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Cited by 299

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Deinstitutionalization: An Appraisal of Reform

Mechanic, David, Rochefort, David A.·1990·Annual Review of Sociology

Abstract

The number of inpatients in US public mental hospitals declined from 559,000 in 1955 to approximately 110,000 at present. Reductions resulted from release or transfer of long-term inpatients and from entrance barriers to new admissions. The timing and pace of deinstitutionalization substantially varied by state, but three quarters of the national reduction followed the expansion of welfare programs in the middle 1960s. The establishment of community care alternatives was highly inadequate, leaving many severely and persistently mentally ill people without essential services. Problems of care were exacerbated by the contraction of welfare programs in the 1980s, which resulted in serious neglect and homelessness. Plagued by underfinancing and fragmentation of care, new strategies in developing mental health care systems include capitation, case-management approaches, and the development of strong local mental health authorities.

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Crossref · 10.1146/annurev.so.16.080190.001505

Cites

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Metadata

Authors
Mechanic, D., & Rochefort, D. A.
Venue
Annual Review of Sociology
Published
1990-08
Volume
16
Issue
1
Pages
301-327
ISSN
  • 0360-0572 (ISSN-L)
  • 1545-2115
OpenAlex
W2131739685
Cited by
299
References
24
FWCI
5.65
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Deinstitutionalization: An Appraisal of Reform. https://app.cochat.ai/papers/10.1146/annurev.so.16.080190.001505
The paper
Mechanic, D., & Rochefort, D. A. (1990). Deinstitutionalization: An Appraisal of Reform. Annual Review of Sociology. https://doi.org/10.1146/annurev.so.16.080190.001505

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.