From TIME · Anura Kumara Dissanayake · · 1m 20s
Mental health care must move from hospitals to communities
Millions live in psychiatric institutions against their will. Experts say community-based care works better and respects human rights.
In brief
Millions live in psychiatric institutions against their will. Experts say community-based care works better and respects human rights. The World Health Organization and health leaders argue that countries should shift mental health care from large psychiatric hospitals to community-based services that respect dignity…
Millions trapped in psychiatric institutions
Around the world, very large numbers of people with mental health conditions live in psychiatric hospitals and social care institutions.
“about half were brought in against their will, stripped of basic daily choices like what to wear or when to eat, and cut off from the outside world”
Institutions consume most mental health funding
Across the world, nearly half of all public mental health funding is spent on maintaining large psychiatric facilities, while access to community-based mental health care for millions of people remains underfunded and overlooked.
“nearly half of all public mental health funding is spent on maintaining these large facilities”
Sri Lanka shows the path forward

Sri Lanka replaced isolated institutions with community-based services over the past twenty years. Today, mental health care is delivered through inpatient and outpatient units in general hospitals, outreach clinics, and child mental health clinics throughout…
Deinstitutionalization requires full support systems
Deinstitutionalization is not simply about reducing hospital beds. It requires creating conditions for people to live independently with access to appropriate housing, education, employment, social protection, and person-centered mental and physical health care.
“Deinstitutionalization is not simply about reducing hospital beds”
WHO releases guidance for countries to transition
The World Health Organization has released new practical guidance to help health leaders navigate deinstitutionalization.
The key point
The World Health Organization and health leaders argue that countries should shift mental health care from large psychiatric hospitals to community-based services that respect dignity and promote recovery.




