Second-generation deinstitutionalization, I: The impact of Brewster v. Dukakis on state hospital case mix
UMass Chan AffiliationsDepartment of Psychiatry
Document TypeJournal Article
Community Mental Health Services
Costs and Cost Analysis
Length of Stay
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry and Psychology
MetadataShow full item record
AbstractA 1978 consent decree affecting one region of Massachusetts mandated a drastic reduction of census at its state hospital, where considerable deinstitutionalization had already occurred over the prior two decades. The transfer of patients from hospital to community was to be accomplished through the unprecedented expansion of community resources. This second-generation deinstitutionalization effort achieved substantial census reduction but less than was envisioned. It was most effective in discharging geriatric and mentally retarded patients but far less effective with longterm and new chronic patients, many of whom continue to require repeated hospitalizations despite the availability of a comprehensive array of community-based services.
Am J Psychiatry. 1990 Aug;147(8):982-7.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/45156