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Kaplan 's daring reinterpretation of Judaism as a civilization-which thrilled the sociologically attuned generation of the 20s , 30s , and 40s and was institutionalized by his followers in the form of the Reconstructionist movement-had little resonance for post-World War II Jews in search of transcendence . The parties agreed that for purposes of determining whether 50 % or moreof the patients were institutionalized at Meadowview ICF because ofmental disorders , the State could present evidence on patientsrepresenting 10 % of the facility population . For example , in the data available that tracks long-term care services ( also known as MDS data ) , as of September 31 , 2005 , nationally there were 173,194 ( 12.3 % ) persons in nursing homes who went directly from their homes " with no home health services " before they were institutionalized . Many of these persons were institutionalized in nursing homes before they were provided or even offered home and community-based services . When President Clinton signed the Government Performance and Results Act of 1993 ( GPRA ) into law , this commitment to quality was institutionalized . The evidence clearly shows that Broadlawns West was established as a facility specializing in the care of mentally diseased patients , and that more than 50 % of the patients in the facility during the year under review were institutionalized for treatment of a mental disease and in fact received such treatment . I thus tried to analyze how this new referential for action developed and became institutionalized in France : this led me to observe that , on the one hand , this referential has not been a prerequisite for new practices and behaviors but , on the contrary resulted from them and that , on the other hand it did not displace the previous one but instead cohabits along side it . The cultural work performed by grammatica was institutionalized in the widest possible array of medieval cultural practices - - schools , libraries , scriptoria , law , theology , biblical exegesis . A large proportion of those who were institutionalized could live in much less restrictive environments such as a familylike environment in a house or apartment surrounded by other residential uses .