Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

1 results

  • 8 - From Deinstitutionalization to Deprescribing and Beyond

  • from Part III - The Future
  • Edited by Meaghan Stacy, Yale University, Connecticut, Charlie A. Davidson, Emory University, Atlanta
  • Book:
    Recovering the US Mental Healthcare System
    Published online:
    03 March 2022
    Print publication:
    24 February 2022, pp 183-205

  • Summary

    Deinstitutionalization informs a movement toward a civil rights-informed perspective, and connects to the current trend of deprescribing in psychiatry. This emerging practice is growing. We look at the intersection of scientific evidence, social and cultural trends, and economic influences, then outline potential trajectories for the future, including de-diagnosis and deconstructing. “De-diagnosing” a mental illness is rarely discussed but seems a somewhat natural reordering and recalibration of decades of diagnostic expansion. The uptick in diagnosing in psychiatry reflects broader cultural movements and is impacted by and has influenced the need for deprescribing. The relocation of individual distress from within a person to societal barriers and inequities reflects a progression and decolonization of psychiatry as a vehicle for self-blame. Similarly, deconstructing reflects the necessary step of taking apart current evidence by including lived experience and cocreated stakeholder science, and reapplying them by identifying evidence, or lack thereof, for approaches such as hospitalization.