of psychiatric beds
and an increasing number of people with mental health problems who were
homeless or in prison.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
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