An interdisciplinary look at the deinstitutionalization of the mentally ill |
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| Institution: | 1. Academic Affairs, University of Mary, Bismarck, ND 58504-9652, USA;1. Joint Institute for Nuclear Research, Dubna, 141980 Moscow region, Russia;2. National University of Mongolia, Ulaanbaatar, Mongolia;3. IBM Toronto Lab, 8200 Warden Avenue, Markham, ON L6G 1C7, Canada;1. College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA;2. Bulgarian National Cancer Registry, National Oncological Hospital, Sofia, Bulgaria;1. Department of Life, Health and Environmental Sciences, University of L''Aquila, 67100 Coppito (L''Aquila), Italy;1. Global Health Center, Graduate Institute, Geneva, Switzerland;2. Swiss Hepatitis, c/o Arud, Schützengasse 31, Zurich, Switzerland;3. Arud Centre for Addiction Medicine, Schützengasse 31, Zurich, Switzerland;1. Clarunis, Department of Visceral Surgery, University Centre for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital Basel, Switzerland;2. Bürgerspital Solothurn, Department of Surgery, Solothurn, Switzerland;3. Basel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital Basel and University of Basel, Switzerland;4. Department of Mathematics and Computer Science, University of Basel, Switzerland;1. TOBB University Medical Faculty Department of History of Medicine and Ethics, Turkey;2. Gazi Mustafa Kemal State Hospital, Turkey;3. Ankara University Department of History of Medicine and Ethics, Turkey |
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| Abstract: | Deinstitutionalization of the mentally ill has had an enormous impact on the mentally ill, the community, family members and taxpayers. This paper assesses the impact of deinstitutionalization on each of these groups. The approach is interdisciplinary in nature, using schools of thought found in the fields of political and economic thought in analyzing the effect of deinstitutionalization on each stakeholder group. Although assessments vary by stakeholder group, some overall observations can be made. Ironically, both libertarian and utilitarian arguments favor deinstitutionalization, although for different reasons. A deontological view, however, finds deinstitutionalization lacking. |
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