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Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability.
The deinstitutionalization movement started off slowly but gained momentum as it adopted philosophies from the Civil Rights Movement. [1] During the 1960s, deinstitutionalization increased dramatically, and the average length of stay within mental institutions decreased by more than half. [ 1 ]
Social identity theory, for instance, points out that one's sense of self is made up of personal identity and multiple social identities, all of which combine to shape one's personality. Social identities are likely to become the basis for self-definition when that social identity is salient, such as when making comparisons between "them" and "us".
Concepts based in humoral theory gradually gave way to metaphors and terminology from mechanics and other developing physical sciences. Complex new schemes were developed for the classification of mental disorders, influenced by emerging systems for the biological classification of organisms and medical classification of diseases.
Since the middle of the 20th century, the problem of institutionalization has been one of the motivating factors for the increasing popularity of deinstitutionalization and the growth of community mental health services, [2] [11] since some mental healthcare providers believe that institutional care may create as many problems as it solves.
Deindividuation is a concept in social psychology that is generally thought of as the loss of self-awareness [1] in groups, although this is a matter of contention (see below). For the social psychologist, the level of analysis is the individual in the context of a social situation.
In response to the flaws of deinstitutionalization, a reform movement reframed the context of the chronically mentally ill within the lens of public health and social welfare problems. Policy makers intentionally circumvented state mental hospitals by allocating federal funds directly to local agencies.
Social alienation was one of the main themes in Francisco Goya's masterpieces, such as The Madhouse (above).. The lunatic asylum, insane asylum or mental asylum was an institution where people with mental illness were confined.