ReviewBMC psychiatry2013
Understanding psychiatric institutionalization: a conceptual review.
Review in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
What it found
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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
41 citing papers in PubMed, 3 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
- Factors influencing the length of stay in forensic psychiatric settings: a systematic review.BMC health services research · 2024Pooled it
- What does dependency on community mental health services mean? A conceptual review with a systematic search.Social psychiatry and psychiatric epidemiology · 2016Pooled it
- Impacts of a Self-directed Social Resources Study Program on Negative Symptoms and Quality of Life in Schizophrenia Outpatients: A Randomized Controlled Trial.The Kobe journal of medical sciences · 2024Trial
- Study protocol for a cluster randomised controlled trial to assess the effectiveness of user-driven intervention to prevent aggressive events in psychiatric services.BMC psychiatry · 2017Trial
- Article
- Participatory research in mental health care services in low-income and middle-income countries: a scoping review.BMJ open · 2026Article
- Social inclusion of people with severe mental illness: a review of current practices, evidence and unmet needs, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- User, Admission and Discharge Characteristics at Secure Units in Residential Social Care Institutions in Slovenia.Zdravstveno varstvo · 2025Article
- Putting mental health deinstitutionalisation back on track: a scoping review of what empirically hinders and drives deinstitutionalisation of adults who experience mental illness.BMC public health · 2025Article
- Effects of Long-Term Institutionalization on the Linguistic-Communicative Performance of Patients with Schizophrenia.Healthcare (Basel, Switzerland) · 2025Article
- Utica State Hospital: Psychiatric Reform, Institutionalization, and Patient Justice in 19th Century America and Today.The Yale journal of biology and medicine · 2025Review
- Deinstitutionalisation and the move to community care: comparing the changing dimensions of mental healthcare after 1922 in the Republic of Ireland and England.History of psychiatry · 2024Article
- Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- A Comprehensive Analysis of Mental Health Problems in India and the Role of Mental Asylums.Cureus · 2023Review
- The weaponization of medicine: Early psychosis in the Black community and the need for racially informed mental healthcare.Frontiers in psychiatry · 2023Review
- Do improved structural surroundings reduce restrictive practices in psychiatry?International journal of mental health systems · 2022Article
- Quality of residential facilities in Italy: satisfaction and quality of life of residents with schizophrenia spectrum disorders.BMC psychiatry · 2022Article
- Performance and effectiveness of step progressive care pathways within mental health supported accommodation services in Italy.Social psychiatry and psychiatric epidemiology · 2022Article
- Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors.BMC psychiatry · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince Goffman's seminal work on psychiatric institutions, deinstitutionalization has become a leading term in the psychiatric debate. It described the process of closure or downsizing of large psychiatric hospitals and the establishment of alternative services in the community. Yet, there is a lack of clarity on what exactly the concept of institutionalization means in present-day psychiatry. This review aims to identify the meaning of psychiatric institutionalization since the early 1960s to present-day.
methodA conceptual review of institutionalization in psychiatry was conducted. Thematic analysis was used to synthesize the findings.
resultsFour main themes were identified in conceptualizing institutionalization: bricks and mortar of care institutions; policy and legal frameworks regulating care; clinical responsibility and paternalism in clinician-patient relationships; and patients' adaptive behavior to institutionalized care.
conclusionsThe concept of institutionalization in psychiatry reflects four distinct themes. All themes have some relevance for the contemporary debate on how psychiatric care should develop and on the role of institutional care in psychiatry.
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Registered trials
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