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Review
. 2022 Mar 24:13:813338.
doi: 10.3389/fpsyt.2022.813338. eCollection 2022.

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

Samira Salime  1   2 , Christophe Clesse  1   3   4 , Alexis Jeffredo  1 , Martine Batt  1
Affiliations
Review

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

Samira Salime et al. Front Psychiatry. .

Abstract

Background: For more than 60 years, psychiatric services has gradually gone from an asylum model to a community model. This change has led to the emergence of a deinstitutionalization movement. This movement seems to have left behind long-term hospitalized aging individuals with severe and disabling mental disorders. The objective of this article is to conduct a review on the challenges and issues associated with the process of deinstitutionalization among hospitalized aging individuals with severe and disabling mental disorders.

Methods: Using PRISMA statement, the research methodology was carried out in English and French in 16 databases with a combination of 3 lists of keywords. The selection process was then followed by a thematic analysis which aimed at categorizing by theme and classifying the writings selected.

Results: A total of 83 articles published between 1978 and 2019 were selected and organized into six categories: (a) a forgotten population in research and health policies, (b) an economic presentation of the deinstitutionalization process, (c) an improvement in quality of life and global functioning for deinstitutionalized patients (d) from stigmatization to the rejection of elderly psychiatric inpatients from deinstutionalization process, (e) a difficult community-based care offer and a difficult epistemological identification, (f) from the lack of community services to the phenomenon of transinstitutionalization. The current state of scientific research, institutional policies and clinical practices associated with the deinstitutionalization process of SVPTSIH are then commented.

Conclusions: Recommendations are proposed to researchers and professionals concerned with the support of long-term hospitalized aging individuals with severe and disabling mental disorders.

Keywords: aging; deinstitutionalization; elderly; psychiatry; severe mental disorder; transinstitutionalization.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of the selection process.
See this image and copyright information in PMC

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