Individuals with serious and persistent mental illness (SPMI) face multiple and complex social problems that reduce their ability to maintain themselves in society. Which of the following statements is most true of deinstitutionalization?
A) Deinstitutionalization has created a situation in which individuals with SPMI are commonly held within ER settings, instead of in the community where they belong.
B) Deinstitutionalization is no longer a large problem due to recent federal funding initiatives for community housing for those with SPMI.
C) Deinstitutionalization creates difficulties for families because they now have to visit their loved ones within the sterile environments of state mental institutions.
D) Deinstitutionalization since the 1960s has caused individuals with SPMI to be discharged into community settings that were ill equipped to handle their multiple and complex needs.
Ans: D
Deinstitutionalization, the process by which large numbers of psychiatric–mental health clients were discharged from public psychiatric facilities, created an influx of seriously and persistently mentally ill clients back into the community to receive outpatient care. It is a major factor in the current problems of the mentally ill.
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