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[Correspondence] Can deinstitutionalisation contribute to exclusion?

The Review in The Lancet by Serena Luchenski and colleagues (Jan 20, p 266)1 on effective health interventions for people who experience homelessness, substance use disorders, or imprisonment, or who work in the sex trade highlighted the need to tackle physical health, mental health, and addiction in these populations, and noted the importance of deinstitutionalisation.