ArticleInternational journal of mental health systems2014
Institutionalization of deinstitutionalization: a cross-national analysis of mental health system reform.
Article in International journal of mental health systems, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mental health supported accommodation services: a systematic review of mental health and psychosocial outcomes.BMC psychiatry · 2018Pooled it
- New policies, old habits: why and how Dutch mental healthcare moves towards collaboration.International journal of mental health systems · 2026Article
- 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
- Beyond Gender and Race: The Representation of Concealable Identities Among College Science Instructors at Research Institutions.CBE life sciences education · 2024Article
- Using the National Mental Health Service Planning Framework to inform integrated regional planning: a case study in Tasmania, Australia.International journal of mental health systems · 2023Article
- Mental Health Reform Processes and Service Delivery Shift From the Hospital to the Community in Belgium and Hong Kong.Health services insights · 2023Article
- The Achieved Capabilities Questionnaire for Community Mental Health (ACQ-CMH): A consumer-based measure for the evaluation of community mental health interventions.American journal of community psychology · 2022Article
- Recovery from 'schizophrenia': Perspectives of mental health nurses in the Eastern island of Indonesia.Belitung nursing journal · 2021Article
- Quality of Life and Functioning of People With Mental Disorders Who Underwent Deinstitutionalization Using Assisted Living Facilities: A Cross-Sectional Study.Frontiers in psychology · 2021Article
- Working on and with Relationships: Relational Work and Spatial Understandings of Good Care in Community Mental Healthcare in Trieste.Culture, medicine and psychiatry · 2020Article
- The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study.The Psychiatric quarterly · 2020Article
- Use of psychiatric hospitals and social integration of patients with psychiatric disorders: a prospective cohort study in five European countries.Social psychiatry and psychiatric epidemiology · 2020Article
- Quality of Life of People with Severe Mental Health Problems: Testing an Interactive Model.International journal of environmental research and public health · 2020Article
- Article
- The French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS): Modelization of an Adapted Assessment Method Toward Long-Term Psychiatric Inpatients With Disabling, Severe and Persistent Mental Illness.Frontiers in psychiatry · 2020Article
- Cross-Cultural Notions of Risk and Liberty: A Comparison of Involuntary Psychiatric Hospitalization and Outpatient Treatment in New York, United States and Zurich, Switzerland.Frontiers in psychiatry · 2018Article
- Like a hotel, but boring: users' experience with short-time community-based residential aftercare.BMC health services research · 2017Article
- How size matters: exploring the association between quality of mental health services and catchment area size.BMC psychiatry · 2016Article
- A qualitative study of how people with severe mental illness experience living in sheltered housing with a private fully equipped apartment.BMC psychiatry · 2016Article
- An international comparison of the deinstitutionalisation of mental health care: Development and findings of the Mental Health Services Deinstitutionalisation Measure (MENDit).BMC psychiatry · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPolicies generate accountability in that they offer a standard against which government performance can be assessed. A central question of this study is whether ideological imprint left by policy is realized in the time following its adoption. National mental health policy expressly promotes the notion of deinstitutionalization, which mandates that individuals be cared for in the community rather than in institutional environments.
methodsWe investigate whether mental health policy adoption induced a transformation in the structure of mental health systems, namely psychiatric beds, using panel data on 193 countries between 2001 and 2011.
resultsOur striking regression results demonstrate that late-adopters of mental health policy are more likely to reduce psychiatric beds in mental hospitals and other biomedical settings than innovators, whereas they are less likely than non-adopters to reduce psychiatric beds in general hospitals.
conclusionsIt can be inferred late adopters are motivated to implement deinstitutionalization for technical efficiency rather than social legitimacy reasons.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.