Mental hospital reform in Asia: the case of Yuli Veterans Hospital, Taiwan
2009

Transforming a Mental Hospital in Taiwan

Sample size: 203 publication Evidence: moderate

Author Information

Author(s): Lin Chih-Yuan, Huang Ai-Ling, Minas Harry, Cohen Alex

Primary Institution: Yuli Mental Health Research Center, Yuli Veterans Hospital, Hualien, Taiwan

Hypothesis

Can a custodial mental hospital be transformed into a community-integrated care facility?

Conclusion

The Yuli model shows that a custodial mental hospital can be successfully transformed into a facility that provides high-quality care and supports community integration for patients.

Supporting Evidence

  • The Yuli model includes holistic medical support, vocational rehabilitation, case management, and a residential program.
  • Patients in the Yuli model regain stability, dignity, and self-confidence through community integration.
  • The hospital has transformed from a custodial institution to a community-integrated care facility over 20 years.
  • Patients participate in community activities, which helps reduce stigma and promote acceptance.

Takeaway

This study shows that a mental hospital can change from being a place where people feel trapped to a place where they can live and work in the community.

Methodology

The study used historical documents and oral narratives from patients, workers, and inhabitants of Yuli.

Potential Biases

Potential bias in self-reported experiences from patients and community members.

Limitations

The study may not be generalizable to other cultural contexts due to unique local factors.

Participant Demographics

{"veterans":{"male":605,"average_age":71.1},"non_veterans":{"male":1058,"female":767,"average_age":{"male":45.8,"female":51.1}}}

Digital Object Identifier (DOI)

10.1186/1752-4458-3-1

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