The hope appears to be that deinstitutionalization will lead to human services that are more inclusive and that do not marginalize disadvantaged and minority groups in the same way that centralized institutionalized care did. However, this leads me with the question of who is establishing the standards of care for the smaller groups? Are those standards established locally? If not, then how can the standards possibly reflect the concerns of different subgroups in society. On the other hand, if they are established locally, bias and prejudice can still impact the provision of care, and those local biases and prejudices may not be apparent to any non-local oversight agencies.

References

Australian Institute of Health and Welfare. (2001). Deinstitutionalization: The move towards community-based care. In Australia's Welfare 2001: The Fifth biennial welfare report of the Australian Institute of Health and Welfare (pp.96-139). Canberra: Australian Institute of Health and Welfare.

Fine, M. (Year)....
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