title: [Deinstitutionalization in psychiatry: revising our principles of community psychiatry or failure of deinstitutionalization!].
abstract: OBJECTIVE
  To update community psychiatry principles within the context of increased outpatient services.
  
  
  METHODS
  Analysis of the evolution of some community models in Italy, France, Holland, and the United States.
  
  
  RESULTS
  Deinstitutionalization was aimed to protect patients from the harmful effects of mental hospitals but failed to result in social integration for many of them. Success and failure of community practice shed a new light on the diversity and constancy of patients' needs.
  
  
  CONCLUSIONS
  Quality-of-life improvement and services integration should be guided by planning and selection of the required services.
authors.affiliation: Psychiatre, Centre Hospitalier Malartic, Hôpital d'Argenteuil Chargé de formation clinique, Université de Montréal.
authors.forename: P
authors.initials: P
authors.lastname: Léouffre
authors.forename: R
authors.initials: R
authors.lastname: Tempier
mesh_terms: D003156:Community Mental Health Services / Q000639:trends*; D003431:Cross-Cultural Comparison; D003688:Deinstitutionalization / Q000639:trends*; D005060:Europe; D005544:Forecasting; D006285:Health Planning; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D011788:Quality of Life; D014481:United States
vernacular_title: Le virage ambulatoire en psychiatrie: réactualiser nos principes de psychiatrie communautaire ou rater le virage!