title: [The deinstitutionalization process in the USA (2nd part).].
abstract: In this second article, the author analyses the impact of American deinstitutionalization on patients, their families, the communities and the health care system (medical clinics, general hospitals, community mental health centres and residential concerns). Following his analysis, the author develops the various hypotheses produced to solve the problems created by deinstitutionalization. These hypotheses follow the dominant political theme of the 80s in the area of health and social services : the integration of services.
authors.forename: Y
authors.initials: Y
authors.lastname: Lecomte