Lecomte Y
Sante Ment Que. 1988;13(2):35-52.
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.
在第二篇文章中，作者分析了美国去机构化对患者、其家庭、社区以及医疗保健系统（医疗诊所、综合医院、社区心理健康中心和住宿机构）的影响。在分析之后，作者提出了为解决去机构化所产生的问题而形成的各种假设。这些假设遵循了20世纪80年代健康和社会服务领域占主导地位的政治主题：服务整合。
