Australia's National Mental Health Strategy and deinstitutionalization: some empirical results

Doessel, Darrel P., Scheurer, Roman W., Chant, David C. and Whiteford, Harvey A. (2005) Australia's National Mental Health Strategy and deinstitutionalization: some empirical results. Australian And New Zealand Journal of Psychiatry, 39 11-12: 989-994.


Author Doessel, Darrel P.
Scheurer, Roman W.
Chant, David C.
Whiteford, Harvey A.
Title Australia's National Mental Health Strategy and deinstitutionalization: some empirical results
Journal name Australian And New Zealand Journal of Psychiatry   Check publisher's open access policy
ISSN 0004-8674
1440-1614
Publication date 2005-11
Sub-type Article (original research)
DOI 10.1080/j.1440-1614.2005.01702.x
Volume 39
Issue 11-12
Start page 989
End page 994
Total pages 6
Editor P. Joyce
Place of publication Asia
Publisher Blackwell Publishing
Collection year 2005
Language eng
Subject C1
321204 Mental Health
730211 Mental health
Abstract Objective: To determine the role of the National Mental Health Strategy in the deinstitutionalization of patients in psychiatric hospitals in Queensland. Method: Regression analysis (using the maximum likelihood method) has been applied to relevant time-series datasets on public psychiatric institutions in Queensland. In particular, data on both patients and admissions per 10 000 population are analysed in detail from 1953-54 to the present, although data are presented from 1883-84. Results: These Queensland data indicate that deinstitutionalization was a continuing process from the 1950s to the present. However, it is clear that the experience varied from period to period. For example, the fastest change (in both patients and admissions) took place in the period 1953-54 to 1973-74, followed by the period 1974-75 to 1984-85. Conclusions: In large part, the two policies associated with deinstitutionalization, namely a discharge policy ('opening the back door') and an admission policy ('closing the front door') had been implemented before the advent of the National Mental Health Strategy in January 1993. Deinstitutionalization was most rapid in the 30-year period to the early 1980s: the process continued in the 1990s, but at a much slower rate. Deinstitutionalization was, in large part, over before the Strategy was developed and implemented.
Keyword Psychiatry
Deinstitutionalization
National Mental Health Strategy
Psychiatric Hospitals
Queensland
Intervention Analysis
Hospitalization
Psychiatric
Hospitals
Q-Index Code C1

 
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