title: Deinstitutionalization in two cultures.
abstract: American and British reformers may act as if reducing the number of beds alone reduces human distress or the incidence and prevalence of psychiatric illness. Deinstitutionalization requires a recognition of changed relationships between patients and staff, and between patients and families. Our two cultures have responded differently to questions of where, by whom, and how to treat their mental patients.
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration; D003688:Deinstitutionalization / Q000639:trends; D006291:Health Policy; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D012931:Social Environment; D006113:United Kingdom; D014481:United States