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Ethics of Deinstitutionalization

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Book cover Ethics in Psychiatry

Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 45))

Abstract

This chapter analyses ethical drivers of the deinstitutionalization process in psychiatry over the past 50 years in different European countries and highlights typical ethical dilemmas of current community psychiatry. Specific attention is paid to issues of the revolving door patient, rehabilitation and recovery, assertive outreach models and coercive outpatient treatment. The recent debate about a possible process of reinstitutionalization in psychiatry and the associated ethical concerns are reported. A case example is provided to illustrate the ethical aspects of practical care that are described in the chapter.

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Notes

  1. 1.

    See Chapter 19.

  2. 2.

    See Chapter 30.

Abbreviations

AOT:

Assertive Outreach Team

CMHT:

community mental health team

CR:

Crisis Resolution

CTO:

Community treatment order

EI:

Early Intervention

HT:

Home Treatment

PACE:

Program for Assertive Community Effort

PACT:

Program for Assertive Community Treatment

TAPS:

Team for the Assessment of Psychiatric Services

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Author information

Authors and Affiliations

  1. Psychiatrist and Psychotherapist, Former Consultant Psychiatrist and Honorary Senior Lecturer at the East London Mental Health Trust, Psychiatric Practice, D-30161, Hannover, Germany

    Dirk Claassen

  2. Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London Newham, Centre for Mental Health, London, E13 8SP, UK

    Stefan Priebe

Authors
  1. Dirk Claassen
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  2. Stefan Priebe
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Correspondence to Dirk Claassen .

Editor information

Editors and Affiliations

  1. Charité Campus Benjamin Franklin, Klinik für Psychiatrie/ Psychotherapie, Universitätsklinikum Berlin, Eschenallee 3, Berlin, 14050, Germany

    Hanfried Helmchen

  2. chemin Colladon 14, Geneve, 1209, Switzerland

    Norman Sartorius

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Claassen, D., Priebe, S. (2010). Ethics of Deinstitutionalization. In: Helmchen, H., Sartorius, N. (eds) Ethics in Psychiatry. International Library of Ethics, Law, and the New Medicine, vol 45. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-8721-8_21

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  • DOI: https://doi.org/10.1007/978-90-481-8721-8_21

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  • Online ISBN: 978-90-481-8721-8

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