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Deinstitutionalization, as a book category, covers the global shift from large, segregated institutions—such as psychiatric hospitals, asylums, state schools, and long-term care facilities—to community-based services and supports. Books in this genre trace the historical arc from mid-20th-century reforms driven by civil rights movements, new psychiatric medications, and fiscal pressures to today’s debates about community integration, public safety, and quality of care. The category spans policy analyses, histories, ethnographies, legal and ethical critiques, and first-person narratives from people with psychiatric or developmental disabilities, older adults, families, advocates, and frontline workers. Core themes include human rights and autonomy, service financing and design, housing and homelessness, transinstitutionalization into jails and prisons, and the role of advocacy and litigation. Many titles feature international comparisons, local case studies, and outcome evaluations in health, employment, and social inclusion, weighing both the promises and unintended consequences of replacing institutional care with community-based alternatives.

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