ArticleBMJ (Clinical research ed.)2005
Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries.
Article in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
116 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Transition of Mental Health Services from Institutional to Community-Based Care Abroad and Its Context for Slovenia-Advantages and Risks.International journal of environmental research and public health · 2025Pooled it
- Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data.Frontiers in psychiatry · 2021Pooled it
- Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies.European psychiatry : the journal of the Association of European Psychiatrists · 2020Pooled it
- The Effectiveness of Mental Health Rehabilitation Services: A Systematic Review and Narrative Synthesis.Frontiers in psychiatry · 2020Pooled it
- Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis.The British journal of psychiatry : the journal of mental science · 2016Pooled it
- [Schizophrenia and violence].Der Nervenarzt · 2014Pooled it
- Involuntary vs. voluntary hospital admission. A systematic literature review on outcome diversity.European archives of psychiatry and clinical neuroscience · 2008Pooled it
- The side effects of service changes: exploring the longitudinal impact of participation in a randomised controlled trial (DOORWAYS) on staff perceptions of barriers to change.BMC psychiatry · 2019Trial
- A cluster randomised controlled trial of a staff-training intervention in residential units for people with long-term mental illness in Portugal: the PromQual trial.Social psychiatry and psychiatric epidemiology · 2017Trial
- Substance Use Severity, Autonomy, and Service Utilization Across Psychiatric Care Pathways in Romania: A Cross-Sectional Service Evaluation.Behavioral sciences (Basel, Switzerland) · 2026Article
- Mental healthcare planning: current and future challenges.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026Article
- [Mental healthcare in South Tyrol].Der Nervenarzt · 2025Article
- Targeting metacognitive change mechanisms in acute inpatients with psychotic symptoms: feasibility and acceptability of a modularized group intervention.European archives of psychiatry and clinical neuroscience · 2024Article
- Shortcomings of services for persons with severe and persistent mental health challenges: a qualitative study of service users and family carers.Frontiers in psychiatry · 2024Article
- Independent Supported Housing Versus Institutionalised Residential Rehabilitation for Individuals with Severe Mental Illness: A Survey of Attitudes and Working Conditions Among Mental Healthcare Professionals.Community mental health journal · 2023Article
- Editorial: Mind the Gap! Criminal justice and health transitions for those with severe mental illness.Frontiers in psychiatry · 2023Article
- Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach.Frontiers in psychiatry · 2023Article
- Safewards Secure: A Delphi study to develop an addition to the Safewards model for forensic mental health services.Journal of psychiatric and mental health nursing · 2022Article
- Substance Use, Hospitalizations, and Co-Occurring Disorders among Patients Transferred from a Needle Exchange Program to Opioid Maintenance Treatment.International journal of environmental research and public health · 2022Observational
- Assisted dying requests from people in detention: Psychiatric, ethical, and legal considerations-A literature review.Frontiers in psychiatry · 2022Review
56 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo establish whether reinstitutionalisation is occurring in mental health care and, if so, with what variations between western European countries.
designComparison of data on changes in service provision.
settingSix European countries with different traditions of mental health care that have all experienced deinstitutionalisation since the 1970s--England, Germany, Italy, the Netherlands, Spain, and Sweden. OUTCOME MEASURES: Changes in the number of forensic hospital beds, involuntary hospital admissions, places in supported housing, general psychiatric hospital beds, and general prison population between 1990-1 and 2002-3.
resultsForensic beds and places in supported housing have increased in all countries, whereas changes in involuntary hospital admissions have been inconsistent. The number of psychiatric hospital beds has been reduced in five countries, but only in two countries does this reduction outweigh the number of additional places in forensic institutions and supported housing. The general prison population has substantially increased in all countries.
conclusionsReinstitutionalisation is taking place in European countries with different traditions of health care, although with significant variation between the six countries studied. The precise reasons for the phenomenon remain unclear. General attitudes to risk containment in a society, as indicated by the size of the prison population, may be more important than changing morbidity and new methods of mental healthcare delivery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.