as mental illness treatment shifted from institutional to community settings, public dollars were allocated on the basis of units of service delivered, not on results of care. discuss the implications of this policy on the deinstitutionalized severely mentally ill.

Respuesta :

Deinstitutionalization has led to a significant increase in the number of mentally ill people living in the community. In addition, there aren't many community psychiatric options, such as hospital beds.

- Effect of deinstitutionalization on severely mentally ill patients :

- Homelessness, frequent rehospitalization, and noncompliance with treatment regimens are all effects. 21% of clients struggled with substance misuse. Families attributed a number of issues, such as a lack of case management and social isolation, to the prevalence of substance misuse.

- Since the middle of the 1950s, deinstitutionalization has advanced. It has been a failure for some people even though it has been successful for many others. The rise in homelessness, and violent crimes among people with serious mental illness is clear evidence of system failure. Hospital re-admissions of those for whom deinstitutionalization has failed are rising. People who have spent 20 days in the hospital over the course of ten years are not uncommon. Tragically, there are more people incarcerated with mental illnesses than there are state hospitals.

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