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Deinstitutionalization and the Homeless Mentally Ill
Abstract
Although homelessness among the chronically mentally ill is closely linked with deinstitutionalization, it is not the result of deinstitutionalization per se but of the way deinstitutionalization has been carried out. The lack of planning for structured living arrangements and for adequate treatment and rehabilitative services in the community has led to many unforeseen consequences such as homelessness, the tendency for many chronic patients to become drifters, and the shunting of many of the mentally ill into the criminal justice system. It has become clear after two decades of deinstitutionalization that what is needed is a vast expansion of community housing and other services and a whole revamping of the mental health system to meet the needs of the chronically mentally ill for support and stability. In addition, mental health professionals must accept the full extent of the dependency needs of many chronic patients.
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“The widespread implementation of mental health deinstitutionalization policies which took place in the 1970's and 80's in California was not accompanied by structured housing plans for the uptake of mentally ill persons now residing in the community (Lamb, 1984).”
From Single room occupancy (SRO) hotels as mental health risk environments among impoverished women: The intersection of policy, drug use, trauma, and urban space (2014) · cites this paper as Lamb, 1984
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Cited by
Fazel, S., Khosla, V., Doll, H., & Geddes, J. (2008) · PLoS Medicine · doi:10.1371/journal.pmed.0050225 · Cited by 1,033
The epidemiology of alcohol, drug, and mental disorders among homeless persons
Fischer, P. J., & Breakey, W. R. (1991) · American Psychologist · doi:10.1037/0003-066x.46.11.1115 · Cited by 511
Health and Mental Health Problems of Homeless Men and Women in Baltimore
Breakey, W. R. (1989) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1989.03430100086034 · Cited by 358
Homelessness and Mental Illness
Scott, J. (1993) · British Journal of Psychiatry · doi:10.1192/bjp.162.3.314 · Cited by 229
Mental health, alcohol and drug use, and criminal history among homeless adults
(1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.2.191 · Cited by 208
Metadata
- Authors
- Lamb, H. R.
- Affiliations
- University of Southern California (US)
- Corresponding author
- Lamb, H. Richard
- Venue
- Psychiatric Services
- Published
- 1984-09
- Volume
- 35
- Issue
- 9
- Pages
- 899-907
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2168902358
- Cited by
- 192
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 7 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 7 · 2012: 5
- FWCI
- 36.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- deinstitutionalization, homelessness, chronic mental illness, community mental health services, community housing, rehabilitation services, criminal justice involvement, drifting buoys, mental health reform, dependency needs
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Chronic Disease, Combined Modality Therapy, Community Mental Health Services, Crime, Deinstitutionalization, Humans, Male, Middle Aged, Poverty, Psychosocial Deprivation, Schizophrenia, Paranoid, Social Adjustment, Social Environment, Transients and Migrants, United States
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- Lamb, H. R. (1984). Deinstitutionalization and the Homeless Mentally Ill. Psychiatric Services. https://doi.org/10.1176/ps.35.9.899
