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Institutionalization refers to the process whereby an individual can begin to lose their sense of self and identity following admission to a long-stay health or social care institution. The transformation from being independent and active to dependent and passive occurs when the needs of the institution supersede the needs of the individual. As a consequence, the individual can lose their ability to function outside of the institution.

When the 1990 NHS and Community Care Act came into being in the United Kingdom, it marked a radical shift in how people with certain care needs were to be supported by the state. Up until then one of the more common approaches had been to accommodate people in long-term care institutions. Such institutions catered for people with ...

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