Presentation Information
[SY-55]Deinstitutionalization and Community Care2-Freedom first on the basis of Human Rights-
Itsuo Asai1, Donato Zupin2, So Hee Lee3, Seiryo Mukaiyachi4, Pablo Farias5 (1.Heart Clinic Medical Corporation(Japan), 2.MHD-WHO Collaborative Center(United States of America), 3.National Medical Center Seoul(Australia), 4.Health Sciences University of Hokkaido(Canada), 5.Hospital Civil de Guadalajara(Mexico))
Keywords:
de-hospitalization,abolition,psychiatric hospital,freedom first,human rights
Deinstitutionalization and Community-Based Psychiatry: Global Pathways Beyond Institutions
This symposium focuses on how psychiatric care systems around the world are moving beyond institutional models toward community-based approaches grounded in freedom and human rights. It examines practical pathways to deinstitutionalization, highlighting innovations and challenges in diverse sociopolitical contexts.
Dr. Donato Zupin will introduce the Trieste model in northeast Italy, a globally recognized example of radical deinstitutionalization. Drawing from the legacy of Franco Basaglia, the model promotes an open-door, no-restraint approach and integrates psychiatric care with housing, employment, and social services. Dr. Zupin will outline the key features of this system and reflect on how it continues to evolve amid shifting political and administrative pressures.
In South Korea, the Mental Health Act was significantly reformed in 2017, and institutional closures have been implemented in some regions. Dr. So Hee Lee will discuss what measures can be taken by the community in reducing involuntary admissions and long-term hospitalization.
From Japan, Professor Seiryo Mukaiyachi will share insights from municipalities in Hokkaido where psychiatric hospitals have been eliminated. His presentation will address how mental health care is organized in such areas and what outcomes have emerged.
Dr. Pablo Farias will present on psychiatric services in Central and South America, where hospitals are often scarce. He will raise key questions about whether such institutions are necessary, or whether community-based models can meet the needs of local populations.
Together, the symposium invites reflection on how to build sustainable, non-institutional mental health systems that uphold dignity, autonomy, and inclusion.
This symposium focuses on how psychiatric care systems around the world are moving beyond institutional models toward community-based approaches grounded in freedom and human rights. It examines practical pathways to deinstitutionalization, highlighting innovations and challenges in diverse sociopolitical contexts.
Dr. Donato Zupin will introduce the Trieste model in northeast Italy, a globally recognized example of radical deinstitutionalization. Drawing from the legacy of Franco Basaglia, the model promotes an open-door, no-restraint approach and integrates psychiatric care with housing, employment, and social services. Dr. Zupin will outline the key features of this system and reflect on how it continues to evolve amid shifting political and administrative pressures.
In South Korea, the Mental Health Act was significantly reformed in 2017, and institutional closures have been implemented in some regions. Dr. So Hee Lee will discuss what measures can be taken by the community in reducing involuntary admissions and long-term hospitalization.
From Japan, Professor Seiryo Mukaiyachi will share insights from municipalities in Hokkaido where psychiatric hospitals have been eliminated. His presentation will address how mental health care is organized in such areas and what outcomes have emerged.
Dr. Pablo Farias will present on psychiatric services in Central and South America, where hospitals are often scarce. He will raise key questions about whether such institutions are necessary, or whether community-based models can meet the needs of local populations.
Together, the symposium invites reflection on how to build sustainable, non-institutional mental health systems that uphold dignity, autonomy, and inclusion.