Group 4 discussed the influence of deinstitutionalization on the development of mental health services. Deinstitutionalization referred to moving mental health patients out of state-run institutions and into community mental health centers beginning in the 1960s to improve treatment and cut costs. Factors that influenced deinstitutionalization included reducing government costs and overcrowding, improving treatment, developing more community-based services, reducing discrimination and abuse, and new drugs that reduced hospitalization needs. However, deinstitutionalization also led to increased costs and isolation for families and patients, poor quality of life for chronically ill patients due to a lack of community services.

1. GROUP 4

2. Group members
• Zawadi Lungu
• Moses Biton
• Prisca Majoni
• Katte Mulwafu
• Jayson Nyirenda
• Ellen Nkhata
• Patience Banda
• Martha Kondowe
• Emmanuel Selemani
• Janefefa Mbiro

3. Discuss the influence of deinstitutionalization
in the development of mental health services.
Definitions
Deinstitutionalization
• Refers to the government policy that moved mental health patients
out of state-run “insane asylums” into federally funded community
mental health centres.
• It began in the 1960s as a way to improve treatment of the mentally
ill while also cutting government budgets.
• The goal of deinstitutionalism was to provide care In the least
restrictive setting possible.

4. Mental health services
• Refers to a system of care in which the patients community not a
specific facility such as a hospital is the primary provider of care for
people with mental illness provider of care for people with mental
illness.

5. What influenced deinstitutionalization?
• Cutting of government costs/budgets.
• To improve treatment of the mentally ill.
• Reducing overcrowding of patients in the hospitals.
• More integrated community based mental health services this community
involvement.
• Dealing with the issue of discrimination where mentally ill patient when
treated In the community, the community itself will accept them as
incorporate them in there daily activities.
• Reducing acquired hospital infections in the institutions due to
overcrowding it is easy to get infections that can be prevented.
• Reduced the abuses in the hospitals from the psychiatry patients

6. • The introduction of the mental drugs such as clozapine and
chloropamazine which proved to have higher effects and duration
hence reducing hospitalization.
• Improve rights of mentally ill patients.

7. DISADVANTAGES
• Increased material and psychological costs of families, patients and
community members.
• Poor quality of life, social isolation and financial destitution(condition
of lacking something) of patients living in the community particularly
chronically disturbed persons.
• Lack of adequate supportive and psychiatric health care services for
patients living in the community.
• The promising of more services and results than the system was
prepared to deliver and personal problems within the health care
delivery system.

8. THE END…