Even though a person may no longer be living in an institution, does
the culture and community cause the person to be institutionalised into the
communities’ values, beliefs, and roles?
Or is it that the
ex-members of a community are still institutionalised in the institutions of
the community that they were a part of? Are people who have had long-term stays
in institutions/hospitals so institutionalised in the old culture that they
cannot adjust to the institutions of the new culture when out in the community?
These points I believe
are vital for people to ponder and take into account in order to provide
inclusive communities for people who have an illness or disability to live a ‘normal’
life. Stigma free!
Although the deinstitutionalisation
led to a decrease in the amount of large institutions and an increase in the number
of people with illness and disability residing in the community (Cummins &
Baxter, 1993), Emerson (1985) raised the issue that maybe the change from an institution
to community settings has only replaced one form of restrictive living with
another.
References:
Anderson, P. (2010). Institutionalisation,
deinstitutionalisation what's the difference? Retrieved from http://www.psawa.com/Institutionalisation_Deinstitutionalisation_whats_the_difference.html
Cummins, R. A., & Baxter, C. (1993). A case for the inclusion of subjective quality of life data in service delivery evaluation. Proceedings from the Australasian Evaluation Society International Conference.
Hi Grace
ReplyDeleteRead you post with intrest. Institutionalised care is here to stay. Where a community does not have the skills or resources to look after their members (people with high support needs) institutional care is the only option.
Institutional care is much better now than it was 20 years ago and residents do have a reasonable quality of life. I have seen lots of examples where a person is relocated into a residence of 2 or 3 loose the contacts, relationships and community of the institution that they were a part of. They become isolated and withdrawn because of a lack of services outside of the organisation providing the care.
Anderson, P