Deinstitutionalisation: the Dutch way?
The history of deinstitutionalisation of Dutch mental healthcare in a European perspective
Oct 31 2019
In the 1960s, mental healthcare in Europe and the United States embarked on a process of radical change. Under the banner of ‘de-institutionalisation’, a model of inpatient care centred on psychiatric hospitals, began to make way for community-based ambulant care. The aim was to replace institutional treatment with care and treatment at home, i.e. in the community. The aim of the symposium is to learn from the past. How can the insights we gain by comparing past and present experiences help shape de-institutionalisation in the future? How can healthcare professionals and policymakers benefit from these new insights by extrapolating them to new or current situations?
The congress is entirely in English
Registration is done digitally by filling in and sending our online registration form. Immediately after registration you will automatically receive a confirmation / invoice in the mailbox of the address you provided on the registration form.
After your registration, you transfer the registration fee to bank account NL73ABNA0541186108 of Stichting Sympopna, stating your payment reference (16 digits). Or you tick the one-off authorization on the digital registration form. Registration required for payment.
You will receive a digital invoice as a confirmation of your registration via e-mail to the address you provided. Within 14 days after registration, written (mail) and without costs can be canceled. Hereafter only written (mail) and is possible until October 17, 2019.
The cancellation costs are € 20.00. Already paid registration fee is deducted from these costs refunded within two weeks. After October 17, 2019, cancellation is no longer possible and you will owe the full registration fee. All single collection costs will be borne entirely by the tenderer.
This conference is aimed at professionals, policy makers and historians who are interested in the history of deinstutionalisation in mental health care.
3511 XC Utrecht
The Geertekerk is approximately a 15-minute walk from Utrecht Central Station and can also be reached by city bus (line 2)
Early registration € 275 untill September 1. Then € 295.
Students and experience experts not working for a GGZ institution and family members can request a discount of 20% via the registration form Students and experience experts (family members).
This congress is organized by Stichting Sympopna
Accreditatiebureau Verpleegkundig Specialisten Register (VSR) 5 points
Accreditatiebureau Kwaliteitsregister V&VN en Register Zorgprofessionals 5 points
Federatie van Gezondheidszorgpsychologen en Psychotherapeuten (FGzPt) 7 points
NIP-Eerstelijnspsychologie (NIP) 6 points
Granted after notice of objection
Nederlandse Vereniging voor Psychiatrie (NVvP) (5 points)
08.45 – 09.30 Registration
09.30 – 09.50 Opening and welcome by the chairman
Paul Schnabel - Distinguished professor (em.), Utrecht University
09.50 – 10.30 Understanding the divergent pathways towards deinstitutionalisation across the UK
Dr Vicky Long - Senior Lecturer in Twentieth-Century British History, School of History, Classics and Archaeology, Newcastle University, Great Britain
10.30 – 11.10 Deinstitutionalisation or Modernization? The Italian Mental Health-care after the Reform
Dr Daniele Pulino - Adjunct professor of Sociology at University of Sassari, History, human sciences and education Department, Italy
11.10 – 11.40 Coffee break
11.40 – 12.20 Delayed Reform. Institutionalization of Transitional Facilities and the Claim of Deinstitutionalisation - Social Psychiatry in Postwar West Germany
Prof. Maike Rotzoll - Psychiatrist and Medical Historian, Institute for the History and Ethics of Medicine, Ruprecht-Karls-Universität Heidelberg, Germany
12.20 - 13.00 Beyond deinstitutionalisation: the legacy of the anti-institutional movement and the limits of mental health policy in France, 1980-2020.
Dr Nicolas Henckes - Researcher CNRS (CNRS research associate), Center for Research in Medicine, Science, Health, Mental Health and Society (CERMES3), Villejuif, France
13.00 - 14.00 Lunch
14.00 – 14.40 Getting lost on the many roads to Rome? Deinstitutionalisation and community integration in the Netherlands at the beginning of the 21st century
Prof. Hans Kroon - Professor of community mental health at Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University and Head of the Department Care and Participation at Trimbos Institute, Utrecht
14.40 – 15.20 The many faces of deinstitutionalisation: the international historiography
Dr Timo Bolt - Associate Professor of Medical History, Erasmus MC, University Medical Center Rotterdam
15.20 – 15.50 Tea break
15.50 – 16.40 Panel discussion led by the chairman
16.40 – 16.50 Closing remarks by the chairman
16.50 – 17.30 Drinks
In the 1960s, mental healthcare in Europe and the United States embarked on a process of radical change. Under the banner of ‘de-institutionalisation’, a model of inpatient care centred on psychiatric hospitals, began to make way for community-based ambulant care. The aim was to replace institutional treatment with care and treatment at home, i.e. in the community.
This process was led by countries such as the United States, Italy and England. In the Netherlands, it gradually got under way in the 1980s, and was supported by government policy. There were concrete initiatives for reducing the extent of institutional psychiatry, such as the construction of regional sheltered housing facilities and the introduction of Flexible Assertive Community Treatment (FACT).
Early this century it was nonetheless noted that, proportionally, the Netherlands still had one of Europe’s highest numbers of inpatient beds. In 2012, this led to an agreement between the mental healthcare sector and the Ministry of Health, Welfare and Sports to substantially reduce their number.
The question is not only why de-institutionalisation was slower in the Netherlands than elsewhere, but also why it was different. Which factors impeded it, and which advanced it? How does its history compare with the counterpart histories in countries such as Italy, the UK and France? What do these comparisons tell us about the specific nature of Dutch mental healthcare and the context within which it operates?
In the symposium De-institutionalisation: the Dutch way? a number of European researchers will describe and analyse the development of de-institutionalisation in their countries. Against this background, the Dutch experience of de-institutionalisation will then be outlined and compared.
The aim of the symposium is to learn from the past. How can the insights we gain by comparing past and present experiences help shape de-institutionalisation in the future? How can healthcare professionals and policymakers benefit from these new insights by extrapolating them to new or current situations?
By researching recent history, we can guide the development of community-based mental healthcare. Partly for this reason, the symposium is intended to provide the substantive and practical impetus for extensive, internationally focused research on the development of de-institutionalisation and community care in the Netherlands.
The symposium is intended for all care professionals, policymakers and historians interested in the history and future of Dutch and European mental health care and de-institutionalisation.
De programme committee
Prof. Joost Vijselaar (Utrecht University)
Prof. Hans Kroon (Trimbos Institute)
Dr Christian de Vito (University Bonn)
Prof. Gemma Blok (Open University)
Christien Muusse MSc (Trimbos Institute)
Dr Timo Bolt (EUR Rotterdam)
Dr René Keet (EUCOMS)
Prof. Berno van Meijel (Inholland University / Amsterdam UMC)