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  • Title: Deciphering deinstitutionalization: complexities in policy and program analysis.
    Author: Rose SM.
    Journal: Milbank Mem Fund Q Health Soc; 1979; 57(4):429-60. PubMed ID: 114875.
    Abstract:
    Deinstitutionalization as a public policy promised to be a major departure from previous psychiatric practice. Decrying traditional "medical paradigms" and the custodial "warehousing" of mental patients, policy makers advanced a "bold new approach" for care in the community. Progressive humanitarian reform could go hand in hand with fiscal conservatism. Community Mental Health Centers were to be the heart of a new national effort. But the rhetoric of reform failed to coalesce the activities among competing federal and state interests and systems. Intended beneficiaries may have become unfortunate victims.
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