Generic Dostinex (Cabergoline)

INSTITUTIONAL OR COMMUNITY LIVING? INSTITUTIONAL VERSUS COMMUNITY LIVING - THE INDEPENDENCE OF MENTALLY ILL PEOPLE
The lack of flexibility within some institutions hinders independence as everything must be done by a certain time and in a specific way. Wilkinson (1987) notes how the independence of mentally ill people is reduced by nurses who do too much for them and Cooke (1987) believes that the independence of old people in geriatric wards is sometimes restricted to the extent of infringing their civil liberties. Many severely disabled people, who leave institutions for a life in the community, are surprised at how much they are able to achieve (Shearer, 1982). Grouping people with similar impairments together may also limit independent and varied activity because everyone is experiencing similar difficulties. Even institutions which express a specific aim to encourage independence may in reality be restrictive because any attempt to enhance self-sufficiency is offset by institutional rules and regulations.
The long-term effect of all this may be that some residents, particularly those with emotional or learning problems, adopt unusual or self-injurious habits and behaviours such as rocking and head banging which may be copied by others and reinforced by them. These behaviours, as well as undue passivity and lack of initiative, are frequently viewed as symptoms of the disability or illness rather than the environment, and can be used as a justification, not only for the retention of residents, but for the institution s very existence. Ford (1987) explains that, after years of incarceration, residents need considerable assistance in coping successfully with life in 'normal society. Thus the presence of institutions tends to confirm their need and inhibit the adoption of other, more creative, approaches.
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General health

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