Journal article

From deinstitutionalisation to consumer empowerment: mental health policy, neoliberal restructuring and the closure of the 'Big bins' in Victoria

Piers Gooding

HEALTH SOCIOLOGY REVIEW | ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD | Published : 2016

Abstract

The paper presents an historical critical policy analysis of deinstitutionalisation and the introduction of neoliberal forms of governance in mental health policy. It focuses particularly on a major period of policy reform in the 1980s and 1990s in Victoria, Australia. Many of the particularities of the Victorian experience can be generally observed with deinstitutionalisation throughout the world. In particular, the policy discourse of rights and entitlements, consumer choice and empowerment, at times stood in tension with the service void created by the transition from large, stand-alone psychiatric institutions, to dispersed forms of service provision outside the hospital. Further, certai..

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University of Melbourne Researchers