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Deinstitutionalization in intellectual disabilities

Beadle-Brown, Julie, Mansell, Jim, Kozma, Agnes (2007) Deinstitutionalization in intellectual disabilities. Current Opinion in Psychiatry, 20 (5). pp. 437-442. ISSN 0951-7367. (doi:10.1097/YCO.0b013e32827b14ab) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:2949)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
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Purpose of review

The process of deinstitutionalization for intellectual disability services is at different stages across the world, varying from complete closure in Sweden to a vague hope in Taiwan. This review explores recent literature on deinstitutionalization and intellectual disabilities and focuses on papers published in academic journals mainly during 2006.

Recent findings

Work on deinstitutionalization continues to show that outcomes are better in the community than in institutional care but recent papers highlight that there is more to deinstitutionalization than just hospital closure. Just moving people out of institutions into community settings does not bring about automatic improvement in quality of life in terms of choice and inclusion as well as self-identity and access to effective healthcare and treatment. This is especially true for people with more severe intellectual disabilities as well as complex needs such as challenging behaviour. Some of the current research illustrates that even offenders with intellectual disability can be successfully supported in the community.


Recent research provides further examples and lessons on how community care can and should work, which it would be hoped will help those countries just starting the process of institutional closure to move more quickly to full deinstitutionalization.

Item Type: Article
DOI/Identification number: 10.1097/YCO.0b013e32827b14ab
Uncontrolled keywords: community care; deinstitutionalization; hospital closure; intellectual disabilities; long-term outcome
Subjects: R Medicine > RC Internal medicine > RC321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard
Depositing User: Julie Beadle-Brown
Date Deposited: 29 Apr 2008 08:40 UTC
Last Modified: 16 Nov 2021 09:41 UTC
Resource URI: (The current URI for this page, for reference purposes)

University of Kent Author Information

Beadle-Brown, Julie.

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Mansell, Jim.

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Kozma, Agnes.

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